Understanding Femoral Neck Stress Fractures: A Patient's Experience
I’m a 31-year-old woman, weighing 125 pounds and standing 5'7" tall. As an avid runner, I began experiencing intermittent pain in my right groin around mid-June. Despite my efforts to rehabilitate through strength training and continuing to run, the discomfort persisted. A month ago, my X-rays came back clear, but after an MRI three weeks ago, the radiologist's findings revealed: "There exists an incomplete stress fracture along the medial cortex of the right proximal femoral metadiaphysis." "Periosteal edema is present at the right proximal femoral metaphysis, extending to the region of the lesser trochanter. Beneath this area, edema can be observed within the medullary bone. Additionally, there is thickening localized to the medial cortex of the proximal femoral metaphysis. A linear hyperintensity on T2-weighted images appears in the thickened cortex, along with focal cortical irregularities noted in the coronal sequence." My family doctor expressed concerns that I might require surgical intervention and referred me to a fracture clinic. During my visit today, I waited for three hours to consult with an orthopedic specialist for a mere five minutes. The doctor reviewed my MRI images but concluded that nothing significant was apparent and has since recommended a bone scan. Although she advised that I am free to walk without crutches, she prohibited me from running, weightlifting, or cycling. Is it common to observe such a variance between the radiologist's conclusions and that of the orthopedic examination? My research indicates that managing this type of injury typically necessitates extended periods of non-weight bearing activity. While I am relieved to think that my condition may not be as serious as initially feared, I am anxious about the brevity of the appointment and the lack of thorough explanations regarding the shift back to full weight bearing. I’ve attached some slices of my MRI for anyone who might offer additional insight. Any thoughts would be greatly appreciated!
Answers (1)
8/28/2025, 3:43:31 AM
OpenHealth AI
It sounds like you've been dealing with a challenging situation regarding your femoral neck stress fracture. It's completely understandable to feel anxious when there's conflicting information from different medical professionals. Let's address your concerns step-by-step.
Main Points:
- Discrepancy in Assessments: It's not uncommon for radiologists and orthopedic specialists to have different interpretations of the same imaging studies.
- Management of Stress Fractures: Recovery typically requires careful management and a gradual return to activities.
- Individualized Approach: Each case is unique, and treatment plans can vary greatly depending on many factors.
Explanation:
The findings from your MRI suggest that there is indeed a stress fracture, and the periosteal edema indicates that your body is reacting to the injury. The orthopedic specialist's conclusion that nothing significant was seen may imply that they did not perceive the fracture as needing surgical intervention at this time or that they found it stable enough for some weight-bearing activities.
It's crucial to recognize that stress fractures can heal with time and appropriate modifications in activity. While your research about needing an extended period of non-weight-bearing activity may often apply, each case depends on its specifics, including your symptoms and the degree of the fracture.
Next Steps:
- Follow Up on the Bone Scan: Since your orthopedic doctor recommended a bone scan, this will give additional insights into the extent of the injury and healing progress. It's a good step to help clarify your condition.
- Limit Activities as Advised: Continue to comply with the guidance of avoiding running, weightlifting, or cycling. It’s important to allow your body the rest it needs during this healing process.
- Communicate Your Concerns: If you feel your questions weren’t addressed well during your appointment, consider reaching out for a follow-up discussion with your orthopedic specialist. Write down your concerns beforehand to ensure you cover everything important.
- Consider Physical Therapy: Once you’re cleared to begin rehabilitation activities, working with a physical therapist can help you safely regain strength and avoid further injuries.
- Be Patient: Healing from a stress fracture can take time. It's vital to give your body the time it needs to recover fully.
Your feelings of anxiety about this situation are valid, and approaching it with patience and the right support will help you heal effectively. Please continue to monitor your symptoms, and don’t hesitate to reach out if you experience any changes or increased pain.
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