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Foot injury - stress fracture or soft tissue????

Thursday, February 10, 2011

Last week all of a sudden, out of the blue, I had a terrible pain in the top of my right foot.
It got progressively worse and I could hardly walk. The next day I saw my family doc (mistake!) and she was not very helpful (not having a clue about sports injuries) but sent me for ultra sound and x -ray.
The ultra sound showed significant swelling and x-ray was clear (which is sometimes the case with stress fractures). So no definitive diagnosis (and I'm not prepared to go for a bone scan - just too expensive. Especially when rest is only treatment required in the long run, whatever the injury is).

I then saw a sports doctor(who has lots of road running experience being a multiple IM and Comrades finisher) on Tuesday. She gave me an anti-inflammatory/cortisone shot directly into the most painful area and strict instructions to rest my foot completely (no cycling, swimming, minimal walking) for one week.
I'm also using TransAct patches and Arcoxia tabs (NSAID).

Having follow up consultation on Wednesday. If foot significantly better by then, then injury was/is probably just a soft tissue injury, but if still painful then more likely a stress fracture which will require even more rest. I’m hoping it’s going the soft tissue way!

I must say my foot feels MUCH better today (although something still feels wrong) and last night I eventually managed to have a really good sleep (previously foot throbbing, too uncomfortable and achy).

But still no way I can make up the training I have lost, and I am missing my 32K run this coming weekend. I was also supposed to run a qualifying marathon either end of this month or beginning March for the Two Oceans Ultra Marathon in April, but that is not going to happen now.
So I have scrapped this year’s Comrades in my mind – very disappointing. (Spent weekend feeling very depressed!)

So will shift my focus on losing this excess weight (it really is NOT good to do distance running carrying excess weight!) and improving my speed (want to run a very comfortable sub 2 hr HM) to be in top form for next year instead.

A whole lot of new opportunities are already beckoning me....might get back onto my road bike for a ride on the road (instead of just on the trainer), and also start mountain biking (there's a great ladies group that goes on out-rides in my area).

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Member Comments About This Blog Post
    Please take care and don't go to soon on the run..

    I am sorry that you will miss your race :( but you have so many to come if you just skip this one..

    3728 days ago
    Enjoy the cortisone honeymoon while it lasts! I hope it's just soft tissue. Perhaps you will find, as I have, that with less running comes a reduced appetite. I have been sticking to a food plan religious for almost one month. Would like to be losing more, but I am happy about losing consistently.

    I'm glad you are getting things taken care of right away.

    I would love to do Comardes. Maybe in 2012.
    3742 days ago
    I learn so much here at sparkpeople- I see how you are turning a crushing disappointment into an opportunity to extend yourself in other ways.
    You truly inspire.
    I am sorry to read about your injury, as a new runner (began last year) I am quite fearful whether my body can take it, I am slowly training for my first 10 k in April.
    All the best Afrisam- you have come a long way in health & fitness, I doubt much could stop you!
    3742 days ago
  • FIGURE_1
    After my foot issues, I don't trust anyone who is not a pediatrist. Went to endless physio for my foot only to be sorted out in a week by a pediatrist. But foot problems and running really don't mix. Ask me, I got the okay for a half marathon and then pushed myself and had to do MORE physio.

    On the not being able to run thing. I find that running makes me very hungry, it's easier to eat less without it. Hey, I'm trying to think on the positive side here. Less hunger... emoticon
    3742 days ago

    Comment edited on: 2/10/2011 2:46:15 PM
  • no profile photo CD5915724
    Sorry to hear about your injury, and having to pass up Comrades this year. I hope this does turn out to just be soft tissue. Sounds like you have some great alternative plans!
    3742 days ago
    Great attitude, shifting your focus.
    Congratulations, though I know it ain't easy.
    Mountain biking with a group sounds awesome,
    in a group I always push myself harder.
    And it's more fun and safer, too.

    I agree with the swimming restriction, swimming felt
    extreme painful to me, I could cycle/walk much earlier.
    I had pain in the bottom of my foot, though.
    I don't recommend walking, either. You have to be on your feet for a while, anyway, and 5 minutes walking doesn't make that much difference in your fitness/calorie counting to make the risk (healing slower) worth.
    Cortisone blows everything away for a while, so you can't be sure it's not a stress fracture just because the pain eased a bit.
    Stress fractures are annoying (esp. this timing) but they heal well by time. Arthrosis of the knee would have been much worse.
    Some unfortunate runner get it from much less running.
    Maybe it was a sign your body wouldn't cope with 10kg+ in
    Comrades. You will never know.

    I'm with you with a comfortable under 2h HM as a goal.
    I don't even have it as a PB yet, so yes, no need for a rush.

    Congrats on your success this week with the challenge,
    you're doing really well.
    3742 days ago

    Comment edited on: 2/10/2011 8:13:04 AM
  • no profile photo CD4358804
    Great attitude! When one exercises as much as you do, having to stop or slow down is really emotionally difficult. I wish you success in curing your foot issue and resetting your goals.

    3742 days ago
  • no profile photo CD9136158
    Get well soon, don't worry about the races you will miss.. Did you ask the sports doctor how to avoid this injury happening again? More important so you don't get laid up again and again..
    3743 days ago
  • SHEILA1505
    I love the way you have cut your losses, seen sense and are focussing on YOU - I am obviously very sorry that you won't be able to come to Cape Town for the 2Oceans and coffee with me - but longterm is far more important

    Get well properly and don't rush it!!
    3743 days ago
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