Midfoot pain

When you mention bone stimulators, could they be something of the kind like the tens style electric input wired on every night around my thigh for eight hours or so I used when 6 month recovery lie-in for my broken femur, or the bisphophonate Pills have been given to take one a week for treatment of osteopenia?

One was an ultrasound style one that I wore for 20 minutes a day over the break. the other one that I am currently using can go even over a cast, but needs to be worn for up to 10 hours a day. I can’t feel that one at all but supposedly it works.

I’m not a candidate for medication interestingly enough. My bone density is actually very good. That’s why I still don’t really understand why I had these fractures, and it’s why I’m still nervous about having more fractures.

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Need to check my bone density progress if any osteopenia wise, think steroids may have been culprits, cancer treatment and now psa both long term, as Well as asthma since childhood. Who knows if my diet may have helped, perhaps nature of psa simply the reason for our fractures. Have eliminated also dairy as have read that dairy negatively affects hashimoto hypothiroidism, at the moment together w meat and fish and eggs, have mtxt and cosentyx, labs are ok but my top right foot in pain often, and seems different shape than other. Possible I may have broken some bone tripping into corners w my bare feet. What a drag.

Am being a bit of a maniac w fasts etc also in an attempt to keep as low a weight as poss on my bones, at the mo Bmi approx 24.9 or so, aiming to drop another 10 pounds or so if manage, perhaps it could help our bones somewhat from giving in?

Less weight is good for quite a few health concerns, including our joints. That said, being too skinny is not good for bone quality. In other words, I would discourage you from going below a healthy bmi.

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Thanks for advice, a bmi of 22 or so I think would be more than adequate, remembering my weight of years ago, that said, it is not sure I will be able to achieve it. Certainly weight loss within reason is also beneficial in the prevention of cancer recurrence.

One thought comes to mind re fractures. As immune diseases tend to multiply, could it be that bone fractures and or erosions could be due to onset of another disease on top of psa?

I for example have so far been diagnosed w hashmoto psa attinical keratosis if that is correct English term and in 2003 hospital whch treated me for cancer mentioned suspicion of lupus. My younger sister was diagnosed w fibromialgia years ago and now psa. Clustering of diseases could be investigated? Or have you already been doing so?

‘Actinic Keratosis’ perhaps? Nasty little swine, I have a couple, but unlikely to contribute to fractures as far as I can tell. They need to be zapped with freeze spray / excised. Derm said they’d take 20 years to turn into cancer. I thanked her for ruining my 83rd birthday in advance.

I do agree that a lot of us seem to have PsA Plus. For some, the add-ons are acknowledged, for others of us they remain shadowy. Where I am anyway, I reckon rheumatology should factor in the reality(?) that PsA patients may get so much better on biologics - and I hugely appreciate that - but comorbidities do come out of the woodwork and some are hard to identify accurately.

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Life long asthma sufferer here too which of course meant steroid inhalers virtually all the time, plus short sharp high dose steroids for ‘asthma attacks’. Plus occasional nebulisers etc etc. So already bone density obviously being weakened. Menopause happens, and that increases my risk. PsA then happens and for the first year on and off steroids (very low dose though) throughout that time. Next up two pelvis fractures then another pelvic fracture plus a rib.

Bone densisty results put me in the category of needing no medication for osteopenia. But given that history it makes sense to medicate with bisphosphorous. Mine is monthly - a pill called Ibandrionic. I’m tolerating it well. Plus extra calcium and Vit D. I’m not a milk drinker but I am a total cheese lover. So @Stoney even with decent enough bone densisty a history of fractures which sadly you have now should be highlighting to your doctors to think bisphosphorous. More so given the long term steroids you needed for pericarditis.

Years ago now I lost a lot of weight on a very low calorie diet. That also increases bone density risks. A lot of that weight is back on again now but I prefer that in a way. Probably wrongly. I feel stronger. Best thing for bone strength is walking plus not drinking as much wine as I do. I certainly do the walking though. I can feel it helps.

On my recent holiday I fell getting off the boat on the decked quayside - straight down on my knee and thigh and forearm. I slipped on the stupid deacking stuff. My thoughts as I went down so fast was multiple Irish swear words plus ‘sh*t I’m going to fracture something’. Amazingly I didn’t. That is the first time following a fall like that I haven’t broken something. I bruised badly but that’s all. Phew! Something therefore is obviously going better.

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The personal stories add so much to this forum, allowing us to learn from each other…for example, @Poo_therapy

Best thing for bone strength is walking plus not drinking as much wine as I do.

To make it scientific, we need to know the correlation between the amount of wine AND the slippery deck! Sounds like a new study for @tntlamb :+1:t2::grin:

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That’s interesting, what you said about the long term steroid use. I’ve only had a diagnosis of asthma for about 5 or 6 years, so only had the low level inhaled steroid for that long.

I hear you on the fear of bones breaking. My husband and I were taking down a fallen tree last spring and I got knocked down. I was so worried that I might have broken something with that, but I was okay (just bruised and banged up). I’m glad to hear that you got to go on vacation. We don’t tend to travel much, but since the pandemic we haven’t even traveled upstate to see my parents.

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Foot surgery was today. As promised, the pain does seem to be mostly from the incision, at least so far. I haven’t actually looked at my foot at all yet. I came home with it in the boot, and I’ll probably just leave it on until bedtime. No getting it wet until the stitches come out in two weeks. Fun times. I’ll need to find the cast cover again.

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@Stoney, Once your foot heals you can finally play the new image Covid version…
Truly hope the surgery is successful!

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Best of luck with this recovery. I so hope this is the end of this saga for you. You must be so fed up with it.

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That’s a riot! Thanks Amos.

So far so good.

Yup. Done with it indeed. The worst part is that this is my fourth surgery just over a year. Both eyes, and these two foot surgeries.

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Glad this step is over. Now for the best recovery. All the best from Florence on a pre lock down family visit, a presto

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