running pain

Question
I had an avulsion ischial fracture approximately 2 years ago, no surgery needed but it was close to needing surgery.  Injured myself while running and then ran a marathon 3 weeks later.  Initially misdiagnosed with a groin strain and sent to rehab...several months later, had another xray as I wasn't getting better and the fracture was identified.  I've had continued achiness since the fracture and speedwork during my runs really bothers me - will be sore for 2-3 days after a speed workout.  I've noticed increased achiness in the same area as the fracture but have never been pain free (I'm able to stand on kne leg so don't think kts factured again)...not sure if this is a soft tissue injury or if there is weakness at the previous injury site.  I have a series of marathons in a few months (multiple days of races in a row) and am a bit concerned.  Any advice?  Thank you!
Lori

Answer
Dear Lori,

This Orthopedic Chicago Podiatrist, Elmhurst Podiatrist & West Loop Podiatrist says.......
For your pelvic pain....
There is a chance that the fracture didn't heal completely bone to bone. Any excessive muscle pull will aggravate that area. My choice of therapy for these kinds of conditions is ultrasound & cross friction massage of the muscle fibers of that area. Also try to apply ice to tolerance-several times a day-45 minutes at a time. Also try maximum dose of an anti-inflammatory for 3-5 days-tapering off on day 4. What you describe is an overuse injury-and you should rethink the "several marathons." Remember that in the very first marathon the runner died---and so the point is that the body needs time to recover from extreme abuse.Your body needs time to heal.From your history-you never gave the fracture a chance to heal properly. Whenever I get injured in sports (skiing,martial arts,etc)-the more I push-the more the symptoms linger. I like to think am invincible-but I am not. When I take 3-4 months off(alter my routine to keep from aggravating my injury)-only then do I start to see some relief.

Good Luck!
The podiatrists of AnkleNFootCenters.com are specialists in foot & ankle orthopedics & sports injuries.

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661
AnkleNFoot.com
Runnersdoc.com
BabyFootDoc.com

DISCLAIMER:
This information is offered as free advice and as general information. It may not be applicable to the specific questioner and his/her problem.  It is not based on actual knowledge of the questioner or his/her medical history and it cannot and should not be relied upon as definitive medical opinion or advice.  Reliable medical opinion and advice can only be obtained through hands-on physical contact and exam of the patient to establish an accurate diagnosis and treatment plan.  No doctor/patient relationship is created or established here and may not be inferred through answers on this site.  The questioner and other readers must consult his/her own doctor before proceeding or implementing any suggestions contained within this document and answers on this site.  The questioner is only to act upon his/her own doctor抯 orders and recommendations. By reading this posting which follows, the reader fully understands and confirms that he/she holds harmless this writer. If this is not fully agreeable to you, the reader, and/or you have not attained the age of 18 years, you hereby are advised to read no further.