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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can severe Tibial Stress Fracture Be Treated?

Hi, I am 51 and have been recently diagnosed with a tibial stress fracture but I am not obese, have not been exercising excessively and have a good diet. My question is about the location of the pain. Most of the time I do not feel pain so much in the tibia unless I weight bear on it a lot but more on the fibula side, along the lateral leg even though the MRI did not see anything there. Pain is low grade and almost constant. Why would the pain be sitting over there so much? Is it something to do with muscle attachments?
Mon, 3 Dec 2018
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General & Family Physician,  's  Response
Hi,

First of all it's sad to know what you had been going through lately.

Based on the history you have shared, you need to have bone scans and work up for cause of such stress fractures. Calcium, phosphate levels, as well as alkaline phosphatase and PTH LEVELS, should be sought.

Dexa scan to rule out osteoporosis may be needed. Meanwhile supplements for calcium D3 along with ossien mineral complexes may be started. Physiotherapy exercises and avoiding weight bearing etc may be helpful. Meanwhile, OTC analgesics like acetaminophen or Ibuprofen can be used for symptomatic relief.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Saddiq Ulabidin,
General & Family Physician
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How Can severe Tibial Stress Fracture Be Treated?

Hi, First of all it s sad to know what you had been going through lately. Based on the history you have shared, you need to have bone scans and work up for cause of such stress fractures. Calcium, phosphate levels, as well as alkaline phosphatase and PTH LEVELS, should be sought. Dexa scan to rule out osteoporosis may be needed. Meanwhile supplements for calcium D3 along with ossien mineral complexes may be started. Physiotherapy exercises and avoiding weight bearing etc may be helpful. Meanwhile, OTC analgesics like acetaminophen or Ibuprofen can be used for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saddiq Ulabidin, General & Family Physician