IT SHOULD BE NOTED THAT THE EVENTAUL DIAGNOSIS OF THE INJURY DESCRIBED BELOW WAS A STRESS FRACTURE OF THE SECOND METATARSAL WHICH WAS CONFIRMED SEVERAL WEEKS LATER BY A FOLLOW UP XRAY.
It's been a week since the onset of Sudden Sedentary Summer Syndrome. I had assumed, given the symptoms and an Xray that didn't reveal a fracture, that I had a stress fracture in the second metatarsal. I wanted to make sure I was not doing it any harm and that I was optimizing the prospects for a speedy recovery so I made an appointment to have it checked out again.
My regular doctor apparently is on vacation but I felt confident when the alternative said she thought I looked familiar, that maybe she had seen me "on the trails". I doubt it, but at least she let me know she was a runner.
She must have asked sixty times or so whether this or that hurt when she did this or that as she felt around my foot. She clearly knew where it was going to be excruciating and she saved applying pressure there for last. Interestingly, she felt that it wasn't a stress fracture as I had assumed. Even before I started barefoot running I had a relatively thick callous in the center of the ball of my right foot. Since I've been running barefoot or minimalistically that callous and the callous in general on the foot has developed more than that of the left foot. Evidently, this center callous is related to the metatarsal directly above it. I think that mostly because of this detail and the fact that the pain is relatively localized and came on rather suddenly she diagnosed it as metatarsalgia. From what I have now read regarding metatarsalgia, it could basically be called a nasty bone bruise at the joint end of the bone.
She tried to fit me with a post-op shoe but we couldn't get it to allow me to walk without significant pain so she tried one of those big post-op boots and that allowed me to walk without any pain, although it does seem to torque the knee somewhat.
The questions now are: Is this better than a stress fracture in that the recovery time is faster? (I saw references to recovery times of 2 to 4 weeks to 5 to 6 months)Will I be prone to recurrences? Did the barefoot running alone cause this or would it have happened anyway with higher mileage? Will I be able to continue running minimalistically?
Oh, and NSAIDS are now thought to impede bone healing.
Mid-week Daylight Run
2 years ago