Bony Prominence

His name isn’t a secret, but I prefer to keep it confidential to protect his right to medical privacy. We met some months ago on Twitter, and after a brief discussion I gave him my number so he could call if he ever wanted to talk about his feet. At eighteen he had already had surgery to replace an ulnar collateral ligament. As I listened to him speaking I marveled at how optimistic, yet realistic he was about his recovery which he described as long, drawn out, painful, and depressing.

After our talk we kept in touch via Twitter. He told me that he felt that cleats needed to be broken in, and I’m uncertain if he means what I do when I say that most shoes should be eased into regardless of whether you’ve had that style and model previously. I had to laugh when my client told me that he walked around the mall until he had a headache. Looking at people’s shoes to determine whether or not they fit can be exhausting, it’s also a great education as you start really noticing how many ways footwear can fail an end user. Since then my client has purchased new cleats, and I’m eager to find out how they will affect his performance when he returns to pitching.

I believe that a bony prominence on a foot could indicate ligament laxity elsewhere in the body. I’m wondering if there may be a connection between people who have the tell tale bone that others don’t on their instep, and a future proclivity for ligament failure elsewhere. So far this is the only person I’ve met who has both the bony prominence and had Tommy John surgery so I don’t want to make a larger deal out of a single occurrence than I should, still, it would be very easy to screen for this and track it if only to increase player foot health since that area is already being stressed abnormally.

One thought on “Bony Prominence”

  1. We both know you are right. 🙂 The body is a unit and everything is connected. Having either the need for Tommy John surgery or surgery to replace the ulnar collateral ligament are both signs that the body is not working as intended. Postural alignment is imbalanced, function is negatively affected, performance suffers and injury ensues. A dysfunction someone in the body will create compensation throughout the body. All injuries and pain are related and connected. Treating them as individual problems will not restore optimal function to the body and new symptoms will continue to appear. Addressing the body as a unit and correcting the underlying dysfunctions responsible for the various symptoms will restore optimal function to the body, allowing the person to live a pain free and active life.

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