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Runners, and others that are active like you, know that pain on the top of the foot can also be from shoes laced too tight on the top of the foot, and overuse. I must loosen the laces in that spot, or I will consistently suffer. It would apply to walkers also. This is called Extensor tendonitis as your results showed. One of the fixes is easy, loosen the laces till you can't feel it tight anymore on top. Sometimes very loose. There are other tips in the included links to see if anything else works.
Some of us have a bony protrusion on the top of our feet that makes it worse with tight laces. Since you put on a lot of mileage Extensor Tendonitis is perfectly plausible. Swelling, and bruising are two of the symptoms. It can be so bad that it does feel like a fracture. There is a great deal of inflammation with this too. Do you have arthritis elsewhere, or just on the top of your foot? If it's only there then I question if it actually is arthritis. Or it could be a combination of Extensor Tendonitis, and Arthritis. Sometimes things overlap. And there is Post Traumatic arthritis too. It settles in after an injury.
Something else to consider. Have you changed shoes lately? When did this pain start? Was there a time when it didn't hurt you? What shoes were you wearing when it didn't bother you? It could be the type of shoes you are wearing. I wear minimalist shoes which I slowly worked up to wearing. But I still have to have loose laces, or else. Seriously, try giving loose laces a trial run of a couple months, and see if it helps. Also consider seeing a sports doctor too who would be familiar with the injuries that active people get.
"What Else Could Be Causing The Pain?
Other conditions that mimic the symptoms of extensor tendonitis are metatarsal stress fracture, atypical gout and degenerative arthritis. For further information consult with your podiatrist."
"It is important to note, however, not all bony prominences in the midfoot represent arthritis. It is not uncommon for people to have local shoe wear irritation from a normal bony prominence, known as a tarsal boss. This does not necessarily signify significant midfoot arthritis."
My best regards so you can get back to putting on some more of those miles. I know how frustrating it can be.
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Fortunately, it’s all good now. I had changed shoes away from a brand I’d worn for years. It turns out the new brand had a higher arch support piece on the insert than the old. My foot arch is already high so the additional height pushed my foot tighter to the top of the shoe. The tightness irritated the arthritis that’s in the very center of the top of my foot. I rested, iced, went back to the old brand of shoes and within a couple weeks was just fine.
Interesting, but I’ve never experienced a doctor telling me it was “ all in my head” or suggest antidepressants. I did go to one doc one time years ago (for what I cannot remember), didn’t like his bedside manner and found another doctor who I liked.
Only pharmaceuticals I take are for asthma. They have been literal lifesavers. My parents were told when I was 5 that it was unlikely I’d live to adulthood due to my severe asthma. Fortunately, research brought along drugs that control my asthma beautifully and here I am some 53 years later healthy and happy.
But many have. You are lucky.
Breathing is essential, so those drugs were life saving.
It is actually similar for men, cause I looked it up for my honey (he was sweating buckets when he slept, then would wake up freezing in wet sheets). It doesn't actually say menopause, but says it's due to loss of testosterone in middle age, so it really is similar.
The good thing is you can also find solutions. He tried Zinc Piccolinate, which had G results reported for low T and it seems to have worked cause he hasn't had that happen again for many months.
It's called Andropause. I'm glad something worked for him.
Fortunately, it’s all good now. I had changed shoes away from a brand I’d worn for years. It turns out the new brand had a higher arch support piece on the insert than the old. My foot arch is already high so the additional height pushed my foot tighter to the top of the shoe. The tightness irritated the arthritis that’s in the very center of the top of my foot. I rested, iced, went back to the old brand of shoes and within a couple weeks was just fine.
Thanks for all the good info.
Great, I'm so glad you found the solution. Is that arch support removable? Some of them you can yank out of there so you can get some use out of them. I can't wear them either. They feel awful. The less support the better for me. Now you can get back to where you were with the mileage, yay! I'm happy for you. The farthest I've mostly walked was the Port Townsend Rhody Run 12k in 2017. It's a beautiful course with lots of hills. I was thankful to finish. At age 69 it took 2 1/2 hrs. That's when I lived out that way.
Yes, I do my research, and no I don't keep all of my links. There are way too many. But I do keep the best, most relevant ones. Sometimes while researching you get on a rabbit trail, and don't remember how you got there because there are two many twists, and turns. Forums are also very good for gathering info. Learn from other's mistakes, and successes. But one thing I have learned is that everyone is different. What works for one doesn't always work for another. But giving blood is a consistent plus.
I knew two people diagnosed with Hemochromatosis. One was a man who had to regularly donate blood (although a lot more frequently than once a year in his case, I think it was every 2 months).
The other was a woman who was eating so much Total cereal that she was overdosing on iron because of all the vitamins and minerals they add to it. She stopped eating it and a few months later, everything was back to normal.
I knew two people diagnosed with Hemochromatosis. One was a man who had to regularly donate blood (although a lot more frequently than once a year in his case, I think it was every 2 months).
The other was a woman who was eating so much Total cereal that she was overdosing on iron because of all the vitamins and minerals they add to it. She stopped eating it and a few months later, everything was back to normal.
Yeah, they put iron in everything . I think I read that we only use about 1 mg a day of iron, and the rest is stored in our organs. i give blood about every 56 days which is the soonest you can do it. Your doctor can prescribe it much more often, but if you do it on your own with Red Cross, or something 56 days is the limit.
"our bodies only need about 1 to 1.5 milligrams of iron per day to replace what is lost. Normal daily loss of iron excreted through urine, vaginal fluid, sweat, feces, and tears total about 1-1.5 milligrams, or the equivalent of what most of us require per day to function normally."
This link below tells a little about the Classic type of Hemochromatosis. Most don't know they have it. And it can be deadly. A great many doctors think that it is only an old man's disease. About 1/4 of the Irish have it. And I have a lot of Celtic blood. It is hereditary. We load iron about 4X normal. I found out cuz I was living in a small town in Wy for a job, and the community had a health fair with tests for low cost. One of them was a serum ferritin, or storage iron test. Mine came back way out of range, and flagged as high. The range was given as 10 - 291, and mine was 1127. If you have this they would like you to be around 50 to 100. 291 is way too high.
After giving blood several times I tested through LabCorp, with the same range it had gone down to 829. So it was going in the right direction, but still flagged as high. I'm so glad I found out about it. I had no idea. I have other links to Hemochromatosis Societies but this will do.
Just one more quickie. Here is a link to where you can get genetic testing for Hemochromatosis. And it also talks a little about a link to the Vikings which is kind of neat. They had settlements in Ireland for decades, and around the coasts where they raided. They think that is where it came into the gene pool.
I’ve found that I easily find better, faster, and more accurate information just googling my issues than seeing a doctor. Basically every sickness or illness known to man is searchable on the internet. Not only that, but there are forums where people who have had similar issues who can share their advice. The only time I do see a doctor is when I need medication, and then I go in already knowing what is wrong with me and basically telling him what I need. A few times I even had to correct a doctor about an ADD medication because it wasn’t a medication primarily used. But he still should have known.
Let me guess, you are allergic to every ADD medicine except the strongest methamphetamine stimulants? I'm also going to guess that you are in chronic constant pain, need oxycontin, and are allergic to every other pain medication except dilaudid. Am I right?
In that case, you don't need a doctor. You need a drug dealer. Might I suggest a cheaper alternative -- you can order methamphetamine from any local drug store in Mexico, no prescription required. I suggest you skip the doctor completely and handle your business.
Lol...Dr Google has caused a FLOOD of patients to our ERs and is usually quite incorrect.
This is correct.
Anybody who works in medicine knows that Dr Google INCREASES visits to the doctor. The OP has it completely backwards on how Dr Google affects real medical doctors.
Hot on the google playlist this month is MTHFR mutations and PANDAS syndrome. I know infectious disease specialists and hematologists who have greatly increased their patient visits because they have stupid people who read online that Dr Google told them they have PANDAS or MTHFR and the docs have to laugh them out of the office.
Google is extremely useful. It is a gigantic public library. It isn't screened, so you have to be very skeptical, consider what type of source you are reading, don't be naive and gullible.
*ahem* No, it is not - and your next statement is exactly the reason. I am a reference librarian, and we SELECT every book, DVD, CD, and electronic resource that is provided through our system. You (as a non-librarian) can't just throw a book on the shelf and make us leave it there, which is essentially what happens online. We also have the ability to vet every resource/material personally, and discard or reject anything that is found to be inaccurate in the nonfiction sections... I happen to maintain the 600s, which includes medical books, and will do a sweep for anything that's become outdated at least once per year. Does Google do that? I doubt it.
Sorry to vent at you, but I hope you understand why I did! And yes, Google is a great tool for SOME things; and for those who know how to use it properly. I might Google symptoms if I'm having a medical issue, but will always follow up with a doctor before self-diagnosing. And guess what? Most of the time I was way off base, lol. They have degrees for a reason, just as librarians, lawyers, and other post-graduate professionals do. People might think they can defend themselves in court, for example, but you know the old saying? "The person who represents themselves has a fool for a client." Truth.
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Also consider seeing a sports doctor too who would be familiar with the injuries that active people get.
Great, I'm so glad you found the solution. Is that arch support removable? Some of them you can yank out of there so you can get some use out of them. I can't wear them either. They feel awful. The less support the better for me. Now you can get back to where you were with the mileage, yay! I'm happy for you. 
. I think I read that we only use about 1 mg a day of iron, and the rest is stored in our organs. i give blood about every 56 days which is the soonest you can do it. Your doctor can prescribe it much more often, but if you do it on your own with Red Cross, or something 56 days is the limit. 
