Stress Fracture of the Tibia

A stress fracture can occur in either of the two lower leg bones called the tibia (the big one on the inside) and the fibula. It is most common two to three inches above the bony bit on the inside of the ankle (medial malleolus) on the tibia bone.

Symptoms of a stress fracture?

• Pain on the lower third of the tibia, often after running.
• Tenderness and swelling over the area..
• Pain when pressing into the shin.
• X-rays may only show the fracture after it has started to heal.

Causes of a stress fracture:

• Overuse by overloading the bone with continuous muscle contractions for example in running.
• Continuing to run when the muscles of the lower leg are particularly fatigued. This puts more stress on the bone itself.
• 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 which over time build up.

Treatment

• Rest - usual a period of eight weeks rest
is recommended.
• An X-ray may be useful before beginning to run again.
• See a professional concerning running style and biomechanical factors which may increase the chances of a stress fracture.
• Maintain fitness by swimming, running in the water or weight training.
• Train the leg using specific rehabilitation techniques for this injury

Please see the Virtual Sports Injury Clinic for more information on how to treat Lower Leg Stress Fractures and other lower leg injuries