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Marathon runner's lateral toes pain

Discussion in 'Biomechanics, Sports and Foot orthoses' started by fabio.alberzoni, Feb 16, 2014.

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  1. fabio.alberzoni

    fabio.alberzoni Active Member


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    A patient called me asking about what she could do for her pain to lateral toes "tendons" (she said).

    So....I started to ask myself which ones could be the most frequent problems to cause this pain to the toes' tendons.

    I figurate tha the overstress could be caused by a lateral forefoot-strike running....

    I still have to analize her and I'm really inquiring about that.

    In your experience which was the most frequent cause?and did you provide an orthotic therapy? examples?

    thank u all

    fabio:bang:
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
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    On one hand I was taught by John Gallocher a 100yrs ago "listen to your patient as they will tell you the diagnosis" and on the other hand, a patients description can be very misleading. Your patient could simply have a morton's neuroma; or dorsal cuboid syndrome; or, as you say, a lateral 'overload' problem. lateral 'tendonitis' is very rare in runners.
     
  3. fabio.alberzoni

    fabio.alberzoni Active Member

    Thank you so much doct.Craig.
    I'm gonna write some more after the biomechanical analize.
     
  4. Fabio:

    Like Craig, I would think the most likely diagnosis of lateral digit pain would be a Morton's neuroma. Of course, a careful history and physical examination will be the key in making the proper diagnosis. Make certain she is running in a shoe that has plenty of width/toe box room in case you do think it is a neuroma. Getting a shoe that does not "squeeze the forefoot" often times makes a huge difference in runners with neuroma pain.:drinks
     
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