Wednesday, April 24, 2013

and the results are in!

4 weeks later and I finally know what is going on in my ankle!  I'll spare you the details of what scheduling was like...but I ended up getting in at 7am.  Good thing I'm an early riser (not by choice- but for work).



So here is what the MRI report says: (my comments in pink)

There is signal abnormality within the distal fibula which is non specific possibly related to bone contusion.  Additional marrow signal alteration is also seen however with the medial malleolus (inside ankle bone) as well as the as the more inferior portions of the talus.  Little if any calcaneal signal alteration noted.  Freaked out about this- but Dr says it's pretty normal and it doesn't match my symptoms- although I'd say I have pain in by medial malleolus when I stretch my calf.  Whether these areas relate to additional areas of contusion etc. is difficult to determine.  There is fluid with the ankle joint.  Soft tissue swelling is noted medially and laterally. Yep.  The anterior talofibular ligament is not well defined on this examination compared to prior study and may have partially torn. That would be the goose egg next to anklebone  Exclusion of injury of deeper fibers of the deltoid ligament is difficult.  Had to google this one- once again that inside medial malleolus pain... hum.  Ligamentous structures about the ankle appear to be maintained.  That's good, since it was my calcaneofibular ligament that detached and must have reattach sans problems.There is some non specific enhancement with the bilateral soft tissues which should be clinically correlated particularly if there are any symptoms referable to an infectious/inflammatory process. WTF?  No soft abscess seen.  So, what is that hard lump in front of my ankle? 

Can you find the superior extensor retinaculum?  That's the lump.
Of course, google was not my friend since the MRI report was vague and I knew my Dr would probably tell me it was nothing...and it kind of was. 

He told me that the signal alteration in my marrow is pretty normal to see in a MRI, swelling, yep, and the lump was a thickening of my extensor retinaculum but my tendon in front was fine.  He did find a bone spur that the MRI report didn't include which seems to be my problem.  It is pretty small but as soon as he put his thumb on it- yikes it hurt.  It's right at the distal (bottom) of my tibia next to the medial malleolus.  He told me that we could try an injection or arthroscopic surgery if it hurt too bad.  I heard surgery and started shaking my head.  He said that if/when it was killing me then we could revisit that option later.  He also mentioned that I have mild arthritis (NO! I'm NOT that OLD!). 

So...all this MRI drama and I have nothing really resolved other than knowing what it is.  I'm cleared to run "as tolerated". (I didn't think I had to ask!) And so I did.  6.2 miles right after and 2.62 later that night for Boston. (I don't think I can express my sadness in the whole Boston Marathon attack- too awful so I'm going to spare you). 
Running buddies, photo by Cub

Cub

Around 2,000 runners running 11 laps at the local track for the victims of the Boston Attack

Obligatory Ankle picture (not too swollen from that angle) 14 weeks post injury
I'm going ahead and running the Flying Pig in 2 little weeks from now.    I can do a 10k and a 5k, so now, will I be able run/walk the half?  I'm going to try.  But one race at a time seems to be the best way of looking at it right now. 

Saturday, April 6, 2013

Waiting game

Ankle update: 
Nothing like wasting (well- I cleaned a bit) my spring break waiting for insurance to approve my MRI.  It's only taken 2 weeks.  Finally get a call at 6:30 on Friday night telling me my doctor ordered a CT scan not an MRI (which is what Monday's call was about - who knew a CAT scan and a CT were the same thing?)  

My Dr had thrown out both types of scans in our conversation- but I thought we decided on MRI (better for soft tissue) over a CT (better for bones).  Anyways, at this point and much googling, I'm sure the CT will probably be better for my anterior bony lump anyways.   Now, I have to arrange a time to call the imagining center with Anthem to arrange it- which will have to be after work hours since I can't take calls (like normal people) or use my cell phone (like normal people) at work.  So maybe I'll get this done by May. 

Running update:  
Ran on Thursday- still feeling it on Saturday.  Grrrrr.  Although, I did managed to knock out a 26:34 5k.  8:33 pace.  Feeling good about my cardio and music selection!  I just wish I wasn't feeling it after so much- it felt fine while I ran.  This raw hamburger tender feeling in the joint is not fun.   BTW 12 weeks and counting since this ankle stuff started.  Depressing.

Spinning miles this week:  70 miles and 4 classes, talked about getting certified to teaching spinning with someone at the Rec, might be worth it at this point.  Although, I'm afraid, I won't get a hard workout in then since I'll actually have to talk instead of focusing on breathing.   But, considering how slow this recovery is going, might as well!  Or get a road bike.


Some funny pics for "Waiting" on Pinterest.








Tuesday, April 2, 2013

March update: 13 13.1s in 2013 challenge

Wow!  I'm so impressed by how much you guys have run!!!!  Seriously though, I'm super jealous that you guys are doing this and I'm still dealing with this ankle.  I guess I biked 88 miles last week- if that counts for anything! :-)

Here is what I have from you guys so far.  Please email me/dailymile message me/leave a comment and I'll add any that I haven't seen.  

1.  Renee C. with 7 !   
 2.Aneta Z with 6!
3.  Tammie W. with 3
3.  Bill with 3 (2=26.2) plus one last month- total of 4 
3. Mitzi with 3 (I know you've run more- update me!)
3. Yolanda with 3 (same thing- update me!)
4. Shona W with 2 (update?)
5. Carrie R.  aka my running partner- nothing yet, right?

Please let me know if I forgot anyone!  Feel free to join as well!  
 



Running update

11 weeks post injury- this is this AM before I've really been on my foot today.
  •  Dr appt went well, told Dr my problems that I am still having, he again focused on my now hard lump in front of my ankle.  He thinks I might have an impingement which is why I can't flex my ankle.  I'm supposed to get an MRI...which is another story. 
 
  • So Mon is Dr appt, I'm to get a call to schedule MRI, I wait til Thursday after work- still no call, grrr, call the Dr office, get call on Fri, "Oh, Dr never put in the MRI order, but it's in the office notes.  You'll get a call next week".  Yesterday, I get a call "Scheduling you for a CAT scan" "What?!, I'm supposed to get a MRI." "Oh, the note says MRI but the order is for a CAT scan, I'll call you back after confirming with the Dr".  So, here I am, day 2 of my vacation- waiting to get this MRI scheduled.  I don't want to take time off of work for the MRI and the follow-up appt if I can help it.  Seriously, people!  
 
  • Ran again this past Saturday since the sun was out and the temps in the balmy 50s.   3.1 miles in 28:40.  Ankle hurt the entire time...grrrrrrr.  BUT I RAN 3.1 without stopping.  Yay for keeping my cardio up with spinning. Ankle was a bit pissed off after, but Hey, f- it. 
 
  • Walked/Ran on Easter Sunday, again the beautiful weather drew me out and of course, being curious, my walked started with a small run to test out the ankle, then ended about 1.5 miles later.  Again, ankle not happy with me. Good thing it's cold out this week again- probably won't try anything for a while considering I could hardly spin last night it hurt so bad.  
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  • So that's were I am...I've reached the F it stage.  I am tired of not running.  It's been 11 weeks.  I am happy I still have cardio so I'm not out of breath.  This running once a week is not making me happy.