So I went to see the foot doctor today to make sure there's nothing serious going on with my bum foot. The podiatrist that I really wanted to see had a bio of having completed 30 marathons, as well as triathlons and ultra-marathons. But of course, his next available appointment is in mid-August. So I took the first available appointment with the doctor that saw this morning. He was nice enough, but spoke so fast, and used so much medical jargon that I could barely understand what he was saying.
Examination First he examined my feet, by testing it's range of motion, strength, etc. Then I had x-rays taken. He had the results by the time I limped back down to his office from the x-ray room! How's that for technology?!
Diagnosis I held my breath as I watched him look at my x-rays. He turned around and declared that there was no fracture or structural damage. I have a mid-foot sprain. Cue exhales.
He also declared that I have Mild Pes Planus Configuration, as well as Accessory Navicular Syndrome.
What?! After doing some online research I learned that:
- Mild Pes Planus Configuration = I have flat feet.
Accessory Navicular Syndrome = I have an extra bone in each foot that is located inside of the foot, in front of the ankle. Crazy, huh?
This explains why I always have so much discomfort in my feet! The syndrome more commonly occurs in children. Maybe this is why I had to wear braces on my legs when I was little? I have faint memories of it.
The extra bone lies under the posterior tibial tendon, which is responsible for maintaining the strength of the arch of the foot. During athletic activities it can aggravate and cause inflammation on the tendon; thus the association with flat feet. This explains so much!
The bottom line is that my feet need to be supported at all times. I'll have to:
- Do R.I.C.E: Check - I'm already doing this.
- Wear stability running shoes: Check - I already do this as well, but I think I'm going to invest in a couple of other models and rotate between them).
- Wear sturdy shoes at all times: Check – I only wear sneakers to work these days.
- Wear an ankle brace: I think I may have to do this forever. I've begun researching different models to see which one may work best for me.
- Low impact activities: Check - swimming, spinning, yoga, weights...
- Hot/cold treatment: I've been icing, but will add the heat to the treatment.
- Run low mileage but stop if it hurts: Check - 2 miles yesterday
- Run on soft surfaces, like a track: Check
- Custom orthotics: Thank goodness my insurance covers 90% of this! I'll be getting fitted for them next month.
Since I've been already doing most of what the doctor instructed, it's just going to take time and patience to allow for this to heal.