Fractured pubic rami in superfit sportwoman
(Southam, Warwickshire, UK)
Fractured pubic rami in superfit sportwoman running 100 miles a week invites questions about diet and walk up routine.
4 months ago my 100 miles a week runs ended in crippling pain; I could barely WALK home. After many visits to Osteo, chiro, physio, acupuncture I finally had an X Ray which revealed the above stress fracture. The X-Ray also showed that it was almost healed.
What puzzles me is the changing nature of the pain. At first I had a marked limp; now I no longer have the limp but a deep aching stiffness (still very painful) in my pubic area. It feels as though it is actually getting worse rather than better. I am currently swimming (not breast stroke) in a futile bid to maintain my very high levels of fitness.
I am a 64 year female with exceptional bone mineral density.Hello Deryl,
Even top athletes have stress fractures if they over do it, and particularly don't go through a proper warm up routine before setting out. I would recommend sitting down with a biokineticist to figure just how a super fit woman with exceptional bone density finds herself disabled with a fracture of the pubic rami.
Incidentally, it's interesting that calcium density is not the only determinant of bone strength. Research on sheep for example that have been put in a feed lot on very high protein diets have fractured limbs despite high calcium density in the bones. Look to your diet too.
Meantime, though, there are a lot of muscles that attach to the pubic rami, both internally the deep pelvic muscles and the thigh muscles. Every step you make they are pulling on that healing fracture of the pubic rami; whenever you bear down on the toilet or sneeze.
What's need is deep tissue work on these tendons; you may be able to do it yourself. If you run your thumb from the iliac crest down through the groin towards the inner thigh is it extremely tender?
Then both the hip and sacroiliac joints need to be checked; I'll bet that one or both are complicit to the pain and disability you are experiencing.
Then, have any of the branches of the femoral nerve been affected?
A sports orientated chiropractor with a FICS qualification is trained to deal with injuries like this. Contact the local association.
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