In a previous post, I talked about how I have been dealing with a nagging toe injury that has kept me from being able to run (and do many other activities that I enjoy) for almost 3 years. One of the unfortunate side effects of completing 3 Ironman triathlons is that you’re more likely to end up with some kind of overuse injury.  The pain in my big toe joint has been bothering me for over 3 years, as it was aggravated during the training for Ironman Arizona in early 2008. I have since tried chiropractic, osteopathy, acupuncture, quintessential kinesiology (results suggested no dairy products as they cause inflammation for me, I did that for 2 years), wearing an air cast for 6 weeks and nothing helped.  Finally, a few weeks ago, I had an MRI.  And we finally have a diagnosis: sesamoiditis. Sesamoiditis is inflammation of the tiny bones which are situated around the area just below the big toe joint. It is characterised by pain in the region of ball of the foot just below the great toe joint. (source)

Now that I know what I’m dealing with, it’s both a good thing and a bad thing.  The good thing is that there are some solutions, like physiotherapy and altering my foot orthotics (which has been done, but I’m willing to try again). The bad news is that those are the only two options, and after all of the treatments I have tried, I am a bit skeptical. So, here we are, almost 3 years to the day that I completed my last Ironman and I’m starting a new treatment path that will hopefully allow my foot to heal.

I’m asking those of you in the Burlington, Ontario area if you have a suggestion for a physiotherapist who a) knows this type of injury and b) has experience treating it.  I’m open to new ideas.

Has anyone else been dealing with a long term overuse injury? How do you deal with it? Have you had to modify your lifestyle? Are you looking for a solution or have you just learned to live with it? Check in on the comments below.

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