Tuesday, September 15, 2009
The official diagnosis of the foot that ails me (per a write-up by the Radiologist):
FINDINGS: The included osseous structures of the left foot reveal focal edema to plantar aspect of the cuboid with small incomplete fracture margin compatible with developing stress fracture. Adjacent lateral cuneiform surrounding the intact cuneocuboid ligament demonstrates mild edema without discrete fracture margin most compatible with stress reaction. There is no evidence of significant degenerative or inflammatory arthropathy. The flexor and extensor musculature and tendons of the dorsum and plantar foot are unremarkable without evidence of myositis or tenosynovitiis. (huh?)
(more simply stated)
1) developing stress fracture of plantar aspect of cuboid
2) stress reaction of adjacent lateral cuneiform
So it's not the metatarsal as I'd initially thought. But I finally have a diagnosis. So now what? Well, this part is somewhat nebulous at the moment. The orthopedist I saw (not my first choice by the way), basically lectured me about the perils of running and suggested alternate aerobic activities (yes, yes - cycling, swimming, etc) with a meek qualifier of "I know you love running..." and "yeah, it's good to exercise but...". Ok, whatever man. Just let me know when I can get back to my self-destructive exercise again (see his thoughts in the article I posted a photo of).
He proceeded to drop this gem (and I'm paraphrasing here), "...so for the next 6 months, lift, swim, cycling - whatever you need to do to..."
...wait, WHAT?? SIX months?!
He seemed a little baffled by my injury actually and told me to use the pain in my foot is the gauge, but he'd recommend taking a significant amount of time off from running to let it fully heal lest it fully fracture and break. OK, while semi-successful in scaring me shitless, I think I'm going to seek another opinion from a sports medicine doctor who can give me something more to work with and a clearer path to the road to recovery. I may also look into getting a walking boot to hopefully speed that time up too.
So that's the latest kids. On the shelf even longer until further notice. Remember when I tempted fate when I wrote this little diddy? Nice one Billy. Nice.
More cycling/boxing/swimming for me until further notice. I'll check back in when there's another update. But no running for me in the foreseeable future.