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The Bushrunner - Berowra Bush Runners

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STRESS FRACTURES By Jackie Walford <strong>Berowra</strong> Physiotherapy<br />

What are Stress Fractures? Stress fractures are overload<br />

or fatigue fractures that occur over weeks or<br />

months.<br />

STRESS FRACTURES:<br />

� Cause 5 to 10% of all sports injuries and 95%<br />

in lower limb.<br />

� Cause 25% of exercise induced leg pain<br />

Proportionally, stress fractures are more common in<br />

female sports participants than in male.<br />

In runners, 34% of stress fractures occur in the tibia,<br />

24 % in the fibula and 18% in the metatarsals.<br />

<strong>The</strong> neck of femur fractures appear to be on the increase.<br />

Stress fractures are related to:<br />

1. training errors<br />

e.g. rapid load increase, hard surface<br />

2. Poor foot wear<br />

3. Technical changes in sport or running style<br />

4. Poor bone health e.g. osteopenia which may<br />

occur with diabetes, menstrual irregularity,<br />

smoking, cortisone and genetic predisposition.<br />

Risk factors must be addressed to avoid recurrence<br />

of this injury.<br />

Only 10% of patients will show a stress fracture on a<br />

plain x ray. Bone scans are preferred and are highly<br />

accurate. A bone scan will detect a stress fracture<br />

within a day of pain development in 95% of cases.<br />

Pain hopping on one leg is assumed to be bone pain<br />

unless proved otherwise.<br />

Certain obsessive personalities are more prone to<br />

these injuries.<br />

Stress Fracture Grading<br />

Grade 1 mild – post exercise pain only.<br />

No medication.<br />

Grade 2 moderate – pain during exercise,<br />

possible limp, features on bone scan.<br />

Grade 3 Severe – Pain walking, unable to perform<br />

weight bearing sport.<br />

Grade 4 Resting pain, possible night pain, using<br />

regular medication, using walking aids, may<br />

need surgery.<br />

REMEMBER RUNNERS<br />

On impact, the load of the body is transmitted to<br />

lower extremities and may exceed 3 to 5 times the<br />

Page 4<br />

body weight.<br />

Management takes 8 to 12 weeks and sometimes<br />

more.<br />

A return to running program should include 12<br />

weeks of gradual increase, from walking to running.<br />

To accelerate the healing process use pulsed ultrasound<br />

physio.<br />

Physio focused on muscle strengthening and treatment<br />

of any osteoporosis.<br />

Obviously prevention is much easier than cure so<br />

take note of the causes in this article!!<br />

Information courtesy of Dr John P Best, Orthopaedic<br />

Updates Lecture 2011.<br />

BEROWRA PHYSIOTHERAPY<br />

<strong>Berowra</strong> physiotherapy is a small friendly practice<br />

situated on the highway at <strong>Berowra</strong>. Patient care is<br />

the priority and opening hours are designed to suit<br />

most peoples availability and home visits are available<br />

when necessary.<br />

.<br />

DID YOU KNOW.. That BEROWRA PHYSIO-<br />

THERAPY on the highway offers all BBR Members<br />

a 10% discount on any treatment.. Call now<br />

and let them know you are a BBR 9456 3322<br />

When standing in starting<br />

lines, remind yourself how<br />

fortunate you are to be<br />

there.<br />

<strong>The</strong> <strong><strong>Bush</strong>runner</strong>

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