Can immoblization cause severe osteopenia? I'm 31, male, and had my
foot immoblized about 3 months after heel bone fracture. It's been 10
months since the injury. A week ago had a CT scan which showed severe
osteopenia with no soft tissue swelling. The radiologist noted that
this is "suggestive of reflex sympathetic dystrophy." Frankly, I
don't have the clinical symptoms of RDS -- burning pain, sensitivity to
touch. I have pain after physical activity, especially after rest but
that's about it. There is swelling and joint stiffness but most people
with calcaneal fracture have them and my symptoms have only been
improving.
If it is osteopenia, is it reversible and how long is the process? My
ortho doctor said he doubts it's RDS but he sent me to PT anyway. Any
thoughts would be appreciated, especially from doctors.
Thank you.
Rosemarie Shiver - 30 Sep 2006 00:05 GMT
Hiya,
I'm not a doctor but I can tell ya to relax a bit and not get too
worried. You've been out of a cast for 7 months and heel bones are
notoriously hard to heal. If it were RSD you'd know it since RDS is so
severely painful as to not be possible to ignore.
It took you a bit of time to get muscle size and function back...it
takes longer to regrow the bone that you didn't grow while you healed.
I wouldn't count too much on what the radiologist has to say...they
aren't really bone docs, but rather bone readers, instead.
The PT should help you pack bone mass back on. Give it time and get
rechecked in six months or so. You might want to ask for a bone scan at that
time if your insurance will let you have one at your young age .<g> The
bone scan is tons more accurate at determining how much bone you have and
have not than any CT scan can be.
HTH!
Hugs from Rosie

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"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat
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> Can immoblization cause severe osteopenia? I'm 31, male, and had my
> foot immoblized about 3 months after heel bone fracture. It's been 10
[quoted text clipped - 12 lines]
>
> Thank you.
d'huit - 30 Sep 2006 04:42 GMT
Hiya,
I'm not a doctor but I can tell ya to relax a bit and not get too
worried. You've been out of a cast for 7 months and heel bones are
notoriously hard to heal. If it were RSD you'd know it since RDS is so
severely painful as to not be possible to ignore.
It took you a bit of time to get muscle size and function back...it
takes longer to regrow the bone that you didn't grow while you healed.
I wouldn't count too much on what the radiologist has to say...they
aren't really bone docs, but rather bone readers, instead.
The PT should help you pack bone mass back on. Give it time and get
rechecked in six months or so. You might want to ask for a bone scan at that
time if your insurance will let you have one at your young age .<g> The
bone scan is tons more accurate at determining how much bone you have and
have not than any CT scan can be.
HTH!
Hugs from Rosie
smartie-pants!<grinning like a proud mama> good answer, rosie.
i think i would also add that a radiologist's reportings are simply aids to
a doctor in diagnosing a film's indications. but radiologists are not and
should not presume to be diagnosticians, because they don't possess the
other pertinent/relevant clinical information that the doctor does have,
like hands-on (and other sensory--what the doctor sees, smells and hears)
clinical evalutions, information from the patient, labwork, health histories
and etc. these are all pieces the puzzle to be used to assemble them into a
reliable diagnosis.
kate

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"If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat
Outta Hell II
<mikem1974@gmail.com> wrote in message
news:1159561938.445279.260700@k70g2000cwa.googlegroups.com...
> Can immoblization cause severe osteopenia? I'm 31, male, and had my
> foot immoblized about 3 months after heel bone fracture. It's been 10
[quoted text clipped - 12 lines]
>
> Thank you.
spodosaurus - 02 Oct 2006 20:59 GMT
> Can immoblization cause severe osteopenia? I'm 31, male, and had my
> foot immoblized about 3 months after heel bone fracture. It's been 10
[quoted text clipped - 12 lines]
>
> Thank you.
Hi Mike,
Have you had a bone density scan done? If not, have one done NOW. Yes,
it could be from spending very little time on your feet, or there could
be a systemic cause (or at least a systemic treatment if they can't find
the cause...). Last year I had three fractures in each foot and about
six in my spine before we stopped counting (and that's not the total
number found, just the best examples). I also had a calcaneous stress
fracture from front to back. The doctors didn't believe me when I told
them my spine was broken and my feet were broken, so I had to wait on
tests for nine months (breaking more and more bones, because one of the
medications I was on while I was pretty much dying was supposed to have
the side effect of increasing bone density, and who the hell keeps going
to the gym with all those fractures anyway...*sigh*). Get the bone
density scan done.
Regards,
Ari