Tibial Stress Fracture Treatment
Treatment for a tibial stress fracture depends on the severity and the location of the stress fracture. General measures include rest, elevation, cold compresses, and a cane or crutches. Some may benefit from the application of a leg cast or splint. Additional treatment for a tibial stress fracture may include nonsteroidal anti-inflammatory medications for pain and physical therapy.
Specific treatment for a tibial stress fracture may include:
- Avoid activities that cause pain
- Cold compresses
- Leg elevation:
- Above the pelvis if possible
- Leg cast or splint:
- May be required, depending on the severity of the symptoms
- Nonsteroidal anti-inflammatory medications for pain:
- Ibuprofen (Motrin, Advil, Ibuprin, Nuprin)
- Naproxen (Aleve, Anaprox, Naprosyn)
- Ketoprofen (Oruvail, Orudis, Actron)
- Narcotic pain medication:
- Physical therapy for a tibial stress fracture
- External bone stimulator
- Reserved for cases that fail to heal using conservative measures.
Tibial Stress Fracture Questions For Doctor
The following are some important questions to ask before and after the treatment of tibial stress fracture.
Questions to ask before treatment:
- What are my treatment options?
- What are the risks associated with treatment?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- Do I need a special exercise program?
- Will I need physical therapy?
- What else can I do to reduce my risk for having another tibial stress fracture?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Tibial Stress Fracture Specialist
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- Francisco AC, Nightingale RW, Guilak F, Glisson RR, Garrett WE Jr. Comparison of soccer shin guards in preventing tibia fracture. Am J Sports Med. 2000 Mar-Apr;28(2):227-33. 
- Jensen A, Dahl S. Stress fracture of the distal tibia and fibula through heavy lifting. Am J Ind Med. 2005 Feb;47(2):181-3. 
- Thacker SB, Gilchrist J, Stroup DF, Kimsey CD. The prevention of shin splints in sports: a systematic review of literature. Med Sci Sports Exerc. 2002 Jan;34(1):32-40. 
- Wilder RP, Sethi S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med. 2004 Jan;23(1):55-81, vi.