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Midfoot instability after running a Marathon / Lisfranc?

Discussion in 'Ask your questions here' started by Javier, Jun 30, 2017.

  1. Javier

    Javier New Member

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    I ran my first Marathon 2 months ago. I did a good preparation for it and there was no pain while running previous to the Marathon. I'd say though, that sometimes in the morning just for the first steps, I'd just feel it a little bit tender or stiff, and then all good. No pain while training at all.

    Running the Marathon was good, I ran it all the way with no significant or "bad" pain that I could tell. Day after, my muscles were in pain but it subsided within a few days. However, there was some pain and swealling in my right foot's midfoot that didn't go away that fast. It'd hurt while walking (push-off phase) during the first 3-4 days. Walking pain was gone after that but swealling remained, and pain when pressing the swollen zone was significant too.

    I let it rest for 2 whole weeks. I did a test run then, first 5 minutes were ok but the pain appeared and kept increasing after that. Same pattern happened again: next day it was swollen, I had some walking pain for a couple of days, and then it was just the swealling, the pain when touching it, and the morning stiffness.

    I stopped training altogether and I sought for medical help.

    My PT told me it was probably a very mild midfoot sprain, I should let it rest - no training - and it would eventually go back to normal.

    The orthopedic doctor asked for some imaging tests, during weeks 4 to 6 after the Marathon:
    - X-ray: All good
    - CT: All good
    - MRI: All good
    - Ultrasound: "mild first cuneo-metatarsian joint hypertrophy compatible with post-traumatic arthritis after intense exercise"

    The orthopedic doctor suggested I just rest it more and come back after a month to see how this is evolving.

    The fact that after two months of not running the midfoot is still slightly swollen and there is some pain when pressing on it worries me, as it seems it improved over the first few days after the injury but has since then almost remain the same.

    Any advice?
    Last edited: Jun 30, 2017
  2. Craig Payne

    Craig Payne Super Moderator


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