I went to see the podiatrist today.
Diagnosis: Left ankle acute sprain of the anterior talofilbular ligament, Chronic lateral ankle instability
The great news: NO BREAKS!
After evaluating me, the podiatrist first said that I could resume running. RoadBunner's heart soars. (I had mentioned I had a marathon coming up on May 1) We continued talking and it came out that not moving it much the next two weeks would be best to let a tight scar on the damaged ligament form. RoadBunner's heart drops. She asked if I could stand not running for TWO MORE WEEKS. It is a little hard for me to not run since she said my ankle could take it, but I want this to resolve long term as much as possible. So I am not going to run for two more weeks. Gah.
I am definitely downgrading my race distance at Big Sur. It is a blow but the race will be there next year. If Big Sur was my 52nd marathon of a 52 marathon streak year, I would get it done, but it is nothing of the sort so I'm playing it safe.
I did a two-for at the podiatrist today because my orthotics have been showing some wear and tear. I got them in 2006 and have worn them for every run ever since. Since I was in the office I had her evaluate them. The good news is that these $500+ suckers are still working good and she could replace the wearing softer bits. Also good news, since I'm not running anyway, I won't miss them. The last two months I've been dreading giving them up to have them resurfaced and not being able to run.
Goodbye, Old Friends. See you after the facelift.
We're doing a slightly different top to the orthotic that will have some cushioning so I'm excited about that. I always felt sad taking out the insole shoes come with and losing that layer of cushioning.
She diagnosed me with a chronic issue (previous ankle rolling has stretched and weakened the ligament) which means I am supposed to tape my ankle every time I run for the rest of my running life. Things could be much worse than this, but I find this terminal type of diagnosis sort of depressing. I'm going to start off both taping my ankle and wearing the ankle brace but I am hoping in maybe 6 months or so to wean off the brace. I'm sure I'll be tempted to stop taping down the road, but I'm going to try to remember how I had a relatively good year of not turning my ankle so seriously, and then BAM this happened.
She said that if I keep rolling it I could eventually experience a break or more serious damage which could necessitate surgery or end-game running. Surgery is an option if taping/bracing doesn't stop the rolling, but I am far from considering that at this point.
I think seeing your bones is pretty amazing so am including close ups of the films:
She said I have a nice amount of cartilage in my ankle there. Win?