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8 Replies Last post: Feb 26, 2008 10:06 AM by taosmama  
Click to view Sandikal's profile Pro 96 posts since
Jan 22, 2007
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Jan 20, 2008 12:19 AM

Pelvic Fracture--Will I Ever Run Again?


I have had a pelvic fracture that went undiagnosed for 6 months. I was diagnosed the day after Christmas and I'm so frustrated and depressed that I can't even walk any distance, much less run. Will I ever run again?


I started Couch to 5K a year ago. After I was done, I was a good girl and didn't try to go too far or too fast and I rested appropriately. I didn't want to hurt myself. On July 2, I was about a mile into a run and was suddenly stricken with an excruciating pain in the right groin. I didn't think I was going to be able to make the mile walk back home because it hurt so bad.

My doctor couldn't see me the next day, so I went to urgent care. I was told I had a muscle pull and to rest for two weeks then ease back into exercise. I followed orders and felt pretty good. I went for a very short (2 mile) run and was okay. I went to a yoga class the next and felt really good. The day after the yoga class, I was in agonizing pain again. When I stood up, I had to hold onto something until the pain subsided enough to walk. I was unable to get in to see my doctor until mid-August. He gave me a prescription for naproxen and a muscle relaxant so I could get through my vacation and I started physical therapy when I got back at the end of the month. I never had an x-ray or anything.

The physical therapist said I had a hip instability and that my left hip was higher than my right hip. I had some really inane "exercises" to do and would get my left leg pulled. I was told I could do any activity that didn't make it hurt. Unfortunately, even walking hurt. By late September, I was feeling pretty good. I even spent a whole day at Disneyland walking around and standing in lines without pain. I asked the therapist for specific activities I could do. I was told I could do anything that didn't make it hurt and that wasn't jarring. I went to they gym and did 20 minutes on the elliptical. I felt okay. I hurt the next day, but felt okay the day after. I went and rode the recumbent bike for 30 minutes. I felt great while doing it. The next day, I was in pain again. The therapist looked puzzled because my right hip was now higher than the left. He gave my right leg a yank. That night, I was in agony again. I was still in agony when I went back to therapy a week later. He told me my piriformus was tight and massaged it. I felt good when I walked out, but that only lasted an hour or so.

After that, I went back to my doctor and got a referral to an orthopedist. I finally got an x-ray in October. He didn't find anything. I got a referral to a physiatrist. She told me that I had inflammation in the adductor. I started Pilates based therapy (not covered by insurance) and was told to come back in a month. My husband went with me to the follow up and insisted on an MRI. The doctor didn't want to order one because she was convinced they wouldn't find anything. They found a pelvic fracture and I was sent back to the orthopedic.

The orthopedic told me it would take 3 to 5 months for the fracture to heal. This is AFTER SIX MONTHS of being undiagnosed. I've gained weight because I can't get any cardio in. (When you're a 40-something woman, you need cardio to keep weight off.) I was told that I cold swim and do the recumbent bike. I've been doing the bike, but I have to use virtually no resistance so I don't get much of a workout. I take swim lessons once a week and hopefully will be able to get out in the deep end and do laps when they open the neighbohood pool this spring.

Thanks for listening. I'm just feeling frustrated and depressed right now. It sucks being hurt. But, it sucks more when you don't get a diagnosis and the treatment that you do get does more harm than good.

Click to view spicegeek's profile Legend 718 posts since
Jan 14, 2007
1. Jan 21, 2008 5:52 PM in response to: Sandikal
Re: Pelvic Fracture--Will I Ever Run Again?

So sorry to hear about your predicament - your doctor is the one who can tell you if you`ll be able to run again - but if it gives you any hope - I am just coming back after a stress fracture in the femoral neck - I assume you have a stress fracture rather than a full displaced fracture


As far as I know all fractures do fully heal - the key is taking the time to let them heal - I was off my feet for 2 months and then allowed to bike and use the elipitical for 1 month - last week I started running again - but only in run / walk splits for 20 mins. Be honest with your self - if any of your work outs are hurting you are just prolonging the healing. Do you have a hand bike at the gym ? I spent a month with that as my only cardio - I know what are going through with the weight - I went through the same thing - the fact that I was depressed becuase I couldn`t work out didn`t help.


All I can suggest is take it easy - let yourself heal - try and keep positive - I really worked out my upper body while I was out of action - I now have really sexy hot arms back and shoulders ! At least some good came out of it all


I posted a return to running plan that I found on the internet that looked pretty good on another thread - I forget where - but if you google stress fracture recovery you should find it

good luck

Click to view VB083's profile Rookie 1 posts since
Jan 15, 2008
2. Feb 21, 2008 5:50 AM in response to: spicegeek
Re: Pelvic Fracture--Will I Ever Run Again?

Hi

Sorry to hear it took you so long for the correct diagnosis, but at least now you know what is wrong, you can move forward with the correct goals etc for the injury.

I am in the UK and managed to finish a half marathon last October, but only in a great deal of pain and I was unable to even walk once I had finished, I assume it was adrenaline that kept the pain at bay during the run!!! My Doctors told me is was 'soft tissue damage' but after 2 weeks on full crutches I had had enough and paid for a private MRI which diagnosed a stress fracture at the top of my Femur just below the ball.

I have now been diagnosed as being borderline osteoporsis which goes someway in explaining why it fractured, but doesn't help in getting me running again.

It is now 4 months and I still dare not try to run on it yet because I still get a 'niggling pain' when I walk. I have just about got rid of my limp but a feeling of 'unstableness' ,for want of a better word, still exists.

I hope to be able to start jogging again within a month or two, but at the moment I am still very fustrated and fed up. Anybody elses experience of this would be most welcome.

Thanks.

Click to view taosmama's profile Rookie 3 posts since
Jan 5, 2008
4. Feb 24, 2008 6:06 PM in response to: Sandikal
Re: Pelvic Fracture--Will I Ever Run Again?

Wow, our stories are frighteningly similar. I first injured myself around August 30. I had been training for my first half marathon, but was being careful not to increase my mileage too much, yadda yadda. Developed some foot pain and was trying out new inserts to deal with that. Went for a pain free 5 miler, got out of the shower, coughed, and was completely unable to bear any weight at all on my right leg. I saw a chiropractor first, who diagnosed me with femoral impingement, ie, my hip out of place. Took me a month before I could do more than hobble down the hall. After 2 months, I was able to walk nearly pain free, when I stupidly did some very heavy lifting and set everything off again. I had an MRI of my back - nothing. I was doing chiro and massage, no running or any real exercise, and just not getting better. Finally, right after christmas, I got a plain xray of my pelvis, and voila, a healing stress fracture of my pubic ramus.

Now that I FINALLY know what's wrong, I'm slowly getting better. I've been pool running exclusively for a month, and am now up to 35 minutes on the elliptical. I got feeling a little cocky and tried running for 1 minute on the treadmill, but I still can't tolerate that much impact. It's unbearably frustrating. I had a bone density done as well, and I have slight osteopenia, but my ortho didn't recommend fosamax, nor was I going to take it. I'm taking calcium-magnesium-vit D and have cut back on my massive coffee intake. I still see the chiro and massage therapist, but I'm down to every 2 weeks.

Everything I read indicates that I should be back to running by now, but clearly my body is not there. My pain is not so much at the fracture site, but more in my adductors and even the deep pelvic floor muscles, which get set off again pretty easily. I think the pool running has helped the most, and even now, when I feel a set back, I get back in the pool. It really helps get the muscles settled down. I'm hoping I'll be starting to run a little by April, maybe May.

Click to view taosmama's profile Rookie 3 posts since
Jan 5, 2008
6. Feb 26, 2008 8:46 AM in response to: Sandikal
Re: Pelvic Fracture--Will I Ever Run Again?

What did you find out about the tests? I hope it's good news.

The orthopod didn't recommend a follow up xray - the one I had in December did show signs of healing (duh, it was taken 4 months after the original injury). Right now, it's really the muscles that are the final problem. I find that massage was the most helpful for my adductors - NMT, in specific. Painful, but it works.

I did 20 minutes each walking and elliptical yesterday, plus some lower body weights. I noticed that walking became more painful about 15 minutes into it. I think I need to build up to at least 45 minutes to an hour of brisk walking before I can try running again. I'm being really cautious because I've been dealing with this for over 6 months and have had so many setbacks - I don't want to feel that severe pain ever again!

Click to view taosmama's profile Rookie 3 posts since
Jan 5, 2008
8. Feb 26, 2008 10:06 AM in response to: Sandikal
Re: Pelvic Fracture--Will I Ever Run Again?

Yeah, I'd find another endocrinologist as well. Preferably a woman who specializes in osteoporosis. Or do you have access to an internist or family practice doc who specializes in sports medicine, again, specifically with female athletes? So many doctors are still fairly condescending when dealing with women, unless perhaps you're a professional athlete. But a 40 something amateur? Forget it! My chiropractor has been phenomenal. Ortho was fairly useless. I only saw him once we found out it was a stress fracture. Probably would have been better to see a sports medicine specialist, but at this point, it wouldn't change anything.

2 months ago, I couldn't walk around the block without a stabbing pain through my pubic symphysis and groin. So I guess I'm getting better! It's tough, tho', because it's a beautiful spring-like day, and I really really wish I could run.

You'll get there too - good luck and keep us posted!