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re: OT Runners: help me diagnose a foot ailment

Posted on 1/28/17 at 5:36 pm to
Posted by GEAUXT
Member since Nov 2007
29241 posts
Posted on 1/28/17 at 5:36 pm to
quote:

KG6


That sounds like peroneal tendonitis as well. A big part is finding particular shoes that work for you.

Newtons and altras are both good shoes, however I have tried them and just couldn't get into them. There are almost no shoes that will provide the support and stability that a good OTC or even more so prescription orthotic will.

Also, the problem with changing your gait instead of addressing the problem is that it can lead to other problems. You will probably end up precipitating plantar fasciitis.
Posted by SouthernHog
Arkansas
Member since Jul 2016
6201 posts
Posted on 1/28/17 at 5:37 pm to
quote:

Eta: I'm drinking so hurry and answer before I lose interest



The most "OT" answer ever sir, have an upvote!
Posted by TigahJay
New Orleans
Member since Sep 2015
10552 posts
Posted on 1/28/17 at 5:38 pm to
Stress fracture
Posted by GEAUXT
Member since Nov 2007
29241 posts
Posted on 1/28/17 at 5:58 pm to
Well I'm kinda buzzed and feel like answering foot questions now.

Dr. GEAUXT will see you know
Posted by Scooby
Member since Aug 2006
1881 posts
Posted on 1/28/17 at 7:18 pm to
Dr. Geauxt, I have pain on the plantar aspect of my 2nd metatarsal head at times when running. Feels like fluid. More of a discomfort. Any ideas?
This post was edited on 1/28/17 at 7:19 pm
Posted by tke_swamprat
Houma, LA
Member since Aug 2004
9759 posts
Posted on 1/28/17 at 7:32 pm to
Could be a neuroma. Get it injected!
Posted by Scooby
Member since Aug 2006
1881 posts
Posted on 1/28/17 at 7:36 pm to
I didn't think neuromas happened at the 2nd. They normally occur at the 4th. It goes away with some rest.
Posted by GEAUXT
Member since Nov 2007
29241 posts
Posted on 1/28/17 at 7:58 pm to
quote:

I didn't think neuromas happened at the 2nd. They normally occur at the 4th. It goes away with some rest.


You are correct, neuromas are not as common in that area.

More likely it is a capsulitis, or what is called "predislocation syndrome"

It usually occurs with a longer 2nd metatarsal or shorter 1st metatarsal.

I've got two simple remedies to try...

1. Try taping the 2nd toe down. This will take load off the joint

2. Try a metatarsal head pad or an orthotic that is not full length and stops just before the ball of the foot. This will offload the metatarsal heads and reduce strain on the joint

This post was edited on 1/28/17 at 8:00 pm
Posted by GEAUXT
Member since Nov 2007
29241 posts
Posted on 1/28/17 at 8:00 pm to
Also, try and avoid very flexible shoes and any squatting on the ball of your foot
Posted by Scooby
Member since Aug 2006
1881 posts
Posted on 1/28/17 at 8:10 pm to
Thanks doc. When I walk normally, it feels like my toes don't touch the ground, and I think I'm loading on the metatarsals when I run. The insoles make sense.
Posted by GEAUXT
Member since Nov 2007
29241 posts
Posted on 1/28/17 at 8:14 pm to
My pleasure.

If you toes are not purchasing the ground then that retrograde force will force the metatarsal heads to plantarflex predisposing you to capsulitis and joint pain

I'd definitely recommend a good 3/4 length insole (Spenco is a really good brand)
Posted by YipSkiddlyDooo
Member since Apr 2013
3636 posts
Posted on 1/28/17 at 8:18 pm to
why don't you tell him to skip the inserts and go straight to a weil with plantar plate repair? pussy.
Posted by GEAUXT
Member since Nov 2007
29241 posts
Posted on 1/28/17 at 8:25 pm to
quote:

why don't you tell him to skip the inserts and go straight to a weil with plantar plate repair? pussy.


Bruh, this is forefoot stuff...not an ankle fx. Leave it to the experts

And I hate weils. Give me a partial met head resection all day
This post was edited on 1/28/17 at 8:26 pm
Posted by Vegas Eddie
The Quad
Member since Dec 2013
5976 posts
Posted on 1/28/17 at 8:27 pm to



Must not run much
Posted by Scooby
Member since Aug 2006
1881 posts
Posted on 1/28/17 at 8:27 pm to
Adults are taking here. Go try another thread.
Posted by GEAUXT
Member since Nov 2007
29241 posts
Posted on 1/28/17 at 8:31 pm to
He's a podiatrist too and my padnuh. He just likes to be a dick
Posted by tke_swamprat
Houma, LA
Member since Aug 2004
9759 posts
Posted on 1/28/17 at 8:47 pm to
Or bypass orthotics and get some Altras, Hokas,etc and see if that helps. I love the forefoot on the Altras!
Posted by Scooby
Member since Aug 2006
1881 posts
Posted on 1/28/17 at 8:53 pm to
Haha. Gotcha. Didn't realize podiatrists were so prevalent on TD.
Posted by BarcelonaLSU
Bossier City, LA
Member since Feb 2011
109 posts
Posted on 1/28/17 at 11:11 pm to
I'd really like to hear your explanation of ankle/foot mechanics during running. At what point in the gait cycle of running would the peroneals be resisting inversion of the foot/ankle?
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