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by Kel
(Oregon)
I have had an ache in the on the outer portion of my right foot. It had a gradual onset, becoming more noticable over the period of a month (thru late April and May)and also more noticable after my long runs (yes, I am a recreational runner, mostly half marathons...oh, and I'm a 48 yr reasonably fit female). I have laid off of running for over two months but that seems to have no effect on the ache other than its not getting worse. The ache seems to have reached a plateau. Usually it's just an ongoing nonspecific ache centered around the knob of the 5th metatarsal on the side of my foot. Once in a great while, I feel a very mild burning pain sensation that seems to originate at the knob and move forward along the side of my foot, but not in association with any specific movement. Other than the ache, it is very tender, feeling like a bruise, if I press on the meaty area of my foot that stretches for about an inch just behind the knob toward the heel, right where the insertion of the peroneal tendon is. Other than that, I have no acute pain, nor can I recall any specific suspicious event that might have precipitated this (although I do run trails and rolled my foot in occasional misteps). The ache increases after any activity such as standing all day (as I do at my job), walking, biking, eliptical, and, most noticably, running, but I do not feel any pain during the activity, just the increased ache afterwards. The pain does not specifically intensify with any specific movements such as rolling my foot, calf stretching, toe pointing. I can sometimes feel a slight pulling when I step off on a stride (walking). There is no ankle discomfort. It seems to resolve overnight, except some initial stiffness when I first step out of bed, only to become a more intense ache as the day wears on. There is no swelling or redness. I only ever wear running tennis (1/2 size large so they accomodate swelling feet after long runs), usually with green superfeet inserts. The shoes don't seem to affect the ache other than the pressure against the tender knobby portion. I do have a history of ITBS & PF on the right foot. I have also been doing some PT exercises, mostly focusing on ankle strength, but they seem to have no effect.
University of Rochester Medical Center
American Academy of Pediatrics
Columbia University Department of Rehabilitation
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