Differential dx? Stress fracture or DJD?

I was at a convention last week. I'll admit I was wearing crappy shoes (flat, no arch support), and hoofing it up and down the McCormic center. I exercise and am not overweight, and I've done some hiking, but I never had the kind of pain that I got around late morning of the second day. Under my left ankle, sort of wrapping around to the underside of the left edge of my foot. It felt like a sprain type of pain, and that's what I thought it was.

Over the next two days it got worse, very painful in the morning (I could barely walk) or if I sat for a while, but once I warm it up a bit I can hobble and by the end of the day walk on it.

I went to the ER when I got home and he said that the x-ray was negative for a fracture, but I had a bunch of bone spurs and signs of osteoarthritis, and that my pain was caused by DJD, and welcome to getting old. I was mystified as to how one has a sudden acute onset of osteoarthritis on a Friday morning, especially when I don't have a family history of it, but he said that it was probably a flair-up, and I'd injured my foot a lot over the years, and wrote me a script for some ketoprofin. He showed me some nobby bumps on his knuckle caused by the same thing, but I don't have anything like that.

I've been using a cane to take some of the pressure off my foot since then (about 6 days) because I'm a teacher, but it still aches like crazy when I sit or when it gets cold, or sometimes just from standing. My son called from the Army and said he'd gotten a stress fracture and was on leave for a bit, and that the first x-ray was negative. I'm wondering if I should go in for a second x-ray, or to a different doc for a second opionion? At the end of the day there is a little swelling over the pain.

Posted By Misty on August 31, 2002 at 06:59:59:

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