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Avascular necrosis of metatarsal heads

1 watcher
Mar 2012
11:48am, 14 Mar 2012
48 posts
  • 0
firstofficerspong
I have been given this interpretation of a recent x-ray of my foot. Before my appointment with the orthopods comes up, does anyone have any experience of this problem? Any advice? Any suggestions for questions to ask the docs?
As far as I can gather, this problem usually occurs in young, female high-heel wearers (I am none of these, honest!). The surgical treatment may well be to scrub off the ends of the metatarsals and then shorten them... I really do not know whether I will be running again!
Mar 2012
8:53pm, 14 Mar 2012
49 posts
  • 0
firstofficerspong
Bumping for the night-shift!
Mar 2012
8:59pm, 14 Mar 2012
40293 posts
  • 0
plodding hippo
Hi
God, no

Id also be wanting to see a foot specialist-hope thsat *is * who you are seeing
Mar 2012
9:02pm, 14 Mar 2012
40294 posts
  • 0
plodding hippo
Hope it isnt a forefoot running issue
:((
Mar 2012
9:09pm, 14 Mar 2012
20964 posts
  • 0
cabletow
Difficult one as it can cover a wide range of symptoms. From none to severe and your long term running career wil depend on where you are now.

In general it is better to avoid orthopoedic surgery if you can. Look at all alternatives including orthotics if necessary. Someone who claims to be a specialist in helping is prof rothbart.....google him
Mar 2012
9:18pm, 14 Mar 2012
40297 posts
  • 0
plodding hippo
CT, does forefoot running make it worse
Mar 2012
9:40pm, 14 Mar 2012
50 posts
  • 0
firstofficerspong
Thanks for the responses. I have never deliberately tried the forefoot running thing. I do over-pronate but land mid-foot I think.

This issue has been going on for a couple of years now. I have been through the orthopods once at the start when an MRI indicated 'only' metatarsalgia. They offered surgery but suggested podiatry first. Since then I have been seeing the podiatrist and the symptoms have never resolved, hence the recent x-ray. We have never got as far as an orthotic probably because no temporary precursor to an orthotic has been effective. I feel that surgery is inevitable now that I appear to have done serious damage to the bones. However, if you guys feel there is more I can try, I will leap at the chance!

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Maintained by firstofficerspong
I have been given this interpretation of a recent x-ray of my foot. Before my appointment with the o...

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