Foot osteoporosis

Hi @kars, I'm just wondering how you're getting on, and if you found out anymore about what is/was causing your foot pain.

Yes, same recent problem. MRI showed tendonitis, drop in hormones can increase this.

I have struggled with two stress fractures that took a long time to heal. Just curious, what kind of insoles do you use? I have found that a topo athletic shoe works the best for me as it is wide toebox. I have custom-made orthotics that I don’t feel are super helpful. Thank you so much.

I am not sure the name of them, I buy them on Amazon. I think they are called " Power Step".
I hope this helps.

Hello. I have severe osteoporosis but very active. About 6 months ago my feet and ankles started hurting. My rheumatologist ordered X-rays which showed minor arthritis. She then ordered MRI’s which showed minor narrowing between the joints on both ankles and degeneration on both feet in the hind and mid-section. I’m in physical therapy in hopes of some relief. I play pickleball, lift weights/bands, cardio and bone loading exercises but make sure I’m wearing supportive shoes. Some days no pain, some days more. I am on Tymlos daily injections since June of 22 and wondered if it was a side effect from thaw meds. Others on this med have complained of foot pain but doc and drug company says no evidence of that. I’ll keep doing what I do, till I can’t. Hope you find relief, it’s a bit disheartening. Rose 🌹

dooshie, tymlos can cause high uric acid levels which could be affecting your feet. Separately,
joint pain is a commonly listed side effect of Tymlos.
You might try two weeks or a month of hiatus from the drug. At brief holiday from the drug at this venture could be advantageous for your bones. You wouldn't start losing bone for six months and could benefit from the reapplication of teriparatide which is said to be as advantageous as the first. And you'd find out if it is affecting your feet, which I suspect.

@dooshie, I am also on Tymlos, but only 40mcg. I broke my left foot 2nd metatarsal 8 weeks ago while on 20mg, then slowly increased to 40mcg. I am not healing when I should be. I went to the podiatrist this morning and he wants me to wear the boot for another 2 weeks. It is driving me crazy not to be able to do anything weight bearing for my bones. I also have arthritis in my foot. I wonder if the Tymlos is making my metatarsal weaker because it is mostly cortical bone. I have learned from others posting on this website that the medicine is meant to help with trabecular bones especially the spine. There is some mention in the literature that PTH, the hormone that Tymlos increases, can make cortical bone weaker.

I have osteoporosis and I've been taking alendronate for four years. I have a stress fracture at the base of the second metatarsal. It's been a year since it occurred and it's not healing. Officially, it's been diagnosed as a non-union fracture. I talked to my podiatrist about why my fracture isn't healing. He said it's likely a combination of osteoporosis, my age (I'm 71), and alendronate. I'm now on a bone growth stimulator (week 7). I guess I'll know if it's working in a few more months but I don't feel or see a change in my foot.

Thanks @mev123 for your comment. What is a bone growth stimulator? Does it shake your foot?

The one I have is based on pulsed electromagnetic field (PEMF). I wear it three hours a day minimum. It's supposed to promote healing at the fracture site. I cannot feel it. It doesn't shake my foot. The stimulator prescribed to me is made by Orthofix.
https://bonegrowththerapy.com/