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Surfers' Knot Causing Foot Pain in a Competitive Surfer
Tyler M Janitz1, Jeff P Nadwodny2,3, Kavya Nuthi2
1Department of Family Medicine, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Jacksonville, Florida.
Summary
Competitive surfers experiencing foot pain may have surfers' knots. This case study shows conservative treatments, including anti-inflammatories and footwear modifications, effectively resolved symptoms, allowing a full return to surfing.
Area of Science:
- Sports Medicine
- Orthopedics
- Podiatry
Background:
- Surfers' knots, characterized by plantar nodules near metatarsophalangeal joints, can cause pain in surfers.
- Competitive surfing involves repetitive foot pressure, increasing the risk of such conditions.
Purpose of the Study:
- To describe a case of surfers' knots in a competitive surfer.
- To outline effective conservative treatment strategies for this condition.
Main Methods:
- Case presentation of a 49-year-old male competitive surfer with bilateral foot pain.
- Diagnostic imaging (MRI) to identify fibrotic tissue consistent with surfers' knots.
- Conservative treatment including NSAIDs, topical diclofenac, specialized footwear, and surfboard traction pad adjustment.
Main Results:
- Magnetic resonance imaging confirmed surfers' knots adjacent to the first and fifth metatarsophalangeal joints.
- Conservative treatment led to symptom improvement within 8 months.
- The patient achieved a full return to competitive surfing.
Conclusions:
- Surfers' knots are a treatable condition in competitive surfers.
- A multimodal conservative approach can successfully manage symptoms and facilitate return to sport.
- Recommendations for athletes include anti-inflammatory medication, topical treatments, appropriate footwear, and equipment modification.
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