Went to the doctor’s today – two days after the London Marathon.
I guess up until last Thursday, I had been hoping (perhaps rather optimistically) that things would settle down with neurofen gel, icing, resting the foot by not running, even putting my foot up and compressing the injury (following the R-I-C-E principle, Rest, Ice, Compression, Elevation) but to no avail and my deferral notice was duly sent off on Friday.
After my disappointment of not being able to join my running partners for a second time (the same had happened at Amsterdam in 2007 due to my shin splints) my wife decided it was time to get a professional opinion and go to the doctors.
Pure Sports Medicine in London treat a number of professional sportsmen and women, including footballers from the London clubs and national Rugby players, with prices (I have to say) to reflect that.
Speaking to the Doctor, he seemed to know exactly what the problem might be and an ultrasound scan confirmed inflammation between the bones, predominantly the second cuneiform and navicular, so a cortisone injection was advised and duly administered.
His theory was that the speed session I had carried out had caused me to run on my toes a bit more than normal, hence causing extra stress between the bones and leading to the inflammation and swelling. So not the tendon problem I had originally suspected.
His only concern was that there may also be a stress fracture lurking hidden somewhere, but that would potentially have shown with the manipulation and ultrasound. If the injury does not respond to the cortisone, an MRI might be necessary.
If it is a stress fracture, we are talking about 12-16 weeks to mend.
With 4 months to the Mont Blanc, THAT is not what I want to hear.