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Painful side and top of 2nd toe!!! Running!

Discussion in 'Ask your questions here' started by Unregistered, Mar 4, 2009.

  1. Unregistered

    Unregistered Guest


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    I am a 29 year old female who runs about 6 miles a couple times a week. I weigh about 133 lbs. and am 5'6. When I run, my 2nd toe (next to the "Big Toe") is VERY painful and sometimes I have to stop. The pain runs from the bottom of the toe to the top (slightly more on the left side if you are looking down at my toe) and feels like a nail is being driven into it. After a run, the pain subsides a bit, and it is a little difficult to walk around, but it "heals" pretty quickly. I actually prefer to wear shoes with a heal as the pain is less. I tried every kind of shoe and insert, but nothing is working. I prefer the smallest size shoe I can withstand to keep all my toes nice and snug. What should I do? I went to a podiatrist and they gave me a shot of cortisone which helped for a couple of weeks. I have a 10K run in less than 2 weeks and I am hoping to find a quick remedy. (ha!)
     
  2. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***********************************************************
    I would recommend that while it is hurting, you first stabilize the toe so that no movement takes place and then press the area of perceived pain to determine if that exacerbates or increases the pain. If it does not, then it would be likely that the pain is mediated somewhere along the sensory nerve which serves that area of the toe, and diagnosis can be directed accordingly. Precisely, where was the injection given? If it only hurts during running, perhaps you might consider not running or running less. In my view, it would be foolish to consider a 10K run unless and until the situation has been resolved.
     
    Last edited: Mar 4, 2009
  3. Unregistered

    Unregistered Guest

    My toe began hurting a couple years ago and I took about a year off from running in hopes of it being healed, but as soon as I started running, it hurt again. Bizarlly, my toe does not hurt at ALL when I put pressure on it or move it around. I can move it all in all directions and try to put pressure on it with my own hand but cannot replicate the pain. It literally only hurts when I am actually running/ walking vigorously and then the pain is very sharp. The shot was given at the bottom of my toe more towards the ball of my foot. I feel like the first thing everyone wants to do is give me is an orthodic but I am not convinced this will work. I would love it if it did. If it is a nerve issue, what type of intervention and prognosis could I expect?
     
  4. FootDoc

    FootDoc New Member

    That would be entirely dependent upon what was found to be at issue. Diagnosis first . . THEN treatment considerations and prognosis estimates.
     
  5. Unregistered

    Unregistered Guest

    I have noticed the same thing in my left foot only. It comes on after an hour on my bike, 20-30 minutes of running and even uphill speed walking. The pain is under the middle toe as you describe, like a damn nail is being driven in.

    It came on suddenly about 3 years ago - I'll be 50 in July. I do have hammer toes on both feet, but my right foot has never had any problems.
     
  6. Unregistered

    Unregistered Guest

    So, I have stopped running for about 6 months and just ran a 10k last week and on Tuesday. Surprisingly, I have not felt any pain whatsoever. I recently lost my health insurance so I really cannot see a doctor. Orthodics are not covered am I risking getting hurt again or is there a possibilty that it has healed?
     
  7. FootDoc

    FootDoc New Member

    As you have neither bothered to register nor use a name, I have no idea as to whether you are following up on a previous post or yours or not or what your basis for bringing up orthotics might be. But, in any event, are you REALLY prepared to act upon the recommendations of even a doctor who has never seen you regarding whether their is a POSSIBILITY that whatever ailment you had has resolved? I simply do not understand what the purpose of a question such as this is or what can possibly be gained by a direct answer to it.
     
    Last edited: Nov 6, 2009
  8. rvajl

    rvajl Guest

    I recently ran my first 10k and afterward have the exact pain the opening post in this thread described. I had previously only ran 4 miles non-stop and have old soccer ankle injury issues from high school (decade ago). Due to that paranoia, I put Dr. Scholls' athletic inserts in my shoes. I noticed, during the 10k, on uneven pavement it felt like my toes did not have enough room to flex and bend upward.

    I feel pain now when walking and pushing off of my left foot right when the toes bend, but only in that 2nd toe. I cannot replicate the pain with any kind of prodding, poking, pulling, squeezing, etc. I have even tried isolating the movement with one hand and then applying various pressures with the other, but cannot replicate it.

    The race was Saturday.
    Sunday - no pain
    Monday & Tuesday - noticed the problem, painful as hell
    Today (Wednesday) - feels like a duller pain, less intense as well...but still there.

    My inclination is, with the pain going down today, to wait it out through the coming weekend. If there is progress and it stops hurting by next Sunday, then to go to a running store and get fitted for good shoes (which i should have done 2 months ago).

    I do not plan to run a 10k again anytime soon, in fact, even though I completed my first jogging the whole way without stopping or walking. I now know I should have started with a novice 5k training program and then a 10k novice...a good 12-16 weeks out. That is what I would like to start 2 weeks from now.

    Any advice, suggestions, general thoughts...on the injury, going forward with exercise again eventually, etc...are most welcome and appreciated!
     
  9. FootDoc

    FootDoc New Member

    Especially as you are an admitted novice at running, if you wish to continue in this activity, wouldn't it be the most sensible thing to see a podiatrist or an orthopedist or a sports medicine specialist to find out what you have done to yourself, what can be done for it and how you might possibly avoid this in the future before you do more damage through possibly acting on inappropriate advice from those who cannot possibly be certain as to what your problem is? If you are truly welcoming advice, that would be it.
     
  10. rvajl

    rvajl New Member

    I am sorry to ask stupid questions, but is the point of this forum simply for someone to say..."what are you doing here, go ask a specialist?"

    Some of us are simply looking for multiple viewpoints/experiences from others. If it were unbearable, or if it happens a second time after going away, yeah I would seek a doctor. But being that everyone you named is not a primary-care, and my co-pay is bye-bye on referrals, I will wait and continue to try and seek advice online for another week.
     
  11. FootDoc

    FootDoc New Member

    It's not that your question was stupid . . . It was that it was one of misplaced expectations, which is what I think should have been seen as quite clear in my response. Forums are NOT for establishing diagnoses, which is what needs to be done before treatment can be addressed. If you have so little concern for your well-being that you would take seriously the diagnosis and treatment recommendations of lay persons and be prepared to implement them, that is certainly your choice. But if you want responsible opinion, I gave you mine. We are not talking life changing fees here. So when you base the care you are willing to receive totally on whether or not payment will come directly from your pocket, you might just get what you pay for. But you DID ask for an opinion and you got mine., and so far, it's the only one.
     
  12. Unregistered

    Unregistered Guest

    I'm not going to bother to register either, because I won't be back to this blog. Foot Doc, the superior attitude of doctors like you is the reason I hesitate to go to see doctors at all. I have to be in very bad shape indeed, if I do go. I have had doctors behave so condescendingly and righteous in the past that I have actually been in tears when leaving the office, and worse -- without diagnosis or treatment. Doctors can be narrow-minded and pedantic, and I count you among one of this type.
     
  13. Unregistered

    Unregistered Guest

    I am a collegiate cross country runner and have experienced similar pain in the past. With me, the pain could often be so severe that I was unable to complete my training runs, much like you have described with yourself. I did see an orthopedic specialist about the problem, but after being unable to pinpoint the problem, he only offered anti inflammatory injections, something I was very apprehensive about. I began working with the athletic trainers at my university to find a "simple" alternative to injections, and we stumbled upon a solution that worked quite nicely. Before all my runs, I began taking a piece of medical tape and wrapping it over the top of the toe where it meets the foot. I would then take the ends of the strip of tape and stick them to the bottom of my foot, near the middle of my arch, in a manner that slightly pulled the toe down. It may also help to keep the tape in place by wrapping another piece of medical tape around the middle of the foot (top and bottom) in order to hold the tape holding the toe down in place. This worked for me so maybe it will be beneficial to you. It's worth a shot anyway. Best of luck and happy running!
     
  14. Rockman74

    Rockman74 Guest

    Hello,
    I began running again after a two year lapse. I quite two years ago after dealing with severe back pain from two herniated disks in my lower back. After reading the book Born to Run, I began running in Vibrams and have been running in them for about four months now. My back pain has been nonexistent and I have had no injuries except something like you described in your post "left foot only. It comes on after an hour on my bike, 20-30 minutes of running and even uphill speed walking." I have had pain that started in the ball of my foot and ran into the middle toe. The toe pain was almost unbearable but I would run through it. I would try to curl up my toes with each step and that helped just a little but the pain continued. It would be gone the next day and wouldn't appear again until about mile four of a long run. I don't currently have healthcare and would not visit a doctor for such an issue. I appreciate the information from the collegiate cross country runner and will try that at my next run. I hope it helps and I can keep working toward my goal of the St George Marathon this fall. By the way I did visit a Doctor for the herniated disks and received two Spinal Blocks which dulled the pain for all of one month each time. The answer to my back pain came from my own education and treatment. My ability to run again came from information found in a book called Born to Run. It is my unsolicited recommendation that the footdoc reads Born to Run and through the information in it you might be better at treating your patients. I respect doctors and all they have done for me and my family. I have a sister and step mom that are doctors and are very helpful. I especially respect doctors that have the courage to continue their education in unorthodox ways and better treat their patients.
     
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