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3187 Views 6 Replies Latest reply: Jul 12, 2011 8:25 PM by JamesJohnsonLMT RSS
Julie32926 Rookie 6 posts since
Aug 3, 2010
Currently Being Moderated

Jul 6, 2011 6:40 PM

Stress reaction in tibia?

Hi all,

I have been an off and on runner for years. Last year, I decided that I loved how running made me feel that I was going to become a true runner.  I went along fine for about 6 months when I developed what I thought was calf pain. Then I had very sharp pain one run, took a week off and was diagnosed with shin spints. Long story short, over the past year I tried: RICE, complete rest, cross training, physical therapy, massage therapy, personal training.  Finally, I fought with doctors and made it to a sports medicine doctor.  I had Xrays, a bone scan, and finally the all telling MRI.

 

Last week, I was diagnosed with a stress reaction in my left leg.  The way the doctor described it, was that it's way worse than shin splints and almost a stress fracture but not quite.  Since I've tried everything else, he put me in a walking boot for 4-6 weeks.

 

I'm looking to see if anyone else has been in this situation!  I'm completely frustrated and just want to be pain free. I HATE the boot and being pretty much completely inactive. I have so much energy that I need to expend but I don't know how! (can't do bike, elliptical, yoga, ANYTHING) How did you get though similar situations without going crazy????

 

Julie

  • Mr. Stress Fracture Rookie 2 posts since
    Nov 2, 2007
    Currently Being Moderated
    1. Jul 7, 2011 8:16 AM (in response to Julie32926)
    Re: Stress reaction in tibia?

    I am going through this now, except mine was a true stress fracture.  I have been basically doing NOTHING since my bone scan on 5/24.  I had the boot but admitedly was not very good about wearing it.  I have young children and at home it was impossible with the stairs, so I pretty much only wore it at work.  From what I have read online, inactivitiy is best to ensure complete healing, with the exception of things like swimming...etc..what isn't all that clear is for how long.  I have heard 4-6 weeks, 6-8 and that it can take a full year.  I finally ran for the first time 2 days ago after passing the 6 week mark.  What I did was walk for 10 mins, run for 20, walk for 10 and the run till I got back to where I started (about another 5 minutes).  Covered only about 4 miles.  I am worried however that I may have done too much.  I felt fine then but later felt that "twinge" in my tibia.  Now it feels fine, but I am worried.  Wish I had a bone scanner at home!  Any advice would be greatly appreciated.

  • Mr. Stress Fracture Rookie 2 posts since
    Nov 2, 2007
    Currently Being Moderated
    3. Jul 7, 2011 11:50 AM (in response to Julie32926)
    Re: Stress reaction in tibia?

    So, the bone scan wasn't enough to convince them you were developing a stress fracture?  On the scanner, mine looked like a flash bulb going off in a dark room.  I had run a half marathon 2 days before that, the doctor was impressed, my wife, much less so.

     

    You would think that I would have researched this a little sooner, but I didn't.  I ran today, did 10 min walk, 10 min run ... repeat for 40 minutes covered about 4 miles.  I decided to pay attention to how my feet are hitting the ground and noticed that I am seriously hitting the outside.  I started to feel some pain in the area of my injury and concentrated on striking as flat as I could, this really helped and I was able to finish pain free.  Based on this and a review of some websites, the best being http://www.runnersworld.com/article/0,7120,s6-240-319-327-7727-0,00.html it would appear I am a classic under pronator.  The best part is that I am running in Asics Gel 1160's, a shoe designed for OVER pronators.  I have always used Asics but, I have always bought them at places like Dicks, where you get little advice and just end up buying what feels good.  Turns out that I may very well have created or at least added to my issue.  I am going to get my gait analyzed to be certain, but I am pretty sure that I now know a major contributing factor.  Another symptom that I have had and noticed since changing shoes, I now kick myself in the ankles when I run, so much so that I end up bleeding. 

     

    Sorry for all the gory details, but I think you might want to consider having your gait analyzed.  It may be that your body is fine for running but your shoes are working against you.  Look into it now that you have so much time on your hands : ).  Good luck and I hope this helps you too!  I think you will likely find that after wearing the boot so religiously, you will be able to resume after about 6 weeks, just don't do it the wrong shoes.

     

    When you do start back, this seems pretty helpful http://www.pfitzinger.com/labreports/stressfracture.shtml  my runs have been "loosely" based on this.

     

    Kevin

  • JamesJohnsonLMT Legend 1,046 posts since
    Aug 23, 2009
    Currently Being Moderated
    6. Jul 12, 2011 8:25 PM (in response to Julie32926)
    Re: Stress reaction in tibia?

    One of the official names for "shin splints" is "Medial Tibial Stress  Syndrome," which is less than full-blown periostitis that can involve  swelling and lumps or distortions in the periosteum (the "skin" or  fascia that surrounds the bone, and to which tendons attach). It's true  that an actual "stress fracture" would probably be invisible this early,  but doctors have to act on the possibiities as well as the  probabilities, so immobilizing you with a boot is the safest course to  take. It buys enough time to allow a fracture to calcify enough to be  seen. The link below explores some of the reasons (etiology) leading up  to what they describe as a "stress reaction."

    http://orthopedics.about.com/cs/sportsmedicine/a/shinsplint.htm

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