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1470 Views 2 Replies Latest reply: Nov 13, 2009 3:41 PM by spicegeek RSS
katdougherty Rookie 1 posts since
Nov 12, 2009
Currently Being Moderated

Nov 12, 2009 10:22 PM

Stress fracture like symptoms, negative bone scan...ideas?

I've been running competitively for the past eight years. The first four, I was relatively healthy. I had some small patella femoral pain complications due to combining ice hockey goal tending and running, but aside from having to pop ibuprofen like mad and using the elliptial a couple times a week, I was fine. Four years ago, I developed stress fractures. And I had nasty cases of them. Every time I would start running again, I would get at least one in each leg. I've had them in both tibia and fibula.

 

There is no good reason for the stress fractures. I water run obsessively (which blows, but has kept me in decent enough shape to race at nationals) and have not run more than two days consecutively since I got my first stress fractures in '06. I have a very healthy diet and wear the proper orthodics to help combat my pronated feet.

 

After a disastrous season in which I ran a grand total of ~15 miles between the second week of July and October (4k, 3x 5k, and a 6k), I finally went in to see the doctor again. He sent me to the radiologist for a bone scan and it came back negative.

 

I am in excruciating pain. It bothers me when I walk, sleep, study. The few running attempts I have made have been unbearable. It's the exact same pain that I've always experienced with my stress fractures, the only difference right now (and this has changed in the month I've taken off of running) is that the pain isn't constant. It flares up randomly and once it does, it is every bit as painful as it was when I had stress fractures. I've read that false negatives are extremely rare in bone scans, so what else could it be?

  • Run Coach Robert Legend 782 posts since
    Jan 7, 2009

    If it hurts, don't run.

     

    See a sports medicine specialist for another opinion





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  • spicegeek Community Moderator 2,563 posts since
    Jan 14, 2007

    I would certainly agree with the suggestion of going to see a specialist sports doc

     

    Some of the questions I have right now is what caused the initial stress fractures 4 years ago ? were you ramping up distance and pace ??

     

    While you diet might be healthy that doesn`t mean you are absorbing the nutriants correctly - I seem to recall reading somewhere caffine causes us to lose calcium I also understand diadities increases the risk of stress fracture - Stress fractures don`t occur for no reason there is some underlaying cause.

     

    After your first fractures how long did you take a break from running ? Were you sure you healed correctly ? Did you return to running slowly ? I`m wondering if you have basically had the same fractures for 4 years and are just not healing fully - it took me 3 month off running to recover from a stress fracture - the first month I was basically off my feet completely






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