I hope everyone is as well as can be expected? (Vain hope probably, but worth a try)!😉🤞Fingers also crossed for some nice bank holiday sunshine for everyone! (Cloudy here today).
I posted in February about how I'd very stupidly fallen down a couple of stairs and suffered a periprosthetic femur fracture. I'm now 18 weeks post-op, and it seems to be healing, albeit slowly. I'm still only partial weight bearing and trying (very slowly it seems), to progress from gutter frame to gutter type crutches. Next check-up due on 2nd June.
Just over a week ago, I spent 2 days at A&E after being advised to go by my rheumatologist following 11 days of severe back/rib pain which started (as it turns out by pure coincidence), a few hours after my 2nd covid vaccine. He was concerned it could be a blood clot on my lung. After various blood tests (inconclusive), a chest x-ray and a CT scan, I was told there was no blood clot. Unfortunately however, the CT scan did reveal a new T7 spinal compression fracture, and 3 old, healed rib fractures. I've had periods of rib pain over the years but just assumed it was RA. Obviously, not all of them were!
I have also had several stress fractures in my ankle (and many spells of being in plaster), prior to an ankle fusion in 2018, and one minor fracture in my pelvis.The fractures started to occur in about 2007. Unfortunately, these things are one of the big downsides of long-term steroid use and apparently, long-term severe RA. I take Adcal daily, and in the past have tried Actonel (Risedronate) and then Prolia (Denosumab) injections. Both were eventually stopped due to side effects and as my bone strength was then in the normal range, (it's never been particularly low), it was agreed I could have a break from treatment.
I saw my rheumatologist this Wednesday and he plans to get a new dexa scan. He'd also managed to arrange an MRI for 22nd June but unfortunately I'm due to have another minor op on the 21st June. This time on my "good" eye so I'm not sure what state I'll be in the next day! If it's blurry then I'll be in serious Mr Magoo territory as I'm blind in the other eye!! (Yes, RA again).🙄 I think the Rheumatologist is going to try and change the MRI date just to be on the safe side!
I think he's probably going to opt for a Zolendrate infusion for bone treatment. Has anyone had this, and if so, how was it - any nasty lingering side effects? He also mentioned the possibility of a small procedure called a Vertebroplasty (where you have cement injected into the fracture), to try and strengthen and stabilise the spine and relieve pain. I've got to wait for the results of the upcoming MRI to see if that's appropriate. Have any of you undergone a Vertebroplasty procedure? If so, was it worthwhile (and was it very painful)?
Has anyone else had an acute spontaneous compression fracture with no trauma? If so, how long before the pain recedes a little? I'm 3 weeks in now, and it's still very, very painful although I can mostly breathe a little bit easier. I'm taking 8 paracetamol and 8 tramadol per day without much relief and Oramorph through the night. The Rheumatologist recommended oramorph during the day too (4 hourly, but as often as hourly if necessary), but I'm really trying not to as I don't want to set off any tummy issues, etc. I am now 52 (in case that's relevant). This new fracture is definitely not related to my January fall, and my ankle fractures were always spontaneous with no trauma, but my ankle was quite deformed, which didn't help, and caused weakness.
Thanks so much for reading, and any advice or insights will be greatly appreciated.😊🤗