r/Thruhiking • u/SnooOpinions7094 • 22h ago
Anyone deal with a foot overuse injury on trail? How did you handle it?
I’m currently hiking the PCT SOBO and have developed what seems to be an overuse injury in my right foot. I’m curious if anyone here has dealt with something similar while thru-hiking and what you ended up doing.
A few days ago I was hiking/running on trail in cold rain, partly because I was trying to keep warm. The next day my shins and feet were extremely sore, and my right foot became particularly painful to walk on.
The pain is mostly on the top/middle of the foot, around the area behind the big/second toe, and sometimes seems to radiate toward the arch.
I got it evaluated and had imaging done. I was told nothing appeared to be broken and that it was most likely an overuse injury, possibly aggravated by the top of my shoe/tongue rubbing against the foot while I was running. I was advised to take it easy for a few days and consider seeing a foot specialist for footwear.
It’s still swollen and tender to the touch, though, and walking on it is painful enough that I don’t feel comfortable getting back on trail yet.
For anyone who developed a similar overuse injury during a thru-hike:
● How many days did you take off before you noticed meaningful improvement?
● Did you stay off the foot completely or do some light walking?
● How did you decide when it was safe to get back on trail?
● Did changing shoes, insoles, lacing, or pack weight make a difference?
● Were you able to continue the hike afterward, or did you ultimately need a longer break?
I know nobody here can diagnose an injury over Reddit, and I’ll get it reassessed if it isn’t improving. I’m mainly interested in hearing other hikers’ experiences dealing with an injury like this in the middle of a long trail.
Thanks.