Femoral neck stress fracture: Treatments for this dangerous hip injury

A femoral neck stress fracture is a fairly uncommon hip injury, but it is a very difficult injury that often requires surgery. In this video, I'll explain why it's such a challenge, what symptoms to look for, and what treatment options help you heal and return to exercise.

If you have knee, hip, shoulder, or other joint pain and you want to get significantly better in the next 30 days, without cortisone shots, physical therapy, or surgery, click this link and share your injury information in the description box to learn more.

Dr. David Geier is a triple-board certified orthopedic surgeon, sports medicine specialist, and anti-aging and regenerative medicine expert. Dr. Geier helps you feel, look, and perform your best regardless of age or injury.

Dr. Geier believes that the best way to return to peak performance after a bone or joint injury is to get the injury to heal without surgery. Instead of invasive surgeries with long recoveries and unpredictable results, he uses innovative treatments, medications, and injections. The goal of this approach is not just to decrease your pain, but also to heal your injury and prevent it from coming back. But it’s not just about your injury and recovery. It’s about getting you back to what you love to do – your favorite sport, exercising every day, or even just playing with your kids and getting through your work day without pain. He aims to help you optimize your performance through improved strength, energy, endurance, speed, muscle and more. He wants to help you overcome your injury but also recharge your entire body so that you feel like you’re back in your twenties.

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[DrDavidGeier]

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[RunningOnCarbs]

I experienced a compression side femoral neck stress fracture in 2023 that took Dr's 9 weeks to diagnose. I'm a female runner in my 40's. However, a DEXA scan didn't show any concerns with bone density. As I was going through my injury I found it so hard to get honest information. The orthopedic Dr in the ER wanted to do surgery but I had read enough by that point to know that I had a good chance of healing using a conservative, non-weight bearing approach. I'm healed now and just ran my first 1/2 marathon since before my injury. Just wanted to stop here and say thanks for sharing this information so others going through this know they may not need to jump to surgery in all cases.

[dalberigi]

I’m 56 and was training for a half marathon with a running group. We were up to 12 miles nearing the end of our training. 2 runs prior to my last, i started getting groin pain. My last run i got to mile 10 and walk/ran for 1 1/2. I couldnt finish and had to be picked up. Everyone kept telling me it was my hip flexors. My running group, chiropractor and urgent care. The fracture did not show on the xray. 3 weeks later I finally got into physical medicine and the doctor ordered an MRI which took 2 weeks to get. MRI showed a femoral neck fracture measuring approximately 1.2 cm in the intertrochanteric area.

After my last run it all went south. My symptoms were the groin pain that eventually looped around to my lower back. Severe pain with standing to sitting and sitting to standing. I also had to pick my leg up to get in and out of the car. I could not put my full body wait on my leg and I walked with a limp. I resorted to using crutches off and on (b4 diagnosis). My leg and glute would feel very heavy and like it was going to lock up if I didnt use my crutches. It was extremely painful to rollover in bed. In a seated position with my back up against the wall and my legs straight out in front of me, I could barely lift my leg off the floor. It was really difficult and painful to try.

I hope this info helps someone else who is struggling and wondering what heck is happening to their body❣️

[ShannonSheeks-mdze]

I was recently diagnosed with a femoral neck stress fracture. Is there evidence for use of bone stimulator to help heal FNSF?

[isaiahneal]

Hey David, I had a recent surgery on my shoulder and have been researching peptides and I see from your website you have some experience with them. I would like to converse with you on how to get diagnosed for peptide therapy and how to find reliable clinically distributed BPC-157 and potentially TB-500.

[VitaTipo]

Hi Dr. Geier! Thanks for this video. I’m a 24y/o female subelite marathon runner and I have been going through a femoral neck stress reaction (bone edema) detected since December 12th 2023. I have been doing low impact crosstraining, strength training, and tried to gradually come back to running in late February but my injury relapsed again and the edema grew in size and intensity as shown on my last MRI taken March 21st 2024. I haven’t been running since March 19th 2024 (last run) and have been cross training again (swimming, elliptical, and strength training). and I wanted to ask when could I get a 3rd MRI taken to see if the injury is healing and when would I be able to come back to training consistently??

[ironhead]

Been having exactly these symptoms for past 3.5wks after running a 40k trail race. Ran over 200km in August.. I broke this femur and got rod/screws put in 2010. Seeing my doctor Monday - have I waited too long to have a chance to fix?

[adelinejacobs]

I am an ultra distance runner with 2 Comrades marathons under my belt. Started getting groin pain 9 days after running a 40k that progressed to groin and quad pain at rest. I am in my late 40s and got an MRI which showed a stress fracture initially at the lesser trochanter. I was placed on crutches non-weight bearing but then the pain in my hip became more pronounced and I had an Xray done 2 weeks later which showed a small hairline fracture at the tension side of the next of femur. 2 compression screws later, when can I realistically start getting back to running? The stress fracture was diagnosed on the 2nd of February.

[tanushraina]

Hello doctor. I broked my left forearm radius since 2018. I got 2 surgeries. In ist i got road in my bone and in second road was taken out. So can i go for the gym and lift weights? And also my left arm is way to weaker than my right arm .please reply😢

[DanielleMurdaugh]

I have a stress fracture on the inferior surface, and I have had it for about 8 weeks and it has progressively got worse, even at resting hurts pretty significantly. When do you know if surgery would be a fix for it because rest is not healing the stress fracture.

[piavaneeden]

Hello!, An other female runner here, ( 67) with a femor stress fracture wich was very discovered after 5 weeks of terrible pain., the xr didnt show anything * a healty hip bone ❤ 😁 but last monday on the MRI the fracture was seen. In those 5 weeks i have been doing a of activitys wich where for sure not very healthy for this fracture 😣, but the good news was that the hip parts kept the right position. 😊, next week i hope to hear how to recover further. I do have osteoporose, ..😅, i am very curious i can run again..
Can you run with those 3 screws? I am wondering..

What me bothers more is that that i suffer more muscle pain on the outside of the leg, it seems ' crampy' or stuck when i start to walk, it came later then the moment the hip ' broke' ( its guessing because i didnt fall..😉)
Is there a video on that part of hip and leg?

Regards!