I have intermetatarsal bursitis (2-3 and 3-4) following an incident with my foam roller 8 weeks ago. Last Tuesday I had ultrasound guided cortisone injections in both bursa and my ankle (for chronic synovitis following bad sprain last year). My ankle felt great within 24 hours but the bursitis is still worse than before the injection. Is this likely to be a prolonged flare? Is it usual for pain to be worse this far along or is there still potential for it to make a difference?
I'm not sure what preparation it was but have been icing regularly since reading your blog, using padding and now taking diclofenac. This helps but obviously don't want to have to take it long term. It's an intense sharp, electrical shock type pain in my forefoot, worse with walking. I rested my foot for the week after the injection but I'm once again on my feet all day now. Do you think I can resume elliptical and recumbent bike at the gym?
Your advice would be much appreciated.
Thanks and best regards,
Sara (name changed)
Dr Blake's comment:
Thanks very much for your message. Just to clarify, I was foam rolling my left ITB and the right (injured) foot was supporting on the floor. As I rolled there was a loud crack across the metatarsal heads (it would have been a pro/supination injury mechanism). The bursitis was found initially on MRI and I have a mulder's click as well. I wondered if there could have been a hidden neuroma alongside the possibly cured bursitis, which is now responsible for what would presumably cause similar neuritis type pain.
Dr Blake's comment:
I agree that you have some bursitis, but this may be normal for you. Bursae are noted in all 4 interspaces, with none being brighter than the others. I would guess that you irritated the nerves leading to neuritis with your foam roller and you should look at the various posts on Morton's neuroma treatment. Especially, for right now, creating that painfree environment and then advancing from there. Hope this helps.
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