Between PF and fracture!

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After a 31 mile run I developed pain at the bottom of the foot. The pain is not in the heel but more towards the middle of the foot and it does NOT hurt first thing in the morning. Actually, it feels better after I have rested. There is no bruising or visible inflammation and it only hurts when I walk. I cannot reproduce the pain by pressing anywhere on the foot, and I have pressed the metatarsals, the calcaneous, the navicular bone, ..., etc. I am also able to stand on the ball of my foot without pain. Lastly, it does NOT hurt when I walk as long as I land on my heel. Please helppp! 

1 like, 9 replies

9 Replies

  • Posted

    sounds like your achilles tendon. You have two choices. one wear higher arches in your shoes.  check out happy feet for a shoe insert. when mine gets really bad i wear a heel lift in my shoe.  when the heel is lifted in the shoe it takes pressure off the achilles. i have been to the orthopedic about this and he gave me the little heel to put inside my shoe. don't wait to long on this. i didnt realize what it was and suffered for 7 mos with this. I had to wear that heel insert for 7 mos until my achilles had time to heal.

    also check out exercises to do online for achilles. which are basically standing on the edge of the stairs and raising up on tip toes to stretch out your achilles. i am suffering from this right now. i also have a boot i can wear when i am sleeping to keep my foot in the flexed position. my foot does not hurt anywhere when i push on it. but with time if you don't take care of it you will develop a bump on the back of your ankle as your achilles will become inflamed.

    hope this helps spread insight on what it is

     

    • Posted

      Thanks Nancy, but the pain is at the bottom of the foot. It is not the Achilles tendon.
  • Posted

    I understand this. it is a common problem that starts with fallen arches. I used to be a long distance runner too and this problem is common. you feel the pain under your foot it is your arches falling due to achilles tendon issues. you could read about it online. it happens to long distance runners whose shoes do not provide the right support to their feet.
    • Posted

      I still don't understand what the Achilles have to do with the arches. The arches are held up by the posterior tibial tendon, and I don't have any pain along that tendon. I also looked at my arches, as did several other people when I was having my gait analyzed, and the arches appear normal.  

  • Posted

    Is your second toe longer than your big toe?  Mine are (well, one still is), and eventually age caught up to bad anatomy.  I had pain in the ball of my foot that was hard to pinpoint and that went away after rest but returned with activity.  Finally it hurt all the time, and I had surgery last December to shorten the 2nd metatarsal and repair all the ligaments surrounding it that had torn.  Now my other foot hurts with activity.  Sigh - same bad anatomy in both feet.  I suggest you see a good podiatrist who can run diagnostic tests (probably an MRI) to see what's going on.  Good luck!  Keep us posted.

  • Posted

    I understand this. I have high arches also. But until  I added arch supports in my running shoes the pain you are describing turned into Achilles problems for me. Yes u may be different. But I think your running shoes don't have enough arch support. 

    • Posted

      I don't have high arches. And I do not overpronate (have had a couple of gait analyses already), so no support needed. In fact, shoes with support for people that do not need it could lead to peroneal tendon problems, especially if the person supinates. 

  • Posted

    I'm guessing over use, especially due to the mileage. An Achilles issue would not be my first guess and due to location, plantar fasciitis is out of the mix too. Due to the amount of bones in the midfoot this area is definitely prone to arthritis but since it doesn't sound like you've experienced this pain in the past, arthritis is out...which is a good thing. 

    Lisfranc is certainly a possibility and something you might want to read up on. In any case, rest and additional support (shoe, inserts, etc.) should help you bio-mechanically address the issue.

    Good Luck, 

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