by Lauren
(Columbus, OH)
Hello, I am a 27 year old runner and am experiencing some left lateral foot pain. I am about 5'6" and weigh 135 lbs and run about 20ish miles a week. I first noticed the pain after a half marathon last year and followed up with my family doctor. I had an xray and it was unclear if there was a fracture at the 5th metatarsal bone. I wore a rigid shoe and took it easy for a few weeks and it got better. I never believed that my foot was fractured and I believe that I have a tendonitis. The pain has recurred since then mostly after races and is mainly around the styloid process. I don't have pain while on my tip toes and there is no weakness in my foot or ankle. I do have pain while walking and running and also when I point my toe. I wear stability plus shoes which are evenly worn and are replaced every 400 miles or so. I am planning on running a full marathon soon and would love some advice. Thank you so much!
Hi Lauren,
In order to properly treat a condition you need an accurate diagnosis. I would have another xray and compare it to the previous xray to see if there are any changes.
Based on your story it sounds more like a partial tendon tear than a fracture since the pain has not been consistent.
In addition to wearing good shoes and possibly an orthotic to better balance your foot, if it is deemed you have tendon problem (as opposed to a broken bone), you might even consider having physical therapy.
Marc Mitnick DPM
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