Advice on Stress Fracture of the lower leg
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Injury advice > Lowerleg/Ankle Injuries > Stress Fracture of the lower leg


Stress Fracture

Lower leg

Common sites of lower leg stress fractures:

Either of the two lower leg bone (fibula/tibia) can have stress fractures. Most commonly this injury happens two to three inches above the bony bit on the inside of the ankle (medial malleolus) on the tibia bone.

What are the symptoms of a stress fracture?

  • Pain which is situated on the lower third of the tibia, often afte running long distances.
  • Tenderness and swelling over the site of the fracture.
  • Pain when you press into the shin.
  • Often X-rays will only show the fracture after it has started to heal.

Causes of a stress fracture:

  • Overloading the bone by continuous muscle contractions for example in running.
  • Stress distribution in the bone altered because of continuing to run when the muscles are particularly fatigued. (Muscles are unable to take some of the stress so rely more on the bone).
  • A sudden change in running surface for example going from grass training to lots of track or road running.
  • Lots of small impacts on the bone even though they may be very small, a cumulative effect can build up.

Please see the Virtual Sports Injury Clinic for more information on how to treat Lower Leg Stress Fractures

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