Wednesday November 24, 2010

Foot Injury Diagnosis

I was pretty devastated to be told a couple of weeks ago that I have arthritis in my left foot and should discontinue running immediately. This was the diagnosis that I received after 3 weeks of rest, anti-inflammatories and physio didn't seem to have any positive effect on some minor pain in my foot and I was sent in for bone scans to rule out a stress fracture. 

The bone scans didn't show a stress fracture, but did indicate arthritis (talonavicular joint), and these scans were followed up by x-rays, apparently confirming the diagnosis. 

It's been a pretty tough couple of weeks as I've waited between test results, hoping and praying for a better outcome. When I first went in for the bone scan, the worst case scenario in my head was a stress fracture and six weeks off running. In hindsight, that would have been a welcome prognosis.

I am waiting on an appointment with a specialist who I will see early January. I am hoping to find out a little more information on just how limiting arthritis is going to be to me as a runner - basically if it's in my best interest to stop running completely or if I can get away with minimal amounts. I've been cycling still and that's been fine. I'm told cycling, swimming and any other sports where the joint is fairly stable should be fine. 

From what I've been told so far, if I continue to run the pain will become unmanageable and at some stage I will likely need to get my foot fused. My greatest fear is that in 20 years time I will be immobile or find it hard to walk, that would be a worse sentence than never running again, so I am mindful of this before I shoot myself up with cortisone injections and hit the pavements again.

I still hold hope there's been a mis-diagnosis or prognosis. I really can't imagine my life without running. It's funny the things I now realise I've taken for granted and planned around. I've already chosen the dog I will own one day based on it's ability to keep up with me when we're out jogging.


Future running dog

I've already planned the new trail runs I want to do when I go home for Christmas. I've just dropped my working hours to part time to pursue triathlon and Ironman. Running's a big part of my life now and my running has also become a big part of the lives of those around me. I've had family and friends in tears at the news (that is touching - I had to comfort them!) and there have been some sleepless nights pondering the 'what ifs'. I know it sounds ridiculous (put it into perspective Nina - I still have my limbs and my livelihood!) but I think any other runner would empathise and allow me a moment of self pity. Why can't this happen to a couch potato who has no desire to run? It doesn't really seem fair.

So from here, I'll certainly be talking to more professionals and getting as many opinions as I can on how to manage this. January 7th is the Specialist appointment and I think that will be telling. I'd also really like to hear from anyone who has arthritis and is still active, especially runners. How do you manage pain? Has it progressed? Were you also told not to continue running? I'm sure there are a lot of people out there dealing with similar issues.

 


Related articles:
 
25 Oct 2010: A Short Break from Running (previously posted article)
26 Nov 2010: A Second Opinion
09 Dec 2010: Trial Run
07 Jan 2011: The Specialist's Verdict
 

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Comments on this article:
Submitted by Nina - Maiden Marathon - November 30, 2010
My pain feels like it is deep inside my ankle, and sometimes across the top of my ankle/foot. It's usually an ache which gets worse with activity, however sometimes when I shift my weight I will get sharp/sudden pains. The achey pain is quite tolerable and I could run on it (and had been until recently). It wasn't always present when I ran, but was becoming increasingly so, to the point where I was limping after a hard workout.

I feel your frustration not being able to run, especially if like me you aren't seeing any positive results from the rest! It's a tough gig.

I hope the rest does you good and you manage to work out what's going on. Try and talk to as many professionals as you can. I'll be interested to hear how you get on.
Submitted by DP_Turtle - November 29, 2010
Can you describe the pain you're having and where it is? I'm curious because I've also been having pain that's eluding a solid diagnosis. Mine seems to be inside my foot, near where the metatarsal bones join with the main part of the foot (in other words, near the ball of my foot). The pain is intermittent; in fact, it doesn't always hurt while I'm running, but when it kicks in, it kicks hard!

X-rays showed nothing, though they wouldn't necessarily show a stress fracture. I haven't had a bone scan yet, though I had an arterial doppler due to poor circulation in this foot, which could indicate blockage somewhere.

It's very frustrating to not be running. I'm two weeks into a self-imposed 6-week rest to let this ... whatever ... heal.
Submitted by Matt - November 24, 2010
Oh Nina, certainly not the news you deserve from all your efforts!

And hey, so what if you're ankle wants a rest - I'm sure there are plenty of roller-blading world records just waiting to be smashed!

I'm sure all will come clear soon enough and you'll find some way to keep your iron-women life style going strong.


Chin up!


P.S. as potentially horrid and unfair this news is, you may get a laugh out of the fact that the captcha code for this comment was 'crippa' - have you hard-coded that one? :)