Remember how 2 1/2 years ago, back when I was pregnant with Peter I broke my foot when I fell down at the Wild Animal Park?
(If you don't, you can read all about it
here and
here.)
Okay, well. Pretty much ever since that foot has never really felt "normal." The fact of the matter was, I HATED my primary care doctor at the time (because they went home for the night and left me sitting in an exam room the evening I found out I was pregnant, which is another interesting story actually that you can read about if you're interested
here.) So because I hated that doctor so much I never went in for a 6 week follow up like I was supposed to.
Plus, by the time the UGLY and HORRIBLE blue surgical shoe came off I was 8 1/2 months pregnant and the idea of getting more X-Rays done at that point just seemed ridiculous.
So I just let it go.
There was a big bump where it had originally been injured and it just sort of hurt sometimes. I'm sure I adapted and learned to walk a little fun to "favor" it. I thought about talking to a doctor about it a few times, but just, never, did.
So then a few months ago, I started working out a lot. And it started hurting A LOT. Like all the time there was a dull, throbbing ache that radiated up the front side of my left.
Last week I went to my new Primary Care Doctor here about it. (It was actually the first time I've had any reason to go see him.) He read in my record that the original injury had most likely been a partial fracture of my 5th metatarsal. (Even back then the pictures weren't 100% clear.) I'll admit, that was good to know because I never was entirely certain just which bone I'd broken. He asked me if I'd been put in a walking boot at the time. I told him no, I'd had the ugly blue shoe and he rolled his eyes, explaining that I should have been put in a boot not a shoe (immobilizing my ankle) because there is a tendon there that pulls on that bone and often makes healing difficult. (Also, those boots are a lot easier to walk in than the hard, flat shoe...)
He ordered X-Rays, but other than a few "suspicious" areas, they didn't show anything.
So then he ordered a bone scan and referred me to a Podiatrist.
I had the bone scan on Monday. Except that I also had a slow leak in my tire over the weekend, and I spilled the antibiotics for A.J.'s ear infections so on top of the scan I was sort of stressed out and hectic that day between when they injected me with the radioactive junk and when they actually took the scan and I didn't drink enough water so they came out well, but not as well as we might have hoped.
And then today I saw the podiatrist.
Basically, the bone scan and the x-rays don't show anything conclusive.
I could have (and I guess I was just assuming this was the case) a stress fracture in the same area as the original injury, like maybe the bone there was just weaker than everywhere else and once I started running a lot it aggravated the problem.
Or, and this is more what she's thinking, there's a nerve there being pinched. I'm not sure if she thinks it got that way when the original injury healed or more recently when I've been running, which would explain why it's started hurting so much more recently with the extra pounding as the gym.
Or (and possibly AND) she thinks I've developed tendinitis from over compensating my movements to favor the "sore" area on the side of the foot... ie, I've been walking and running funny. She said this is probably the case regardless of if there's a stress fracture or pinched nerve, as it explains why the pain tends to radiate up the front of my leg.
So anyway, today they weren't exactly clear as to how they could fix the problem.
Or possibly they were and I didn't catch it because A.J. was squirming and screaming a lot on my lap and Peter was running around the tiny little room getting in the way and trying to help and also unfortunately, smelling an awful lot like a sewage treatment plant.
Anyway, they gave me a few shots of Lidocaine to see if that would temporary alleviate the pain. She seemed to think that if it did, it would show that the problem is with the nerve and the tendon, as opposed to the bone. And let me tell you, while the shots themselves felt, um, very very very "special," the relief when the meds kicked in was, like... WOW. I mean, it was like this cool wave of numbness just took over and for awhile it didn't throb or ache and it was just amazing.
I don't think I actually realized just how bad it had been hurting until suddenly it wasn't for awhile. (Conversely, now that the shots have worn off and the relief is gone, the pain seems to be back with an evil vengeance and I sort of feel like maybe I need to start drinking heavily.)
She also had me fitted for Orthodic inserts, even though I assured her that already have them in my running shoes, so now I have an additional set, which she suggests I use now not just in my running shoes but whenever I wear regular shoes. Then she started going on about my bunions, and I was like "I don't have bunions" and she was like "Yes you do..." and I really wanted to ask her if she'd seen some feet with bunions because seriously, mine aren't anything. And then she said I had a couple of club toes or something, which I always thought were just my weirdly cute crooked 4th toes, so I might have sort of started tuning her out a little at that point. Like seriously Doc, can we just focus on the problem at hand (that you don't seem to be able to fix) and stop making me feel paranoid about my ugly feet?!?
Anyway, so aside from the orthodic inserts and the shot that temporarily relieved the pain, I left with a walking boot. She said I only really need to wear it when I'm doing a lot of walking, and that I need to refrain from heavy use of my feet- like running, for now and that we can do a follow up in 4-6 weeks.
She also said that I can still wear cute shoes to my Brother-in-Laws wedding at the end of September.
(Phew, because I put way to much effort into finding the perfect shoes for that event not to be able to wear BOTH of them!)
So, um-- I guess, we're dealing with military health care, so obviously we're going to try the
conservative treatment plan first?
She said that at the next appointment we would reassess the problem and figure out how to proceed. She seems to think that with the orthodics and boot there should be improvement, and if not... she said she'll probably want an MRI to get a still better picture of what's "wrong" in there.
So you know...
 |
| Neat. |
They apologized that they didn't have any short boots available.