Stress fractures are a type of fracture that can develop over time verses a sudden trauma. Small micro fractures can occur through repetitive loaded activity. If they are not allowed to heal and are subjected to further loading then the micro fractures remain an increasing symptom. Symptoms may include a gradual onset of “tooth aching” pain, tenderness when palpated and pain on “normal” activities such as walking. The main causes are linked to overuse injuries such as running or sports involving high levels of endurance. People who are at risk of developing a stress fracture are those who have changed surface or increased their training load. A physiotherapist will be able to assist in diagnosing these symptoms and that will involve imaging the painful area. Once confirmed appropriated management will be advised and support provided with a graded return to your activity.