Abstract :Stress fracture is a common pathology affecting the athletic population, which is especially prevalent in runners, females and army recruits. Primary care and sports medicine physicians require a sound knowledge base of the epidemiology, risk factors, and symptomatology of stress fractures in order to appropriately screen at-risk athletes and facilitate early diagnosis for appropriate management and prevention of complications. Post-menopausal female athletes with increased likelihood of osteoporosis are at especially high risk for stress fractures. We discuss a case of a female athlete with an atypical presentation of stress fracture, emphasizing the necessity of high clinical suspicion for fracture in this population.