how do you know when you have a stress fracture

8/17/2019 How Do You Know When You Have a Stress Fracture

1/5

3/3/2016 How Do You Know When You Have a Stress Fracture? | Runner's World

http://www.runnersworld.com/injury-treatment/how-do-you-know-when-you-have-a-stress-fracture 1/5

RUNNING TIMES (/RUNNING-TIMES) INJURY TREATMENT (/TAG/INJURY-TREATMENT)

How Do You Know When You Have a

Stress Fracture?Plus: Info on cortisone shots and orthotics.By Brian Fullem, D.P.M. (/person/brian-fullem-dpm) MONDAY, MARCH 28, 2011, 12:00 AM

(http://www.runnersworld.com/generinterest/sponsored-content-spring-

rejuvenation)

Email address

Submit

ADVERTISEMENT

Sponsored

Spring Rejuvenation(http://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenation)By Hoka One One

(http://www.runnersworld.com/gen

eral-interest/sponsored-content-

spring-rejuvenation)

DAILY NEWSLETTER

You may unsubscribe at any time.

Your Privacy Rights

(http://www.rodale.com/co

rp/sub/0,,1-28,00.html) |About Us(http://www.rodaleinc.com/content/about-us)

Sometimes the conventional wisdom isn't so wise. In

running, among the many supposedly ironclad "rules" are

three sports medicine matters that merit debunking. First,

that cortisone shots are an inherently bad treatment and that

you shouldn't receive more than three shots for any injury.

Second, that you can't run on a stress fracture, so if you

have an injury but can still run, then it can't possibly be a

stress fracture. Third, that orthotics can cure every injury.

Let's look at each of these and sort fact from fiction.

MYTH: AVOID CORTISONE SHOTS

Cortisone is the commonly used term for all corticosteroid

injections. Cortisone and similar types of drugs are known

as catabolic steroids. Corticosteroids, of which cortisone is

one type, mimic the effects of naturally occurring hormones

produced by the pituitary gland and serve to reduce

inflammation. The drug can be delivered topically, orally

(such as prednisone) or injected. My focus here is on the

injectable corticosteroids used to treat running injuries.

Let me start by acknowledging that, like many myths, the

one about cortisone shots doing damage has some basis in

fact. The contention that you shouldn't receive repeated

injections is valid if many injections are performed at the

same location in a short amount of time, because in this

concentrated delivery corticosteroids can cause breakdownin the tissue. For this reason it's important that injections be

performed around a tendon and not directly into the tendon

itself. (Because there's so little matter around it, one area

that should almost never be injected is the Achilles tendon.)

Getting the Shot?

Nerve, tendon, joint and fascial injuries seem to respond

best to a local corticosteroid injection. Some examples

include an interdigital neuroma, plantar fasciitis, peroneal or

posterior tibial tendinitis and any inflammation in or around

a joint. I've found that if there is an acute area of pain about

the size of a quarter, then there's a good chance than an

injection will be successful.

Steroid injections also work better in the earlier stages of an

injury. If an injection has resolved a lot of the pain but there's

still some discomfort, then I might recommend a second

injection. If, however, there's little to no relief from the first

injection, then I typically won't recommend another at the

(http:/

/w ww

.face

book.

com/

share

r.php

?

s=10

0&u=

http%

3A%

2F%

2Fw

ww.r

unne

rswor

ld.co

m%2

Finju

ry-

treat

ment

%2F

how-

http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.rodale.com/corp/sub/0,,1-28,00.htmlhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.rodaleinc.com/content/about-ushttp://www.rodaleinc.com/content/about-ushttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/person/brian-fullem-dpmhttp://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.runnersworld.com/running-timeshttp://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.http://www.rodaleinc.com/content/about-ushttp://www.rodale.com/corp/sub/0,,1-28,00.htmlhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/general-interest/sponsored-content-spring-rejuvenationhttp://www.runnersworld.com/person/brian-fullem-dpmhttp://www.runnersworld.com/tag/injury-treatmenthttp://www.runnersworld.com/running-times


2/5



same location.

CORTICOSTEROIDS

Corticosteroids are described as banned substances if

administered orally, intramuscularly, intravenously or

rectally. Steroids injected into a joint or around a tendon are

acceptable, but a declaration of use must be filled out by the

athlete.

ANABOLIC STEROIDS

Anabolic steroids are a different class, and serve to build

muscle and foster faster recovery from workouts. These are

always banned substances in track and field.

MYTH: YOU CAN'T RUN ON A STRESS FRACTURE

It's simply not true that you can't run on a stress fracture.

Runners typically have a high pain tolerance, and when

endorphins are released during a run this will mask the pain

of most injuries, leading to a false sense of security. It's

important to pay attention to some of the signs that may

indicate a stress fracture, including more pain as a run

progresses and a throbbing type of pain after a run is

completed and the endorphins are subsided. Metatarsal

stress fractures will also be accompanied by swelling;

anytime I have a patient with pain and swell ing on the top of

the foot, then I consider a stress fracture as a possibi lity.

It's important to note that X-rays often may not show any

signs of a stress fracture. If you have the above signs of a

stress fracture and an X-ray is normal, follow up with

another diagnostic test such as a bone scan, CT scan or

MRI.

While you can run on a stress fracture, you shouldn't--doing

so simply delays healing and will probably lead to a

compensatory injury from altering your running form. The

sooner a stress fracture is diagnosed and treated, the fasterthe athlete can return to activity. Consider the case of Rich

Kenah, who won bronze medals at 800m in the 1997 indoor

and outdoor world championships. When he resumed

training for the 1998 season, he developed pain in the

middle of his foot. Kenah was able to run for another month,

albeit in pain, and began compensating, which led to pain

on the outside of the foot. It turns out that Kenah had a

navicular stress fracture (bone in the midfoot) and

compensation for this injury led to a stress fracture in the

fourth metatarsal bone. A long layoff ensued, which

included crutches, a walking cast and a bone stimulator.

Kenah had to miss the 1998 season, but was able to return

to competition in 1999, and he made the U.S. Olympic team

in 2000.

Some stress fractures, such as of the navicular or cuboid

bones, require more aggressive treatment, including

complete non-weight-bearing and a cast. The most common

stress fractures in a runner include the metatarsal and tibia.

While treatment varies based on the severity and symptoms,

do-

you-

know

-

when

-you-

have-

a-

stres

s-

fractu

re&p[

imag

es]

[0]=&

p[title

]=Ho

w%2

0Do

%20

You

%20

Kno

w%2

0Wh

en%

20Yo

u%2

0Hav

e%2

0a%

20Str

ess%

http://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.


3/5



these two areas usually allow the patient to avoid using

crutches.

MYTH: ORTHOTICS ARE A CURE-ALL

Orthotic devices aren't a panacea and shouldn't always be

considered a first-line treatment. Unfortunately, in some

podiatry offices plantar fasciitis automatically equals custom

orthotic devices. The reality is that the devices should neverbe prescribed for a specific injury without considering the

biomechanics of the patient. Your physician should provide

a good explanation why you should consider a custom

orthotic device; typically, the decision should be based more

on the shape and function of the foot with consideration also

given to the injury being treated.

Be wary of a medical professional who makes the same

type of device for every patient or restricts the choice of

materials. I can think of a sports medicine "expert" who has

stated in a public forum that runners should never run in

hard, rigid orthotic devices. In fact, at least three of my

patients ran in the 2008 Olympic marathon trials in

polyethylene or graphite devices, which would be classified

as rigid or semi-rigid.

The fabrication and prescription writing for an orthotic

device is a combination of science and art. The fabrication

of the device is the most important part. If a device is being

made with the intention of correcting a biomechanical flaw,

then stepping in a foam box to fabricate the device isn't

going to provide as good a device as the use of plaster will.

There are certain injuries that classically respond better to a

custom orthotic device, including plantar fasciitis, medial

tibial stress syndrome (shin splints) and posterior tibial

tendinitis. However, it's extremely important to combine the

injury history with a thorough biomechanical and gait

examination to determine if the injury is related to how the

foot is functioning. If a device is prescribed, it should be only

a part of the treatment plan rather than the sole treatment.

There are certain conditions or injuries in which the medical

literature recommends custom orthotics, even though there's

little to no scientific evidence to support these claims. Two

of the conditions that come to mind are iliotibial band

syndrome (ITBS) and hallux abducto valgus (bunions).

Some physicians may claim that the custom device may

help prevent the progression of bunion deformity, but there

are no studies to support this assertion.

ITBS may in some cases get worse wi th use of a custom

orthotic device. Michael Fredericson, M.D., at Stanford

University has clearly shown in several studies that the most

important component to treating this injury is to strengthen

the core muscles, in particular the hip abductors. I would

seriously question any medical professional who uses a

functional custom orthotic device as a first-line treatment for

ITBS. The condition is more commonly found in

underpronators with a high-arched foot type. If an orthotic

device is for this injury, then most times it should be a softer

20Fr

actur

e%3

F&p[

sum

mary]

=Plu

s%3

A%2

0Info

%20

on%

20cor

tison

e%2

0shot

s%20

and

%20

orthot

ics.)

(https

://twitt

er.co

m/int

ent/t

weet

?

text=

How

%20

Do%

http://www.runnersworld.com/https://twitter.com/intent/tweet?text=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&url=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracturehttp://www.facebook.com/sharer.php?s=100&u=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracture&p[images][0]=&p[title]=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&p[summary]=Plus%3A%20Info%20on%20cortisone%20shots%20and%20orthotics.


4/5



SEE ALSO:

A Stress Fracture Primer

(http://www.runnersworld.com/injury-treatment/stress-

fracture-primer)

Avoid Shin Stress Fractures

(http://www.runnersworld.com/injury-treatment/avoid-shin-

stress-fractures)

What is the difference between a shin slint and stress

fracture? (http://www.runnersworld.com/injury-prevention-

recovery/ask-doctor-shin-splints-or-stress-fracture)

Tags: RT April 2011 (/tag/rt-april-2011)

Achilles Tendinitis (/tag/achilles-tendinitis)

Lower Leg (/tag/lower-leg) Stress Fracture (/tag/stress-fracture)

device to aid in shock absorption and possibly promote

more pronation.

It's also possible to el iminate the use of custom devices if an

injury has resolved and your mechanics are sound. I always

ask patients who have used orthotic devices for a long time

why they were originally prescribed and if those parameters

still apply. Occasionally I'll recommend that a patient stop

wearing the devices, but this should be a gradual process,as the feet may need to be strengthened. Unless there's

pain throughout the day, I almost always recommend my

athletic patients use the devices only when working out

because of the weakness that can develop from constant

wear.

Sports Med Caveats

One of the most important concepts an injured athlete needs

to consider is the choice of medical specialists.

Check out advertising for medical providers and most will

list sports medicine as their interest or one of their

specialties, particularly podiatrists, orthopedists,

chiropractors and physical therapists. Unfortunately, there

are no guidelines required to proclaim oneself a sports

medicine expert. Fellowship training programs do exist,

wherein doctors can train under acknowledged top sports

medicine practitioners. For a podiatrist, becoming a fellow of

the American Academy of Podiatric Sports Medicine is the

top credentialing that can be obtained to show competency

in sports medicine.

When trying to find a good sports med doctor, remember that

it's the medical professional's duty to provide their patients

with a diagnosis and a treatment plan that not only heals the

injury but also identifies the cause in order to prevent

injuries. That big-picture approach is the essence of sports

medicine.

Brian Fullem is a fellow of the American Academy of Podiatric Sports Medicine whose medical practice is located

in Tampa, Fla. A longtime runner with a 14:25 5K PR, his

website is docfullem.com (http://docfullem.com).

20Yo

u%2

0Kno

w%2

0Wh

en%

20Yo

u%2

0Hav

e%2

0a%

20Str

ess%

20Fr

actur

e%3

F&url

=http

%3A

%2F

%2F

www.

runn

ersw

orld.c

om%

2Finj

ury-

treat

ment

%2F

how-

do-

http://www.runnersworld.com/injury-treatment/re-alignment-on-the-runhttp://www.runnersworld.com/sweat-science/the-broken-tv-approach-to-running-injurieshttps://twitter.com/intent/tweet?text=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&url=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracturehttp://docfullem.com/http://www.runnersworld.com/tag/stress-fracturehttp://www.runnersworld.com/tag/lower-leghttp://www.runnersworld.com/tag/achilles-tendinitishttp://www.runnersworld.com/tag/rt-april-2011http://www.runnersworld.com/injury-prevention-recovery/ask-doctor-shin-splints-or-stress-fracturehttp://www.runnersworld.com/injury-treatment/avoid-shin-stress-fractureshttp://www.runnersworld.com/injury-treatment/stress-fracture-primer


5/5



COMMENTS

SHOW COMMENTS

YOUR PRIVACY RIGHTS. (HTTP://WWW.RODALEINC.COM/YOUR-PRIVACY-RIGHTS) | ABOUT US.

(HTTP://WWW.RODALEINC.COM/CONTENT/ABOUT-US)

Copyright © 2016 Rodale Inc.

you-

know

-

when

-you-
https://twitter.com/intent/tweet?text=How%20Do%20You%20Know%20When%20You%20Have%20a%20Stress%20Fracture%3F&url=http%3A%2F%2Fwww.runnersworld.com%2Finjury-treatment%2Fhow-do-you-know-when-you-have-a-stress-fracturehttp://www.rodaleinc.com/content/about-ushttp://www.rodaleinc.com/your-privacy-rights

how do you know when you have a stress fracture

Documents