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2012-02-09 4:34 PM

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Subject: stress fracture

obviously, i'll be visiting a dr. tomorrow if i still feel like this in the AM, but was out doing some speed rep drills...10x200m hard with 1:30 Z1 recovery (via my coaching plan), and felt some severe pain at the front of my right foot from midfoot to my toes during the 1st 2 200m sets, which radiated severly, and i couldnt finish the workout.  sitting here with ice fearing a stress fracture and the end of my season before it begins.

Anyone have this happen before?  maybe it's just a strain?  i cant pinpoint any particular spot and there is no swelling.  I've been logging about 20 25 miles per week the past 3 weeks.   And this after my best pool workout in 2 years.



Edited by Dlyon 2012-02-09 4:36 PM


2012-02-09 4:46 PM
in reply to: #4038822

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Subject: RE: stress fracture

A few years ago, I had a similar situation.  I had just run three miles or so, at a pretty good clip.  Once i got home and cooled off, I developed some substantial pain in my left foot.  The pain was not constant, only when I walked on it.  After several days of waiting the pain never subsided, it only got worse.  I saw an orthopedist=stress fracture=6 weeks in a walking boot. 

Hope your luck is better than mine.



Edited by dss8653 2012-02-09 4:46 PM
2012-02-09 5:24 PM
in reply to: #4038822

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Subject: RE: stress fracture

Ohhh. I've had stress fractures, one in the right tibia, then when that healed, got one in my left foot (third metatarsal), then that healed after wearing the pretty (NOT!) boot, then one in the right foot!

For me, the foot stress fracture only hurt when I was standing/walking.  I could definitely pinpoint a tender spot on the metatarsal (although to begin with the pain was more general and once I started resting it I could pinpoint exactly where it was). Hopefully you won't have one, the first stress fracture in the foot, I went to the dr. and they xrayed it and could see it (which isn't usually the case, often the stress fracture won't be visible on an xray until a few weeks later as it starts to heal).

Good luck!

2012-02-09 6:09 PM
in reply to: #4038822

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Subject: RE: stress fracture
I am rehabbing a stress fracture I got back in Oct time frame. Stop running now,I kept running through the pain and had 2 stress fractures and blood pooling around another bone. If your insurance covers it ask for a bone scan or CT scan. I'm military so I got a bone scan and it was confirmed. Was in a boot for a long time, no running or biking or swimming. I got fitting for custom orthotics and just recently have been cleared to run at my own pace for less than 3 miles. I spent a ton of time swimming laps. At first kicking off the wall even hurt. Best thing of it is my swim times are 100% better. Went from 2:10/100 over 500 to now 1:45ish/100 over 500. Although my kick is near non existent but can pull like a champ.Point your toes then rotate your ankle in a 360 degree circle try and figure out which area hurts the most. Start taking calcium with D3 now.
2012-02-09 6:55 PM
in reply to: #4038822

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Subject: RE: stress fracture
Thanks all for the honest replies. Training for 1st IM August 11 (IMNY) and rev 3 quassy prior to that on June 3rd. I hope I haven't ruined my year. Will check with my insurance re the bone scan as I too have heard that X-rays may not reveal this type of injury.

Edited by Dlyon 2012-02-09 6:58 PM
2012-02-09 7:02 PM
in reply to: #4038822

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Subject: RE: stress fracture
If you want to salvage your year wait until you get the results back. The bones are very small and doesn't take much to go from a stress fracture to full out break.


2012-02-09 7:17 PM
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Subject: RE: stress fracture
It hurts when I wiggle my toes. A lot.
2012-02-09 7:30 PM
in reply to: #4038822

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Subject: RE: stress fracture
Got one at the end of August last year, a few days later I had no pain, rain 8 miles.  3 days later xrays and MRI showed a stress fracture of my 2nd metatarsal.  No running in all of September and most of October, by November I was cleared to run a little, by December I actually felt 100%.
2012-02-09 8:29 PM
in reply to: #4038822


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Subject: RE: stress fracture
Don't try to rush back to running.  I got a stress fracture in January.  I noticed pain halfway through my run and when I got home, took off my shoes and was bruised and swollen.  I went to a podiatrist a couple of days later and the x-ray didn't show anyting, which is common with sfx.  Was put in a boot for 3 weeks, didn't have pain.  4th week I was told I could transition to shoes and start working out week 5.  The Dr. really meant cycling/swimming in week 5 but I went on a 10 minute walk and 5 minute run.  My foot didn't hurt on the run but has been killing ever since.  More pain than the original fracture.  Going back to the Dr. Monday and I'm sure he'll tell me I have delayed my recovery more than I'd like to hear.
2012-02-10 6:17 PM
in reply to: #4038822

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Subject: RE: stress fracture

xrays negative at ortho, but apparently that doesnt mean much for a stress fracture as xrays may only show when healing.  Ortho thinks its juts a strain, but then again, he seemed to treat me as if i was some old man and told me to stay off it.  I mention I'm training for ironman and he just looks at me.  Bringing the images to a sports podiatrist who is also a marathoner and triathlete tomorrow AM.  Iced all night and today and swelling is pretty severe in 2nd and 3rd metatarsal area just below toes.  I cannot bear weight on the foot.  Sound familar?

Coach thinks i may be able to cycle and swim, but all rests on opinion of podiatrist tomorrow.

 

2012-02-10 6:33 PM
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Subject: RE: stress fracture
That is true Bout the X-ray. It won't show until a few weeks has past and it starts to heal. I hope that DR gave you a boot and crutches to keep off of it. I could put some weight on it but couldn't even move the ottoman to clean, that's when I went in to the ER. Also elevate it as much as possible to reduce swelling in area as well as using some (horrible spelling attempt) ibuprofen. (iPad auto corrected lol). Cycling might be fine if your not attacking hills or standing much. Did most of mine on the trainer. Also careful kicking off the wall at the pool. Mostly don't do anything until he clears you and your 100%


2012-02-10 7:46 PM
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Subject: RE: stress fracture
thanks for the great advice, and mostly for your service to the Country.
2012-02-10 10:10 PM
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Subject: RE: stress fracture
I have a stress fracture and at first it didnt appear in the x-ray, but while my run performance was improving the stress did lead to pain that was crippling.  I toned down the running, upped swim and bike. I was able to run still thanks to my wife convincing me MBT type shoes would work, it kept my metatarsal bone neutral ... that even with a stress fracture 3 weeks after I was able to do a half marathon in 1:43
2012-02-11 12:16 AM
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Subject: RE: stress fracture
all i can say is be careful with it. my wife has been in and out of a boot for 28 weeks through 2 occurances following instructions as the dr has directed her, even being more careful than they have requested. boot for 10 weeks the first time then boot and crutches the second time, taking a LONG time to heal..
2012-02-11 11:46 AM
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Subject: RE: stress fracture

saw the podiatrist today.  they confirmed with 90% certianty from the x-ray that i have stress fractures of 2nd and 3rd metatarsals.  6-8 weeks in the boot.  getting an MRI tuesday and one of the drs. at the practiice is a triathlete who will take over case and recommend training adaptations.  Obviously, I wont be running, but likely swimming more with no wall pushoff, and they expect i can begin cycling sooner rather than later (but no word yet on when).

That said, does anyone recommend how to keep some cardio fitness (in addition to swimming) in the meantime?  i was thinking of getting a heavy bag and do some stationary boxing...how did you manage this once your injury was confirmed?

2012-02-11 11:57 AM
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Subject: RE: stress fracture
Very sorry to hear about your injury. I hope you heal fast. ADo you mind saying what sports podiatrist you used. Looking for a good one on L.I.


2012-02-12 3:51 PM
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Subject: RE: stress fracture
Vinny- seafood foot care. Dr fryman. Lots of experience with endurance athletes.
2012-02-12 6:33 PM
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Subject: RE: stress fracture
Pool running is great at maintaining fitness, but is quite monotonous, and perceived exertion level is higher than regular running. I'm currently nursing an injury that I thought was a stress fracture, but is a tweak to some connective tissue in my upper foot. I've been pool running 3x a week for the past two weeks, and it's hard. However, I've slowly brought back in running, and it looks like my fitness hasn't dropped at all. I know 6-8 weeks is longer, but it's worth a shot.
2012-02-12 7:41 PM
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Subject: RE: stress fracture

natethomas2000 - 2012-02-12 6:33 PM Pool running is great at maintaining fitness, but is quite monotonous, and perceived exertion level is higher than regular running. I'm currently nursing an injury that I thought was a stress fracture, but is a tweak to some connective tissue in my upper foot. I've been pool running 3x a week for the past two weeks, and it's hard. However, I've slowly brought back in running, and it looks like my fitness hasn't dropped at all. I know 6-8 weeks is longer, but it's worth a shot.

 

i forgot to mention I have also been using an elptical type trainer that is anti gravity like, hard to describe.... this makes it less borign that a running pool workout because they have tv's set up in front at my 24 hour fitness club

2012-02-13 7:41 AM
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Subject: RE: stress fracture
Dlyon - 2012-02-11 12:46 PM

That said, does anyone recommend how to keep some cardio fitness (in addition to swimming) in the meantime?  i was thinking of getting a heavy bag and do some stationary boxing...how did you manage this once your injury was confirmed?

Get yourself an aqua jogger belt and get to running in the pool.  I had to do this in college when I had stress fractures in my foot.  I think the rule is you can maintain fitness for 5-6 weeks in the pool.  Good tips:

1) Heart rate when aqua jogging can be 10bpm less then when running, but your RPE is going to be much higher in the pool than on land.  Its best to do intervals in the pool rather than just running for time to keep your heart rate up and maintain fitness. 

2) Be careful as you get to the shallow end to not let your feet hit the bottom (not good for the bad leg/foot)

3) Work on turnover and make sure you stretch your hamstrings.  Your stride in the pool is going to be a little shorter.

Good luck, hope you heal fast.  When you do get the Ok to run again, make sure you transition easy from water to land so you dont injure it again. 

2012-02-13 3:26 PM
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Subject: RE: stress fracture
Thanks everyone.  It's a frustrating injury so far.  But trying to see a silver lining and maybe i'll become a better swimmer and more efficient cyclist.


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