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Little holes in legs and knees, severe pain on running a long distance. Xray showed stress fracture. Preventive measures?

Hi, I got some xrays taken last week and the doctor said I didn t have stress fractures in my legs but I have spots or little holes in my legs and knees, and I ran 4 miles yesterday and the pain went from my ankle back up to my kneee an back down to my ankles. What can prevent this pain and what does those holes in my legs mean?
Asked On : Fri, 30 Nov 2012
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi thanks for the query.

Since i had not seen the x rays i could not comment on the stress fractures. But if there is unaccustomed long distance running there could be micro stress fractures which cannot be picked up on x ray. Since running 4 miles if you had not regular runner it could give rise to some form of micro stress fractures. It can be seen mostly in fresh military recruits or fresh recruits in sports. I advise you to start slow pace jogging and slowly improve the intensity and along with use of good sports shoes.
Answered: Sun, 9 Dec 2012
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