Old Age Stress Fracture: Causes and Management - Dr Kashyap Solanki, Orthopaedic Surgeon, Mumbai.

Old Age Stress Fracture – Causes and Management

As people grow older, bone health becomes a crucial part of overall well-being. One common condition seen in elderly patients is the stress fracture – tiny cracks in the bone that occur due to repetitive strain or weakened bone strength. Unlike major fractures caused by accidents, stress fractures often develop slowly, making early detection and treatment very important.

Arrow showing site of Tibial Stress Fracture. Probably missed at the time of Unicondylar Knee Replacement Surgery.

What Causes Stress Fractures in Old Age?

• Osteoporosis: Age-related bone thinning makes bones more fragile.

• Repetitive Activities: Even routine walking or stair climbing can stress weak bones.

• Nutritional Deficiency: Low calcium and Vitamin D reduce bone strength.

• Poor Footwear & Gait Problems: Uneven weight distribution puts stress on certain bones.

• Medical Conditions & Medications: Diabetes, arthritis, and long-term steroid use increase fracture risk.

Symptoms You Should Not Ignore

• Persistent pain that worsens with activity and improves with rest.

• Swelling or tenderness in the shin, hip, or foot.

• Difficulty in bearing weight or walking.

Management of Stress Fractures in Elderly Patients

At Dr. Kashyap Solanki’s Orthopaedic Clinic in Andheri East, Mumbai, treatment is tailored to each patient’s condition:

• Accurate Diagnosis: X-rays, MRI, or bone scans to confirm early fractures.

• Activity Modification & Rest: Prevents worsening of the fracture.

• Immobilization: Braces, casts, or supportive footwear to aid healing.

• Pain Relief: Safe medications prescribed under expert supervision.

• Bone Health Support: Calcium, Vitamin D, and osteoporosis management.

• Surgical Options: Rare but considered if the fracture fails to heal, especially in the hip.

Preventing Stress Fractures in Old Age

• Eat a calcium and vitamin D-rich diet.

• Engage in low-impact exercises like swimming, walking, or yoga.

• Wear supportive footwear.

• Get regular bone density tests to check for osteoporosis.

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About Dr. Kashyap Prabhu Solanki & Dr. Prabhu Solanki

Orthopaedic Surgeon – Andheri, Mumbai

Dr. Kashyap Solanki specializes in hip and knee replacement, robotic-assisted knee surgery, and joint preservation procedures like HTO, arthroscopy, and ligament reconstruction. He is also known for performing complex revision joint replacements and managing challenging upper and lower limb fractures. With a focus on precision and patient-centered care, Dr. Solanki helps restore mobility and improve quality of life through advanced orthopaedic solutions.

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