How to use this sheet. A stress fracture is a crack from too much repeated load, and it heals when the load comes off. Wear the rigid-soled shoe or boot we advised whenever you are on your feet, use crutches if we gave you them, and walk only as much as daily life needs. If we have put you in a plaster, or told you to keep all weight off the foot, do only the lying exercises (2 to 5) until we tell you. Keep fit with exercise that does not pound the foot: the exercises here, arm and upper-body exercise done sitting down, and swimming if you can swim. Avoid: running, jumping, skipping, long walks, standing on tiptoe, and having the foot pressed or massaged, by a bone-setter or anyone else. Go back to running only after walking has been pain-free for some time and we agree, and build up slowly. Eat enough, with calcium foods such as milk and curd, and get some sunlight: 10 to 15 minutes daily, between 10 am and 2 pm.
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Static cycling
Set the seat high, so the knee is almost straight at the bottom. Wear the rigid shoe, put the middle of the foot on the pedal, not the ball of the foot, and pedal gently with little resistance. Start only once walking in the shoe is comfortable.
10 minutes
Most days
Should feel: The legs working, with no pain in the footShould not feel: Pain in the foot — stop and rest it
Straight leg raise
Lie down, one knee bent. Keep the other knee straight and lift the leg 20 cm.
10 times
3 times a day
Should feel: The thigh workingShould not feel: The knee bending or back pain
Side-lying hip lift
Lie on the UNAFFECTED side. Lift the top leg straight up.
15 times
Daily
Should feel: The side of the hip workingShould not feel: Back pain
Clamshell
Lie on your side, knees bent. Lift the top knee, keeping the feet together and the hips still.
15 times
Daily each side
Should feel: The side of the buttock workingShould not feel: The hips rolling back
Core brace
Lie on your back, knees bent. Tighten the tummy gently as if bracing for a poke. Keep breathing.
Hold 10 seconds
10 times
Should feel: A firm, gentle tensionShould not feel: Holding your breath
Ankle circles
Move the ankle slowly in circles both ways.
10 each way
4 times a day
Should feel: The ankle looseningShould not feel: Sharp pain
Stop and telephone us if
Pain at night or at rest, or a lump in the foot
The pain started without any increase in walking, running or training
This is not your first stress fracture
Quick weight loss, or missed periods
You have had cancer in the past
The pain is getting worse, or you can no longer put weight on the foot
Ready when you are.
Call either clinic during consulting hours, or send a WhatsApp message any time.