I finally saw a podiatrist for my foot pain on Friday. I saw one about 6 years ago for the same pain (back then it was in both feet - now it's just my right one) and he prescribed custom orthotics. When they never really resolved the pain, I bought a road bike and stopped running/impact all together.
Fast foward 5 years: Last November I started running again in the interest of getting into tri. I hoped that if I started SLOWLY, I could get up to distance without pain. It didn't happen. The pain started about a month ago. It hurts when running in shoes and when wearing certain shoes (usually narrow flats or most anything with a heel). I was astouned that running barefoot didn't hurt at all (I'm only up to about 0.5 miles barefoot).
Turns out that I have fibular sesamoiditis caused by my shoes. My prescription?
Run barefoot! Woohoo!!! (starting slowly - which I already understand)
I also have to buy only certain types of shoes (my VFF's got a big thumbs up) and I have metatarsal pads in most of them now.
I also have these things called 'Correct Toes' to wear when I don't have my VFF's on. All of this should allow my toes to realign back to where they SHOULD be and the extraneous pressure on that sesmoid bone should go away (overly simplified, of course).
I really *heart* my new podiatrist for not just sticking me in some orthotics!
I've been following his advice all weekend and my legs were aching yesterday. They are so NOT used to having no heel elevation. Wow, what a difference! I can't wait until my body gets used to this....