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Podiatry/running injury

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Hi! I'm 27/male. I've been active in sports my whole life and have always had good health. Last year I decided to get into running competitively, and made a few mistakes early on while pushing too hard in training, this includes a bad pair of shoes that had horrible heel/toe protection, and it lead to me injuring the underside of both feet. Mainly it was the balls of my feet or the metatarsals that hurt the most. At first it felt like a small bruise so I ignored the pain and continued to train hard. After a while I had to cut down on my training significantly due to pain in my left foot. The right one seemed to heal up okay and it doesn't hurt much anymore. Then I had to stop running completely to let it heal. It's been 2 months since I last ran, and I only ran 1-2 times the month prior to that. But my left foot's metatarsals still hurt from time to time, so I know they aren't healed yet. I never went to the doctor due to lack of insurance, but I'm sure they're stress fractured. 3 of them, minus the pinky and big toes. I can sit down and put my foot under me, then lift my heel and push backwards with my toes, similar to "cracking" your kunckles by stretching back the fingers. when I put this kind of pressure on those 3 toes, the pain is significant.

How much longer do you suggest I wait to run? I'm taking it easy by not doing exercises or activities that will aggravate the toes, but I wonder how many more months it will take. Should I get one of those walking boots perhaps? I know you will suggest getting and x-ray done but I can't afford to see a doctor right now with no insurance. Besides I can walk around and do mostly anything without feeling any pain. What do you think?

Thanks for your time.

Answer
Dear Max,
This Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618,Elmhurst 60126 & Bartlett 60103 says...
For your painful foot......
Sounds like metatarsalgia- irritation of the ball of your foot. Try to use a roomy shoe that does not crunch your toes-this will put more pressure on the metatarsal joints. Possibly a metatarsal pad and an orthotic. It would be rare to suffer three stress fractures. It should take @ 3-4 weeks for the metatarsalgia to quiet down. Without some shoe/orthotic modification-the injury will probably return.
Call your local Board Certified podiatrist & tell them you have no insurance & ask what the cash discount is. Try to find an office where the discount is between 25-35%.
Hospitals sometimes offer a 25% no insurance discount.
Hope This Helps!
and
Good Luck!
The podiatrists of AnkleNFootCenters.com are specialists in foot & ankle pain.
We are located in Chicago & Elmhurst

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661


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Dr George Tsatsos

Expertise

All questions related to surgery, orthopedics and medicine of the foot and ankle-Adults and Children. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating. to foot and ankle problems in children Sports medicine of the foot and ankle Runner's and walking problems

Experience

PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, 1980-201. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979-2010 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, 2008-2010

Organizations
Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

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