We know that mechanical loading is critical to bone maintenance, and 'complete' removal of this stimulus (skeletal unloading such as with limb immobilization, bed rest, space flight) induces bone resorption and/or impaired bone formation (hence bone removal).
Pick your brain for a minute regarding my stress reaction in the lesser trochanter, confirmed by MRI 7 weeks since last run, now about 9 weeks since last run.
Trying to determine what caused it, since there is not an actual crack in the femoral neck or linear zone indicating shock travelling up the leg bones from running impact. The MRI showed the overall lesser trochanter is stressed from axial views showing hot spot throughout the lesser trochanter and saggital views showing a half-mood shaped hot spot with its radial center at the leser trochanter.
This might suggest that the injury was related to tugging at the lesser trochanter in combination with impact shock.
The injury occurred during ball-of-foot running after very gradual year-long buildup to 6 mile runs 3 times a week.
I may not have had enough rest days and may have had too much cumulative activity on the iliopsoas insertion site at the lesser trochanter...I would think the iliopsoas muscle or its tendon would be the weaker link, not the bone to which it is attached.
Some overuse contributors may have been: Doing 6+ mile runs 3 times a week with lots of hamstring pulls with this style of running, doing 15 min. intensive impact drills before each run, forward weighted leg drops (static lunge), hopping (called foot-taps but really lifting the knee up and dropping in rapid succession standing on other leg), 80 minutes of high resistance elliptical 2 times a week, doing rapid air bicycles for 3 minutes before each run to warm up knees, sometimes "throwing the leg forward and pulling back harshly, doing 2 to 4 sets of hanging leg lifts (ab crunches).
The question is that, now I am 9 weeks since last run, what can I do safely and which stimulates bone recovery?
I am doing easy elliptical (40 to 45 min twice a week).
I had planned on starting walking 2 miles, 2 times a week, but the Orthopedic surgeon said not until after next followup.
I don't think this is accurate since I don't have much pain at this time unless I were to jog or hop excessively for quite a while.
I would think the walking would be OK after a complete rest of 6 weeks with a total of 9 weeks layoff and given that MRI was obtained at 7 weeks looking like a stress reaction as opposed to a stress fracture.
If I don't have pain the next day, would think easy walking would be stimulating rather than breaking down the healing.
This would seem to be especially true if the lesser trochanter was involved, since this is not an impact force as with a femoral neck compression stress fracture.