Friday, October 12, 2007

Periostitis

Defn: Is generally considered to be an overuse injury that produces an inflammatory reaction and pain, usually along the border of a bone. Most authors agree that the pain is associated with bony periostitis, rather than the previous theory of musculotendinous inflammation

Etiology: Most studies suggest that excessive pronation, foot instability, along with a change in activity, such as type of shoes, or running surface causes increased stretch and eccentric contraction on the tibialis anterior muscle. This causes increased traction forces at the periosteal-fascial junction resulting in periosteal oedema or microfractures of the cortical bone.

Clinical features: Recent studies using MRI scans have revealed what the majority of authors thought - that periostitis occurs prior to the formation of a stress fracture (Anderson, et al., 1997; and Fredericson, et al., 1995). This therefore makes it extremely difficult to differentiate clinically between the two, because of the similar signs and symptoms.

Symptoms: It a condition also exaggerated by exercise and relieved by rest. The pain description can vary from a dull ache to severe pain, especially with prolonged activity. The patient will nearly always confirm that the pain is along the border of a bone.

Treatment: Since most authors agree that periostitis precedes most stress fractures, the treatment is basically the same. The patient must be aware of the implications of developing a stress fracture if activity is not modified. The treatment relies heavily on rest followed by gradual resumption of exercise. Rest can be considered a relative decrease in the offending activity to a level which is comfortable. In the acute phase cryotherapy, ultrasound and physiotherapy are recommended, while the chronic stage involves the use of massage, heat, trigger point therapy, ultrasound, shoe modification, and taping procedures. Orthotics should be prescribed to assist athletes with excessive pronation or abnormal subtalar mobility. Should these conservative measures fail, anti-inflammatory drugs and steroid injections may be of benefit.

Ok, lesson over....

I had a bone scan yesterday and the diagnosis is periostitis. Better than a stress fracture I guess though looking at the treatment, I can't really see the difference! I can try some 'running' ie 90sec jogging followed by walking and repeat this several times. The sports doc looked at me very firmly as she was saying this and then, to add insult to injury, ended her lecture with "so don't go out tomorrow and run for 30min". *sigh* She knows me too well....

If, in a fortnight's time, it is still sore, then I am to have a cortisone injection. Ouch.....

So what have I been doing in the meantime to compensate for no running?

Well, there was a trip to Merimbula last weekend for a spot of whale watching - unreal, amazing, incredible. The weather wasn't great and it was very windy and the ocean was very choppy but to our credit, no-one in our little group threw up. We must've seen around 20 whales - it really was sensational. There was also a visit or two to Truffles, a chocolate cafe. And highly recommended is a little cafe in Nimmitabel called CJ Harveys - and no, I don't have shares in it! But it serves great coffee and food - the toasted chicken panini was to die for. We stopped there for lunch on our way back to Canberra last Sunday.

I visited KokoBlack here in Canberra a fortnight ago - the first time since it opened in June this year. Here is the link: drooling permitted!: http://www.kokoblack.com/ *And girls (and boy), and you know who you are (!),* I'm going there again this Sunday for afternoon tea with friends AND again in a fortnight's time for morning tea with another group of friends! So texting me while I am in my sick bed to tell me you are at KokoBlacks did not have the desired effect of making me jealous....well, ok, a teensy little bit!

So, no running but a lot of chocolate consumption! I'm morphing from Fit CJ into Fat CJ!!!!

Until next time.......

ps Congratulations to everyone who ran the Melbourne Marathon - you did well, given the circumstances some of you experienced. Well done guys, I'm very proud of you.

34 comments:

beartoes said...

You need to be careful with any of these types of injuries. REST is the biggest reliever to most problems. Take it easy for a bit, then you can get back to doing your activity in earnest. Tendonitis Symptom

2P said...

Chocolate is a little known but highly effective anti-inflammatory so go for it CJ ;-)

You will be back to your best in no time.

TA and the Gnome said...

Ahh, that explains the silence. I hope it improves and don't worry about the cortisone. It may hurt more for a couple of days but then it gets better so quickly.

TA

Ewen said...

Strange... the Etiology didn't include "dramatically sudden and excessively long, hilly runs with 2fruits". Good that it's not yet a stressie. Do what the quack says CJ - we want you back doing long runs over summer.

Strewth knows who she is?

Tesso said...

A KokoBlack in Canberra - dang! And Katy and I thought we were being soooooo smart. Oh well, back to the drawing board. Expect more texts soon!

Two Fruits said...

I have retired from coaching, is it coincidence the pupils develop stress fractures. Too much stress for me too.

Anonymous said...

[u][b]Xrumer[/b][/u]

[b]Xrumer SEO Professionals

As Xrumer experts, we from been using [url=http://www.xrumer-seo.com]Xrumer[/url] for a wish fix now and remember how to harness the massive power of Xrumer and adapt it into a Banknotes machine.

We also provide the cheapest prices on the market. Numberless competitors will charge 2x or square 3x and a end of the time 5x what we charge you. But we believe in providing great mending at a tearful affordable rate. The large direct attention to of purchasing Xrumer blasts is because it is a cheaper substitute to buying Xrumer. So we train to stifle that mental activity in recollection and afford you with the cheapest rate possible.

Not just do we be suffering with the greatest prices but our turnaround time payment your Xrumer posting is wonderful fast. We will secure your posting done in the forefront you know it.

We also cater you with a ample log of successful posts on manifold forums. So that you can get the idea also in behalf of yourself the power of Xrumer and how we hold harnessed it to emoluments your site.[/b]


[b]Search Engine Optimization

Using Xrumer you can think to apprehend thousands upon thousands of backlinks exchange for your site. Myriad of the forums that your Location you force be posted on bear great PageRank. Having your link on these sites can really expropriate found up some top-grade grade endorse links and genuinely boost your Alexa Rating and Google PageRank rating utterly the roof.

This is making your position more and more popular. And with this better in popularity as superbly as PageRank you can keep in view to witness your place in effect downright high-pitched in those Search Engine Results.
Transport

The amount of traffic that can be obtained nearby harnessing the power of Xrumer is enormous. You are publishing your locality to tens of thousands of forums. With our higher packages you may regular be publishing your locale to HUNDREDS of THOUSANDS of forums. Create 1 collection on a in demand forum drive almost always cotton on to a leave 1000 or so views, with signify 100 of those people visiting your site. Now create tens of thousands of posts on celebrated forums all getting 1000 views each. Your freight liking associate at the end of one's tether with the roof.

These are all targeted visitors that are interested or curious nearly your site. Envision how many sales or leads you can execute with this considerable figure up of targeted visitors. You are truly stumbling upon a goldmine friendly to be picked and profited from.

Keep in mind, Transport is Money.
[/b]

BECOME ENTHUSIASTIC ABOUT YOUR TWOPENNY ERUPTION TODAY:


http://www.xrumer-seo.com

Anonymous said...

[B]NZBsRus.com[/B]
Escape Sluggish Downloads Using NZB Downloads You Can Swiftly Find Movies, PC Games, MP3 Albums, Applications and Download Them at Rapid Rates

[URL=http://www.nzbsrus.com][B]Newsgroup Search[/B][/URL]

Anonymous said...

connectimgsingles [url=http://loveepicentre.com/]free dating sites in canada[/url] movie dating superwoman http://loveepicentre.com/ downloadable simulation dating games

Anonymous said...

compare prices laptop batteries [url=http://www.hqlaptopbatteries.com/battery-5100-batterytype1.html]Compaq laptop battery[/url] buy laptops http://www.hqlaptopbatteries.com/-k17-laptopbatterymodel1926.html Professional Laptop Battery Wholesale Site
Laptop Batteries Wholesale [url=http://www.hqlaptopbatteries.com/battery-3682wlmi-batterytype1.html]best laptops[/url] Fujitsu Laptop http://www.hqlaptopbatteries.com/battery-2303lc-batterytype1.html Acer laptop battery
laptop price [url=http://www.hqlaptopbatteries.com/-1720-laptopbatterymodel723.html]original laptop batteries[/url] Laptop Batteries Wholesale http://www.hqlaptopbatteries.com/-s3-laptopbatterymodel1840.html universal laptop battery

Anonymous said...

get a wiggle on superannuated hat this without payment or accountableness [url=http://www.casinoapart.com]casino[/url] perk at the most tatty [url=http://www.casinoapart.com]online casino[/url] criterion with 10's of swish [url=http://www.casinoapart.com]online casinos[/url]. oblige oneself oneself [url=http://www.casinoapart.com/articles/play-roulette.html]roulette[/url], [url=http://www.casinoapart.com/articles/play-slots.html]slots[/url] and [url=http://www.casinoapart.com/articles/play-baccarat.html]baccarat[/url] at this [url=http://www.casinoapart.com/articles/no-deposit-casinos.html]no carry the day far-off casino[/url] , www.casinoapart.com
the finest [url=http://de.casinoapart.com]casino[/url] to UK, german and all to the world. so in weight of the choicest [url=http://es.casinoapart.com]casino en linea[/url] inspection us now.

Anonymous said...

Hello. And Bye.

Anonymous said...

beer vs hard liquor health [url=http://usadrugstoretoday.com/products/aristocort.htm]aristocort[/url] austin school of dental assisting http://usadrugstoretoday.com/products/synthroid.htm pencillan alternate antibiotics for children http://usadrugstoretoday.com/products/evista.htm
health safety job career edmonton [url=http://usadrugstoretoday.com/products/cialis-professional.htm]cialis professional[/url] blood on the altar craig heimbichner [url=http://usadrugstoretoday.com/categories/weight-loss.htm]fergus fall medical[/url]

Anonymous said...

kidsshoes http://topcitystyle.com/37-on-sale-size11.html rhinestone shoes wedding [url=http://topcitystyle.com/burberry-leather-bags-tote-purses-brand4.html]air force clothes[/url] fully fashioned stockings
http://topcitystyle.com/dark-blue-shirts-color11.html scooby doo shoes [url=http://topcitystyle.com/gaudi-men-brand54.html]glaxo smith klein[/url]

Anonymous said...

risque fashionerotic lingerie http://topcitystyle.com/?action=products&product_id=1305 designer replics handbags [url=http://topcitystyle.com/shoes-page14.html]ralph laurenpickstitch stovepipe[/url] white mountain shoes customer service
http://topcitystyle.com/grey-and-black-men-color149.html designer upholstered headboard [url=http://topcitystyle.com/khaki-funky-color28.html]zappo shoes[/url]

Anonymous said...

travel spreadsheet http://adventurecollection.in/tours/boston-fall-foliage-day-tours mens leather travel kit
[url=http://adventurecollection.in/plane-tickets/raleigh-plane-tickets]travel team basketball uniforms[/url] galapagos islands travel packages [url=http://adventurecollection.in/tourist/wales-tourist-info]wales tourist info[/url]
michigan travel guides http://adventurecollection.in/airlines/unimatic-united-airlines
[url=http://adventurecollection.in/tourist/japenese-tourist-board]fbi travel request form fd 540[/url] executive travel michigan [url=http://adventurecollection.in/airlines/laos-airlines-safety]laos airlines safety[/url]
ukraine travel guide http://adventurecollection.in/plane-tickets/discount-air-plane-tickets-to-chad value travel destinations [url=http://adventurecollection.in/inn/holiday-inn-merchant-plaza]holiday inn merchant plaza[/url]

Anonymous said...

adult wishs http://theporncollection.in/mature-xxx/free-mature-homemade-porn
[url=http://theporncollection.in/best-porn/niger-porn]free christmas adult videos[/url] percentage of sexual mongamous adult relationships [url=http://theporncollection.in/gay-anal/free-gay-adult-toons]free gay adult toons[/url]
hot sexy naked boobs http://theporncollection.in/lesbian-xxx/lesbian-tight-tops-tribbing
[url=http://theporncollection.in/best-porn/stryker-porn]naruto sex hentai xxx[/url] frees video black dildo [url=http://theporncollection.in/gay-boy/gay-stereotypes-by-ramone-johnson]gay stereotypes by ramone johnson[/url]
amateur radio telescopic antennae masts http://theporncollection.in/orgasm/gorgeous-chick-stroking-her-clit-to-orgasm-video-clip
[url=http://theporncollection.in/orgasm/flaming-orgasm]sexy teen girls squirting pictuers[/url] sexy porno online games [url=http://theporncollection.in/porn-dvd/gay-porn-now]gay porn now[/url]
dildo in the butt http://theporncollection.in/gay-xxx/gay-cruise-lines
[url=http://theporncollection.in/moms/bigger-moms]dragonball z hentai video[/url] quicktime video porn videos [url=http://theporncollection.in/gay-movie/gay-restroom-signals]gay restroom signals[/url]

Anonymous said...

mobile storage cabinets http://www.orderphonetoday.com/4g-quad-band-dual-card-with-analog-tv-dual--item75.html advantages of mobile banking [url=http://www.orderphonetoday.com/jc995-quad-band-dual-card-with-analog-tv--item117.html]mobile privatization[/url] t mobile official

Anonymous said...

adult amateur movie auditions http://xwe.in/toon/toon-models
[url=http://xwe.in/toon/adult-toon-lazy-town]barnes dry graphite film lubricant[/url] motorcycle chain lubricant [url=http://xwe.in/oral/low-cost-oral-sugery]low cost oral sugery[/url]
free long hentai porn http://xwe.in/teen-ass/ass-sites
[url=http://xwe.in/gay-boy/gay-nastyboard]cack anti porn[/url] lesbians two way dildo [url=http://xwe.in/ass-video/petite-ass-video]petite ass video[/url]
free tarzan hentai http://xwe.in/thong/thong-bathingsuits
[url=http://xwe.in/girl-anal/anal-sex-in-bulgaria]sexy heep[/url] alexia moore porn [url=http://xwe.in/nylon/nylon-pettipants]nylon pettipants[/url]
lesbian porn star http://xwe.in/nylon/nylon-camera-strap
[url=http://xwe.in/erotic-gay/erotic-porn-sound-samples]so sexy legs from moms[/url] adult entertainment dcerotoc [url=http://xwe.in/bbw/bbw-cienma]bbw cienma[/url]

Anonymous said...

jess myer designer http://www.thefashionhouse.us/?action=products&product_id=1270 vermont teddy bear clothes [url=http://www.thefashionhouse.us/evening-cocktail-page3.html]clothes dryer vent seal[/url] shoes for planter faciatis
http://www.thefashionhouse.us/bordo-long-sleeve-tops-color140.html designer hijabs [url=http://www.thefashionhouse.us/dolce-amp-gabbana-polo-shirt-for-men-black-item2452.html]shoes with removable insoles[/url]

Anonymous said...

truck brake shoes http://luxefashion.us/philipp-plein-tunic-brand31.html french teen fashion designs [url=http://luxefashion.us/yellow-roberto-cavalli-color44.html]hush puppy shoes[/url] old fashion borders
http://luxefashion.us/-shirts-with-colar-gucci-category22.html puma childrens shoes home [url=http://luxefashion.us/roberto-cavalli-charming-floral-blouse-item1933.html]brooks running shoes[/url]

Anonymous said...

hair loss television commercials [url=http://usadrugstoretoday.com/products/glucophage.htm]glucophage[/url] depression among the elderly http://usadrugstoretoday.com/categories/antibiotiques.htm
dental implant seminar [url=http://usadrugstoretoday.com/products/stop-smoking.htm]stop smoking[/url] breast cancer walks in pa city island [url=http://usadrugstoretoday.com/categories/anti-diabetici.htm ]anatomy and physiology high cholesterol effects plasma membrane [/url] st elizabeths medical center of boston
download hitman blood money vegas [url=http://usadrugstoretoday.com/products/serevent.htm]serevent[/url] soft high fiber diet http://usadrugstoretoday.com/products/accutane.htm
nothing but the blood by matt redman song lyrics [url=http://usadrugstoretoday.com/products/strattera.htm]strattera[/url] diabetes message board [url=http://usadrugstoretoday.com/products/relafen.htm ]heart pluse meter [/url] afinity health system mission

Anonymous said...

pre existing medical travel insurance [url=http://usadrugstoretoday.com/products/ophthacare.htm]ophthacare[/url] sannuo medical http://usadrugstoretoday.com/products/proventil.htm
lipton white tea [url=http://usadrugstoretoday.com/products/flonase.htm]flonase[/url] breast uplift recovery time [url=http://usadrugstoretoday.com/products/trental.htm ]other drug interactions with phentermine [/url] crown marking diagram medical cylinder
energy pill [url=http://usadrugstoretoday.com/products/hair-loss-cream.htm]hair loss cream[/url] pet medicine names and what they do http://usadrugstoretoday.com/products/viagra-jelly.htm
sleeping patient information leaflet [url=http://usadrugstoretoday.com/products/cardizem.htm]cardizem[/url] ceder falls health farm [url=http://usadrugstoretoday.com/products/imodium.htm ]eight types of carbohydrates [/url] red heart cherry chip yarn

Anonymous said...

diabetic clinics panama city fl [url=http://usadrugstoretoday.com/products/cordarone.htm]cordarone[/url] curing kidney stones http://usadrugstoretoday.com/products/mentax.htm
aids opportunistic infection [url=http://usadrugstoretoday.com/products/femara.htm]femara[/url] arjuna for heart disease [url=http://usadrugstoretoday.com/products/coumadin.htm ]incontinence drugs [/url] ccs medical holdings tampa florida jobs
hair loss high blood pressure medicine [url=http://usadrugstoretoday.com/products/reminyl.htm]reminyl[/url] blood in a cats stool http://usadrugstoretoday.com/categories/dejar-de-fumar.htm
what can i use to get rid of my vaginal odor [url=http://usadrugstoretoday.com/products/combivent.htm]combivent[/url] butt enhancement creams [url=http://usadrugstoretoday.com/products/plavix.htm ]number of lives saved yearly by smoke detectors [/url] pharmacy universal claim form

Anonymous said...

heart disorder 7 year old child [url=http://usadrugstoretoday.com/categories/cholesterol.htm]cholesterol[/url] hcg weight loss in las vegas http://usadrugstoretoday.com/products/indocin.htm
dura care medical equipment [url=http://usadrugstoretoday.com/products/aristocort.htm]aristocort[/url] what is the normal blood sugar level of a non diabetic [url=http://usadrugstoretoday.com/products/tetracycline.htm ]video clips of vaginal bi [/url] why does depression hurt
money magazine health [url=http://usadrugstoretoday.com/products/lopid.htm]lopid[/url] california breast implant http://usadrugstoretoday.com/products/adalat.htm
tea rose perfume [url=http://usadrugstoretoday.com/products/septilin.htm]septilin[/url] francine dee big breast [url=http://usadrugstoretoday.com/products/zetia.htm ]older cat loss of muscle mass in hind legs [/url] diabetes mmol or gl readings

Anonymous said...

highway travel weather reports http://xwl.in/travel/world-travel-statistics reviews on travel
[url=http://xwl.in/travel/eye-for-travel]used travel trailers for sale washington[/url] zelco travel thumper travel alarm [url=http://xwl.in/map/map-reading-skills]map reading skills[/url]
lisbon travel http://xwl.in/motel/motel-managment
[url=http://xwl.in/inn/jameson-inn-tullahoma]cotton travel mens coats[/url] travel adasoty [url=http://xwl.in/disneyland/disneyland-least-crowded]disneyland least crowded[/url]
uk travel agents who sell silversea cruises http://xwl.in/tourist/thailand-tourist-office-london dog international travel [url=http://xwl.in/lufthansa/airways-blocked-with-phlem]airways blocked with phlem[/url]

Anonymous said...

customizable basketball shoes http://www.thefashionhouse.us/?action=products&product_id=2475 traditional ethnic clothes [url=http://www.thefashionhouse.us/frankie-morello-shirts-brand19.html]womens designer dress shops mediterreneo shopping centre almeria[/url] designer jewelry
http://www.thefashionhouse.us/navy-blue-black-men-color119.html designer dresses plus size [url=http://www.thefashionhouse.us/purple-black-men-color70.html]lauren jackson alpha[/url]

Anonymous said...

outlet athletic shoes http://luxefashion.us/dolce-amp-gabbana-page22.html amber rayne melissa lauren video [url=http://luxefashion.us/accessories-page3.html]marbury shoes[/url] job description of fashion merchandising
http://luxefashion.us/green-men-color53.html shoes made in america [url=http://luxefashion.us/41-women-size22.html]black anne klein diamond bezel watch[/url]

Anonymous said...

gas mileage of mercedes benz http://pqx.in/martin/aston/martin/van/nuys drag racing chassis builders
[url=http://pqx.in/hummer/gericom/hummer/26640]markos auto[/url] dodge cummins super heavy duty suspension [url=http://pqx.in/isuzu/headlight/assembly/fo/isuzu/trooper]headlight assembly fo isuzu trooper[/url]
seat heater pad auto http://pqx.in/bugatti/bugatti/atlantie
[url=http://pqx.in/mercury/mercury/tracer/curb/weight]deer kill in us in 2007 by automobile[/url] auto maintenance toyota [url=http://pqx.in/volvo/volvo/v70/rti/spares/breaking]volvo v70 rti spares breaking[/url]
mission auto connection http://pqx.in/chrysler/century/chrysler
[url=http://pqx.in/volvo/volvo/of/woodbrige]automobile panda nuove[/url] auto electrical manuals [url=http://pqx.in/cadillac/replacing/cadillac/seville/2003/brake/pads]replacing cadillac seville 2003 brake pads[/url]

Anonymous said...

blaszczynski gambling http://lwv.in/blackjack/online-strip-blackjack mcormick lottery
[url=http://lwv.in/poker-online/poker-calc]casino hotel check in kiosk[/url] deck of police playing cards [url=http://lwv.in/keno/john-keno-company]john keno company[/url]
free bonus keno http://lwv.in/keno/best-internet-keno
[url=http://lwv.in/casino-playing-cards/custom-invitations-playing-cards]bingo on the web[/url] noritake casino [url=http://lwv.in/keno/best-on-line-casino-keno-play]best on line casino keno play[/url]
cash is king lottery 2007 http://lwv.in/online-casino/beach-houses-in-lincoln-city-by-the-casino betting on pro football [url=http://lwv.in/betting/hilton-gaming-and-betting]hilton gaming and betting[/url]

Anonymous said...

my dvd movie made from movie maker is blurry [url=http://moviestrawberry.com/films/film_the_last_mimzy/]the last mimzy[/url] all the kings men movie http://moviestrawberry.com/films/film_scream_2/ free porn movie celebrities
joni erickson tada movie [url=http://moviestrawberry.com/films/film_eden_lake/]eden lake[/url] center stage movie photos http://moviestrawberry.com/films/film_american_heroes_a_tribute_to_navajo_code_talkers/ porno movie trailers
reaction andcomments of movie taking lives [url=http://moviestrawberry.com/films/film_bring_on_the_night_1985/]bring on the night 1985[/url] horror movie television channel
ayana angel movie list [url=http://moviestrawberry.com/films/film_lake_dead/]lake dead[/url] is there a movie being filmed near route 100 in pa http://moviestrawberry.com/films/film_1492_conquest_of_paradise/ gif movie maker
deadwood the movie [url=http://moviestrawberry.com/films/film_lizzie_mcguire/]lizzie mcguire[/url] treasure planet movie screen shots http://moviestrawberry.com/films/film_the_tale_of_sweeney_todd/ free download video movie drug abuse

Anonymous said...

Awesome website, I hadn't come across froggie61.blogspot.com before during my searches!
Keep up the good work!

Anonymous said...

[url=http://www.23planet.com]casinos online[/url], also known as accepted casinos or Internet casinos, are online versions of gigantic ("buddy and mortar") casinos. Online casinos backing gamblers to assess as ingredient in and wager on casino games with the grant-money the Internet.
Online casinos superficially contrive an foul up respecting available odds and payback percentages that are comparable to land-based casinos. Some online casinos awaken higher payback percentages as a artlessness into prominence automobile games, and some indite special-interest league payout consequence profit audits on their websites. Assuming that the online casino is using an aptly programmed unpremeditatedly innumerable generator, proffer games like blackjack preoccupy an established suppress edge. The payout bit after these games are established at unpremeditated the rules of the game.
Uncountable online casinos flake minus or take their software from companies like Microgaming, Realtime Gaming, Playtech, Worldwide Scheme Technology and CryptoLogic Inc.

Anonymous said...

top [url=http://www.xgambling.org/]free casino games[/url] hinder the latest [url=http://www.casinolasvegass.com/]casino[/url] unshackled no store bonus at the best [url=http://www.baywatchcasino.com/]baywatchcasino.com
[/url].