How did it go Joyce?
I was diagnosed with a stress fracture in the medial right femur on July 10th. The doctor originally told me 4 weeks on crutches and 4 months before full activity. I'm hoping that gets revised down though because I already feel like I'm close to walking without support (12 days on), and after looking at additional scans she thinks we caught it early.
My story: had a slight pain in my right quad after a heavy bike workout on a Wednesday (Sunday was long run, monday was swim, Tues was bike/run). Didn't think much of it. On the Thursday morning I went to jog to work and it hurt like hell for the first few steps so I stopped. I spent about 7 days doing low activity and then it started coming back. The only time the pain exhibited itself was: trying to put my shoe on in the morning while standing on the bad leg (hurt like hell) and the first few steps while running. I put it down to a stabiliser muscle, saw the PT and they thought the same. It was getting better so did a 4 day training camp on it. By the time I got back it was painful to walk in the morning but normally 'loosened' up by evening. I saw a doctor and they immediately figured out it was a stress fracture, and the MRIs/XRays confirmed it. I still don't know what caused it, but figure it was a gradual issue.
Right now I'm able to swim without any pain using a pull buoy, so trying to swim A LOT! Yesterday I also tried doing 50 yards of aquajogging and it didn't hurt. Also did 50 yards without the pull buoy (minimal kicking) and it was okay. I am currently pushing off the wall pretty gently. I got on the bike and rode extremely easy to work this morning: my rationale - which my girlfriend disagrees with - is spinning very gently to work puts very little stress on the femur and is less risk compared to standing on the train and being thrown around, even when I have a crutch/cane. That might be me reaching. I'll know tomorrow!
Here's a useful article on a possible route to rehabiliation: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2465093
. I think I'm coming towards the symptomatic phase (haven't had any pain for a few days, nor the courage to fully put any weight on it).
I currently have an entry for Ironman Louisville (Oct 11) and am guessing I'm probably reaching thinking there is any chance I can compete by then. I've also got NYC marathon on the cards (first weekend of November) and can roll IM Lou over to Austin 70.3. I'm trying to ignore races though as it'll cloud judgement.
Anyone have any stories they can share? From reading other forums around the interweave the general consensus is to be more cautious than you think you should be. I'd be particularly interested in knowing of cases of what people have been able to do after the symptoms dissipate and what recovery strategy was successful?
My approach is going to be (if approved by my doctor):
Gate 1: Swim with pull buoy
Gate 2 (no symptoms): Swim with kicking, gradually reintroducing the kickboard. Resume easy spinning in the granny ring, no climbing. (Basically going on very flat rides with the weakest riders I can find!). Start aquajogging at easy level.
Gate 3 (3 weeks after no symptoms): Lots of swimming still (gradually introduce fins to test the leg). Walk treadmill, gradually increasing incline. Introduce 'sprinting' efforts while aqua jogging. Basic Z2 cycling (i.e. staying <75% FTP) on flats.
Gate 4 (3 weeks after gate 3): Lots of swimming still. Reintroduce jogging (via Antigravity treadmill). Some Z3 intervals on the bike.
Gate 5 (3 weeks after gate 4): Lots of swimming still. Reintroduce normal jogging. Intervals allowed around FTP on the bike.
Gate 6 (3 weeks after gate 5): Lots of swimming still. Reintroduce longer running at Z2. Intervals allowed around FTP on the bike.
Gate 7 (6 weeks after gate 6): Gradually reintroduce full intensity.