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  • Recurring metatarsal breaks/fractures - anyone else?

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    Old 01-16-2019, 09:11 AM   #1
    CobbersMom
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    Recurring metatarsal breaks/fractures - anyone else?

    Iím officially osteopenic and have had a metatarsal break in my right foot and fracture in my left. Both in about the same place (upper-outer quadrant, 3rd/4th metatarsal). Both took many, many months to heal, then longer till I could again walk without pain (aided by custom-made orthotics).

    That same area in both feet is now having bone-aching pain again, and nothing I try (gait adjustment, orthotics adjustments, etc) seems to help. Since I rather desperately donít want another fracture followed by many more months of recovery, Iím pretty much hobbling around on both heels and not really walking at all. Pain and the fear of it are amazing motivators - I cant even force myself to walk ďnormallyĒ anymore - I think my subconscious has latched onto the fear of another fracture and taken over.

    Iím just at a loss. How do I get through this? Do I force myself to keep walking and simply accept (how?!) that fractures and months in casts are my future? Do I sell everything and move into a care facility where I just give up walking completely? Everywhere I look, people with perfect feet walk without a care, and the resentment I feel is getting overwhelming (yes, Iím in therapy).

    For anyone here with ongoing/recurring fractures (feet or otherwise), how do you deal? What keeps you going? I have friends who are wonderful and sympathetic and supportive, but they havenít really experienced anything like this and donít really understand.

    I canít seem to decide which terrifies me more - giving up on walking or how many fractures Iíll have if I keep walking.

    Sorry for the long post and depressing tone of it. While I donít wish this on anyone ever, I do often wonder if there are other folks in similar situations and how they cope!

     
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    Old 01-16-2019, 12:57 PM   #2
    MSNik
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    Re: Recurring metatarsal breaks/fractures - anyone else?

    Hello. This sounds awful. My mother went through something like this for years until she started taking medication for bone density. Have any of your doctors discussed what types of drugs you might be able to take to prevent further damage and help strengthen the weakened bones? Are you taking extra calcium?
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    Old 01-16-2019, 01:31 PM   #3
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    Re: Recurring metatarsal breaks/fractures - anyone else?

    what are you doing for the osteopenia: meds, PT, etc.? And what are your scores? fractures are unusual with a mild case of osteopenia. Have you seen a Foot & Ankle Board certified ortho? I strongly recommend that rather than a pod esp if you can find one in a sports med practice. The cause may be something else. All 5 of mine were (I don't have osteo). They were rotational from other foot issues that I didn't even realize. Also, if there is a rheumatologist in your area who specializes in osteoporosis, see them too. Really learned a lot when I went that route.

     
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    Old 01-17-2019, 06:56 AM   #4
    CobbersMom
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    Re: Recurring metatarsal breaks/fractures - anyone else?

    Quote:
    Originally Posted by MSNik View Post
    Hello. This sounds awful. My mother went through something like this for years until she started taking medication for bone density. Have any of your doctors discussed what types of drugs you might be able to take to prevent further damage and help strengthen the weakened bones? Are you taking extra calcium?
    Thanks for your reply! I do take supplements that support bone health. I do not take osteo drugs and do not intend to. While I'm thrilled to hear they helped your mom with her recurring fracture situation, I have heard so very many horror stories about debilitating side effects from all the osteo drugs being pushed right now and I want no part of it.

    There's a lot going on in my feet - flat since birth so right off the bat my entire body has never really lined up correctly, bunions and arthritis pushing all the smaller toes out of alignment, etc. I wear custom orthotics and get as much exercise as I can. But some days when I get a stabbing pain just from taking a step, indicating the next step might be another fracture, I get VERY discouraged. That's where I was when I posted this, sitting in my car after trying to do a quick grocery shop, crying my eyes out and wallowing in oceans of self-pity. Not a pretty sight I'm feeling better today, physically and mentally, but sometimes I just wonder how many other people have the same foot issues compounded by thinning bones post-menopause that I am constantly dealing with.

     
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    Old 01-17-2019, 07:08 AM   #5
    CobbersMom
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    Re: Recurring metatarsal breaks/fractures - anyone else?

    Quote:
    Originally Posted by Titchou View Post
    what are you doing for the osteopenia: meds, PT, etc.? And what are your scores? fractures are unusual with a mild case of osteopenia. Have you seen a Foot & Ankle Board certified ortho? I strongly recommend that rather than a pod esp if you can find one in a sports med practice. The cause may be something else. All 5 of mine were (I don't have osteo). They were rotational from other foot issues that I didn't even realize. Also, if there is a rheumatologist in your area who specializes in osteoporosis, see them too. Really learned a lot when I went that route.
    I think the fact that it's unusual is why I was looking here for someone else who might be going through something similar. My initial break happened when my bone density was still great (DEXA scan at the time showed as much). However, more recent foot fractures have been related to the fact that my bones are thinner than they used to be, and the DEXA scan I had at the end of 2017 supported that (I don't have the scores with me, the report's at home). All I know is that finding out that once osteo-related fractures occur, there's an increased chance they'll re-occur was not a fun thing to hear. That's on top of how screwed up my feet were to begin with. It's just a perfect storm of screwed-up-ness all inside my two huge, flat, buniony, arthritic feet

    I think you have suggested to me in the past about a foot and ankle ortho, which I would LOVE to check into, but there are none in this area. It surprises me because I live near Penn State, a huge sports-oriented university, and there are dozens and dozens of sports orthos here as a result. But none are foot and ankle certified. The only real relief I've received has been the custom orthotics that a local foot specialist made (and continues to adjust as necessary) for me since the first break occurred 8 years ago. However, she seems to be getting somewhat annoyed with me since her last three adjustments have provided very short-term relief followed by more pain. That leaves me feeling very depressed and sorry for myself. I scour these boards and a lot of (osteo and chronic pain) sites, looking for people in similar situations just to find out how they deal with the same issues I face, but there don't seem to be many or even any in this same boat. I guess I figured my situation wouldn't be all *that* rare, but maybe it is.

    Anyway, I may be moving later this year and the area I'm considering has a great foot-and-ankle certified clinic, so that could be a huge plus.

    Thank you!!

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    Old 01-17-2019, 03:56 PM   #6
    MSNik
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    Re: Recurring metatarsal breaks/fractures - anyone else?

    Hi. I just wanted to pipe in again...can you get to Philadelphia? I am from Philly and went to Penn State, its not that bad of a drive..tons of great foot and ankle board certified doctors at Temple and Penn!
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    Last edited by Administrator; 01-18-2019 at 07:08 AM.

     
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    Old 01-18-2019, 06:42 AM   #7
    CobbersMom
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    Re: Recurring metatarsal breaks/fractures - anyone else?

    Good to know - thank you for the recommendation!!!

    Last edited by Administrator; 01-18-2019 at 07:08 AM.

     
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