Keys To Treating Stress Fractures In The Endurance Athlete
- Volume 25 - Issue 6 - June 2012
- 14421 reads
- 1 comments
Endurance athletes have the advantage of Wolff’s law of mechanical stress. The more pressure that goes through a bone, the more the forces will align the bone resistance to any fracture force by strengthening its cortices. Muscle strengthening also helps stabilize the bone to resist fractures as well.
Endurance athletes represent a unique subset of athletes due to their high volume of training and racing. There are many advantages to their extreme training but there are also some physiological disadvantages. By understanding the risk factors of training, endurance athletes can hopefully avoid some of the pitfalls of their sport, including stress fractures.
Dr. Mozena is in private practice at the Town Center Foot Clinic in Portland, Ore. He is a Fellow of the American College of Foot and Ankle Surgeons, and is board certified in foot and ankle surgery. Dr. Mozena is an Associate Clinical Professor at the Western University of Health Sciences in Pomona, Calif. He has completed six Ironman triathlons, 14 half-Ironman triathlons and over 20 marathons, including the Boston Marathon.
1. James BH, Thacker SB, et al. Prevention of lower extremity stress fracture in athletes and soldiers: a systematic review. Epioemiol Rev. 2002; 24(2):228-247.
2. Reeser JC, Lorenzo CT. Physical medicine and rehabilitation for stress fracture. Emedicine. Available at www.Medscape.com/article/309106 .
3. Martinex JM, Calhoun JH. Stress fracture. Emedicine. Available at www.Medscape.com/article/1270244.
4. USA Marathon. 2010 overview. Available at http://usamarathontraining.com/# .
5. Barrow GW Saha, S. Menstrual irregularity and stress fractures in collegiate female distance runners. Am J Sports Med. 1998; 16(3):209-16.
6. Bennell KL, Brukner PD, Malcolm SA. Effect of altered reproductive function and lowered testosterone levels on bone density in male endurance athletes. Br J Sports Med. 1996; 30(3):205-208.
7. Institute of Medicine of the National Academies. Dietary Reference Intakes for Calcium and Vitamin D. Available at http://www.iom.edu/Reports/2010/Dietary-Reference-Intakes-for-Calcium-an... .
8. Coris EE, Lombardo JA. Tarsal navicular stress fracture. American Family Physician. 2003; 67(1):85-91.
9. Saxena A, Cassidy A. Secrets to treating stress fractures of the ankle. Podiatry Today. 2002; 15(6):38-45.
10. Finestone A, Giladi M, Elad H. Prevention of stress fractures using custom biomechanical shoe orthoses. Clin Orthop. 1999; (360):182-90.
11. Milgrom C, Giladi M, Kashtan H. A prospective study of the effect of a shock-absorbing orthotic device on the incidence of stress fractures in military recruits. Foot Ankle. 1985; 6(2):101-4.
For further reading, see “Treatment Tips For Common Triathlon Injuries” in the October 2002 issue of Podiatry Today.