स्ट्रेस फ्रैक्चर का उपचार: दर्द-रहित गतिविधि पुनरारंभ की ओर संरचित पुनर्वास

Treatment approaches include activity modification, protected weight-bearing, immobilisation, physical therapy, nutritional counselling and, in some cases, surgical fixation. A rehabilitation protocol should be used with structured physical therapy following any bone stress injury. Multi-directional and/or osteogenic activities should be added to the rehabilitation process. The panel concluded that athletes with a bone stress injury should be provided nutrition counselling and supplemental vitamin D if serum levels are insufficient. The panel acknowledged that lifestyle factors including sleep and psychological stress may be important to address, consistent with prior work suggesting these mechanisms being associated with rapid bone loss. Being pain-free during daily or sports activities; being pain-free during palpation of injury site (if palpation possible); negative bone loading tests (e.g., single-leg hopping test); pain with running at the injury site is not permissible when rehabilitating bone stress injuries.