My Vit D is 48 - with "good" being over 34. My PTH intact, Mg, Phosphorus, Ca and ionized Ca are all normal - although my ionized Ca was 5.5(ref 4.8 - 5.6) - they checked all that stuff in May as screening for the last stress fracture. My PCP does not believe this is metabolic - says my last DEXA was too good for me to "suddenly" have osteo. She thinks that since all my fractures have been in the R leg - we need to look at the R leg. She is going to check out some stuff and get back to me. MRI: "There are band-like areas of increased STIR signal within the distal femoral bone marrow extending from the diaphysis into the metaphysis. These are most pronounced anteromedially, abutting the inner surface of the cortex. There is also less pronounced hyperintensity posterolaterally. In addition, there is curvilinear hyperintense signal outlining the anteromedial periosteum. The appearance is compatible with a stress fracture of the distal diaphysis......note is made of a small knee joint effusion." X-Ray: "...very localized area of smooth periosteal thickening which extends for a distance of about 1.5cm What is your take on the fracture site? I don't like that it goes to the metaphysis. I'm back to thinking that this had something to do with my fall - that is the area that I hit and I think the knee effusion was a result of that as well....and if it was, why didn't I have any symtoms for 10 days after the fall? I also have a "small bone island" in the proximal shaft - but I take it that is a normal site to have that. With the tibial fractures, it was extremely annoying and frustrating, but this is different, and I just have a "bad feeling" about it.

Abby - it does help. It just helps mulling things over with someone who understands the context. My PCP is in over her head too, she brought up Mayo again. She is checking with some other docs, but doesn't know what to order next. I think osteo is very unlikely, but I think we need to do redo DEXA at 1 year. DH says I just want to run again - and I do - but I don't have any desire to do that right now just because I don't feel well enough - I can't put my finger on it - I am tired, I feel like I have a low grade fever most of the time, and believe it or not, this time, I don't think it is my thyroid - my levels weren't off enough to explain me feeling this way. If the 24hr NTx comes back normal - I think it might be time to start looking at autoimmune stuff. I don't think they ever found out what caused your fracture either. I seem to recall that you were not doing a lot of running at the time. Did you have a bone biopsy? I hope that's not in my future. bone island thanks again - you hang in there too

I forgot to add: my surgery was May 9th. So about 7 months ago. And I agree - it is really sad when you know what bone pain feels like.

thanks, Runnergabe, good vibes appreciated. I now have an internal hip click - deep, muffled but audible, and pain on the inside of my groin - low grade ache. Have you noticed that whenever I try to pick up, and find something positive to focus on, another "issue" rears it's ugly head. I think the orthotics contributed to this. I think my pronation was compensating for issues in my hip/pelvis, and correcting the pronation put strain on areas that couldn't handle it. I think that's why I had so much trouble finding the right shoes after the last stress fracture. Of course, none of that really matters, but I am not going to get another set of orthotics. MTA: "We're discovering that cycling may contribute to bone loss in both men and women because it's not a weight-bearing activity. So cyclists should crosstrain for bone health. Weight training and jumping (like rope skipping) are helpful." Nice.....