Stress fracture is associated with significant morbidity, attrition, failure to complete training, failure to return to pre-injury level activity as well as increased likelihood of re-injury, specifically within military populations. Pathogenesis of stress fracture is multifactorial in nature. The incremental rate of progression in both volume and intensity of high impact physical activity leading to a breach the bones capacity to tolerate repetitively applied mechanical loading such that repair is exceeded by damage, however, the precise mechanisms are yet to be confirmed.

Stress fractures require some of the longest recovery times and is reported to range from three weeks to several months. The Professional, legal and moral responsibility to investigate causation, management and mitigation of these costly injuries are the property of both organisation and individual clinician.

Our stress fracture protocol consist of 4-6 weeks partial weight bearing, once pain subside, commence 3 phases Rehab programme. Therefore, I am inviting your opinion regarding effective stress fracture rehabilitation method to prevention as well as intervention to enhance bone healing process.

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