Last Wednesday was a busy but fruitful day; I had an MRI in the morning and a ten-week checkup with my physician in the afternoon. Results were mixed. The good news is that two of my stress fractures are completely healed while the remaining two show major improvement. I am now on a plan to wean me off The Boot and allow me a way to begin training again. Until next Monday I can be bootless while in my house but must wear it when I go outside. I can walk on my entire foot instead of having to limp on my heel and doing so without pain feels great.
On Monday I can walk outside (hooray! hooray!) but only for 10 minutes to start. If I do okay and don’t experience any pain, I can lengthen this time to 30 minutes, no more, until my next visit to the doctor in July.
Now for the bad news – the MRI also showed some nerve inflammation with my foot muscles. This can be caused by one of four things: diabetic neuropathy, bone infection, extreme exertion immediately before the MRI, or nerve entrapment. We were able to easily discount the first three. I don’t have diabetes, there was no sign of bone infection, and there was no way I could do anything resembling exertion before the MRI. That left nerve entrapment, and the only way to decisively diagnosis a disconnect between nerve and muscles is an electromyography (EMG) exam. This includes a nerve conduction study along with a needle EMG. This sounds very uncomfortable and painful to me (anything with needles is meets that description) but I was reassured that it is not too bad, and if it helps figure out my problem, I am willing to go for it. Whether a cure is possible depends on where the muscle-nerve disconnect is and what is causing it. I will have to be patient and wait until the middle of June for this test.
I was also referred for a physical therapy evaluation and to set up a treatment program so I can eventually return to racing. I am so excited about the prospect of getting back to my passion! I am focusing on the good news and trying to be positive about the confounding elements. And while I am nervous about having a relapse of these dreaded stress fractures, I am beside myself with joy at the thought of even a ten-minute walk outside!