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Foot pain - Stress Fracture?

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PostPosted: Mon Oct 20, 2003 2:59 pm GMT +0000    Post subject: Foot pain - Stress Fracture? Reply with quote

About 6 months ago I started getting pains in my foot. The pain is on the outside of my left foot, about 3/4 of the way up from my heel. It hurts in the morning and after most rides (worst after road rides). My quick reading and informal polling lead me to believe I have a stress fracture. Someone told me it happens often when trying to clip-out and the foot is stressed. I cut back significanly on my riding but the pain isn't going away. Are their any treatments I can try? What is the potential fallout should I try to tough it out? Will a stress fracture get worse or just stay the same? Can more damage be done by not doing anything? If I need to have it looked at, should I go to a Podiatrist or some sort of ortho?

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The Bike Doc

Joined: 08 May 2003
Posts: 1369
Location: Corpus Christi and Warda, Texas

PostPosted: Tue Oct 21, 2003 6:09 am GMT +0000    Post subject: Reply with quote


You may have a stress fracture or nerve compression injury.

Stress fractures can occur with repeated stress to the foot such as on long marches (thus its synonym marching fracture), jogging, bicycling with shoes without a firm sole or repeated torsosional (roatational) stress due to abnormal pronation (inward rolling) of the foot. Bike shoes or running shoes with inadequate arch support can percipitate the later.

Do get an evaluation and a foot X-ray by a Podiatrist or Orthopedist. If you do have a stress fracture, you will need to take some time off the bike and allow it to heal. Your treating physician can outline the recovery plan as it varries depending on which bone has suffered the stress fracture.

If there is no fracture, then nerve compression injury could be the culpret. Shoes that are too tight across the ball aspect can cause nerve compression. Additionally, bike shoes that do not have adequate frimness to the sole especially when combined with clipless pedals can be an aggrivating factor. Look to getting a well made firm soled bike shoe that gives you enough room in the ball of the foot remembering that your feet will swell some during longer rides. Additionally look at a broader based clipless pedal system such as the Look or Time style road pedals or the new Shimano road pedals (not the old SPD based pedals. For off road pedals look at the Time, Speed Plays, or the downhill style clipless pedals.

Paul K. Nolan, MD
AKA: The Bike Doc
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PostPosted: Tue Oct 21, 2003 7:06 am GMT +0000    Post subject: Reply with quote

I agree with Paul your pain could be coming from the bone and or compression of the sural or intermediate dorsal cutaneous nerve. Also, you could be getting a form of tendonitis along one or both of the tendons that course along the side of the foot and lastely the calcaneocuboid joint could be getting stressed/strained. Often time these injuries are the result of training injuries or positioning. Let me know if I can be of further help.
Marque A. Allen,DPM
Orthopedic Surgery Associates of San Antonio
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PostPosted: Tue Oct 21, 2003 3:43 pm GMT +0000    Post subject: Reply with quote

Thanks for the informative responses. The injury first occured while wearing a pair of new road shoes that I quickly found out didn't fit my big feet Razz Now I'm riding Sidi Megas on the road.

Does anyone know of any good specialists in the Dallas area?
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