Foot and Ankle Stress Fracture

A stress fracture is usually an overuse type of injury that produces a small crack in the bone. It is due to either normal amounts of stress to a weakened bone, or abnormal amounts of stress to a normal bone. Pain is usually worsened with increased or repetitive activities. Stress fractures are usually not seen on initial x-rays, and sometimes require an MRI or a bone scan to confirm the diagnosis. They are treated with non-weight bearing to the affected area, and may require crutches and a cast or cast boot until the bone heals. Often, a bone stimulator which is a non-painful machine that speeds up healing is used to help with healing.

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Stress Fracture of the 2nd Metatarsal with new bone healing (yellow arrow left)
In certain cases, an MRI is used to diagnose a fracture (yellow arrow right)