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Stress fracture & Prednisone - anyone?

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Ulcerative Colitis
What Ever Shall I Do ??? :)
Quit worrying and ignore it you pansie... - 0.0% - 0 votes
Call same office request second opinion... - 66.7% - 2 votes
Insist on MRI or CT... - 0.0% - 0 votes
Buy a boot on eBay... - 33.3% - 1 votes
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musicmaker516
Regular Member
Joined : Sep 2012
Posts : 353
Posted 4/7/2013 6:17 AM (GMT -7)
I'm a bit paranoid as I've been on rather high doses of Prednisone for nearly a year and in the past few months my vision script has doubled.  Last week I was awakened by foot pain throughout the night - woke up to swolling, pain & no bruising.  I went to the Dr and they exrayed it - still havent heard the results. 

Now it's been almost a week & my foot is no different.  Last night I consulted Dr. Google and found that my situation fits to a "T" for a stress fracture of the metatarsal bones in my foot.  They don't typically show on exray, but do on MRI or CT.  Also - these do not always get treated, or the victim gets a walking boot to wear.  Given the Prednisone - I would like to get a boot & not end up with a full fracture & cast.

The only thing that may have caused this - I wore a pair of my old trusty heel boots and was at the mall with my 4 year old.  I do recall that one of my feet got to hurting really bad as she walks 100 miles an hour.  The pain however, began 36 hours after the mall treck....

How would you proceed from here if this were you?

Thanks for readin this long winded post  :)

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jujub
Elite Member
Joined : Mar 2003
Posts : 10421
Posted 4/7/2013 6:31 AM (GMT -7)
Please return to the doctor. I walked on two broken bones in my left leg for two months and has a lot of unnecessary pain before finally deciding it wasn't "just" arthritis and finally seeing a doctor. I was on entocort, which isn't supposed to be systemic. Yeah, right.

It's equally possible that the ligaments in your foot have been strained and are no longer supporting your arch. Steroids are also hard on connective tissue.

I know I don't have to tell you this, but you really need to get off the steroids. Good luck and I hope you feel better soon.

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musicmaker516
Regular Member
Joined : Sep 2012
Posts : 353
Posted 4/7/2013 6:36 AM (GMT -7)
That's part of my thinking - I'm on all these drugs that reduce inflammation - so how swollen would it be without these?

I had an exray though - and as I read these only show up on exray if they are old enough to have begun healing and there is enough calcification for it to be seen. They only show on CT or MRI at this early in the game.

I don't suspect a complete fracture as there is no bruising - when I broke my toe a few years ago it was severe bruising all over my foot. LOL
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Carlie
Regular Member
Joined : Nov 2011
Posts : 412
Posted 4/7/2013 7:43 AM (GMT -7)
yep, I broke a bone in my foot just by stepping out of my jeep, nothing more. I went to the hospital they gave me a boot.

Carlie.
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Sara14
Veteran Member
Joined : Mar 2007
Posts : 6235
Posted 11/25/2019 2:07 PM (GMT -7)
I know this post is super old, but did it end up being a stress fracture? I'm in a similar boat.
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iPoop
Forum Moderator
Joined : Aug 2012
Posts : 16180
Posted 11/25/2019 2:13 PM (GMT -7)
Uh oh. I'd get an xray if you're worried about it.
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Sara14
Veteran Member
Joined : Mar 2007
Posts : 6235
Posted 11/25/2019 2:23 PM (GMT -7)
I have an appointment next week Friday. That was the soonest they could get me in. I've never had a stress fracture before, so I'm hoping I'm wrong.
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iPoop
Forum Moderator
Joined : Aug 2012
Posts : 16180
Posted 11/25/2019 2:28 PM (GMT -7)
My dad had one on his heel when I was a kid, he is an avid runner who ran daily without ever giving himself a day off to heal. I'd assume you cannot put any weight on it at all without sharp, shooting pains as is the case with any break.

Hopefully you just pulled something (a muscle or whatever), sprained it, or something of the like.

What's your cumulative prednisone usage?
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Sara14
Veteran Member
Joined : Mar 2007
Posts : 6235
Posted 11/25/2019 2:35 PM (GMT -7)
Yeah, that's what I'm hoping, too. The other likely possibility from my online research looks like extensor tendonitis. Actually, what I read is that stress fractures don't always present with bad pain; it's often pretty mild, especially at first. That surprised me. I never had one in all my years as a distance runner! Anyway, I have a sports medicine doctor who I love. He will know what's going on.

I don't even know anymore (sad)! I've been on it almost continuously since May 2018, with probably 5 months off in that time. A lot of that time, I was at 20 mg or lower. Before that, I took one or two 6-8 week courses almost every year starting in 2013. So, too much.
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MarkWithIBD
Regular Member
Joined : Jun 2018
Posts : 442
Posted 11/25/2019 5:04 PM (GMT -7)
Did musicmaker ever return? I wonder how long they were on prednisone before they started having broken bones.
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Sara14
Veteran Member
Joined : Mar 2007
Posts : 6235
Posted 11/25/2019 5:37 PM (GMT -7)
I wondered that, too. They haven't been around since 2013. Looks like they got an ostomy.
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Sara14
Veteran Member
Joined : Mar 2007
Posts : 6235
Posted 11/25/2019 5:47 PM (GMT -7)
Looks like she was only diagnosed for about 2 years before surgery so she couldn't have been on prednisone for all that long. Scary.
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Sara14
Veteran Member
Joined : Mar 2007
Posts : 6235
Posted 11/26/2019 7:12 AM (GMT -7)
I didn't want to wait two weeks, so I'm going to see someone in my family doctor's office in an hour. They will probably order x-rays. I read stress fractures don't usually even show up on x-rays until they're starting to heal, but the sports medicine office lady told me insurance usually requires x-rays usually before MRI or CT, so yeah...who knows if this will even tell me anything, but it still hurts and I've stayed off of it for days now.
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