Another stress fracture? | Arthritis Information

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HI guys, I am at my wits end, I have possibly got another foot fracture, the year before last, I spent 8 weeks in an air boot, very cumbersome and hot here in Queensland.  I at least knew how I did it, I kicked a ball to my sons and fractured my left fourth metatarsal, but it took 8 months before it was diagnosed.  Anyhow, I had an Xray on Friday and get the results tomorrow, it certainly feels fractured, I have had permanent numbness in 3rd and fourth toes for a while now, so I am wondering if it has had a weakness recently anyway.  All I have been doing is spending a little more time on my feet than usual, and that was only in the kitchen on Easter Sunday.  I hope it is not fractured as that is really scary.  I am already on Fosamax for prevention of osteoporosis because of other fracture, although I have had a 6 month break as I needed dental treatment and the Docs were worried about jaw problems, so I guess this could be the problem.  Anyway I will let you know when I get the results.  Kind regards Janie.  

I hope that's not the problem Janie.

How old are you? You've been dx'ed with osteoporosis or ostepenia? I'm curious because I'm 36 and was dx'ed with osteopenia two years ago. Likely due to long term RA treatments they say. I'm also in menopause; so they have started me on HRT; but nothing like fosamax yet.

Hmm Janie....you could possibly have a pinched nerve somewhere.  I woke up Christmas Eve morning with toes that did not move on my foot and I thought I fractured something also.  Went in to my PCP 2 days later for him to check it and no fracture.  Ended up to be a pinched nerve in the back of my knee.  My toes are just starting to move the tiniest bit but it has taken Lyrica to get there.  So don't give up hope that it might not be fractured!  Keep us posted!HI guys, no definitive answer, I have to have a bone scan and stay off of my foot as much as possible until we know if it is fractured or not.  the report says:

Sclerotic changes are seen in the proximal shaft of the 4th metatarsal and some cortical irregularity in the AP view at the lateral aspect of the 4th metacarpal may represent some periosteal new bone formation.  Stress fractures may be radiographically occult and it persistent concern then a bone scan may provide more info.

Degenerative changes are seen in the talonavicular joint and in the metatarsophalangeal joint of the great toe.

Plantar spurring is seen on the calcaneus.  This does raise the possibility of plantar fasciitis.


What do you reckon guys, does this mean anything to anyone?  Cheers Janie. HI guys , I am reposting this as I think I did it wrong, any assistance or opinions would be appreciated.  Many thanks Janie.

 [QUOTE=janiefx] HI guys, no definitive answer, I have to have a bone scan and stay off of my foot as much as possible until we know if it is fractured or not.  the report says:

Sclerotic changes are seen in the proximal shaft of the 4th metatarsal and some cortical irregularity in the AP view at the lateral aspect of the 4th metacarpal may represent some periosteal new bone formation.  Stress fractures may be radiographically occult and it persistent concern then a bone scan may provide more info.

Degenerative changes are seen in the talonavicular joint and in the metatarsophalangeal joint of the great toe.

Plantar spurring is seen on the calcaneus.  This does raise the possibility of plantar fasciitis.


What do you reckon guys, does this mean anything to anyone?  Cheers Janie. [/QUOTE]

OK...from that report what I can gather is that they are saying there is possible new bone growth indicating a fracture that could possibly have happened and is now healing on its own.  You also have some degenerative changes to the bones in your big toe that might possibly indicate damage from the RA. 

Plantar fasciitis is the inflammation of the connective tissue that connects the heel bone to the base of your toes.  Which would make sense that is inflamed if you have RA.  Since RA can cause inflammation anywhere.  Treatment for that is bascailly rest and some stretching exercises they have you do in PT or your doc shows you how to do them at home. 

Ok that is it in an English not medical terms nutshell!  The bone scan will help because it can detect changes better than an xray can. 

Hope you get better soon!!


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