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Click to view mileswimr001's profile Rookie 5 posts since
Dec 4, 2003

Aug 12, 2007 2:13 PM

stress fractures

Beginning after Ironman St. Croix 70.3 where I qualified for Kona. I began having plantar fasciitis symptoms in my right foot. I treated it with rest, physical therapy, electical stimulation, ultrasound, stretching, post-run ice, night splint, orthotics and new shoes.
After 3 weeks I resumed running and the symptoms worsened. Another 2 weeks of rest and I was running again, although with some pain.
I did a local sprint race in July and the foot hurt bad, swelled and I couldn't bear weight after the run.
Plain x-rays were normal but MRI showed stress fractures of third, fourth and fiffth metatarsals, significant inflammation of plantar fascia and stress fracture of calcaneous where plantar fascia attatches.
I've been in a fracture boot for three weeks now, began swimming last week but still can't bear much weight on the foot.
My question: When can I begin cycling safely? None of my doctors seem to know. A few minutes on the trainer didn't result in any pain although standing is impossible. With carbon fiber shoes and orthotics there's not much foot movement.
I'm going to Hawaii even if I can only swim and bike but I need to get biking again soon.
Click to view 4boysmom's profile Legend 1,307 posts since
Dec 10, 2007
1. Aug 12, 2007 4:43 PM in response to: mileswimr001
I had a stress fracture of my calcaneous. I was permitted to swim and bike to my heart's content, since those didn't cause any pain. I guess use pain as a guide to what you can/can't do???
Click to view runnerparris's profile Legend 365 posts since
Dec 14, 2007
2. Aug 12, 2007 7:43 PM in response to: mileswimr001
I had a stress fracture, but it was my tibia.

My doctor said I could bike as long as it didn't hurt. I rode through the whole long process of healing. As a matter of fact, it was at that point I decided to do triathlons instead of just run.
Click to view chinaplate's profile Expert 52 posts since
Dec 14, 2007
3. Aug 12, 2007 11:06 PM in response to: mileswimr001
I had a displaced stress fracture so wasn't allowed to do anything until I got union. But after that (4 weeks) I biked in the boot first and when I was out of the boot in the "walking shoe" (that velcro ugly little shoe thing). Granted, biking in the boot isn't easy ... but it can be done ... let me know if you go that route and want tips.

As for swimming ... I think it would be fine for your heel fracture but it depends on how far gone your toes are ... if any of the fractures were complete breaks they may not want you to be moving all those little bones around in the pool.
Click to view juliemboyle's profile Legend 1,028 posts since
Nov 17, 2007
4. Aug 13, 2007 6:24 AM in response to: mileswimr001
I had a stress fracture in my ankle a couple of years ago. I was using the spin bike a week after the fracture. I just had a brace on it, and as you say since the biking shoes are so stiff and you are clipped in, there is little movement.

I just made sure I didn't do anything that caused pain and I didn't get out of the saddle for the first few weeks.

It was amazing after 6 weeks when I started to run again, I had hardly lost any running fitness (had been spinning 6 day per wk) and I was back where I had been very quickly.
Click to view dragonsrouges's profile Legend 1,068 posts since
Aug 16, 2007
6. Aug 13, 2007 10:57 PM in response to: mileswimr001
If you're going to walk the marathon I suppose water running won't help... I don't know where the "calcaneous where plantar fascia attatches" is but can you water run? It'll keep your legs fresh while you can't cycle much. One woman at the pool wears a "shoe" in the water so her toes/foot doesn't move much. She also has a stress fracture.
Click to view jwcrew99's profile Pro 151 posts since
May 23, 2002
7. Aug 15, 2007 7:43 AM in response to: mileswimr001
KONA!

I have such mixed feelings toward your post, first thinking that your achievemant is beyond awsome and at the same time having sympathy for your condition.

Is there any way that you can get a medical deferal to next years race?

Sorry that I can't do more than to offer some mojo for a timely recovery.

Congratulations on your achievement.

Jon
Click to view 3chilipeppers's profile Legend 696 posts since
Nov 3, 2007
8. Aug 15, 2007 3:06 PM in response to: mileswimr001
I paid attention to my toes and such while cycling yesterday. I don't use my toes at all really. I'd think it would be o.k. My toes actually go numb on longer ride because they are just sitting there. I'm not an expert cycler, but I think you can ride without hurting the toes. I'm not sure about the other, though. My DH has plantar problems as well, and it is very painful. I'd get on the bike and just see if you have any pain. If you have no pain, it should be fine.

Kelli
Click to view Soigneur's profile Amateur 26 posts since
May 16, 2002
10. Aug 16, 2007 4:01 AM in response to: mileswimr001
That is alot of stress factures . I don't know when you can cycle, but I would guess when you can do so pain free. We use the hop test for running - you have to be able to do 10 big pain free hops on the affected leg

Do you have anyone who can strap it for you at Kona? I have a massage therapist colleague who is the most awesome strapper. We worked together at a number of IM's and I saw people with broken collarbones or various other broken bits finish thanks to his strapping. He also got my training partner and her dodgy achilles to the finish line in one piece too.

The good thing with strapping is that if it is annoying or chafing, you can just remove it. I'm no expert on strapping but I could get some advice from him and would be happy to give it a try for you in Kona if you don't have a more expert option available to you .