This is a follow up to my foot issue I mentioned in my last post. After very low key walking around on our California trip just this past weekend, it was very clear that normal everyday walking was not working for my foot. It got worse, I had the stabbing pains come back. Before I even got on the return flight home, I had a podiatry appointment lined up for the very next morning back in town. He agreed with the bone stress injury assessment from my PT. Pain is centered over the navicular bone, but the talonavicular joint itself is fine (no arthritis, good spacing). Some 4th and 5th metatarsal pain on top of my foot is probably due to my compensated walk. Most likely do to 1) overdoing it, 2) overdoing it on a sub par foot (this year major delay to ACL rehab and it effects are going to haunt me for a while), 3) my wonky tibial rotation making not so optimal angles in my ankle joint. They did x-rays which revealed a few odd bone things. Two are not associated with any pain - a broken off piece of the rear talus, and a floating bone fragment in my Achilles tendon (yep, no pain). One bone flaking area was near the navicular, but he wasn't sure if it was odd or just me. Going by a physical examination and my 6 week history of clearing OVER DOING IT TWICE, he decided not to do an MRI yet and suggested a walking boot for 3 weeks. I will return for a follow up in 3 weeks and hopefully be OKd to take it off. (Fingers crossed - I'm going to Hawaii in 4 weeks!) Of course I can't jump right into all my hiking and running like I was or even hop on some cross country skis the very next day. It's going to have to be a gradual reentry to using my foot post-boot. Key will be not to over do it again while in Hawaii. I sure hope this calms down the bone and the plantar fasciits too. In the X-ray it also revealed a bone spur on the plantar. This could be why I get chronic PF as of late. Also it's a bit contradicting as some school of thought says that bone spurs do not contribute to pain. Many people have them on x-rays but report no symptoms or issues, so not all spurs will lead to pain. I sill think my PF is from overloading it too quickly. Then throw in my recent foot stress, my gait is affected and I'm just keeping the PF unhappy. The lifting has been pretty inconsistent for a while now due to the series of hiccups (rib fractures, costochondritis, vacations, plantar fasciitis, now the walking boot). Tonight I will go to the gym to see how well these sitting machines work with the boot. I know my gym has an arm bike so I will try that out. I need to assess how the handles work because for my TFCC rehab protocol the wrist needs to stay in neutral position. Knowing how my body works with all this deconditioning, I definitely will not jump into 30 minutes. Probably try 10 min and see how it goes the next day. Then I have several sitting/walking boot chair workouts already saved on YouTube! I hope a combination of these cardio videos, plus my sitting machines at the gym can keep things going for the next 3 weeks. Of course the TFCC has it's own hour+ long rehab protocol, maybe I'll beef up the core exercises too.
Already counting the days left... 21....20.... Hopefully this will be an easy hiccup!
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AuthorA 45 year old active female who tore her ACL in January 2017 (at the age of 40). Reconstructive surgery in February 2017 with bone-patellar tendon-bone autograft. Archives
November 2022
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