The Training

You should avoid extended seasons of competition without rest period. If there is an unusual high proportion of stress fractures, workloads and training surfaces must be tested. It is necessary to individualize the training programs in children, pubertal maturation State by age (age chronological? biological age). You should try to prevent alterations of the appetite and nutritional deficits (especially in girls.) REHABILITATION to the sport then of the FRACTURE bone reactions to stress specific treatment will depend on the severity of the injury at the time of its diagnosis and its specific anatomical location. However generally speaking we can follow a series of simple guides to help the athlete to minimize your recovery period. Firstly, it is absolutely essential to maintain the activity of the patient below the pain threshold, while we are going very slowly increasing the workload. There are several studies showing that the absence of pain is correlated with the scintigraphic and radiografica, healing and that can be a parameter as valid as these tests complementary and much cheaper (and safe for athletes).

For a subject with a fracture by stress the increased load must not exceed 10% every two weeks. While a normal person is usually increase more than 10% per week. PHASE I the object of this phase is the control of pain. Usually used NSAIDs, physiotherapy and ice. If symptoms appear even with ambulation, the athlete must walk with the help of crutches. Of course, will have to eliminate activities that have caused the injury completely. Is usually possible to perform activities such as cycling, swimming, race in water, trunk and train superior conditioning exercises, etc. We will try to allow patient to walk without crutches within several days, and once he is able to do it without pain, we will be removing them progressively. PHASE II once the athlete is able to walk without pain for several days, we can begin with the next phase of its recovery: use gentle exercises without impact programs.

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