The physician treating the athlete must have a high index of suspicion. Plain x-rays do not show stress fractures, as they do the more classic acute fractures. That is, when bone callous actually develops. This usually occurs around 2-3 weeks following the onset of the initial symptoms. Bone scanning however, could be utilized to detect these fractures as early as 2-8 days after the symptoms develop.
Early detection is paramount, based on clinical experience and suspicion.
Radiological findings should be de-emphasized, in order to initiate early treatment and rehabilitation and thus prevent progression of the problem. The treatment depends on the location of the stress fracture, as well as the duration of the symptoms. Better conditioning programs. In order for this condition to be most efficiently treated, the physician needs a high index of suspicion in order to prevent progressive pain and disability. It is then of equal importance that the patient possess the understanding and cooperation that is needed to follow the recommendations of the treating physician.