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A small crack in a bone or severe bruising within a bone is generally termed stress fracture. Most stress fractures are caused by overuse and repetitive activity injuries in which recurrent strains lead to material fatigue and micro architectural discontinuities.
They account for up to 20% of athletic injuries, more often in women especially athletes who participate in the setting of track and field events. In women, menstrual disturbances, low energy intake, low body mass index and sometimes low bone mass, may be contributing factors.
Often stress fractures occur in the second and third metatarsals in the foot, which are generally thinner and longer than the adjacent first metatarsal. This area has greatest impact on your foot as you push off when you walk or run.
Stress fractures are also common in the calcaneus (heel); talus (a small bone in the ankle joint); fibula (the outer bone of the lower leg and ankle); and the navicular (a bone on the top of the mid foot).
Many stress fractures are the results of overuse injuries. They occur over the time when recurrent pressure results in microscopic damage to the bone. However, this repetitive force that causes stress fracture is not potent enough to cause any acute fracture such as a broken ankle caused by a fall. Worn out stress fractures occur when an athletic movement is repeated very often and the weight bearing bones and supporting muscles do not have enough time to heal between consecutive training sessions.
By using questionnaires and scanning their bone-density, a study was conducted on 50 runners where the athletes were categorized as low, moderate, or high risk based on the components of the female athlete triad, which includes low bone mineral density, low energy availability (EA) with or without disordered eating, bone stress injuries and menstrual dysfunction. Around 27 runners were classified as low risk, sixteen of them had moderate risk, and high risk group consisted of seven athletes. Moderate or high risk group athletes have poor chances of avoiding a season ending injury.
stand like the posture of a dog on your yoga mat with your wrists under your shoulders and knees under your hips. Tuck under your toes and lift your hips up off the floor while you draw them up at back towards your heels.
Keep your knees slightly bent if you have tight hamstrings, otherwise try and straighten out your legs while keeping your hips back. Take your hands forward as much possible to give yourself more length if you need to.
Press firmly through your palms and rotate inner elbows towards each other. Hollow out the abdominals and keep your legs engaged to keep the torso moving back towards your thighs. Hold for 8 to 10 breaths before dropping back your hands and knees to rest.
As outlined in a consensus statement by a panel of experts of sports medicine, here are six key indications that you may be at risk of developing a stress fracture
This risk stratification protocol came from the experts in the hopes of developing some standardized guidelines that are briefed below to return back to daily workout.
Ignoring the pain can have serious consequences. Visit your doctor as soon as possible if you think you have a stress fracture. Until your appointment with the doctor, follow the RICE protocol. RICE stands for rest, ice, compression, and elevation.
In addition, non steroidal anti inflammatory drugs, or NSAIDs, such as ibuprofen or naproxen can help relieve pain and reduce swelling.
However, sports medicine experts offer their valued opinion for medical assistance for coaches and medical staffs regarding ways of treating stress fractured women:
In most cases, it takes six to eight weeks for a stress fracture to heal. More serious stress fractures may take longer. Returning to activity too soon after recovery can result in reinjury. Reinjury could lead to chronic problems and the stress fracture might never heal properly in future.
Once the stress fracture has healed and you are pain free, consult your doctor before a gradual return to activity. During the early phase of rehabilitation, your doctor may recommend alternating days of training with days of rest which gives your bone the time to grow and withstand the new demands being placed upon it. Start with light warm up exercise slowly increase the frequency, duration, and intensity of your exercise as your fitness level improves.
If a stress fracture is not properly treated, serious problems may develop. For instance:
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Medical tourism has seen unprecedented popularity...
Due to the widespread popularity of medical..
Due to the advent in medical technology in developing countries, top notch and holistic medical services have now been be made accessible to people in developed countries at affordable prices. Medical tourism combines two things, medical and tourism
Medical tourism has seen unprecedented popularity in the recent times owing to the affordable procedure costs in developing countries and the chance to travel to beautiful and exotic locales while gives patients access recovering after a medical.
Due to the widespread popularity of medical tourism, a lot of people are considering the option for their medical treatment as well as travel goals. This in part may be due to the reasons of increasingly expensive healthcare in the United States.
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