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Running Shoes
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DUKE MEDICINE
David Berkoff, MD posted:
Remember to replace your running shoes every 300-400- miles or every 6 months. Many running related injuries are due to worn out footwear.
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An_227247 responded:
I have a chronic (a problem with regular jogging, etc) flexor hallucis longus tendon (right foot only)soreness (just enough to let me know it is there) that every once in awhile (...once a month or so when I put pressure on it going up stairs, etc) gives a sharp pain that goes away right away.

What is the best treatment for that? tape? ice? new shoes (with what kind of support?)?

Rest helps but then I get out of shape from not jogging.

What do you think about jogging shoes that are a little on the small side, which tends to raise the arch by pulling the toes & heel closer together, thus relieving some of the stress on the tendon?
 
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DUKE MEDICINE
David Berkoff, MD replied to An_227247's response:
FHL tendonitis is pretty rare in non ballet dancers. I would make sure that is what is really bothering you and that you do not have metatarsalgia. These are different problems and are treated differently. As for shoes too small, I would not recommend this. you may end up causing more problems than you fix by doing this.
Have you tried changing brands of shoes, the forefoot padding varies by brand and sometimes this simple switch can be a great help.
 
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CJaneCJaneRun responded:
My question is about both shoes and injuries:

After reading the book "Born to Run" and doing a little bit of research, I decided to try barefoot running. I'm not literally barefoot -- I'm wearing Vibram Fivefingers -- but it feels like I'm running without any shoes on. I've been running in them since late April, and it's been fantastic until now. My steps are lighter, and I'm landing mid-foot instead of on my heel, so there's no jarring impact on my joints. PLUS, I can actually feel my muscles working harder and getting stronger than they ever were in regular running shoes. I even ran a 10K in the Vibrams last month!

HOWEVER, about a week and a half ago I noticed some slight soreness in the top of my left foot. I had just run an easy-paced 1.5 miles and walked up and down a long set of stairs twice when I noticed the discomfort, so I walked the remaining 1.5 miles home. Ever since then, it's been getting worse: I tried to run a couple of miles (in regular running shoes) 4 days ago, and I ended up having to run/walk the second mile. When I tried to go running yesterday night, the discomfort was both immediate and more intense than before as soon as I ran the first few steps.

I had plantar faciitis a few years ago and soaking my feet in warm water helped then, but soaking my foot hasn't had the same effect this time around. The pain is localized in the top-center of my left foot just under my middle toes, and seems to be worst when I try to run (in any kind of shoe) and when I wear flip-flops.

My question is twofold: Does this sound like a muscular injury or a stress fracture? And, is it something the minimalist shoes caused, or something that would've happened regardless of footwear?


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