If you run or play sports and battle foot pain, it’s possible to have a stress fracture in your foot. Can you return to running or sports after a navicular stress fracture?

Amanda asks:

My soon to be 15-year-old son has been diagnosed with a navicular stress fracture. He was casted for 6 weeks, and after that he just walked on it for 4 weeks. He was recently released to activity and after 1 1/2 weeks, he is beginning to feel pain again. He has been running but not more than a mile at time (If that much). What to do? Also he has severe heel pain on the bottom of both heels. I thought it was plantar fasciitis, but the foot doctor said Sever’s disease? Could these two pains be related? Please help. My son is at the end of his rope with all this pain. His was out of football and does not want to miss baseball season.

What is a navicular stress fracture?

Navicular stress fractures are difficult problems in athletes. Unlike some stress fractures, which heal uneventfully with a short period of rest, these unfortunately often don’t heal. Sports medicine surgeons tend to take these injuries much more seriously. In general, once an athlete has been diagnosed with a navicular stress fracture, treatment involves either complete nonweightbearing in a cast or even surgery to place 1 or 2 screws across the fracture. If the fracture doesn’t heal, a much bigger surgery, involving screws and even bone graft at the nonunion site, is often needed.

Location of pain with a navicular fracture or stress fracture
Location of pain with a navicular fracture or stress fracture

When can you return to sports after a navicular stress fracture?

Knowing when an athlete can return to walking, let alone running and sports, after suffering a stress fracture can be difficult. Due to the risky nature of these injuries going on to nonunion, I often order a CT scan or an MRI to better determine if it has healed. Often plain x-rays are too inconclusive. Also, if the athlete is still having pain, I think it’s safe to hold off from stress on the bone. Running and certainly sports are delayed in these situations.

What is Sever’s disease?

As for heel pain, Sever’s disease is a common cause of pain on the back of the calcaneus (heel bone) below where the Achilles tendon inserts. It typically doesn’t hurt at the base of the arch of the foot (where plantar fasciitis does). It is common in athletic kids between ages 8 and 12, in my experience, while the growth area in this region is experiencing stress with activity. Kids in running sports or sports with jumping and landing from jumps, like basketball and gymnastics, often have it. Treatment is usually conservative in that rest from the offending sport for a few weeks until pain decreases is enough. Other measures, including heel cups, orthotics, and physical therapy, can be used as well.

Plantar fasciitis is not common in high-school aged athletes, but we do see it occasionally. Again, the location of the pain is different, and the symptoms are different in terms of timing of the pain and inciting events. Another problem worth considering in an athlete of a running sport is a calcaneus stress fracture.

Can you run or play sports after a navicular stress fracture?

I want to help you! Please take a few seconds to share the biggest challenge or struggle you’re facing with your injury! Click here!

Recommended Products and Resources
Click here to go to Dr. David Geier’s Amazon Influencer store!
Due to a large number of questions I have received over the years asking about products for health, injuries, performance, and other areas of sports, exercise, work and life, I have created an Amazon Influencer page. While this information and these products are not intended to treat any specific injury or illness you have, they are products I use personally, have used or have tried, or I have recommended to others. THE SITE MAY OFFER HEALTH, FITNESS, NUTRITIONAL AND OTHER SUCH INFORMATION, BUT SUCH INFORMATION IS DESIGNED FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY. THE CONTENT DOES NOT AND IS NOT INTENDED TO CONVEY MEDICAL ADVICE AND DOES NOT CONSTITUTE THE PRACTICE OF MEDICINE. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. THE SITE IS NOT RESPONSIBLE FOR ANY ACTIONS OR INACTION ON A USER’S PART BASED ON THE INFORMATION THAT IS PRESENTED ON THE SITE. Please note that as an Amazon Associate I earn from qualifying purchases.