Stress Fractures in the Foot: A Hidden Injury You Shouldn’t Ignore

Stress fractures develop due to repetitive stress and overuse rather than from a single traumatic event. These injuries commonly affect the metatarsal bones in the foot and can be difficult to detect at first, as the pain often starts subtly and worsens over time.

Because they don’t always cause immediate, sharp pain, stress fractures are frequently ignored or mistaken for minor sprains. However, without proper treatment, they can lead to chronic pain, prolonged recovery, or even complete bone fractures that may require surgery.

Recognizing the symptoms of a stress fracture is essential to getting prompt, early care. Signs of a stress fracture include:

  • Gradual onset of dull, aching pain that worsens with activity
  • Tenderness and swelling in a specific area of the foot
  • Pain that decreases with rest but returns when resuming activity
  • Difficulty bearing weight or walking comfortably

Stress fractures often result from repetitive impact and overuse, making them especially common in runners, dancers, and athletes who engage in high-impact activities. However, stress can occur from other risk factors, including:

  • Sudden increase in activity
  • Improper footwear
  • Weak bones (osteoporosis or low bone density)
  • High-impact sports

Early diagnosis and treatment are essential to prevent the fracture from worsening. If your athlete suspects a stress fracture, it's important to rest immediately and avoid high-impact activities. A specialist can confirm the diagnosis with imaging tests, such as X-rays or MRIs, and develop a recovery plan.

Preventing a Stress Fracture

Reducing excessive strain on the bones while ensuring they remain strong and resilient is an effective way to prevent stress fractures. Here’s how:

  • Increase activity gradually
  • Wear proper footwear
  • Strength train (focus on lower-body, foot, and ankle strengthening)
  • Maintain proper nutrition
  • Rest when needed

If your athlete suspects a stress fracture or has lingering foot pain, don’t wait—early diagnosis is key to a smooth recovery. To schedule an appointment with one of our foot and ankle experts at Sierra Pacific Orthopedics, please call (559) 256-5200 or request an appointment online.