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Jane Fonda once uttered the phrase "No pain, no gain", but this phrase could actually you to develop a painful stress fracture, a common overuse injury seen in athletes and people who frequently exercise.

According to the American Academy of Orthopedic Surgeons (AAOS), stress fractures occur when the muscles are too fatigued to absorb the shock caused when a person increases the amount or intensity of a physical activity too quickly. This transfers the added stress to the bones, which are not equipped to handle the day-to-day impact of high-intensity activity. This can cause the bone to develop tiny cracks, called stress fractures. These fractures are extremely painful--left untreated, it can cause a complete bone break, necessitating surgery.

Although stress fractures are more likely to affect athletes, people who exercise frequently can also develop them. Women are more susceptible to this condition--statistically, they are more likely to develop conditions that make the bones brittle, such as anorexia nervosa, osteoporosis and poor calcium and vitamin D intake.

Now here's the good news: most, if not all, stress fractures are completely preventable. Remember, stress fractures are an overuse injury--it's not the cause of a sudden accident. But how do you prevent stress fractures if you exercise (a lot)?

  1. If you're starting a new exercise, start off slow. If you've never run in your life, for example, you don't want to suddenly start running five miles a day. Remember to start out slow by only doing a little bit at a time, slightly increasing its intensity or duration on a weekly basis.
  2. Wear shoes designed for the exercise you're participating in. For example, if you weight lift, you don't want to wear running shoes, which are designed to reduce the stress on the feet while coming into contact with hard surfaces. Likewise, regular tennis shoes can actually put more stress on your feet if you jog as part of your workout routine. Always wear the appropriate footwear for the sport or exercise you're participating in. If you don't, you could risk developing a stress fracture.
  3. If you experience any pain in your feet or lower legs while exercising, stop immediately. This is one of the first signs of a stress fracture. Continuing to exercise and ignoring this pain can make it worse, leading to a full-blown fracture. Instead, rest, avoid using the affected area in any activity if possible, and ice it regularly. If the pain is not alleviated within a few days, seek medical help.

By starting out slow, avoiding putting undue stress on the feet, and resting when pain occurs, you could potentially avoid developing a stress fracture. Remember, continuing to exercise with a stress fracture could lead to a complete bone break, which may require surgery to treat.

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