10 year old gymnast with worsening foot pain over 3 months
I have a ten year old daughter who started having pain in the base of her foot 3 months ago, She is a gymnast and trains about 13 hours a week. The pain is just below her toes and all over her arch. The pain came on gradually with no history of injury it just seeems to happen with no warning.
She walks and holds herself quite floppy and at first we thought it was a problem with that or the fact that she has very bendable joints.
When this started she started to walk on the outside edge of her foot but could put weight on her whole foot when she needed to. The doctor told us she had tendonitis and that with a little rest it would heal. Her coach kept up her conditioning but stopped all weight bearing traning (ie tumbling beam etc.)
Over the next three months we have alternated ice and heat as the doctor advised, also we have seen a sports physio who gave her some exercises as she tends to roll her feet inwards as she walks which has caused her inner ankle bone to be very close to the floor (i hope you understand what i mean by that as it is hard to explain)
My daughter has been very good and despite the constant pain from her foot has done everything asked of her as she wants to get back in the gym.
This is only affecting the one foot is that normal for tendonitis?
Unfortunatly though the pain has got worse to the point that she will only walk on her heel. I was looking at this site and trying to find out which type of tendonitis she may have as all the ones i have seen describe heel pain and my daughter has no heel or ankle pain at all it is underneath the front part of her foot and around her arch only.
She has had other medical problems which are being investigated at the moment (I mention this in case it helps) she is asthmatic and has to have regular tablets to keep this under control, also she is very small and has had problems with chronic tiredness this past 6 months or so. We are investigaing this but are unsure of any connection tothe foot pain.
Her diet is extremely good althogh she does lose weight frequently but we give supplements to try to combat this. She understands the importance of hydration and takes a drink at regular intervals.
I was wondering if you had any advice about what type of tendonitis this could be and how long the heaing time is?
Also I was wandering what i should be doing to help her get
back to normal. As a last note i have took her for an xray and their is definatly no fracture.
Hi there. Thanks for providing all those details right off.
I'll get to the foot in just a minute.
The first thing that jumps out at me is the tiredness and the weight loss. That's not normal for a 10 year old.
I'm going to have my Kerri from
comment here. Your daughter definitely has something digestion related going on, gluten intolerant and leaky gut syndrome where she's not getting the nutrition from her food, or a parasite, or some such.
It's also a very safe bet that she's Vitamin D deficient, how much so is the question.
What kind of supplements do you give her to combat the weight loss?
Moving on to the foot...
Possibly related to the nutrition absorbtion, but probably not directly so.
It sounds like your is daughter hypermobile. Can she touch her thumb to her forearm? When she straightens her forearm does it hyperextend/go past straight?
If she has lax ligaments, and or has especially lax ligaments in her foot/feet, then it's not so much a wear and tear tissue damage kind of Tendonitis
so much as a the structures aren't held firmly so get pulled apart and irritated/possibly injured kind of Tendonitis.
There is definitely a Process of Inflammation
in place keeping things hurting.
And the Posterior Tibialis can be playing a role, not doing it's job correctly so the foot flattens out/the arch isn't held how it should be held. There's options.
1. Confirm for me whether she is hyper mobile or not.
2. How exactly have you been icing? Ice Pack for 20 minutes?
3. How much protein would you say she eats?
4. Does she walk on the side of her feet because it hurts? Does it just feel 'funny'?
5. How bad is the pain?
6. Can she exercise pain free once she gets warmed up, and then it hurts later?
Answer those questions, and we'll go from there.----------------------
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Joshua Tucker, B.A., C.M.T.
The Tendonitis Expertwww.TendonitisExpert.com