Stress Reaction in Tibia -- Recovery

Recently, I had an MRI on my right tibia to rule out a stress fracture that was otherwise diagnosed as fairly typical medial shin splints. Turns out, the MRI revealed a “stress reaction”, which I am told is an early version of a stress fracture. I was planning to do the Miami Marathon on January 29th, but now I have cancelled it and have not run in two weeks.

The sports doctor told me that typical recovery time for such an injury is 4-6 weeks. I am only at the two week point in recovery, but the pain has subsided considerably and I am itching to start running again. Would any of you resume running prior to the 4-6 week point identified by the doctor? Would any of you actually turn around and actually run the race?

Do what your doctor tells you. Trust me. Try cycling or running in the pool instead.

Ditto to ERS, I just got over stress fractures that started the same way, had me out for almost 3 months. It’s not worth it. You’ll screw your whole season instead of just a few weeks. I used the time to work on my pitiful swim…now it’s, well it’s still pitiful, but it’s pitiful in fewer ways.

Do you think it is also unwise to target a replacement marathon at the end of March? If I start running again in early Feb (the 4 week recovery point), that will give me 7-8 weeks to prepare.

Dude, you’re best off not planning any races that will bias (i.e. help you ignore pain) as you try to get back in shape. The 4 weeks might be on the early side, you won’t know until you get back into it and start running. Just be happy you’ll only be sidelined for a month or two, and make sure to go back into it slowly. You don’t want to end up on the chronically injured list. It sucks, way more than missing a marathon.

You could try and it might work but it may also shelve you for the entire spring and summer. I would ease back into it.

I had a tibial stress fracture in college and tried to come back to quick so that I could finish my senior season of cross-country. Didn’t work so well and I was shelved for most of the winter season.

Ok… thanks for your wise thoughts.

Following the Columbus Marathon '99, I went through much of the following month with fairly bad shin splints. On Jan. 1 '00 I started a run, and only a couple hundred meters into it I stopped because my shin was so sore - an almost nauseating soreness. I went to my doctor and he gave me a few diagnostic tests that seemed to rule out a stress fracture, and the diagnosis was shin splints (which probably could’ve been classified as “stress reaction”), on which I could periodically try to run as I saw fit. This is what I did for a month, maybe about 6-8 attempts, returned to him, and he ordered a bone scan - which proved the problem to be a tibial stress fracture. At that point I had done considerable damage to it and couldn’t run for about 10 weeks.

In '03 I clobbered (don’t ask…) the exact same location, and a few days later felt the same symptoms of nauseating achiness. This time an x-ray revealed a hairline fracture, but because I had stopped running immediately after the first symptoms, I was only off the run for about 5 weeks.

That’s a long story for which I apologize, but my two approaches to the two episodes demonstrate how much quicker recovery can be if you jump on it right away. I just think that if you don’t take the necessary time off now you may end up paying for it at a time that is perilously close to the multisport season. Best of luck with this, David!

Don’t run on it.

I had a fibular sfx this summer and am just coming back from a metatarsal sfx. Yours sounds as if it’s on the point of fracturing further, which will just keep you out for more time.

In 4 wks, try to run 2-3 mi on a gentle surface – track, grass, 'mill… do that every other day for the first 2-3 weeks. Then either add a mile or so to some of the runs, OR run 3mi, 2 days on/one day off… and increase it GRADUALLY so it doesn’t crack again.

sfx SUCK. Don’t push it, you’ll be sorry.