*Incoming Feet Pics* (Not Like That, Don't Be Weird)

Training Injuries
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@Dr_Grove_Higgins (others welcomed to chime in with experience and thoughts)

My wife (32) has had a hard time with squatting for years. Her right leg always has some instability/pain and we couldn’t isolate the problem; training continued, just without Squats and Lunges. I always assumed it was some muscular imbalance or something (wrong).

Then about 6 months ago, she went to a foot Dr and got x-rays because her right foot started bothering her. Come to find out she has an extra bone in her right foot (between the heel and Cuneiform). This is the most likely cause of these issues, which has been impacting and also causing a lot of pain/swelling. Management of it so far has been inflammation reducing injections (unsure of drug being use) but that’s just a band-aid, and I dont like band-aids for permanent problems.

Our only options for permanent fixes are:

  • Surgically removing the bone, which can cause other problems (the scale of which we won’t know until after removal and recovery). I don’t care for the risk in this option, neither does the wife.
  • Stem cell injection between the extra bone and surrounding bones. To my understanding, this is to effectively insulate the bone via “cartilage” so impaction stops. This could prove to be lifelong, providing it doesn’t get dislodged by a rough fall or something. We both like this option more.

The stem cell treatment should be a 2 part procedure; 1st injection, wait 2 weeks, 2nd injection, 2-4 weeks recovery.
During the recovery period, no weight training that involves standing exercises can be performed. Check.

I’ve already ordered a 3 month supply of BPC-157 to aid in recovery. Not sure to what extent it will help, but what’s a few hundred extra on top of the cost of Stem Cells, right? I figure it can’t hurt (if you think otherwise, let me know).

Pictures
(Right side)

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(Left side, for reference)

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Questions

  • Do you have any experience or reservations about this kind of approach?
  • I’ve heard recommendations of BPC-157 dosing from 1.5mcg x BW(kg) to 2.5mcg x BW(kg). Do you have a non-professional opinion on what a low-risk, but effective dose may look like? If this question is risky for you to answer, no worries if you cannot comment.
  • Is there anything additional that you recommend which could help in surgical, or non-surgical capacity?
  • Any exercises that she can do pre/post recovery that may help?

Thanks in advance

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@Andrewgen_Receptors - I’ve been away for a long time… sorry.

Looks like a failed ossification of part of the navicular bone. An MRI is definitely called for just to assess the state of the pseudo-joint. Then better opinions can be given.

  • Do you have any experience or reservations about this kind of approach?
  1. 5-14% of people have this and most do not know. I assume she did not until later in life more recently. So, the question now is what changed? Footwear, activity, injury, etc?
  2. I have seen this treated in other areas, but those are from past injuries, not congenital anomalies. Too much info missing to be helpful.
  • I’ve heard recommendations of BPC-157 dosing from 1.5mcg x BW(kg) to 2.5mcg x BW(kg). Do you have a non-professional opinion on what a low-risk, but effective dose may look like? If this question is risky for you to answer, no worries if you cannot comment.
  1. Not really. But it may be the wrong tool for the problem anyway.
  • Is there anything additional that you recommend which could help in surgical or non-surgical capacity?
  1. I’d want to see it first and the MRI too. But, question:
  • Is she having calf tightness? Particularly deep under the gastroc. The area that appears to be in question is where the Tibialis Posterior attaches and it may be having tension pulling on the tendon attachment, thus causing pain from the tendon being inflamed. (another reason for the MRI). Then, the treatment would be completely different, and potentially a much more positive outcome can be expected.
  • Any exercises that she can do pre/post recovery that may help?

Shoot a video showing where the pain is, movements where pain occurs and stop in the motion to indicate where and when it does. - Doc

1 Like