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Old 09-02-2011, 10:45 AM   #1
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Question "tendinitis" becomes "stress fracture." wth?

okay, i'm not gonna complain about it. i'd rather a stress fracture to a tendon injury any day.

seven weeks ago i started having pain at the top of my foot. i thought it was manageable and had no difficulty walking so i ignored it. one day i go the beach thinking the pain went away with a switch of shoes (not much of a switch... flip flops to "chinese slippers"... neither are supportive) and maybe it was the running around that did it, but bam, suddenly i can't walk right. i'm limping. stiffness, some swelling, but overall it was hard to SEE anything wrong with my foot. i thought maybe muscle sprain or fracture? after poking around the metatarsals where i thought the pain was originating from i found them secure and moving fine - no evident fracture - and so i decided to see a podiatrist. she touched my foot a bit and said my tendons are inflamed. i spent 7 weeks wearing insoles and sneakers. work home sleep repeat... everday like a lifeless, depressed dolt. limited amount of walking, did some physical therapy, icing, foot exercises, etc. still pain. now my foot just felt tender and the pain became dull and unspecified. i was so convinced it was my tendons i did hordes of research and scared myself with ideas of tendinosis, ruptures, etc. suffered chronic panic attacks over my mystifying condition.

finally realized 7 weeks of walking like a tortuoise was enough. i had enough of pain and tenderness, and though my limp pretty much went away (still can't FULLY put my first two toes down) and i felt less "stiff," i assumed it was the massages and foot exercises finally paying off. giddy i felt better but scared i may hear worse news, i made an appt to see an orthopedic one of my friends who recently broke both her feet had recommended. three hours of waiting in waiting rooms, and three x-rays later... he says it's not my tendon but a stress fracture! what?! i looked at the images and it was tiny... barely visible and i wouldn't have thought it was one until he pointed it out. there was a crack though in one of my metatarsals. i read that in healing, the stress fracture is more visible in x-rays whereas usually they are not visible in x-rays at all. i assume it's healing... then perhaps THAT'S what's been going on all long!

why i'm posting this is because i'm still skeptical. i become SO obsessed over the idea of tendon injuries that i either seriously convinced myself it was so (and i know how crazy my mind gets) or maybe it is so and the foot exercises have been helping afterall? i need help sorting this out because my worl just flipped upside down. maybe i just need to believe an orthopedic and not a podiatrist who barely examined me at all. has anyone ever had a similar misdiagnosis? and who should i believe? sometimes i think all doctors are lying. either way i'm doing the surgical boot thing and rest and seeing how it goes. i have been resting as much as i can and so i probably healed it a bit, but my foot is still tender as ****. and all the "molesting" i've been doing to my foot probably has hindered it from fully healing.

from all my research of tendinitis in the foot, it seemed to imply pain in ankles or arches which i never really had. so i assumed it was the extensor but in any case... i became so convinced of it my foot started to hurt everywhere and nowhere at the same time. i think i drove myself crazy. i just want this solved finally.

 
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Old 09-03-2011, 09:33 AM   #2
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Re: "tendinitis" becomes "stress fracture." wth?

I am not a doctor so I hate to weigh in on this. However, a few things you said reminded me of my situation so here's one or two thoughts. Absolutely based on nothing but my own experience and obsessive internet research!!
First, you could have both tendonitis AND a fracture. I was treated for tendonitis for a year before changing to an ankle specialist who diagnosed OCD lesion/ of talus and then an MRI confirmed it. However, the tendons were inflamed because the ankle was not stable and had to rely on tendons to keep foot working. (plus I was running on it...not good!)
Like you, it was a trip to the beach, wearing flip flops and walking on sand that did me in!! I was still hobbling around okay until that trip.
All this to say that you could ask for an MRI at this point to confirm the fracture. Also, all the "molesting" (I did that too!) def hurts a fracture.
If you are not happy with this OS, ask around your area for the top foot/ankle specialist. In my experience, OS and Ankle/foot OS are not created equal!!!
Good luck!

 
Old 09-06-2011, 10:07 AM   #3
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Re: "tendinitis" becomes "stress fracture." wth?

I think we must be working in parallel universes. I started out with tendonits (from podiatrist) & spent 6-8 weeks in a brace. Then my regular doc says "classic sprain" after that didn't heal, I went to an OS who said malleolous (sp?) fracture, i.e. bone chip from the sprain. ...+ tenosynovitis. So I think the proper diagnosis is AFU.

I cheated when I looked for an OS; I called my friendly neighborhood physical therapist, who has put me back together before, and asked him who I should see and who I should avoid. He answered question 1, but laughed off question 2.

 
Old 09-06-2011, 06:48 PM   #4
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Re: "tendinitis" becomes "stress fracture." wth?

This sounds a lot like my situation. I went to the doctor with foot pain and he said it was the tendons and just put me on steroids? Well, in two days I am going for a bone scan because now he thinks it is a stress fracture since it is only getting worse. At least mine only had a week in between, not months. I hope we both get the relief and healing we need.

 
Old 09-06-2011, 07:56 PM   #5
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Re: "tendinitis" becomes "stress fracture." wth?

Ok, well I in a reverse position than you. I started w/OCD Talus posteriormedial of right ankle and had OATS surgery May 2009. I had post op issues of stiffness, ROM issues & arthritis in 3/4 metatarsals. It's been about 2 yrs. post op & my ankle started hurting. I have a bad right knee & it's been bothering me as well. Went to OS who said I had tibial tendonitis & said to RICE ankle & apply arthritis cream (voltaren) to ankle. I read you can get tendonitis from many things including prior surgery (what I had). I see him on Fri. The annoying thing is that my left ankle was tight/had a knot while rehabbing right and lately it's been sore/tight & I think I have tendonitis in it. My ankles been feeling better, mainly b/c I haven't been walking on it as much & have been RICEing it. If I walk on it a lot or try to resume normal activities it starts to bother me. So does this mean my tendonitis is gone? I don't think so.
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Old 09-06-2011, 07:57 PM   #6
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Re: "tendinitis" becomes "stress fracture." wth?

Uggg, it's so hard to sift through conflicting medical advice. But an MRI will be the last word! Even then,,, my OCD lesion was larger/deeper than the MRI showed. So go figure!
Good luck. Let me know what it shows!

 
Old 09-06-2011, 08:06 PM   #7
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Re: "tendinitis" becomes "stress fracture." wth?

My OS treated my ankle & left hand knuckle fracture & is currently treating right knee. OS said I was a "Freak of Nature" - not sure what he meant, do I bring up left knee/ankle which are giving me same problems as right? Do I have any body parts that aren't hurting? Any thoughts/advice much appreciated.
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Old 09-07-2011, 07:38 AM   #8
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Re: "tendinitis" becomes "stress fracture." wth?

My son was misdiagnosed with extensor tendonitis in his foot by a podiatrist. This resulted in wasting weeks in a boot and taking anti inflammatories, all to no avail. Finally, I got him to a Foot & Ankle OS, who immediately saw that it was not tendonitis and ordered an MRI. He actually had an occult ganglion cyst. Needless to say, that is the end of podiatrists for me.

 
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