Manageing acute stress fractures

Question 1

what is it?

Answer 1

usually fracture in pars interarticularis

Question 2

what causes it?

Answer 2

extension & extension/rotation
sudden change in direction
repetitive hyperextension +/- rotation
large alternating flexion and extension movements

Question 3

tissue sensitivity

Answer 3

temporary rest from provocative movements
reduce provocative activities
educate on awareness of condition/causes/prognosis
maintain fitness
address contributing factors

Question 4

local function

Answer 4

mobility: improve into flexion - nonprovocative gentle flexion exercises (not mobs)
muscle: improve flexion/rotation independent movement
increase to high load
improve control into unilateral extension and rotation, increase to high load

Question 5

remote function

Answer 5

mobility: improve Tx and hip movement into extension & rotation
improve muscle performance independent of lumbar spine
high load training for LL muscles

Question 6

general function

Answer 6

maintain fitness
modify technique
modify load on Lx during sport
graded return to activity/sport
functionally relevant high load training

Question 7

psychological

Answer 7

education/awarness to all stake holders
address concerns/psychosocial flags
promote idea of recovery