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2277 Views 2 Replies Latest reply: Oct 7, 2010 4:59 AM by Damien Howell
willwrite4chocolate Pro 124 posts since
Aug 1, 2010
Currently Being Moderated

Oct 6, 2010 7:38 PM

Are my running days over?

I ran when I was (much, much) younger, but was plagued with low back problems. In March I discovered C25K and began running again and loving it. I ran my first 5K on September 19th and have been gradually losing weight. I also discovered chi running and have been having some success with that. No more shin splints. Much less knee pain. No back pain. It generally feels like I'm being kinder to my 49-year old joints.


Unfortunately I have a stubborn ankle swelling problem. I had an x-ray and MRI which concluded that I have a talocalcaneal coalition in my left ankle (the one that's swelling) exacerbated by arthritis. Here's the doc's MRI summary (in case there are actual medical people here who know what this stuff means since I mostly guess or read stuff on the internet):

1. Talocalcaneal coalition. Edema within Kager's fat pad and moderate osteoarthritis of the talonavicular joint are likely related to altered mechanics resulting from this coalition.
2. Remote strain injuries of the syndesmotic and intrinsic ankle ligaments as described above.
3. Second metatarsal joint osteoarthritis in addition to previously described talonavicular joint osteoarthritis.

From what I undestand it's a congenital condition in which the bones in my ankle are too close together.


My primary care physician sent me to an orthopedic surgeon who suggested a resection and then fusing the ankle. I said, "Thanks, but no thanks. Let me ask somebody else." He also suggested that I stop running immediately and take up bicycling or swimming (two sports I loathe).


Anybody else have one of these talocalcaneal coalitions?  Anybody have any luck with physical therapy or any other kind of treatment?


And what about running with this condition? Is running with a talocalcaneal coalition dangerous? Could I lose the use of my ankle? What would happen?


Ditto running with arthritis? Am I putting myself at huge risk if I keep it elevated and ice it and do gentle stretching until the swelling goes down and then just run as much as I can?


Are my running days really over so soon?

~ Nita

  • vcackerman Legend 340 posts since
    Dec 14, 2007
    Currently Being Moderated
    1. Oct 6, 2010 8:15 PM (in response to willwrite4chocolate)
    Re: Are my running days over?

    From the little I know about the condition (cousin has it), there are some non surgical treatments that can be done before surgery is done.  I'm not sure what the conditions would be to support non surgical but they will do a walking boot and then give an orthotic after wards.   As for running, I am guessing if you can deal with the pain you aren't going to do really much worse to the foot.  it's not going to break, just be painful.


    5K: 27:54 (Roselle Run for the Roses, June 2011)

    4M: 37:51 (Elmhurst 4 on the 4th, July 2011)

    8K: 46:46  Chicago Shamrock Shuffle (April 2011)

    10K: 60:16 (Lisle Spring Spint Mar 2011)

    HM: 2:10:03 (Great Western HM May 2011)


    7/23/2011 Waterfall Glen Xtreme 10 Miler

  • Damien Howell Legend 312 posts since
    Feb 27, 2008
    Currently Being Moderated
    2. Oct 7, 2010 4:59 AM (in response to willwrite4chocolate)
    Re: Are my running days over?

    A consult with a Physical Therapist would be well worth your time.  Find a PT who specialises in foot and ankle problems, running, and can do a gait analysis.

    Damien Howell PT, DPT, OCS -

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