Dr Blake's comment: You can get an idea of AVN from MRI, but CT Scan denoting bone fragmentation is the best test, just more radiation.
The DPM immediately tried to arrange for a bone stimulator and she wanted her immobilized again. We also sought a second opinion from a pediatric orthopedic because teachers and family felt it was important. She understood by the time we saw the orthopedic that Worlds was out, and we saw the MRI pic ourselves (clearly it was not normal to our untrained eyes). She asked him what she needed to do to heal. He said a cast for 3 wks non-weight bearing, then a boot for another 2 wks non-weight bearing and start an Exogen unit. She was allowed to start weight-bearing last Thursday but we were traveling for Worlds so I had her continue with a scooter. She is now walking in the boot and is not having pain. In addition, she has seen a chiropractor during this time who has done some ART (Active Release Technique) for her left calf and arch and right hip and foot since it was getting the brunt with the crutches. We were supposed to go back to the orthopedic this week, but knew he would not do any X-rays or MRI yet so I called and she is to start PT this week. The PT can release her from the boot, and she’ll go into a carbon fiber plate and at some point back to activity. She is chomping at the bit to get back, but very concerned she do it correctly so she doesn’t re-injure it. My questions are: