Stress fractures are almost always caused by some of the errors that I outlined earlier in this chapter—increasing mileage and intensity too quickly, wearing shoes without enough cushioning, and doing too much of your running on hard surfaces. Runners who don’t include enough calcium in their diets are also susceptible.
Unfortunately, when you have a stress fracture, you need to stop running. Otherwise, you’re just asking for it. The bone will continue to rupture, and you could develop a complete break, which will add considerably to your downtime. So if you feel the beginnings of a stress fracture, take a few days off and ice the area (which will probably be a little tender and swollen, and maybe even a bit warm to the touch at first). If you definitely have a stress fracture, you’re best off not running for at least two weeks, as well as avoiding other weight-bearing activity during this time. If it’s still bad when you restart, stop again, and see a doctor.
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