Friday, January 22, 2016

Plantar Plates

Snowmageddon gave me some time to do some reading.
  


I feel very certain  now the diagnosis of a plantar plate injury is correct.
I had some symptoms that could fit Plantar Fasciitis or a stress fracture, but when I read through plantar plate tears/injuries, I can check off my symptoms text book. 

My symptoms leading up to my last run were confusing because different areas of my foot were flaring up. Possibly, if I was educated about plantar plate injuries I may have realized what was going on...I don't know. 

Reflecting back on the questions the doctor asked, I may have missed some progression that was taking place over the past few years, because so often I just adapt to my current. 
It is like losing weight...one day you see yourself and think...wow! I look skinny!  A month later you are used to how you look, and you start thinking you need to take a few more pounds off...
or like when  a kitten or puppy grows, you look at pictures and forget how small they were! 


I have mentioned before I have been dealing with heel spurs for years,  so I just wrote off some initial issues as a spur flare up. 

Looking back through my run notes, I noted in April and May I had some burning on longer runs. It comes and goes...
When it got hot here, I discovered flat sandals would kill my feet. The sides of my feet would ache.  I went and got Sketchers and felt better. It did not really dawn on me until now the tenderness was getting worse. 


One last memory from a few years ago...
I took a run when I was at the beach. After, I wore flat sandals to go get food. I remember my feet being so tender I could hardly stand it, I was thankful I was able to go back and put my running shoes on. I walked all day and felt fine, but maybe I have been slowly getting worse and because I was adapting to my current, I just did not see what was happening. 

I spent all of last week with my left foot so swollen, I was hobbling. After I was off of it a few days, the pain actually got worse. I couldn't push off the ball of my foot at all. 
The swelling cleared up right before my Doctor visit, but puffed right back up that day just from the manipulating he did during the examination. 

Today (Friday), I am on my 14th day of no running.  Finally, I can go on bare feet and not feel burning in the ball of my foot, even though the swelling is still present. 
I was getting worried, because it seemed there was no progress, but finally, I can note my first little improvement. 

Have I missed running? Yes! 
Have I been tempted to run? No, not even once, I was hurting that much. 
Am I tempted to run now? Honestly, this may surprise you, but no. 
I have been so slow to heal, I think the seriousness of it is sinking in. 

Tissue is slow to heal. Most of what I am reading says three or four months is optimum, although symptoms usually do clear up in about six weeks. 

The Podiatrist who diagnosed me  Sunshine and Rainbows (in case you missed that joyous day) 
said to re - evaluate every four weeks. Running was not in the mix (EVER) for him, only to try walking and elliptical and see how my foot reacted. If I felt anything, wait four more weeks and try again...
Of course in my head, running is not out of the mix yet, but I am not sure when it will fit in again.  

So that is just a few more thoughts about how I got here, and what is happening...


I will do a post about Plantar plate injuries soon. 
Thank you for all the sweet thoughts, wishes, and prayers. I deeply appreciate all of you :) 

I'll be here hanging in my awesome new slippers. 

How is your snow situation today? 
How was your last run? I still love to hear about it! 
Do you love or dislike bare feet? 
Slippers or socks in the house? 

32 comments:

  1. I just want to say that plantar plate injuries are pretty rare.. but I have also considered that diagnosis for myself! I'm just going to push ahead with my training and see how it goes. I'm sleeping with my Strassburg sock. Wearing my compression sleeve. Doing heel lifts. Wearing supportive shoes. And riding my bike more.

    Hope your foot calms down.

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    1. Thank you. I was doing a ton of calf work and heel lifts but I can not do any of that right now without pain. My heels have not hurt at all, that tissue around my spurs calms very quick with rest, it always has.
      The doc that diagnosed me has years of experience, but he is anti-running. My toe ligaments have put my toes out of alignment and i have the classic split and it is starting on my right foot, although that foot never hurts. I am taking one day at a time, I didn't like how absolute he was that running was done, so I am seeking a second opinion and trying to be patient because right now even a walk feels challenging.

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  2. How are your feet so pretty? Mine look like a crime scene.

    I have beat myself up over shit I feel like I should have noticed but didn't. I know where you are coming from. :(

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    1. I am sure your feet are not a crime scene lol Those were my feet back in May when I purchased those shoes... my toes are crooked now and puffy, so no feet pictures for awhile lol
      I am trying to not do "what if" thing, because it doesn't matter now, but it was funny how after I had quiet time to think, these things popped into my mind.

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  3. I have been loving cabin socks I got for Chrismas...so comfy! So sorry to hear about your foot. At least you don't have to worry about missing a run this wkend with all this snow we are supposed to get. Just relax in your slippers and stay warm inside:)

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    1. My stupid foot is very uncooperative, I just have to ride it out.
      Comfy and warm sound good to me :)
      We have quite a bit of snow right now and it is still falling here, it is coming slower now though, I am tempted to take a walk! It is warmer enjoying it from inside though.

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  4. You know it's bad when you're not tempted to run. I hope it clears up and you get in some fun reading.

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    1. True, right. I was surprised by how fast my discomfort level from a nuisance to nope, not a thing...
      The snow is giving an excuse to lounge and read lol

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  5. You know it's bad when you're not tempted to run. I hope it clears up and you get in some fun reading.

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  6. I am happy he at least figured out what's up - that can be the hardest part! And good for you for NOT running!!! We're all rooting for you!

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  7. Thank you for sharing your update and progress, Karen! I am glad you are seeing a bit of healing--I know it's slow (I am the world's slowest healer). I hope you can find a solution that is able to keep running in your life. I don't ever go w/ bare feet. In the house I wear my Halfinger clogs or my Nike slide sandals. When I am out and about it's Danskos, Born Boots, Chaco sandals or other supportive shoes--all kind of pricey but totally worth it IMO. I don't wear "normal" flip flops, either. I heard they can mess your feet up and I never really loved them (they are so frickin noisy and hard to keep on my feet). Take care healing and keep your chin up!

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    1. I am usually slow to heal like that too.
      I always had sensitive feet, I can not handle bare feet lol I think I need a good pair of recovery sandals. My slippers are warm, but I should get something supportive.
      I just got some new Clark's, you are right it is worth if they feel good :) I have to look up Chaco and Halfinger's :)
      Thanks, I am hanging in there trying to be patient.

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  8. I'm so glad you're not feeling the need to run. Who wants to in snow storms anyways :)
    Good for you doing research.
    Its crazy how much clearer things are once you look back, isn't it? If you only knew then what you know now. That's always the way.
    Keep researching things to help.
    Just a side note - I had neuropathy from some sort of toxic reaction (never was figured out) but the burning was SOOO bad in my feet, I just cried all day long in misery.They told me it could possibly NEVER go away or if it did, it would take YEARSSS for the nerves to heal. I was perfectly fine in about 8 months... something they never saw before.... the point? Never give up - sometimes your body is your own & you can defy odds.

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    1. Omg, that sounds awful. Thank goodness it did go away, 8 months is a long time but so much better than NEVER! The power of prayer :)
      I am trying to play out all the time options in my head...I now it s going to get harder once I feel a little better!

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  9. I answered your orthodics question in your previous post.
    Also, once I get over the initial shock of something, I try to take a step back and look at things rationally, do research, talk to other people, get a second opinion. And in the meantime, swimming isn't that bad. I HATED the pool for years (20 years !), but started back about 4 years ago and LOVE it. I see progress, can go farther, get strong....So never say never. Hang in there !

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    1. I will go back and check :) I have not looked at email yet.
      I am getting over the initial shock and trying to wok out timelines in my head now.
      I know swimming is a wonderful option but I don't have a close option to home and it would be more expense, maybe one of these days I will try to revisit it. Last year being in the pool for that short time really was difficult, I just did it because I was trying to get to Disney. The only reason I could hang on and do it because I knew I had an end date in sight, I try to never say never, but it was a draining experience.

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  10. You know it is serious when you aren't even tempted to run. Keep resting that foot and hopefully you can run again someday! I will run a mile today for you for sure!

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    1. and you will be running a mile in my favorite place :) I would give anything to be in MT on my feet running happy! Thanks Christy! xo

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  11. Hate to see all the pain, very sorry. Glad your getting more info, it is extremely helpful. Snow??? We have gorgeous weather here lol. Last rough was suffering through three miles, this cold really took it out of me. Most of the times in west socks but after a hard run nice soft slippers feels great.

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    1. Thanks Richard. Yes, I really think I have a handle on this,but we will see after my next Dr. appt. Hopefully he will be more positive about running again. Cold can be tough to breathe in. Bundle up and enjoy those slippers :)

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  12. I'm glad you've been able to note some improvement. I hope it continues!

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  13. I read this the other day, but didn't comment. I'm back to do so now! That is such an accurate phrase...adapting to current. It's something we all do. The adaptations are so small and insignificant, I don't think we realize it. Until they ADD up. I was always a barefoot (socks) gal, but my podiatrist said No No No. Always wear shoes with a neuroma. Okie Dokie. I'm still thinking positive...

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    1. I will take all positive you can send my way :)
      That is what they told me about my heel spurs, to at least keep cushion under my feet so the tissue doesn't get flared up. Although, because I am hardly ever in bare feet it took me awhile to recognize how tender my feet were. I have been trying to spend a few minutes working them bare footed so I can track my progress.
      It does add up, I think I have been adjusting for too long. You need some fun slippers :)

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  14. Aww Karen, I'm so sorry :( I really hope everything will get back to perfect (or as good as it can get) so that you can get back to running and not have any more pain or issues with any of this. Prove that stupid run-hating doctor wrong! Now I feel like a piece of shit for complaining about not running bc of my tonsils xD

    1. There's a bunch of snow here, but January + Norway normally means tons of snow, so it's okay. Sounds like the snow is causing major trouble in the US these days..
    2. It was okay. It was just a 30 min run on my treadmill, last Wednesday :)
    3. Bare feet is okay on the beach and in the shower (obviously haha), but that's it. I don't like feet hahah :)
    4. I love both, so I can't just pick one hahah. Lately I've been obsessed with slippers though :D

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    1. hey, when we don't feel good we don't feel good! Tonsils are tough :)
      You are so right, he was a very run hating Doc, I am glad as I have read more about online a lot runners come back from it, it just takes awhile!
      I follow a guy on IG and his Norway pictures right now are the most gorgeous ever :) SO much snow! LOL I know you probably get tired if it - he snowshoes a lot in the mountains and runs, very cool.
      Thanks Marie :)

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    2. oh and the beach, yes delightful :) bare footed lol

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  15. I am definitely a slipper AND fuzzy sock girl. My favourite slippers are the nuknuks from Costco!

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    1. I have to look for those :) I love my jammies and slippers lol

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  16. Hi! I know the plantar plate injury so very well, unfortunately. I am currently 2 weeks post op from surgical repair of a complete rupture at the 2nd toe. I am (was??) an avid runner and my initial injury was 2.5 years ago. I was in incredible pain after the initial injury for about 3-4 mo and finally caved and had my podiatrist give me a cortisone shot and had custom orthotics made (a little late in the game) as I was marathon training at the time. Long story short, I had 3 cortisone injections over the course of 2.5 years and was able to train for and complete 4 marathons (2 of those Bostons) and a 50k. My toe, like yours, eventually drifted and became completely dislocated and hammer toed. I have taped my toe into place everyday for the last year and a half. I would wear a spongy toe separator to help the alignment also. I was in incredible pain at times and was avoiding the inevitable- surgery. My surgeon said it was the worst year he has seen in years as the ligament was completely ruptured and nothing but bone was exposed. I have an incision on top and bottom and also he fixed a botched bunion repair so I have an incision above my big toe also. I'm a hot mess. BUT, I have a doc who knows my passion for running and I am hopeful to return to enjoy our sport. Unfortunately, once there is toe shifting surgery is usually required to repair the tear. My advice to you is to avoid cortisone as it is likely to make the ligament weaker in the long run predisposing you to a complete rupture (I only had 3 shots in 2.5 years and my was a complete rupture) but I also ran consistently on it for 2.5 years also. I can't even begin to tell you the pain I was in so I can completely empathize with your situation. Please be careful and keep us posted on your progress. I am happy to answer any questions you may have also!

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    1. I am very sorry for your situation. I have been advised by two Docs to never ever get an injection in the foot. I do try to manage the pain by other means. I hope you can make a return to running! I am very challenged by this situation, but I do hope to avoid surgery. Thanks for sharing.

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