Stress fractures are small breaks resulting from excessive strain being put on the bone. Your ankle is a common area for stress fractures to occur, as the bones in the joint are weight bearing. Running with an ankle stress fracture can make the condition worse. However, once healed, you will be able gradually return to running.
Definition
A stress fracture is a small break in your bone, most commonly developed from overuse. When your muscles get tired, they can no longer properly absorb shock from repeated impact, and stress is then transferred to your bones. Over time, this can cause small cracks in the bone. Most often, stress fractures occur in the weight-bearing bones of the foot and lower leg, including the bones in your ankle.
Symptoms
The most prominent and persistent symptom of a stress fracture is pain coming from the affected area. Generally, the pain will get worse during times of physical activity and will gradually increase over time to the point where it is painful even during times of rest. The area will also be tender or painful to the touch. You may also experience some swelling.
Stress fractures can be difficult to notice at first, as they tend to gradually become more painful. If you are experiencing pain, pay attention and monitor the area. If it does not respond to self-treatment, consult your doctor.
Treatment
If you believe you have a stress fracture in our ankle, you must rest. Continuing to run or be physically active can cause the bone to break completely. The first line of treatment for a stress fracture is the use of ice and pain medication to reduce swelling and pain. You may need to use crutches or a walker to keep weight off your foot. Your doctor can also prescribe orthotics to help reduce stress on your ankle. If these options fail, you may need surgery, which generally involves supporting the bone with a fastener. However, surgery is usually rare for stress fractures.
Running
Running, especially long-distance running, is a common cause of stress fractures. If you have a stress fracture in your ankle, you will need to rest. Continuing to run will only make the fracture worse. When your ankle heals, it is important to make a gradual return to running. You should slowly increase the duration, frequency and intensity of your runs, and alternate run days with days of rest.
Prevention
To prevent stress fractures, gradually increase the speed and distance of your runs. Make sure that you have proper footwear. Old or worn out shoes will not provide adequate support for your feet. If you experience any pain, ice your ankle and rest for a few days.
