Bone Stress Injury ( BSI) and stress fractures

With the marathon season approaching, an injury that you cannot ignore is a bone stress injury, or stress fracture. If you continue to train it WILL get worse & you will be out for longer.

A bone stress injury occurs over time when bones are subjected to repetitive stress or overload, initially causing bruising to the bone, which can settle down with a period of rest, but if the activity continues can progress to tiny cracks or fractures in the bone, most often in the foot, shin, hip & back.

Common among athletes of all ages, especially those involved in activities that involve repetitive motions such as running, jumping, or dancing.

The most common occurrence is in individuals who suddenly increase the intensity, duration, or frequency of their physical activity, without allowing the body time to make the adaptions it needs to the increased load by laying down new bone and muscle - exceeding the current capacity of the body.

Nutritional deficiencies such as restricted food intake whether intentional or unintentional, low vitamin D and Calcium are risk factors for developing bone stress injuries.

The symptoms of a bone stress injury can vary depending on the severity and location but often include pain that worsens with activity & improves with rest, often worse at the end of the day, there may be swelling & tenderness to touch.

Treatment for bone stress injuries usually involves rest, sometimes immobilization in a brace or boot, & modification of activities such as using crutches to reduce weight-bearing on the affected bone allowing it time to heal .
In some cases, a period of complete rest from the aggravating activity may be necessary.

Once the pain subsides and healing progresses, a gradual return to activity under the guidance of a physiotherapist is important to prevent re-injury.

It’s crucial to address contributing factors such as improper training techniques and diet - ensure you are taking in enough fuel to replace what you burn during your exercise & ensure you are getting enough vitamin D.

The quicker you seek treatment & start looking after your injury the quicker you will get back to your sport.

Contact us to for further advice and to make an appointment.