Monday, January 21, 2008

Bad...or worse?

Just returned from a full day at the hospital. After an x-ray (useless), that scan of some type where they inject you with radioactivity and watch the blood flow (results not yet available) and bone scan (illuminating and confusing), it is either:

1. A traction type injury at the insertion point of the Psoas. If you look at this pichttp://www.blogger.com/img/gl.link.gif, at the bottom-most arrow on the picture, going around the femur, the bone scan was highlighted right at the end of the arrow's tail (not the head, obvs). So this led the doc to think that is what it is.

HOWEVER

2. A femoral neck stress fracture would also highlight a bone scan in the same area. This, of course, would be a much more serious diagnosis and what I have been holding my breath and not allowing myself to 'google' the results of since I started having pain (b/c all my symptoms are completely consistent with this). The doc assured me that this is much, much rarer, and harder to diagnosis, so he didn't want to jump to any conclusions.

So tomorrow, the plan is, once we have insurance approval (of course), I will have a CT scan, and this way we can overlay the bone scan on top of the CT Scan. If the highlighted part of the bone scan is exactly where the insertion point is of the Psoas (which we will be able to see on the CT scan), he will rule out stress fracture. If not....
Well, to be honest, now that I am thinking of it, he didn't really go there.

So basically, it's either bad, meaning still no running and lots of PT, or worse, meaning A LONG TIME of no running and major PT.

The doc's hunch? I think he was leaning towards NOT thinking it was a femoral neck stress fracture, but only b/c it was so rare and I couldn't pinpoint anything I 'did' to cause the injury.

My hunch? Even thought it causes pain (literally and emotionally) to admit, I think it's a stress fracture. I can tell when I walk...something just ain't right. And it ain't right in a way-worse-than a traction type way.

But I have to wait until I get the final diagnosis to start picturing a trip across India with crutches.....

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