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TIBIAL STRESS
FRACTURE REHAB

Keep running during bone healing — without risking re-fracture. The Anti-Gravity Treadmill lets you maintain fitness and running mechanics while the tibia heals.

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Tibial stress fracture rehabilitation on Anti-Gravity Treadmill — SportsFit Five Dock
Why the Anti-Gravity Treadmill?

KEEPING YOU MOVING WHILE THE BONE HEALS

A tibial stress fracture is a partial or complete crack in the tibia caused by repetitive loading beyond the bone's capacity to adapt. The standard management involves reducing or stopping running entirely — which protects the fracture but typically leads to significant loss of cardiovascular fitness, running-specific muscle strength, and psychological confidence.

The Anti-Gravity Treadmill changes this equation. By reducing body weight by 40–70%, the ground reaction forces through the tibia are dramatically reduced — often below the threshold that provokes symptoms — while the movement pattern of running is preserved. Runners can maintain their aerobic conditioning and gait mechanics while the fracture heals.

This means a faster and more complete return to full running when the bone is ready — not months of deconditioning followed by a slow, uncertain rebuild.

Always clinically directed: The Anti-Gravity Treadmill protocol for tibial stress fractures must be guided by your physiotherapist. Whether and when walking or running on the treadmill is appropriate depends on the grade and location of the fracture, imaging findings, and symptom response. This is not a self-directed program.

Before Starting

CRITERIA BEFORE RUNNING BEGINS

These criteria should be met before anti-gravity running is introduced.

Pain-free walking
Walking must be comfortable before any running is introduced on the treadmill. Walking remains the first phase of the protocol regardless of fracture grade.
Improving palpation tolerance
Tenderness on palpation of the fracture site should be settling — not worsening — before running loads are introduced.
No worsening next-day symptoms
Each session is monitored for post-session symptom response. Increased pain or swelling the following day indicates the load is too high and the protocol is regressed.
The Protocol

TIBIAL STRESS FRACTURE PROTOCOL

Four phases from protection through to return to ground running. Timelines are approximate — progression is always symptom-guided.

01
Approx. Weeks 0–5
Protection & Deload
Walking only if approved by physio
Higher body-weight support (60–80%)
Focus on symptom settling and pain-free movement
Maintain cardiovascular fitness within pain tolerance
02
Approx. Weeks 5–7
Walk–Jog Introduction
50–70% body-weight support
1 min jog / 2–3 min walk intervals
Short sessions with focus on good technique
Monitor tibial tenderness and morning pain
03
Approx. Weeks 7–9
Progressive Reload
30–50% support progressing toward 10–20%
Increase jogging time before reducing support
Maintain relaxed, controlled cadence
Avoid early incline or speed spikes
04
Weeks 9+
Return to Ground Running
Gradual transition off the treadmill
Alternate supported and ground sessions
Progressive increase in ground running volume
Continue monitoring for symptom recurrence
Progression & Red Flags

CLINICAL DECISION RULES

Progression Rules
Progress When:
Duration increased before reducing support %
No increase in focal tibial tenderness
Morning pain stable or improving
Running mechanics remain controlled
Red Flags
Regress If:
Localised tibial pain increases
Next-day soreness persists or worsens
Running mechanics deteriorate
Morning pain increases
Important Note
This is Guided Rehab
Never self-progress a stress fracture protocol
Imaging findings determine safe progression
Book a free call to discuss your specific case
Common Questions

FAQ — TIBIAL STRESS FRACTURE

Can I really run with a stress fracture?

In many cases, yes — with sufficient body-weight support on the Anti-Gravity Treadmill. The key is reducing the load through the tibia below the threshold that provokes symptoms. Whether this is appropriate for your specific fracture depends on its grade, location, and your symptom response. This needs to be assessed individually — book a free call to discuss.

How is this different from pool running?

Pool running maintains cardiovascular fitness but doesn't preserve the specific neuromuscular patterns of land running. The Anti-Gravity Treadmill preserves your actual running gait — meaning when you return to ground running, your body already knows the movement. The transition is significantly easier and faster.

Do I need a referral?

No referral needed. Book a free call and we'll assess your situation and advise on whether this is appropriate for your injury.

Get Started

DON'T LOSE YOUR FITNESS WHILE YOU HEAL

Book a free call. We'll assess whether the Anti-Gravity Treadmill protocol is appropriate for your stress fracture and build a plan from there.

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No referral needed · Five Dock, Inner West Sydney · Health fund rebates available

Inner West Anti-Gravity Treadmill — Five Dock

164 Great North Road, Five Dock NSW 2046  ·  (02) 8054 3775  ·  SportsFit Health & Rehab →

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