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Message
re: OT Runners: help me diagnose a foot ailment
Posted on 1/28/17 at 5:36 pm to KG6
Posted on 1/28/17 at 5:36 pm to KG6
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 on 1/28/17 at 5:37 pm to GEAUXT
quote:
Eta: I'm drinking so hurry and answer before I lose interest
The most "OT" answer ever sir, have an upvote!
Posted on 1/28/17 at 5:58 pm to SouthernHog
Well I'm kinda buzzed and feel like answering foot questions now.
Dr. GEAUXT will see you know
Dr. GEAUXT will see you know
Posted on 1/28/17 at 7:18 pm to GEAUXT
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 on 1/28/17 at 7:32 pm to Scooby
Could be a neuroma. Get it injected!
Posted on 1/28/17 at 7:36 pm to tke_swamprat
I didn't think neuromas happened at the 2nd. They normally occur at the 4th. It goes away with some rest.
Posted on 1/28/17 at 7:58 pm to Scooby
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 on 1/28/17 at 8:00 pm to GEAUXT
Also, try and avoid very flexible shoes and any squatting on the ball of your foot
Posted on 1/28/17 at 8:10 pm to GEAUXT
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 on 1/28/17 at 8:14 pm to Scooby
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)
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 on 1/28/17 at 8:18 pm to GEAUXT
why don't you tell him to skip the inserts and go straight to a weil with plantar plate repair? pussy.
Posted on 1/28/17 at 8:25 pm to YipSkiddlyDooo
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 on 1/28/17 at 8:27 pm to YipSkiddlyDooo
Adults are taking here. Go try another thread.
Posted on 1/28/17 at 8:31 pm to Scooby
He's a podiatrist too and my padnuh. He just likes to be a dick
Posted on 1/28/17 at 8:47 pm to GEAUXT
Or bypass orthotics and get some Altras, Hokas,etc and see if that helps. I love the forefoot on the Altras!
Posted on 1/28/17 at 8:53 pm to GEAUXT
Haha. Gotcha. Didn't realize podiatrists were so prevalent on TD.
Posted on 1/28/17 at 11:11 pm to GEAUXT
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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