What is a Stone Bruise? And how are they treated?

It can be challenging to have your foot and ankle not hurt for an extended period of time. You may be experiencing this type of pain which is sometimes referred to as a "stone bruise" and sometimes called "metatarsalgia." Regardless of the name, chances are it hurts pretty bad and you want it to stop.

What Exactly Is a Stone Bruise?

While it is certainly possible to have a literal stone bruise on your foot by stepping on one, that's not what the term means. Any sort of pain in the ball of the foot (usually at the base of the big toe) or heel pad is considered a "stone bruise."

One of the most common causes of this is from impacting the foot on an object such as a stone or other uneven lump on the ground. It may also be the result of repetitive impacts on the foot.

Runners are at an increased risk of getting a stone bruise not only because of the repeated impacts on the lower leg, but also due to them covering ground where there might be small objects or uneven paths.

Having a stone bruise is bad, although the pain varies depending on how bad the injury is and where it is. Sometimes, it can be described as sharp, tingling and burning, which can be due to the nerves in the foot becoming inflamed or irritated due to the injury.

Even if you know you stepped on a stone or something small, the pain doesn't come right away. Typically, it builds gradually, and the discomfort may not reach full strength until a day or two later. The pain will often be worse when the toes are curled upward.

Why Might you get a Stone Bruise?

We have talked about people who are more susceptible to this type of injury than others, but what about all of the other factors?

Some people are more at risk for stone bruises than others. The pain can be worse and last longer, but the two activities that typically cause the injury are running and jumping. To prevent this type of injury from happening, we offer proper conditioning and prevention in athletes. It's not a good idea to push yourself too hard — even if you don't feel any pain, you could end up with a much worse injury.

Intrinsic aspects, like high arches or flat feet, can also increase the chances that someone will get hurt. These structural abnormalities alter the way weight and forces are distributed across the feet, resulting in increased pressure in certain areas — for example, the heel or ball of the feet.

Additional factors to consider include:

• Poor footwear. This may range from a pair of athletic shoes that don't provide adequate support to a pair of high heels that force excessive pressure on the front of your foot.

• Excess weight. Extra weight or obesity puts more pressure on the feet with every step.

• Medical conditions. Bunions and other types of foot deformities are all known to affect the foot's structure in ways that make it more prone to stone bruises and related injuries.

• Aging. When we're young, there is a nice fat pad along the bottom which acts as a cushion. However, as we age, this fat pad tends to wear away.

How are Stone Bruises Treated?

In most cases, a stone bruise can be treated with basic RICE methods. Rest, ice, compression and elevation. However, if the pain does not improve within a week or occurrences happen often, give us a call.

The truth is, your stone bruise might not be a stone bruise, but another condition. Your podiatrist will need to do tests and other screenings to figure out what the issue is. Once they have diagnosed the issue and you are fit again, you will need to recover and rest, but it may require a different approach.

There are several methods of treatment that can be taken. Often, changes in footwear or workout routines may provide the relief that people are looking for. If an inherent structural problem is found, custom orthotics can be created to provide the needed cushioning and support. This reduces the stress that's caused when these problems cause too much pressure on foot joints.

We want you to be healthy and comfortable. If you are experiencing any pain or discomfort that is limiting your mobility, book an appointment with us online.

Frequently Asked Questions

How can I differentiate between a stone bruise and a more severe foot injury?

Stone bruises can cause pain, however, they tend not to cause extreme swelling or any other deformities. If you are experiencing swelling or severe pain or if your symptoms continue after practising the RICE method, it is best to seek a podiatrist’s advice.

Are there any preventive measures to avoid stone bruises?

To prevent stone bruises:

• It is best to wear correctly fitting shoes

• Ensure the shoe you're wearing is for the right sport you're participating in

• Avoid walking in barefoot or thinly soled/unsupportive shoes

• Remain cautious when walking on uneven or rocky terrain

Is it necessary to see a healthcare professional for every stone bruise?

Most stone bruises can be treated effectively using the RICE method (rest, ice, compression and elevation). However, if the pain continues or there is no improvement after a week of resting, it is recommended to seek advice from a podiatrist.

Can I continue physical activities while experiencing a stone bruise?

We recommend that you avoid physical activities while your stone bruise is healing. It may cause more damage or create more pain if you continue those physical activities.

How long does it typically take for a stone bruise to heal?

Stone bruises can heal within a week or so if treated correctly using the RICE method. If the pain does not subside after a week, book an appointment with us for the best course of treatment.

*This blog contains general information about medical conditions and is not advice. You must not rely upon the information in this blog as medical advice. Medical advice should always be sought from an appropriately qualified podiatrist such as ourselves.