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Customized Insoles Stress Fracture Treatment
What Is Stress Fracture?
small crack in a bone or severe bruising within a bone is called as
The main reasons behind stress fractures are overuse
and repetitive activity; and therefore they are more common in runners
and athletes as they participate in running sports, such as soccer and
are more prone to stress fractures when they change their activities-
such as by suddenly increasing the intensity of their workouts or by
trying a new exercise, or changing the workout surface (for example:
jogging on a treadmill to jogging outdoors).
In addition, if the bones
are already weak because of problems like osteoporosis or other
diseases, just doing everyday activities may lead to stress fracture.
most vulnerable parts of the body to stress fracture are the
weight-bearing bones of the foot and a lower leg because of the
repetitive forces they must absorb during activities like walking,
running, and jumping.
Most common locations for stress fractures are following:
calcaneus (heel bone),
femoral neck in the hip,
femur (thigh bone),
metatarsal bones of the foot,
navicular bone in the foot,
pars articularis of the lumbar spine.
pubic rami of the pelvis,
tibia (shin bone)
How Stress Fracture Develops?
stress fractures are the injuries that are the result of overuse. They
occur over time when tedious forces result in microscopic impairment to
The kind of repetitive force that causes a stress fracture is
not prodigious enough to cause an acute fracture. When an athletic
movement is repeated very often, overuse stress fractures occur because
the weight-bearing bones and supporting muscles do not get enough time
to heal between exercise sessions.
is in a constantly under a process called remodeling. Bone remodeling
is bone metabolism. This is a lifelong process in which the mature bone
tissue is removed from the skeleton and new bone tissue is formed.
athlete's activity is creating a lot of impacts,
the rate of breakdown of older bone outstrips the rate of formation of
the new ones. Hence it beats the body's ability to repair and replace
it. Consequently, the bone weakens and becomes susceptible to stress
What Are The Indications Of Stress Fracture?
Weakness in a limb or a foot or the ankle, with or without pain. A runner may suddenly find himself incapable of
matching the previous speeds or distance without feeling exhausted or
having a leg collapse. Though some people might not experience any pain
at all, absinthe nice of pain is highly unlikely.
dull pain that comes and goes with repetitive activity or
weight-bearing. For example, pain in the foot or ankle that is very
evident when the foot hits the ground while running or dancing, but
disappears once the exercise sessions cease,
or pain in the shoulder or elbow that may occur during the activities
like throwing or receiving a ball. It’s not necessary that the pain will
start at the beginning of the exercise; it may even develop eventually
at some point during the activity.
dominant pain that gets localized especially at night. Pain in a
certain area, such as the foot, hip, or ankle that occurs in the evening
is often allied with stress fractures, even if the pain is not
incapacitating during sports activities.
sore pain that you can feel deep within the foot, toe, hip, ankle,
shin, or arm. It may be difficult to pinpoint the exact source of the
pain, such as a general throbbing in the entire foot or lower leg.
in the back or sides. Badgering pain in the trunk can sometimes be an
indicator of stress fractures in the rib cage and/or sternum. This type
of pain occurs most commonly in athletes who participate in sports such
as rowing, tennis, or baseball.
that does not improve with rest, ice, compression, and elevation; or a
pain that subdues after rest, ice, compression, and elevation but
resumes or remains constant in a while.
Tenderness and swelling in the affected area. The soft tissue around a stress fracture is often tender and swollen to the touch. In some severe cases, bruising may also be present. Although this is very rare.
What Are The Causes Of Stress Fracture?
Conditions that decrease bone strength or its density
(diseases like osteoporosis or taking certain long-term medications)
makes your body more prone to a stress fracture even when you are
performing normal day-to-day activities.
For example, during the winter,
when Vitamin D is lower in the body, the body is more prone to stress
A change in playing surface or the type of training can
increase the risk of stress fracture. For example, if a tennis player
goes from a grass court to a hard court, or a runner moving from a
treadmill machine to running outside.
Studies show that female athletes are more prone to stress fractures
than male athletes. This may be due, in part, to decreased bone density
from a condition that doctors call the "female athlete triad."
interrelated illnesses develop when a girl or young woman goes to
extremes in dieting or exercise, that are: eating disorders, premature
osteoporosis, and menstrual dysfunction. As a result, the female
athlete's bone mass decreases and consequently her chances for getting a
stress fracture increase.
Wearing worn-out or ill-fitted shoes that have lost or do
not have shock-absorbing ability may lead to stress fracture.
Any equipment or process that may alter the mechanics of how
your foot’s impact absorption when it hits the ground may increase your
chances of encountering a stress fracture.
For example, if you have a
blister, it is very important that you take proper care of how you put
weight on your foot when you walk or run. You may require an area of
bone to support and handle more weight and pressure than usual.
Doing a lot of physical strenuous activities in a short
interval of time is a common cause of stress fracture. Although this is
very common in the case with individuals who are just beginning an
exercise program it can also occur, inexperienced athletes, as they
For example, athletes who train less over the period
of winter may desperately try to pick up right where they left off at
the end of the previous season. Instead of starting off slowly, they
resume running at their previous mileage.
This situation in which
athletes not only increase activity levels but push through any
discomfort and do not give their bodies the opportunity to recover can
lead to stress fractures.
The most common cause of stress fractures is a sudden increase
in physical activity. This increment can be in the repetition of the
activity (like exercising more number of days per week). It can also be
in the intensity or duration of activity (like, running longer
Even for the non-athlete, a sudden increase in activity can
cause a stress fracture. For example, if you are not a frequent walker
and start walking excessively due to various reasons, you might
experience a stress fracture. Your foot's ability to absorb repetitive
forces can be lessened up by adopting a new style of shoes and
ultimately result in a stress fracture.
Stress Fracture Treatments
Address modifiable risk factors
Change the level of activity or training patterns
Ensure adequate rest during exercise
Consider daily supplementation of calcium and vitamin D
Address abnormal biomechanics if needed
Consider shock-absorbing shoe inserts like 3D custom insoles
Reduce activity to the level of pain-free functioning
Consider paracetamol (APAP), which is better than nonsteroidal anti-inflammatory drugs
Stretch and strengthen supporting structures in the rehabilitative program
Increase activity in an organized manner after a long period of rest and improved symptoms
impact absorbing aids such as orthotics or other stress-relieving
equipment like crutches for lower impact on stress fractures
Practice cross training to maintain cardiovascular fitness
Consider surgery for patients with recalcitrant or high-risk stress fractures
How Insoles Helps With Stress Fracture
Orthotics 3D custom insoles have a very supportive built-in arch and also have an additional
pads offer better metatarsal protection as they are added under the
cover in order to increase the arch height.
The best way to prevent the
return of the stress fractures is by having arch support most of time.
These orthotics are available in a variety of preparations and can be
constructed from many different materials depending on their function
and the desired rigidity or support.
The 3D custom insoles lower stress
fracture incidence by improving foot biomechanics, lessening fatigue of
the lower extremities, and attenuating impact.
When an orthotic is
placed inside the shoe, the goal of the device is to help stabilize the
skeletal structure within the foot, and properly position the bones
within the foot so they can function at their full extent. This will
help to take stresses off the muscles, tendons and ligaments.
It will also reduce some of the stress on the bones.
Orthotics 3D Custom Technology And It's Design
Orthotics 3D Custom Insoles support all 3 arches of the foot, which make up the plantar vault and metatarsal bone set.
They’re custom-made by hand, based on your unique feet, body, and
health profile. Everybody is different and hence every pair of feet are
The 3D custom insoles thus designed are also different from
each other. Over-the-counter orthotics may cost less, but they do not
support all the arches in your foot. Supporting only one of the arches
will not maintain the structure of your feet need to provide to support
This will in fact lead to problems in other parts of your body. This implies that over-supporting only one of the arches of the foot, instead of relieve them, will actually cause pain.
The foot orthotics 3D custom insoles have a personalized
profile and are used for the optimization of foot function. These
inserts can help manage the weight distribution and pressure as the foot
hits the ground. They alter muscle activity and running mechanics and
hence exponentially reduce the chance of a stress fracture. They help in
shielding the bone by redistributing the force going through the bones.
One of the most important usages
of custom insoles includes reduction of the force of impact when the
foot hits the ground, thus potentially evading the damage to muscles,
tendons, and bones.
These supportive insoles are the best way to align and stabilize the foot and ankle area.
Customized Insoles (Shapecrunch)
3D Printed Custom Orthotics
- 6 months warranty
- Lasts for two years
- Anti - Microbial
- Shock absorbing and Flexible
- Custom made
- For Sports and Business Shoes
custom orthotics 3D printed orthotic insoles to fit your feet perfectly
to relieve foot and joint pain and prevent future biomechanical issues.
Enjoy excellent arch support, cushioning, and breathability from your
custom made shoe inserts.
like you are walking on air with Shapecrunch Orthotics' innovative
custom 3D printed orthotic insoles - they're fully customized to suit your
individual foot pronation and biomechanic needs and very comfortable to wear.
Everyone's feet are unique, so custom orthotics is the best way to
treat your own individual foot problems and prevent them from
Say goodbye to foot pain and hello to comfort
with these custom flat feet insoles today.
Price: SGD 230
By appointment only - contact us for enquiries and appointments
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Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
- Cupping TCM
- Auricular Therapy TCM
- Herbal TCM Medicine & Supplementation
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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