Mesotherapy and stress fractures

Stress fracture is a disease of adaptation of the bone to effort in the absence of any brutal trauma. It is a complete or partial fracture of a bone, unable to withstand non-violent constraints, exerted in a rhythmic, repeated manner and with an intensity below the fracture threshold.

Stress fracture, also called stress fracture or stress fracture, is a fracture that can affect all the bones of the foot and ankle. It is generally more frequent next to the tibia and the metatarsals. Stress fracture is most often caused by excess stress. An increase in the level of physical, sporting or professional activity, a change of shoes or training surface (treadmill/outdoor running, for example), unsuitable footwear (worn soles, loss of the ability to shock absorption) can lead to a stress fracture. Other risk factors include repeated impact sports such as running, dancing, football, etc.
In the initial phase, most of the treatment is the total cessation of the activity at the origin of the lesion. Offloading of the limb concerned is necessary to allow comfortable healing. Pain or discomfort is the main indicator that dictates stopping or gradually resuming activity. Analgesics such as NSAIDs or even corticosteroids can be offered and often prove useful. Local treatments such as icing, bandaging and physiotherapy should not be overlooked.
Mesotherapy occupies an appreciable place in this indication since it participates in the acceleration and improvement of physiological bone healing.
Mesotherapy will only be started after rest and strict weight-bearing essential for proper healing. The main objective of mesotherapy will be, in addition to improving the level of sedation and patient comfort, to ensure good callus quality.

Medications :

- Lidocaine hydrochloride
- Piroxicam 20mg/1ml
- Calcitonin

Where to prick:

On specific pain points in IDP (deep intradermal).
Always associate an IED topping (intra epidermal) at the level of the whole
limb affected for decongestant purposes with:
- Etamsylate
- Buflomedil
Rhythm of sessions: D0 – D7 – D15 – D30 +/- D60

Mesotherapy therefore finds all its legitimacy in the treatment of fatigue fractures, for several reasons:
- Little or no side effects
- Avoid over-medicalization
The mesotherapy treatment will take place in 3 to 5 sessions with the use of anti-inflammatory and relaxing products.

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