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Last post: Nov 2, 2009 4:54 PM by lenzlaw RSS
frank12271 Rookie 5 posts since
Jul 30, 2009
Currently Being Moderated

Oct 28, 2009 6:36 AM

Newbie foot injury, advise needed, Please help

Hello all,

 

This is my first post here.  I have a couple questions about my recent injury.  I ran the Tower of Terror 13k last Saturday at Disney World.  On Sunday night I started to have a bad pain in my left foot.  To make a long story short I went to my podiatrist and he said my fifth metatarsal is badly bruised and the muscle on top of my foot is also bruised.  It is an area about the size of a silver dollar, close to my ankle.  I had xrays and there's no fractures, thank god.  I wear Asics Kayano's when I run, the doc told me they are great shoes.  He could not tell me if I'm doing anything wrong when I run.

 

That's what I was hoping you guys could help me with.  Is there something wrong with my stride?  What should I do to stop this from happening?  I am planning on doing some half and full marathons in the future and can't have this happening after only 8 miles.

 

Any and all help will be greatly appreciated.

 

Frank

Tags: injury, pain, foot_injury
Haselsmasher Pro 114 posts since
May 25, 2009
Currently Being Moderated
1. Oct 28, 2009 7:54 PM in response to: frank12271
Re: Newbie foot injury, advise needed, Please help

Can you provide more details about your running history?  I think what would be interesting is your overall experience with running in general and races of this length specifically.  (You'd said this was your first post.  Does that mean you're somewhat new to running?)  Have you had any issues or pain like that prior to this race?  Have you done this length before or longer? Have you had other issues on that side of your body:  Ankle?  Shin?  Knee?  Hip?

 

Here is my story (which may not be yours - but it's indicative of the *class* of thing I'm talking about):  I've run one half marathon.  Everything leading up to it went perfectly.  I was able to follow the training plan to the letter.  The day itself was perfect - both the run and me meeting my goal time. It was probably my shining moment in my running career.  The day after I had a pain in my foot.  I went to the podiatrist freaking out and it turns out I'd bruised a metatarsal.  I was stumped why it happened.  Then I did the math for my shoe mileage:  My shoes were shot to be wearing in a half.  With the training I hadn't noticed how quickly the mileage was getting racked up.  So this became another rock in my bag of experience.

 

Jim





Current status:  Not running.  Weaning myself off of my orthotics and motion control shoes.  Moving to Pose running.  Want more details?  http://jimhaselmaier.blogspot.com/

"Running is a privilege."

Haselsmasher Pro 114 posts since
May 25, 2009
Currently Being Moderated
3. Oct 29, 2009 9:31 PM in response to: frank12271
Re: Newbie foot injury, advise needed, Please help

Being new to running, running a 5K in July, then 5K, 10K and 13K between then and October seems pretty aggressive.  I'd have to look at the numbers and the months - but did you follow a training plan to get you to that level.  My gut is that it's an overuse, maybe too much too soon kind of thing.  I assume you're familiar with the 10%/wk rule.  So if you increased your mileage more than 10%/wk that is too much.  I've also heard one should take a break every 3 weeks (i.e. don't add any miles that week - just stay there and let you body catch it's breath, then continue on with increasing).

 

Conventional wisdom is that shoes need to be replaced after 350-500 miles.  YMMV (literally and figuratively).

 

The stride thing is hard to do.  And the whole stride topic is opening up a can of worms you may not want to open right now.  (I'm talking the issue of heel striking and over-striding.)

 

I assume you got your shoes at a local running store - not a place like Sports Authority or Dick's.  Nothing against them per se - but a LRS has much greater knowledge about the real issues with runners.

 

Hope that helps.

 

Good luck.

 

JIm





Current status:  Not running.  Weaning myself off of my orthotics and motion control shoes.  Moving to Pose running.  Want more details?  http://jimhaselmaier.blogspot.com/

"Running is a privilege."

D.Snipes Amateur 18 posts since
Feb 17, 2009
Currently Being Moderated
4. Oct 30, 2009 11:42 AM in response to: frank12271
Re: Newbie foot injury, advise needed, Please help

Be careful about pushing it too hard - I injured myself training for a 13.1 back in Feb 09 and am just now healing from an extended case of shin splints and plantar fasciitis.  I didn't give myself enough time to rest between runs, I was ignoring the 10% rule and was generally gung-ho and cavalier about training.  I've lost more time because I didn't give myself enough time to heal ultimately exacerbating my injuries. I'm now sidelined for even longer than I should've been had I just taken my time to rehab as I should.  Moreover, had I not over-trained from day one I wouldn't have been injured in the first place.

 

In short, if you are feeling pain, seeing bruising or whatever, take it easy.  Give yourself a break, hit the stationary bike or the elliptical; "hitting the pavement" too soon will surely be your downfall.  And trust me, watching the beautiful weather pass me by all spring, summer and now fall as I'm inside stretching and cross-training month after month after month has been incredibly frustrating...  On the positive side, I've been able to resist running in any number of races simply because I think I've learned my lesson *emphasis on "think"*

D.Snipes Amateur 18 posts since
Feb 17, 2009
Currently Being Moderated
6. Oct 30, 2009 6:03 PM in response to: frank12271
Re: Newbie foot injury, advise needed, Please help

Hmmmm, recovery times will most likely vary by person.  The 10% rule goes like this: don't increase your mileage by more than 10% a week.  In all honesty, it really applies to the higher mileage runs.  For example, you run 5 miles week one; you would run 10% more or 5.5 miles the following week.

 

Another thing you can do to get back into running would be to do a warm-up walk for about 4-5 minutes, then do run/walk at one minute intervals - one minute run, one minute walk.  Keep your mileage low (no more than 1.5 miles 3-4x a week) for the first week, eek up to 2 miles the second week, then start a full run of 2 miles by week three.  Now if you're like me, it's incredibly hard to pace yourself - you have your tunes going, the air is crisp, you aren't feeling any pain - let's open it up... Avoid that like the plague (or H1N1).  Take it easy, really time yourself, 1 minute walk, 1 minute run.  Then do a 4 minute cool down walk and stretch like mad afterwards.  I'd like to say stretch for 20 minutes but who has that kind of time.  Do about 10 minutes worth of stretching right after, then hit some more stretches before you hit the sack.

 

Like I said, rehab times are different for everyone.  It would help to see a foot doc so you have some idea of how much pain to expect as you rehab - some is normal, too much and you're over doing it.  Listen to your body and don't be too gung-ho!!!

 

Good Luck

Haselsmasher Pro 114 posts since
May 25, 2009
Currently Being Moderated
8. Nov 2, 2009 3:18 PM in response to: frank12271
Re: UPDATE and more Questions???

My former podiatrist once said that bone density can change with different loadings.  When he first got me my orthotics he really cautioned me strongly about not using them too much too quickly.  He said with the different alignment the body would adjust the bone density to reflect the different loadings.  He said if did start using them too much too soon I was at big risk for a stress fracture.

 

I have no idea if he was accurate or not.  This occurred about 12 years ago.  I don't know if collective medical opinion has changed or not.  YMMV.

 

Jim





Current status:  Not running.  Weaning myself off of my orthotics and motion control shoes.  Moving to Pose running.  Want more details?  http://jimhaselmaier.blogspot.com/

"Running is a privilege."

lenzlaw Community Moderator 7,024 posts since
Jan 18, 2008
Currently Being Moderated
9. Nov 2, 2009 4:54 PM in response to: frank12271
Re: Newbie foot injury, advise needed, Please help

frank12271 wrote:

 

Can anyone link me to the area where these 10% rules are?  I would like to read about them and try to learn about recovery times and such.

 

Thanks.

 

 

The 10% rule applies to weekly mileage, not necessarily your long run.  From Runner's World: "The 10-percent rule (10PR) is one of the most important and time-proven principles in running. It states that you should never increase your weekly mileage by more than 10 percent over the previous week."  (Full article: http://www.runnersworld.com/article/0,7120,s6-238-267--1051-0,00.html)

 

As was said earlier, healing times vary.  And not knowing what caused the problem, it's hard to say what to do to fix it.  It's even possible that something mundane and unrelated to running was the cause (drop a bar of soap on your foot in the shower?).

 

Len





We've come this far and it's still the same,
Runnin' out here in the rain.
Just one more mile, if only you could fly.
(Apologies to T. Rush and J. Tempchin, for the paraphrase)

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