What is the recommended management for a tibial stress fracture in long-distance runners?

The recommended management for a tibial stress fracture in long-distance runners involves rest and substituting with alternative activities. This approach allows for the healing of the fracture while minimizing the risk of further injury. Continuous running despite the pain can exacerbate the injury, leading to a longer recovery time and potentially more severe complications. Immediate surgery is not typically necessary for tibial stress fractures unless there are specific complications or concerns about displacement. Physical therapy may be beneficial as part of the recovery process, but it is not the sole recommendation without allowing adequate rest for the fracture to heal. Thus, rest, along with engaging in alternative low-impact activities, is essential for a successful recovery and return to running.