Bone Stress Injuries


Bone stress injuries are a common bone related injury for people who are active, or spend a lot of time on their feet at work. These injuries involve repeated overload of the bones without adequate time or nutrients available for the bone to heal/rest in between. These injuries vary in severity from inflammation within the bone (stress response or reaction) to fractures occurring within the bone (stress fracture). The severity of the stress injury and the type of bone affected will have a significant impact on the subsequent healing and recovery times.

Contributing Factors

  • Increases in activity load, or changes to training intensity

  • Training surfaces

  • Recovery times between sessions

  • Sleeping times

  • Energy availability + nutrient intake through diet

  • Bone health

Symptoms & Pain Presentations

​Bone stress symptoms vary significantly dependent on how long they have been present and the progression of your bone stress injury. Some things which can indicate involvement of bone injury include:

  • Specific point of tenderness

  • Pain increasing the longer you're standing on it or exercising on it

  • May experience aching sensation following time on feet

  • As it progresses you may also have aching pain whilst in bed or throughout the night

Diagnosis of Injury

In most cases we will be able to give you a clear diagnosis of your injury during your first appointment. This diagnosis will be made through a combination of:

  • Discussion of symptoms and lifestyle factors

  • Physical assessment of symptomatic area

  • Relevant functional movements

  • Footwear and orthotic assessments

If requiring further confirmation following our physical assessment, we are able to send you directly for imaging. MRI is the gold standard for Bone Stress Injuries as it can show any potential fractures, but can also show bone swelling which can occur as a precursor to a stress fracture. X-Ray can also be used but will only show more progressed levels of Bone Stress Injuries that have been around for a number of weeks or months.

Treatment & Prevention

Treating bone stress injuries does NOT always require the use of a CAM Walker
(aka Moon Boot). Depending on the which bone is involved and the severity of the injury, we can sometimes offload with good footwear and some additional padding or offloading. For the cases that do require the use of a moon boot, we sell these in the clinic for you to use throughout your recovery and rehab process.

A key part of managing bone stress injuries is ensuring that we don't allow you to "decondition" or allow the muscles around your injury to get stiff and weak. We will assist you in staying active and happy to ensure we reduce your recovery times and we get you back to doing the things you love faster!

There are some things we can put in place to prevent these bone stress injuries from occurring in the future:

  • Ensure that you are strong enough for whatever activity you want your body to take on

  • When introducing new exercise, work or activities ensuring we do so gradually or put some things in place to recover better 

  • Getting enough sleep each night - this is when we do our best recovery from activity!

  • Taking in enough fuel and getting all required nutrients for full recovery between sessions

For any questions send us an email at hello@movepod.com.au 
or book and appointment below.

New Patients

Initial Consultation (60 mins)

Torquay Podiatry Clinic

Geelong Podiatry Clinic