If a stretch is not felt then another method is to place the ball of the foot against the wall and bend the front knee until a stretch is felt. Hold for 15 to 20 seconds and repeat three times. Bend the knee keeping the heel in contact with the ground until a stretch is felt. Lean against a wall with the leg to be stretched at the back. This is because the soleus muscle attaches below the knee and bending the knee allows the gastrocnemius muscle to relax leaving the soleus on the stretch. To stretch the deeper soleus muscle the knee of the leg to be stretched needs to be bent. Perform 3 repetitions and repeat this 3-5 times a day. But do not push too far in the early stages. If the stretch eases, lean further forwards until you can feel it again. When you can feel a stretch, hold for 20 seconds. Bend the front knee and lean forward, keeping the back knee straight and pushing the heel down to the floor. Stand with the leg to be stretched at the back and hands on a wall at shoulder height. To stretch the big gastrocnemius muscle the back leg must be kept straight. To effectively stretch both these muscles exercises should be done with the knee bent as well as straight. The calf muscles consist of the larger gastrocnemius muscle and the soleus muscle which is located deeper and lower down the leg. The injury is primarily overused so exercising the calf muscles, especially during the rest phase is not advised. Stretching exercises are more important than strengthening for recovering from a fibula stress fracture. This helps reduce the load on the fibula bone. Wear a heat retainer calf support to protect the muscles of the lower leg. Substitute running for swimming or focus on the upper body. This is because new bone tissue has grown. Anything that works your calf muscles is unlikely to allow sufficient rest to enable healing to take place.Īfter the rest period, your doctor will take a further X-ray, at which point a stress fracture may show up. Rest from training and competition for at least 6 weeks, or until bone tenderness has gone. Treatment for a fibula stress fracture Rest They control the position of the heel and so enable normal foot biomechanics. Overpronation and other biomechanical dysfunctions of the foot can be corrected with orthotic inserts which are placed in the patient’s shoes.The bones in the foot are not able to take the loads as efficiently as they might which places more strain on the muscles of the lower leg, many of which attach to the fibula bone. As the arch of the foot flattens the ankle rolls inwards, twisting the lower leg and knee.Athletes with excessive pronation (rolling in of the feet) when running are more susceptible because the peroneal muscles must work harder for longer during toe-off in the running gait cycle.However, there are a number of factors that can increase the likelihood of sustaining one. This results in traction and twisting forces placed on the fibula bone from the surrounding muscles, which over time cause a stress fracture. The tibia is the thicker, weight-bearing bone of the two whereas the fibula has much of its surface for muscle attachment. The main function of the fibula bone is as a point of attachment for many of the muscles of the lower leg. The long bones of the lower leg are the tibia and fibula. What is a fibula stress fracture?Ī stress fracture of the fibula is a hairline fracture in the fibula bone. However, a bone scan or MRI may give more information. Stress fractures are unlikely to show up on an X-ray until two or three weeks into the healing process. The pain may ease off after a period of rest but get gradually worse with exercise.There will be pain in the lower leg on weight-bearing although this is not as painful as a stress fracture of the tibia.Pain will usually have developed gradually over time, rather than at a specific point in time that the athlete can recognise as when the injury occurred.Symptoms consist of pain in the calf area with local tenderness at a point on the fibula.Advert Symptoms of a fibula stress fracture
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