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Lead Stories: Friday, November 21, 2008

Q & A: What’s the best way to treat stress fractures?

Posted February 26th, 2007 at 11:41 AM by Hariz Siddiqui

Section: Running & Training, Injury & Rehab, Health & Fitness, Injury & Rehab, Exercise

Bone stress fractures are very common sports injuries. Any trauma to bones, such as repeated pounding when your heel strikes the ground during running, or landing on your feet after grabbing a basketball, can cause small cracks on the surface of bones called stress fractures. In healthy athletes, they can take from 3 to 12 weeks to heal, forcing an athlete to lose valuable training time.

A study from Tulane University shows that intravenous pamidronate can heal these fractures quickly and keep you playing (Clinical Journal of Sports Medicine, March 2005). Bones change constantly. Calcium is carried from bones by cells called osteoclasts and carried into bones by cells called osteoblasts. Bisphosphonates such as pamidronate prevent osteoclasts from carrying calcium from bones. The athletes received five weekly intravenous infusions of pamidronate and were able to continue training.
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