Is this a stress fracture? 00:28
What are High-Risk Stress Fractures? 00:44
What Bones in the Foot are High Risk? 00:54

To learn more about our Online Bones, Tendons, Weights, and Whistles Course visit the link below!
[ Ссылка ]

Pain on the top of your foot is common in runners and can range from a mild nuisance to a massive impairment. I want to go through how to tell if you might have a stress fracture and what foot bones we should be the most concerned about. 

There's not much on the top of your foot besides bones, some tendons, and skin. Pain here should be concerning because of the high likelihood the bone is involved. If simple tweaks like not tying your shoes super tight and getting in a wider shoe don't help, we got to start thinking this might be a bone stress injury. Stress fractures/reactions tend to worsen when you are on your feet, running up hills, and running at faster paces. They also tend to feel better when you rest and get off your feet. 
You can fracture any of these bones in your foot, but some are more serious than others. We classify as high-risk and should be managed quickly and appropriately. 

Higher likelihood of it not healing because of the specific stress going through the bone. 
Worse blood flow to the area. 
Some bones have better blood supply. Higher risk of needing surgery to get back to 100%

Tying your shoes too tight
Leave a gap over the painful area. 
Gradual onset of pain that stays around for more than a few runs. Worse with weight bearing, faster running, and managing inclines. 

High Risk
 
Navicular
Proximal Diaphysis of the 5th MT
Base of the Second MT
Great Toe Sesamoids

Navicular Bone

It can get squeezed between its neighbors, the talus and the cuneiforms. 
Deep, located pain with running. You'll typically be tender right over the bone called the "N spot)

Proximal Diaphysis of the 5th MT

Base of the 2nd MT

Swelling and tenderness. Runners and dancers

Great Toe Sesamoids

Repetitive stress overload under your first metatarsal

Take pain in these areas seriously! Get them checked out early so you can get the best management plan in place. Suppose you want to learn more about examining runners for potential BSIs and build a comprehensive rehab plan. In that case, I'd love to have you join Chris Johnson and my Bones, Tendons, Weights, and Whistles Course on April 7th. Click the link in the description to reserve your spot today.

свернуть