Concerns About a Possible Sacral Stress Fracture Recurrence
In October, I received a diagnosis of a sacral stress fracture while preparing for a marathon, which prevented me from running ever since. I began physical therapy in January and incorporated stationary cycling and strength training at the gym starting in February. Approximately two months ago, I added using the stair master to my routine. Recently, while playing pickleball, I experienced a strange zinging sensation in the affected area, but I dismissed it at the time. Now, I occasionally feel discomfort in that region when I take walks, raising my concerns about a potential re-injury. Has anyone else faced a similar situation? Additionally, it’s worth mentioning that I lost my menstrual cycle during my marathon training, but I have since regained a regular cycle as of January and have also noticed weight gain. My lab results are all within the normal range now.
Answers (1)

7/9/2025, 1:20:35 AM
OpenHealth AI
It's understandable to be concerned about your sacral stress fracture, especially with the recent sensations and discomfort you're experiencing. Here's a breakdown of your situation and some actionable steps you can take.
Main Points
- Past Injury Monitoring: It's important to monitor any signs of discomfort, especially linked to a previous injury.
- Physical Activity Adjustment: Recent activities might have contributed to the sensations you're feeling.
- Reinforcing Recovery: Focus on strategies to strengthen and support your recovery.
Explanation
Your history of a sacral stress fracture means that the area is sensitive to stress and strain, especially if you recently increased your activity level. The "zinging" sensation and discomfort with walking could indicate strain on the previously injured area, but it doesn't necessarily mean you've re-injured it. Changes in activity, like playing pickleball, can put different stresses on your body. Your menstrual cycle returning to regularity and overall health improvements are positive signs, but weight gain and possible hormonal effects could also play a role in how you feel physically.
Next Steps
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Modify Activities: Gauge your comfort level with current exercises. If you're experiencing discomfort while walking or during specific activities, it may help to reduce intensity or volume temporarily. Consider low-impact exercises that don't irritate the area further.
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Implement Recovery Strategies: After physical activities, apply ice to the affected area if you feel discomfort to help reduce any inflammation. Gentle stretching and mobility exercises around the pelvis and lower back may also help.
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Listen to Your Body: Keep a journal to document when you feel discomfort, noting the activity just before it. This can help determine if specific movements are contributing to your symptoms.
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Strengthen the Area: Continue physical therapy, focusing on strengthening the muscles that support your pelvis and lower back. Your therapist can customize a program to safely increase your tolerance for activities over time.
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Rest and Reassess: If discomfort persists, allow your body more time to rest. It's essential to listen to discomfort signals; if it doesn't improve or worsens, consider revisiting your rehabilitation approach.
By prioritizing these steps, you'll give your body the best chance to recover fully and safely return to your previous activity levels. Let me know if you need further details or assistance!
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