shin splints vs stress fracture?

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shin splints vs stress fracture?

Postby crazyfrog » Tue Jul 28, 2009 10:06 pm

so I have had some moderate pain in my shin for several weeks now. it got to the point that the pain was radiating all the way down my shin and into my ankle when I ran and just plain hurt walking around so I took about two weeks off of running. and it got better.

or so I thought. now it hurts pretty bad all the time and I had to bag my long run last sat.

icing helps a bit, but it still hurts. like not omg, i can't walk, but enough that it hurts consideratly to use stairs, get out of the car, etc.

I have been running faster lately and slightly harder, trying to improve my speed (or keep up with my buddies, same difference 8)) and first noticed the pain after a particularly hard interval session. I can't get shin splints from just one time of speed work, can i?? I have a dr's appt for thursday, but what say ye, ole wise ones of F4?
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Postby rollingrock » Wed Jul 29, 2009 7:10 am

i think shin splints are more of a soft tissue injury -- littlerock had horrible shin pain when she first went away to soccer camp; she could barely walk but it was in both legs at the same time and motrin and massage helped. it disappeared in a week but it was serious pain and i was initially thinking tibial fracture.

i read alot about SF since i had mine in february. if you can pinpoint an area of pain on the shin..with your fingertip..a spot that hurts alot when it's touched, it's probably a fracture. fractures start as stress reactions which usually occur due to repeated overload, lots of speed work..or a.sudden huge increase in miles....i guess our bones need recovery time just like our muscles do and when we stress the muscle to the point of failure, the bones begin taking the 'hit' harder. it's my understanding that a SF takes a while to actually happen but it can 'fracture' during a run -- it reaches its literal breaking point i guess. i had lots of warning signs -- lots of top of the foot pain when i ran but i thought it was a shoe issue and kept running every day; it was nagging but not horrible. then one day, it just got severe and kinda went from all over pain to one icky painful spot and i couldn't even walk straight. :bleh: i think a SF will become a complete break if you totally ignore it and continue to stress it.

it was almost 16 weeks before my 'fracture' showed on an xray so don't depend on an instant yes or no from that technology. i had an MRI 5 weeks in and it showed what they call stress reaction in the area -- it was highlighted, cloudy compared to the rest the foot. if the MD suspects a fracture, i'd insist on some sort of cast immediately -- air cast or whatever, even if you wear it without knowing for sure. an MRI or bone scan are the best diagnostics for SF. i know people who stress fractured their shin and their metatarsals years ago and didn't cast it and they still have pain probably cuz it never healed correctly. as hard as it was to put that boot on and wear it everyday, plus a nighttime cast...it made a HUGE difference in about 10 days; i could feel healing as opposed to that nagging crap pain i had with every step.

oh, and don't take motrin (any ibuprofen) for fracture because it has been proven to impede the healing process --- it somehow interferes with bone reactions. (some doctors will dispute) there are studies now that say it stops bones from strengthening when you exercise -- somehow it interferes with the bone process of rebuilding itself as its supposed to when you lift weights or run. i took motrin ALOT for years. i will never take that sh it again, no not even for cramps. :| (neither will littlerock)

good luck frog, i hope it's not fractured but if so, rest and an aircast are really the only things you can do.
okay, i wrote a book :oops: i hate when that happens.
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Postby crazyfrog » Wed Jul 29, 2009 9:44 am

thanks RR. no worries about the book. I have been meaning to ask you abour SF for weeks since I started having pain as that was my first thought!
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Postby crazyfrog » Thu Jul 30, 2009 2:37 pm

back from the doc...I am the pround new owner of a stress fracture. :x

going to get the walking boot thing tomorrow morning, dr's suggestion. bone scan on wednesday to verify SF then treatment as necessary from there.

On the upside, since its only been a few weeks since I started feeling pain and that you can't see anything in the xrays so doc doesnt think it's that bad yet...

arg! this combined with matts stupid broken wrist is going to cost a fortune!! :bleh:
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Postby rollingrock » Thu Jul 30, 2009 4:43 pm

(((frog)))

it sux but the best advice is put the cast on and let it be. Hopefully, it'll heal properly and you'll be back out there soon enough. sorry about the whole 'mess' though, my MRI was not covered as much as i'd anticipated. 8O

there is a good 'return to running' program out there that will ease you back into it whenever you're cleared to begin again.

sorry frog, i feel your fracture pain. :(
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Re: shin splints vs stress fracture?

Postby Zatoichi » Mon Aug 03, 2009 10:32 pm

Sorry CF. That sucks mightily. :(

Just wanted to say that I second RR's recommendation - I've ignored the warning signs of injuries in the past and ended up paying the price (like a typical runner, in other words). :oops:

Hope you have a speedy recovery.
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Re: shin splints vs stress fracture?

Postby crazyfrog » Fri Aug 07, 2009 6:50 pm

WOOT! So....wore a boot for about a week. what a PITA. :roll: bone scan was Wednesday, tech says you have TWO stress fractures in your leg...and possibly another starting in your right leg" :evil: :evil: I went back to the ortho this morning. here is our conversation:

Doc: (putting flim on light box) So what do you think?
Me: I think I'm not running for a while
Doc: Well, the good news is that you have SHIN SPLINTS, not a sfx!!
Me: YES!!!!!!!!!!

so, turns out I just have a bad case of shin splints! a few weeks of PT and I should be as good as new!
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Re: shin splints vs stress fracture?

Postby rollingrock » Sat Aug 08, 2009 10:02 am

what the heck?!?!? good news for you froggie! that tech should learn to keep his/her mouth shut. i don't think i've ever had any tech make any sort of comment whenever they're doing a scan, i didn't think they were supposed to and that's understandable!

rest a bit more and get back at it. maybe find some stretches/strenthening exercises that will help prevent shin splints in the future new shoes maybe?. in the meantime, sigh of relief--glad you had the bone scan, i believe it's about as definite as they can get.

yay frog!!
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