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  • Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up ...

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    Old 09-16-2018, 07:16 AM   #1
    CobbersMom
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    Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up ...

    How do people deal with all this? I want to increase my bone density, but putting weight on my foot bones seems like itís just asking for more fractures. I recently turned 59, and I still want to *do* things, but some days I feel like my future is simply to sit on my arse and wait for the end because even walking my dog on flat pavement just around the neighborhood can lead to another fracture. The last fracture took almost a year to recover from... Gah!

    Iím about 5í11Ē and weigh 145, so I donít think I'm particularly overweight. I have custom orthotics made by a real miracle worker so at least I can walk some. And Iím on antidepressants and seeing a therapist, which helps some with my darkest days. Before the last fracture, I was walking about 7-10 miles a week, now Iím lucky to manage two or three (then I have to rest my feet for days to recover). Honestly, this just sucks. Is there anyone else here in this type of situation? What do you do, how do you deal with this?

     
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    Old 09-17-2018, 03:52 AM   #2
    Titchou
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    Re: Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up

    You don't say why you are having fractures so that would be good to know. Are they complete fractures or stress fractures? Weight bearing exercise should not cause fractures unless you are talking about heavy duty exercise. What is your bone density? I increased mine by taking HRT. Went from -1.9 to -1.1 over the course of 7 years. I also work out at the gym and walk.

     
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    Old 09-17-2018, 04:44 AM   #3
    CobbersMom
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    Re: Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up

    Quote:
    Originally Posted by Titchou View Post
    You don't say why you are having fractures so that would be good to know. Are they complete fractures or stress fractures? Weight bearing exercise should not cause fractures unless you are talking about heavy duty exercise. What is your bone density? I increased mine by taking HRT. Went from -1.9 to -1.1 over the course of 7 years. I also work out at the gym and walk.
    Sorry about that - I have a tendency to get really verbose, so I was trying to keep my post short. I donít know why I have breaks and fractures, and neither do the two podiatrists and three orthos Iíve seen. The best guess any of them had was: ďThereís a whole lot of pathology going on in thereĒ (pointing at my feet), which is why I mentioned that I have lifelong flat feet and bunions, because I think my feet are just screwed up. My first break was pre-menopause and my bone density showed ďgreatĒ (said one ortho who had no clue why the 3rd metatarsal in my right foot completely snapped). It broke while I was walking barefoot across my living room floor. 🙄 Now that Iím post menopausal and osteopenic, the stress fractures are in the same basic places (3rd and 4th metatarsals of both feet), and the last one happened one day after I walked my dogs around the neighborhood, meaning I felt the pain of a fracture when I got out of bed the next morning, so I assume it happened while I was walking the day before. So walking (not power walking, not long-distance hiking, just walking the dog) is the heaviest duty exercise I do and it apparently causes stress fractures, which is why Iíve cut back from 7-10 miles per week to 2-3.

    I really donít want to go on something like fosamax after hearing some very bad things. But I could certainly try HRT and see if that helps some, so thanks for that suggestion!! I just get so discouraged when I start to think my future is going to be less and less ability to walk even short distances. I have this fantasy of having a little farmette with a few chickens and a couple beehives, but tending chickens and beehives requires, among other things, being able to walk, especially since Iím on my own so I canít really count on help a lot of the time. Anyway, thanks for your reply!

     
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    Old 09-17-2018, 11:31 AM   #4
    Titchou
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    Re: Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up

    I'm wondering if the cause is rotational. Has anyone watched your gait or sent you for a gait study? While your orthotics may helped with the pain, they may be causing other issues. I had several stress fractures caused by walking to compensate for a big toe joint issue that I was trying to avoid a surgical repair for. Once I caved in and had the surgery - 3 years ago - no stress fractures. Are any of the orthos you've seen Foot & Ankle Board certified? I'd certainly look for one-esp who is in a sports med setting. And one other suggestion, you might check with a rheumatologist. Mine sent me to an osteoporosis clinic to determine if I have osteoporotic bones even thought I don't have osteoporosis. It turned out I don't but I wasn't aware you coould have one and not the other.

     
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    Old 09-18-2018, 04:52 AM   #5
    CobbersMom
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    Re: Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up

    Thanks!! Regarding the gate - no, I have never had a gate study. The lady who makes my orthotics does try to help people walk correctly (as in, she watches people walk and then gives them pointers), but nothing more official. The orthotics she's made for me do support my non-existent arches so that when I wear the orthotics and stand, my natural state of pronation no longer shows, which is supposed to be putting more normal weight distribution on all my foot bones. She tends to advocate avoiding surgery until there are simply no further options, plus there apparently aren't any really good foot surgeons in our area, so that's another reason I haven't considered surgery to date -- that and since I'm completely alone, being on my back for 2 months or more would be pretty much a nightmare for me (and the dog). But at some point, I may simply not have a choice.

    The two orthos I've seen are very sports med oriented because I'm in the same town as Penn State Univ, so sports are a BIG DEAL around here. Interestingly neither of the orthos has steered me towards any sort of tests, physical therapy, anything. They have both simply taken x-rays weeks apart, told me to stay in the boot and come back, taken more x-rays, etc., until they pronounce the bone healed, and then when I say I can't walk due to pain, they sort of look at me like that's my problem because obviously the break or fracture has healed (you know, sort of a "sorry, but I don't know what else to tell you" thing), which is what led me to the orthotics lady who seems infinitely more knowledgeable about feet and foot pain than any of the doctors around here that I've been to.

    I will definitely look into seeing a rheumatologist - I never would have thought of that!

     
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    Old 09-19-2018, 11:33 PM   #6
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    Re: Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up

    BTW, CobbersMom, I am so empathetic of what you are going through, having had many broken bones, myself.

    I only recently read on a post somewhere that one of the female hormones that we ladies tend to stop producing that if supplemented will affect assimilating calcium into bones, and bone density being normal again after just six months of treatment.

    I just started on the hormone for that reason, myself. I cannot remember the specific hormone's name. But some reader may know.

    A compounding pharmacist would know. I get my hormones compounded.
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    Old 09-20-2018, 03:42 AM   #7
    CobbersMom
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    Re: Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up

    Quote:
    Originally Posted by YaYagirl View Post
    BTW, CobbersMom, I am so empathetic of what you are going through, having had many broken bones, myself.

    I only recently read on a post somewhere that one of the female hormones that we ladies tend to stop producing that if supplemented will affect assimilating calcium into bones, and bone density being normal again after just six months of treatment.

    I just started on the hormone for that reason, myself. I cannot remember the specific hormone's name. But some reader may know.

    A compounding pharmacist would know. I get my hormones compounded.
    Thanks! I am definitely looking into hormone replacement - this seems like a particularly good reason for it. However, since my mom died of breast cancer, I know Iíll have to be careful about using it.

     
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    Old 09-20-2018, 03:52 AM   #8
    CobbersMom
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    Re: Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up

    @Titchou, if I might ask, what type of doctor did your surgery and what type of doctor sent you for the gait study? For example, an ortho, a podiatrist? I donít think my PCP would be much help. I wonder if going back to the last ortho I saw would be a good start.

     
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    Old 09-20-2018, 02:20 PM   #9
    Titchou
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    Re: Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up

    First of all, while I really like my podiatrist, he's not operating on my feet. I have only used Foot & Ankle Board certified orthos and they were all in a sports medicine practice.(my ex was a professor at UAB Medical school so I completely vet any doctor I see!)

    I never went for a gait study but know they have them - a local fitness place sometimes has free gait clinics and my massage therapist told me about one. Couldn't go but really wanted to. Some chiropractors can do gait assessments. You might check into those.

    Last edited by Administrator; 09-23-2018 at 06:59 AM.

     
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    Old 09-23-2018, 07:43 AM   #10
    yayagirl
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    Re: Flat feet, metatarsal fractures/breaks, bunions, osteopenia, feel like giving up

    My spine and pelvis bone are dangerously brittle. My endo and my pharmacist agree that they have no problem at all prescribing a low dose of consistent female hormones. I am just reporting this to you as something to consider. Hon, I can understand why you are depressed and anxious. Brittle bones do cause a lot of anxiety. The foot and exercise professionals really cannot help you with bone mass issues, as that is beyond their field. Exercise only helps if your body is getting what is necessary to make calcium go into the bone. Brittle bones are a much greater risk than lack of exercise. Brittle bones are a danger that needs to be corrected.

    I had Hepatitis C (now cured with Harvoni) so my liver is compromised, and there are drugs I avoid so as to not stress my liver. So I see an endocrinologist that known to be an expert and genius. Every specialist and GP I meet respects his opinion. People come to him from other states for help. He takes as long as needed to figure out what each person needs. All of his patients know that we can check in and then go do other business because he will spend 3 hours with a patient if necessary. I understand about the breast cancer and hormone therapy scare. Of course, we want to have our regular exams. All that to say, if you have no sign of breast cancer it is very likely safe to take low dose FHT. We don't know all the factors that affected your relative's body. We do know it is a life-threatening risk to live with brittle bones.

    It's very important that professionals keep up with the medical field. There is every sort of outdated and misinformation on the internet. My expert endo and separately also my expert pharmacist both told me that estrogen hormone replacement therapy is actually protective against breast cancer and much more safe than was once reported, and much more safe than most people perceive. These are the latest findings.

    I hope you can get some effective treatment. I had to do a lot of searching to find my expert docs. I hope you can do that too.

    Love,
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    Last edited by yayagirl; 09-23-2018 at 07:58 AM.

     
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