mri results

Depending on the doctor, you should wait. PCPs are not as experienced as orthopedics at diagnosing that type of injury, so if you are only seeing a PCP and not a specialist, I would definitely pay attention to what the radiologist says.

If it says "stress fracture" it's most likely a stress fracture. The manual diagnostic tests that an orthopedic uses to determine a "stress" fracture are not 100% reliable; more often than not, they are very UNRELIABLE.

It's very typical for pain with a stress fracture to decrease dramatically just by ceasing the activity or assault that caused it.

I'm treating a young woman right now who is recovering from a femoral neck stress fracture and she is a nightmare to treat for the same reason. Her pain decreases very quickly when she rests. She has ignored her doctor and attempted multiple times to get back out on the roads and it never ends well. Not saying you are ignoring your doctor or doing the same thing, but just referring to the fact stress fractures can be frustrating and everyone's pain perception is different. Take it easy until you see a specialist who can help you understand just how affected the bone is/isn't.

Do you think they require a boot? I heard if it is one I might just need it for 2 weeks or so.

They won't always put you in one. Sometimes if you are young and healthy they will wait, give you activity restrictions, and then do imaging every few weeks to see if the bone is repairing. If it's not, or if it's really slow, they'll place you in a boot. If you can walk on your heels, they may not. Depends on where in your heel the fracture is (assuming it is actually a fracture).

is it weird that I passed the squeeze test and can jump up and down on heels?

would a pcp radiologist be the same radiologist for an ortho?

It's definitely not "typical" of a stress fracture, I will give you that. Usually there is pain with hopping. But I've had patients who had zero pain, and it would only come on with training. If you are lucky, something may have lit up on the MRI that is not actually a fracture. That would be great!

But usually the radiologist will put something like "suspected" or "evidence of" or "indicative of" if he is not 100% sure. Have you had a bone scan? I find after at least 4 weeks after the initial injury/onset of pain, they are better evidence than an MRI for a stress Fx.

And the radiologist will just send the image and report to any physician that you request sees it, including the original physician who ordered it. PCP = primary care provider. They generally do not specialize in one single area (sometimes internal medicine). They are who you'd see for a routine check up.

no bone scan, just going lay off it till I see the ortho on Monday and hope that there was a gliche in the readings today.

cause the one ortho I saw on Friday, said its shows no signs of stess fx just tenditionits, the primary wrote the mri script, so ill use the orthos judgment (hope he reads it)

Not sure how it could happen, I haven't changed my routine in years. no speed work or anything crazy. just run

A radiologist interpreting a foot/ankle MR will probably be fellowship trained in musculoskeletal imaging, and MR is very accurate (sensitive and specific) for the diagnosis of stress fractures. I wouldn't just disregard the interpretation and hope that your doctor tells you something different.

under stand, but I find it weird that it was read so quick. had test at 1030 had these results at 12, the PCP said he had to ask for help to read it and said he found an radiologist than 20mins later he said yeah we think its stress frac of the heel. does that seem legit?

It's not weird. I've had results that quick for a cervical and brain MRI before. None of us hope you have a stress fracture, but based upon what you are saying the smartest thing to do is wait and hear out your doctor. And I have to agree with the previous post -- I can't ever remember a time when I've had an x-ray or an MRI or MR Arthrogram read wrong by a radiologist. If anything they included quite a few more details than my physician did and when I got limited advice from the physician I would bring the report elsewhere for a 2nd opinion.

is it possible that other issues may be mistaken for a stress fracture? I do not know...anything soft tissue damage, anything that can look like one, but may not be

im guessing your a radiologist. can I send you my results?

The radiologist IS the official results. The doctor who orders it looks at it too, but the main interpretation is from the rad doc.

Whenever i had sx I felt they only hurt when running. Once I stopped it was fine. I found tendon or ligament issues hurt even a little more at rest than activity. Whenever I got an injury I could usually tell because of this. I'd almost be hoping it hurt when I woke up which showed it was not a bone.

it doesn't hurt if I jump up and down or, walking right on my heels. feels sore in the insertional part of Achilles. I kind of would expect more pain walking on heels. the soreness goes away when im in good sneakers.

Could it be I am already in the heeling stages of it after 8 days of laying low?