Treatment FAQ

what is the treatment for stress fracture of the femur

by Haley Cummerata Published 3 years ago Updated 2 years ago
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The main treatment for femoral shaft stress fractures is rest from the offending athletic activity, a concept known as “relative rest”.

How to heal a stress fracture faster [6 helpful tips]?

Mar 24, 2022 · Femoral stress fracture treatment. Your doctor will probably X-ray your leg. If they suspect a stress fracture, they will also do an MRI (magnetic resonance imaging). Most stress fractures can only be seen on an MRI. Most likely, your doctor will tell you to keep weight off the leg, and use crutches.

What is the recovery time for a stress fracture?

Sep 13, 2020 · Femoral stress fracture treatment Your doctor will probably X-ray your leg. If they suspect a stress fracture, they will also do an MRI (magnetic resonance imaging). Most stress fractures can only be seen on an MRI. Most likely, your doctor will tell you to keep weight off the leg, and use crutches.

How long does pain last after femur fracture?

Apr 23, 2020 · The treatment of a supracondylar femur fracture is highly variable and may involve a cast or brace, an external fixator, an intramedullary rod, or the use of plates and screws. Treatment A femur fracture is always considered a medical emergency requiring immediate evaluation and treatment in a hospital.

How long does it take to recover from a broken femur?

A stress fracture of the shaft of the femur is an incomplete fracture crack of the thighbone. Physiotherapy is an excellent treatment for a stress fracture of the shaft of the femur. Above: Rolling soft tissue massage of the hamstring muscles by specialist therapist.

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Can you walk with a femur stress fracture?

Femoral stress fractures take several months to fully heal. If the pain is manageable and you can walk without too much discomfort, start with at-home treatment. Stop any moderate activity and repetitive, stressful exercises (running, squatting, cycling).

How long does it take to recover from a femoral stress fracture?

This normally takes between 6 to 8 weeks but can be up to 14 weeks. During this time, weight-bearing through the injured side can be gradually increased from non-weight-bearing to toe-touch weight bearing to partial weight-bearing, as pain allows. Upper limb conditioning can be initiated.

What is the fastest way to heal a stress fracture?

How to Heal a Stress Fracture Faster
  1. Get Proper Nutrition. What you put in your body has a great impact on how well you'll heal from your stress fracture. ...
  2. Quit Smoking. Better blood flow equals better healing for your bones. ...
  3. Eliminate Alcohol. ...
  4. Get Plenty of Rest. ...
  5. Listen to Your Doctor. ...
  6. Get Moderate Exercise.
Mar 20, 2019

Is walking OK with a stress fracture?

Doctors do not recommend walking when you have a stress fracture because it may reopen the partially healed fracture, and you may have to begin the recovery process again. Although you can walk, doctors would recommend staying away from hard surfaces and not walking long distances.Mar 5, 2021

What are 4 signs of a stress fracture?

The symptoms of a stress fracture can include:
  • Pain, swelling or aching at the site of fracture.
  • Tenderness or “pinpoint pain” when touched on the bone.
  • Pain that begins after starting an activity and then resolves with rest.
  • Pain that's present throughout the activity and does not go away after the activity has ended.
Jan 28, 2020

Can you walk on a hip stress fracture?

As the pain gets better, you can slowly resume normal activities such as walking. Also, cross-training activity such as cycling and swimming is allowed to maintain your fitness. Your physiotherapist will prescribe exercises to strengthen your hips and lower legs to protect you from future bone stress.6 days ago

How do you get a stress fracture in your femur?

Stress Fractures of the Femur can be caused by disease, poor nutrition, osteoporosis and overuse. If you have a Stress Fracture of the Femur, the common symptoms can include: Deep thigh or groin pain. Local swelling.

Do anti inflammatories help stress fractures?

Non-steroidal anti-inflammatory drugs (NSAIDs) are often recommended for alleviation of pain and inflammation from stress fractures, and their use has been described in case reports of stress fractures.

Do stress fractures show up on xrays?

X-rays. Stress fractures often can't be seen on regular X-rays taken shortly after your pain begins. It can take several weeks — and sometimes longer than a month — for evidence of stress fractures to show on X-rays.May 20, 2021

Do you wear a boot for a stress fracture?

You may walk on the foot as comfort allows but you may find it easier to walk on your heel in the early stages. The boot you have been given is for your comfort only and is not needed to aid fracture healing but will help to settle your symptoms and should be worn for walking for 6 weeks.

What kind of boot do you wear for a stress fracture?

If you have pain in the area of the stress fracture, it may be advisable to wear the CAM boot while walking, but becomes vital to take the boot off daily for maintenance exercises.Jan 9, 2019

Do you need a cast for a stress fracture?

Sometimes a stress fracture will need a cast, splint, or brace. Rarely, surgery is needed. If you have pain from a stress fracture, you can: Place a cold compress or ice wrapped in a towel on the area for about 15 minutes three times a day.

What is the best test for stress fractures?

An MRI is considered the best way to diagnose stress fractures. It can visualize lower grade stress injuries (stress reactions) before an X-ray shows changes. This type of test is also better able to distinguish between stress fractures and soft tissue injuries.

How long does it take to get a stress fracture?

Diagnosis. Doctors can sometimes diagnose a stress fracture from a medical history and a physical exam, but imaging tests are often needed. X-rays. Stress fractures often can't be seen on regular X-rays taken shortly after your pain begins. It can take several weeks — and sometimes longer than a month — for evidence of stress fractures ...

How long does it take for stress fractures to show on X-rays?

X-rays. Stress fractures often can't be seen on regular X-rays taken shortly after your pain begins. It can take several weeks — and sometimes longer than a month — for evidence of stress fractures to show on X-rays. Bone scan. A few hours before a bone scan, you'll receive a small dose of radioactive material through an intravenous line.

How to get rid of a swollen limb?

Ice. To reduce swelling and relieve pain, your doctor might recommend applying ice packs to the injured area as needed — 15 minutes every three hours. Resume activity slowly.

Why do athletes need surgery?

Although unusual, surgery is sometimes necessary to ensure complete healing of some types of stress fractures , especially those that occur in areas with a poor blood supply. Surgery also might be an option to help healing in elite athletes who want to return to their sport more quickly or laborers whose work involves the stress fracture site.

Is a femur fracture a medical emergency?

A femur fracture is always considered a medical emergency requiring immediate evaluation and treatment in a hospital. The treatment is largely dependent on the location of the fracture and the pattern and extent of the break.

What is pathologic fracture of the femur?

Pathological fracture of the femur is a debilitating complication in patients with advanced stage of malignancy. 1 . Illustration by Cindy Chung, Verywell.

What are the different types of fractures?

Proximal femur fractures, or hip fractures, involve the uppermost portion of the thigh bone just adjacent to the hip joint. These fractures are further subdivided into: 2  1 Femoral neck fractures are those that occur when the ball of the ball-and-socket joint is broken at the top of the femur. 2 Intertrochanteric hip fractures occur just below the femoral neck and are more easily repaired than femoral neck fractures.

What are the conditions that can weaken the bone?

With that being said, certain medical conditions can weaken the bone and make it more vulnerable to fracture. These include osteoporosis, tumors, infection, and even certain bisphosphonate medications used to treat osteoporosis. Breaks of these sorts are referred to as pathologic femur fractures.

What is a proximal femur fracture?

Proximal femur fractures, or hip fractures, involve the uppermost portion of the thigh bone just adjacent to the hip joint. These fractures are further subdivided into: 2 . Femoral neck fractures are those that occur when the ball of the ball-and-socket joint is broken at the top of the femur.

What is a femoral shaft fracture?

Femoral Shaft Fractures. A femoral shaft fracture is a severe injury that usually occurs as a result of a high-speed car collision or a fall from a great height. The treatment almost always requires surgery.

What is a supracondylar fracture?

A supracondylar femur fracture, also called a distal femur, is a break in the bone that occurs just above the knee joint. 4  These fractures often involve the cartilage surface of the knee joint and are most commonly seen in people with severe osteoporosis or those who have previously undergone total knee replacement surgery.

What is the best treatment for a fractured femur?

Physiotherapy is an excellent treatment for a stress fracture of the shaft of the femur. Above: Rolling soft tissue massage of the hamstring muscles by specialist therapist.

What is a stress fracture of the shaft of the femur?

A stress fracture of the shaft of the femur is an incomplete fracture crack of the thighbone. Physiotherapy is an excellent treatment for a stress fracture of the shaft of the femur. Above: Rolling soft tissue massage of the hamstring muscles by specialist therapist.

What causes stress fractures?

Stress fractures result from an imbalance between bone formation and bone resorption. When the femur is loaded or stressed, such as during weight-bearing exercise, the femur responds by increasing its bone turnover. This is a normal response to demands placed on bone.

Can you exercise if you have a stress fracture?

If you have or suspect you have a stress fracture of the shaft of the femur, you shouldn’t continue to exercise or participate in sport. A stress fracture represents an area of breakdown and weakness within the bone.

Can a stress fracture of the shaft of the femur cause long term effects?

Could there be any long-term effects from a stress fracture of the shaft of the femur? A stress fracture of the shaft of the femur does not produce any long-term effects , as long as it is appropriately treated and the cause of the injury identified and addressed.

What happens if you don't massage your quadriceps?

If this does not happen, you may be at risk of a larger crack, a complete bone fracture or further stress fractures when you return to normal activity. Above: Trigger point massage of the quadriceps muscles by experienced MSK therapist.

What is a Stress Fracture of the Femur?

The femur is a large and strong bone that helps form the hip and knee joints at its proximal and distal ends and has a long shaft that runs down the entire length of the thigh. The femur helps support the weight of the body and move the leg. Stress Fractures of the Femur can be caused by disease, poor nutrition, osteoporosis and overuse.

How is a Stress Fracture of the Femur Treated at OSS Health?

There are many treatment options at OSS Health that can treat a Stress Fracture of the Femur as well as relieve the pain and other symptoms. At OSS Health, Stress Fractures of the Femur are usually effectively treated using non-surgical treatment options and the specialists at OSS Health create treatment plans based on your lifestyle and goals.

What is stress fracture?

Stress fractures are overuse injuries of bone, and may be defined as partial or complete fracture that results from repetitive application of stress of less strength than that required to fracture bone in a single load.1Imbalance between bone formation and resorption is a result of this excessive repetitive load.

Is a femoral shaft fracture common?

Femoral shaft stress fractures in athletes are not common but pose a great diagnostic challenge to clinicians. Because of few clinical signs, diagnosis and treatment are often delayed. Furthermore, if not treated correctly, these fractures are well known for complications and difficulties. Objective.

Can a hip fracture be treated?

Hip stress fractures can become very serious injuries that require immediate treatment. While not every hip stress fracture will require surgical treatment, immediate modification of activities in order to relieve symptoms and allow the bone to heal is a necessity.

What is stress fracture?

Stress fractures are injuries to the bone that result from overuse activity. A stress fracture is due to repetitive micro-trauma to the bone. Over time, the body cannot keep up with the forces acting on the bone, and a fracture eventually occurs. It differs from a high-energy hip fracture due to a fall or a pathologic fracture due to osteoporosis, ...

What are the symptoms of a hip fracture?

People will typically complain of aching groin pain that bothers them with activity and is relieved by rest. Symptoms are usually noted after a recent increase in ...

Can a hip fracture cause groin pain?

People with a hip stress fracture are most often high-mileage runners, military recruits, or individuals doing significant impact sports activities. People will typically complain of aching groin pain that bothers them with activity and is relieved by rest. Symptoms are usually noted after a recent increase in the level of activity, such as increasing running mileage. 1 

Can a stress fracture cause a hip to go out of alignment?

However, if the stress fracture is left untreated, and the bone continues to weaken, the fracture can displace, or cause the bones to go out of alignment. Hip stress fractures are particularly concerning because the bones are at risk to displace (move out of alignment). If this happens, the blood supply can be cut off, ...

Why is hip stress fracture so dangerous?

Hip stress fractures are particularly concerning because the bones are at risk to displace (move out of alignment). If this happens, the blood supply can be cut off, leading to bone death and the development of hip osteonecrosis.

What happens when you stress fracture a bone?

Causes. In the situation of a stress fracture, repetitive injury to the bone eventually leads to failure of the bone or fracture. Normally, bone is constantly undergoing a cycle of turnover during which old bone is reabsorbed, and new bone is created. If the process cannot keep up, eventually the bone can fracture.

How long does it take for a femur to heal?

Most femur fractures are fixed within 24 to 48 hours. Sometimes it will be delayed until other life-threatening injuries or unstable medical conditions are stabilized. To reduce the risk of infection, open fractures are treated with antibiotics as soon as you arrive at the hospital.

How long does it take for a femoral shaft fracture to heal?

Most femoral shaft fractures take 3 to 6 months to completely heal. Some take even longer, especially if the fracture was open or broken into several pieces or if the patient uses tobacco products. Pain Management. Pain after an injury or surgery is a natural part of the healing process.

Can a femoral shaft fracture cause a bone infection?

Bone infection is difficult to treat and often requires multiple surgeries and long-term antibiotics. Occasionally, the ligaments around the knee can be injured during a femoral shaft fracture.

Why is physical therapy important after surgery?

Because you will most likely lose muscle strength in the injured area, exercises during the healing process are important. Physical therapy will help to restore normal muscle strength, joint motion, and flexibility. It can also help you manage your pain after surgery.

What is the purpose of external fixation?

It keeps your leg straight and often helps to relieve pain. External fixation. External fixation is often used to hold the bones together temporarily when the skin and muscles have been injured. In this type of operation, metal pins or screws are placed into the bone above and below the fracture site.

Why do we need external fixators?

Because they are easily applied, external fixators are often put on when a patient has multiple injuries and is not yet ready for a longer surgery to fix the fracture. An external fixator provides good, temporary stability until the patient is healthy enough for the final surgery.

What is the screw placed above the fracture?

Screws are placed above and below the fracture to hold the leg in correct alignment while the bone heals. (Left) This x-ray, taken from the side, shows a transverse fracture of the femur. (Right) In this front view x-ray, the fracture has been treated with intramedullary nailing.

What is a stress fracture in the pelvis?

Pelvic Stress Fracture. A pelvic stress fracture is a hairline fracture of the pelvis bone. It is caused by repetitive impacts or forces, rather than one sudden impact or accident. Here we explain the symptoms and causes of a stress fracture of the pelvis.

Why are stress fractures more common in females?

They are more common in females due to reducing bone density after the age of 30. Stress fractures of the pelvis occur most frequently in the pubic rami. This is the lowest part of the pelvic girdle, where the hamstring and groin muscles attach.

How to tell if you have a pelvic stress fracture?

Symptoms of a Pelvic Stress Fracture. Pain is felt in the groin or hip which increases with exercise but eases or gets better with rest. Pelvic stress fracture symptoms include tenderness over the inferior pubic ramus at the bottom of the pelvis. It is likely you will have reduced strength and movement in the pelvic area.

How to stop a swollen foot from hurting?

Rest from activities which cause pain. Try to stay off the feet as much as possible for the first 2 weeks. Apply cold therapy or ice to the painful area to ease pain, swelling, and inflammation. Seek medical attention.

Where do pelvic fractures occur?

Pelvic stress fractures occur most often in female runners and military recruits. They are more common in females due to reducing bone density after the age of 30. Stress fractures of the pelvis occur most frequently in the pubic rami. This is the lowest part of the pelvic girdle, where the hamstring and groin muscles attach.

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Diagnosis

Treatment

  • To reduce the bone's weight-bearing load until healing occurs, you might need to wear a walking boot or brace or use crutches. Although unusual, surgery is sometimes necessary to ensure complete healing of some types of stress fractures, especially those that occur in areas with a poor blood supply. Surgery also might be an option to help healing i...
See more on mayoclinic.org

Lifestyle and Home Remedies

  • It's important to give the bone time to heal. This may take several months or even longer. In the meantime: 1. Rest.Stay off the affected limb as directed by your doctor until you are cleared to bear normal weight. 2. Ice.To reduce swelling and relieve pain, your doctor might recommend applying ice packs to the injured area as needed — 15 minutes every three hours. 3. Resume acti…
See more on mayoclinic.org

Preparing For Your Appointment

  • You're likely to start by seeing your primary care provider. If you are a competitive athlete, you might go directly to a doctor who specializes in musculoskeletal problems.
See more on mayoclinic.org

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