Question
I am 30 years old male and quite active in various sports, doing running/basketball 3X a week.  Lately after a 10k run I am suffering from pain over lateral aspect of left foot.  I had a XR and found there was degeneration and osteophytes formation at the calcaneo-cuboid joint, especially over the lateral aspect where clinically tenderness is felt.  Rest of the foot XR was normal and no stress fracture was seen.  I believe this is an unusal site of degeneration and wonder what's the cause for it.  Please advise further management.

Answer
This Chicago Podiatrist says....

Go see a podiatrist who is Board Certified in Orthopedics.
You probably have a high arch(supinated) or possibly a low arch(pronated) foot.
The reason for the spurs is biomechanics. That is the study of human motion as it pertains to the specifics of the anatomy and mechanics producing this motion. For example if you have a supinated rearfoot relative to the forefoot-certain mechanics will occur in the foot to try to compensate. The foot needs to "lock and unlock" the bones as we walk/run to allow efficient motion. If the anatomy and the sport put pressures on joints during certain times-then modification of the sport and technique may help----but more importantly a well made pair of orthoses/orthotics from a Podiatrist should help. Also consider over-training as a culprit.
I cannot help anymore since I am unable to see you run to understand the mechanics.
Also if the x-ray was not taken with you standing as close as possible to your natural stance-then it may need to be repeated by your Podiatrist.There is a big difference between open and closed chain kinetics. Open chain is with the  moving part (foot for example) not affected by the ground. Closed chain is weight bearing.
If the doctor you see doesn't know this stuff-He/She can't help you.
An example of the above is that I am slightly bow-legged. Doesn't affect me in any of my sports,except skiing. I wear orthotics in my ski boots to compensate.
These SUBTLE mechanics are best observed by someone with training in biomechanics and sports medicine.



Hope this answers your question
Good Luck
Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661
AnkleNFoot.com
Runnersdoc.com
BabyFootDoc.com

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