Dr. Kiper offers Silicone Orthotics for arch support.

Stress Fractures

A stress fracture is an incomplete break or crack in a normal bone caused by repetitive trauma.  While this injury can occur after a short stress it is more commonly seen after longer periods of continued trauma.  If there is insufficient rest between the traumas, the bone cannot rebuild. A small "stress" fracture can go on to a full break.  The pain is gradual and intensifies with continued activity. Swelling is often seen. An x-ray may not show signs of the break for the first 5-10 days after the injury. Pain can be felt with direct pressure from above and below. Another way of determining a fracture would be the use of a tuning fork over the affected part. Pain may be felt due to the vibrations of the fork, causing movement in the bone ends.


  1. Discontinue the activity
  2. Rest
  3. Ice
  4. Elevate the affected part.
  5. Non-impact  aerobic activity (e.g swimming and cycling)
  6. Splint or Cast (if necessary)
  7. Crutches
  8. medications (preferably OTC) for pain and swelling
If pain and swelling does not subside within a few days and normal activities also become difficult  seek professional help.

Silicone Dynamic Orthotics by reducing pronation can reduce the "torque" forces which produce a stress fracture.

Talk to other patients with Stress Fractures.