26M runner – medial femoral neck stress fracture (incomplete, nondisplaced) – management and return timeline?
**Recently diagnosed with a medial femoral neck stress fracture and trying to understand how aggressive I need to be with weight-bearing—would appreciate input from anyone who manages these.**
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**Basic Info**
26M, 5’7”, 145 lbs
Distance runner
Non-smoker, no regular meds
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**Issue**
Right hip / proximal thigh pain.
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**Timeline**
Started **Feb 26 (\~9–10 weeks ago)**
Gradual onset, no trauma
Initially felt like **hamstring tightness**, then shifted to **anterior hip / hip flexor area**
Symptoms:
dull / tight
inconsistent
sometimes improved with activity
Continued running during this period (in hindsight probably not ideal)
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**MRI Result**
**Incomplete, nondisplaced medial basicervical femoral neck stress fracture (right)**
Also noted:
mild glute med tendinopathy
mild proximal hamstring tendinopathy
mild cam/pincer morphology
no labral tear
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**Current Status**
Ambulatory, no severe pain at rest
Mild stiffness/tightness
Stopped running after MRI
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**Questions**
For **medial femoral neck stress fractures**, what is your typical recommendation on:
weight-bearing (full vs partial vs NWB)?
duration of restriction?
In cases like this (incomplete, nondisplaced), what is the **actual risk of progression** if not strictly protected?
What do you use as **clearance criteria**:
symptom-based?
repeat imaging?
Typical timeline you’ve seen for:
return to running
return to higher-impact training
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**Context / Goal**
Recreational but serious runner (1:31 half / 3:42 marathon). Goal is safe return, not rushing, but trying to understand realistic expectations.
Appreciate any insight—especially from those who’ve managed this type of fracture.