It started when I was 10 minutes in on Betty’s Branch, a tributary of the Savannah River in Augusta GA, competing in a stand up paddle board race. My board fin hit a sandbar and the way my body propelled forward seemed to have had most of the force go into my right big toe. I fell forward, got back up, and OUCH! My big toe was pointing out away from my foot to the side. My immediate thought was that my toe had dislocated. I had put joints back before, so here it goes - Snap! It went back in straight and I kept paddling. I learned pain like this is a good motivator. I’m assuming the adrenaline helped too.
I completed the race and came in second. The 40 seconds or so I spent during this episode may have cost me 1st place! Anyway, I wrapped up my toe and foot in KT tape and worked our DON SUP Paddle Co tent the rest of the day. Ice, Ice baby!
Still thinking my toe was just sore from the dislocation and possibly a severe sprain/strain, I actually kept walking on it and made my own makeshift splint. A couple weeks in, and ever so often a small pivot here, a bigger pivot here and I could hear and feel crunching. Yikes :/
I saw my good friend, paddler buddy and fellow chiropractor, Rob, to take x-rays about 20 days from the time of injury. Turns out I had been walking around on a spiral fracture. Oops.
Heidi, who always has good intentions for me and my health, finally got me to call and see a podiatrist. My initial thinking was that because I had a severe sprain/strain, movement would be key to healing it. Now that I saw that the toe was actually crushed, I took Heidi’s advice and saw the foot doc. He basically said I had to boot it for 6 weeks, and that “health care providers are the worst patients”. I agreed.
Well, I found out how bad of a patient I really was. I repeatedly took the boot off and would walk on it until the pain was too much. Another visit to the podiatrist and the doctor threatened to cast me. I wore the boot for a total of about 7 weeks.
I’m a huge stickler for big toe movement as I am aware of how important optimal and flexible movement of the first toe is, as it affects gait, performance and posture. So, you can imagine how freaked out I was to have broken my big toe! The couple of weeks leading up to, and right after removing the boot, I did alot of my own mobility work and acupuncture. I went down the rabbit hole on anything related to gait and foot performance.
I began to realize how amazing feet are and how bad our Western way of living is with regards to foot health. It turns out that we have an amazing built-in operating system for natural, optimal body movement. As we develop from crawling babies to walking/running/jumping adults some of us maintain these natural movement patterns, but most of us loose them. Its my belief that wearing stiff shoes when learning to walk and as kids, sitting for long periods since school, and the lack of routine bending, squatting and ground access (resting and doing stuff on the floor) contribute to the loss of our innate natural movement. The coolest thing I learned was that this natural pattern of movement is found in nature and is all around us. There is even math and geometry that helps explain it!
I signed up for a sprint biathalon about 6 weeks from the day I stopped wearing the boot. The race would be a 5K stand up paddle board race followed by a 5K run across a bridge. I figured if what I was learning was true, then I would test it myself. I vowed to train in zero drop minimalist sandals because I needed protect the skin of my feet but allow for maximal ground feeling and toe/foot movement. With the new awareness of natural movement and my own experience in physical medicine, I trained.
I won the sprint biathalon! I even ran it in my sandals while carrying my paddle. I was proud of myself and happy to experience the journey of healing and learning. Since then, I have helped others with their own body awareness and taught them about natural movement. Runners, walkers, and other active folks have reported better movement, performance and less aches and pains! Basically, it comes down to awareness and incorporating small lifestyle changes during rest, play, and work. If you want to learn more about how to incorporate natural movement into your lifestyle, please come see me!
See the pics below :)
Normal X ray of big toe (smooth lines).
X ray of my spiral fracture (jagged lines).
Das boot.
Me running with paddle.
Stopping because I forgot to put on my sandals for the bridge run.
Awards. Won a cool paddle for first place!