I have Osteo what????

Hi everyone,  things have been going fairly well at PT and I am making slow but steady progress.  Immediately following my surgery 13 weeks ago, I  had significant loss of sensation down the right side of my right foot all the way to my pinkie toe, and still cant feel anything.  I have also had significant pain internally in the middle of my foot which started actually prior to my ATR.  Anyway, concerned that maybe my tendon ruptured as a result of an untreated fracture in my foot increasing pressure on it, I decided to go get xrays done last week.  (No scanning of any kind was done prior to surgery)  The results of my xray show “marked and considerable” osteopenia in the mid, and hindfoot and ankle area, and especially marked at the base of the 5th metatarsal but no fracture was noted.  I looked up osteopenia on the internet and learned that this is a significant decrease in bone density.  A medical article in the Scandinavian Journal of Sports Medicine (which is unavailable without purchase) suggests in its title that this is common in ATR patients who are immobilized for too long.  I was in a cast for 11 weeks.  My concern now is how do I increase bone density to reduce my risk of fractures in this foot in the future?  Anyone else have post-cast xrays done??

6 Responses to “I have Osteo what????”

  1. Jenny,

    Very normal to have osteopenia following immobilization of weight bearing bones. They should take films of the opposite leg so that it can be determined that in fact it is from the immobilization and not of another cause. If its from the casting than time and weight bearing will increase the calcium in the bones. You should take a calcium supplement. Also with rehab make sure you are careful and not to overdo it so as to avoid stress fractures of those bones. Give it time and everything should be fine.
    Good luck

    Doc Ross

  2. Hey Jenny,
    Have you talked to Dr. R. about your osteopenia? I wonder if he has seen this before. Seems like we go a long time immobilized before getting into the boot compared to some on this site.
    Hope the bone density in your foot comes back with time and you don’t have to worry about this, as well as your AT!
    Take care,

  3. Hi Shelley, I have an appointment on Oct.2 so I will see what he has to say then. How are you doing?

  4. Jenny,
    I’m doing well. It’s nice that there’s no pain.. just more of an inconvenience at this point. My knees are bruised big time from carrying my baby around the house but I am managing. My 2-year old has been amazing and is being so good to her baby sister, which is a big help to me.
    I have made a list of “Pro’s” for this ATR happening. One was that I am spending better quality time playing with my girls, instead of driving around to various activities, playgroups, etc.. just trying to keep busy. We play on the floor, colour, read, lots of attention & quality time.

    I am very grateful to be getting so much help. My parents are here to help me almost every day while my husband is at work. It will be nice though when I can actually take care of my family on my own again and feel a little more independent. I’m sure that will come as I can start to weight bear.

    Seeing the doc tomorrow for 4-week post-op. I will post pictures & update.

    How are you doing with your little one?

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