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Lingering Lace Bite - HELP

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05-02-2012, 12:29 PM
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salty justice
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Lingering Lace Bite - HELP

I've had lace bite on my left ankle for 2 months now and it's not going away.

I injured myself by playing with my skate too tight and then I took two weeks off initially because the pain was too great to even put on a skate. Since then I've played 2 games a week for the last 6 weeks. The swelling has decreased significantly but there's still a solid knot about half the size of the golf ball sitting on the front of my ankle.

It only hurts for the first 3 minutes of a game and maybe the last 5 minutes, and it's swollen to the size of a golf ball after I take my skate off. 500mg of aspirin and the swelling goes away. I play with an elastic brace to hold it together, which eases the pain greatly.

I keep reading online about it taking months to heal and people just playing through it. My doctor said that I risk tendenitus by doing so, but she also doesn't know what hockey is, so I am a little worried about the right path to take.

Any advice?

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05-02-2012, 12:49 PM
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Originally Posted by salty justice View Post
I've had lace bite on my left ankle for 2 months now and it's not going away.

I injured myself by playing with my skate too tight and then I took two weeks off initially because the pain was too great to even put on a skate. Since then I've played 2 games a week for the last 6 weeks. The swelling has decreased significantly but there's still a solid knot about half the size of the golf ball sitting on the front of my ankle.

It only hurts for the first 3 minutes of a game and maybe the last 5 minutes, and it's swollen to the size of a golf ball after I take my skate off. 500mg of aspirin and the swelling goes away. I play with an elastic brace to hold it together, which eases the pain greatly.

I keep reading online about it taking months to heal and people just playing through it. My doctor said that I risk tendenitus by doing so, but she also doesn't know what hockey is, so I am a little worried about the right path to take.

Any advice?
A properly fitting skate should not cause lace bite at all. Either the fit is wrong or the skate has broken down. Either way, you are risking permanent tendon/nerve damage.

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05-02-2012, 12:50 PM
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Originally Posted by salty justice View Post
I've had lace bite on my left ankle for 2 months now and it's not going away.

I injured myself by playing with my skate too tight and then I took two weeks off initially because the pain was too great to even put on a skate. Since then I've played 2 games a week for the last 6 weeks. The swelling has decreased significantly but there's still a solid knot about half the size of the golf ball sitting on the front of my ankle.

It only hurts for the first 3 minutes of a game and maybe the last 5 minutes, and it's swollen to the size of a golf ball after I take my skate off. 500mg of aspirin and the swelling goes away. I play with an elastic brace to hold it together, which eases the pain greatly.

I keep reading online about it taking months to heal and people just playing through it. My doctor said that I risk tendenitus by doing so, but she also doesn't know what hockey is, so I am a little worried about the right path to take.

Any advice?
Tendinitis is a common long-term effect of lace bite, so you need to be cautious of that. Lace bite is typically an injury to the extensor hallucis tendon, which runs from your shin to your big toe.


I am not a doctor and you shouldn't take professional advice from some jerk on the internet anyways, but: A cyst the size of half a golf ball at rest and a full golf ball after use is astoundingly large.

If the cyst is associated with the tendon itself, you run a real risk of tendon rupture, which means you are probably never skating again.

My advice is to get a referral from your doctor to a podiatrist or orthopaedic specialist. You need better guidance than what you are receiving.

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05-02-2012, 12:52 PM
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I should add as well that there are silicon pads and sleeves that can prevent or improve lace bite, but with a cyst as large as yours, there is no product on the market that will help.

You seriously need to stop skating until its healed. Its foolhardy to push through it.

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05-02-2012, 01:07 PM
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Originally Posted by neksys View Post
Tendinitis is a common long-term effect of lace bite, so you need to be cautious of that. Lace bite is typically an injury to the extensor hallucis tendon, which runs from your shin to your big toe.


I am not a doctor and you shouldn't take professional advice from some jerk on the internet anyways, but: A cyst the size of half a golf ball at rest and a full golf ball after use is astoundingly large.

If the cyst is associated with the tendon itself, you run a real risk of tendon rupture, which means you are probably never skating again.

My advice is to get a referral from your doctor to a podiatrist or orthopaedic specialist. You need better guidance than what you are receiving.
I don't believe it is a cyst, it is the tendon itself that is balled into a knot and just sitting there. It's pretty hard and I'm not sure if I'm helping or hurting it by pressing on it, trying to work it out.

My skates fit just fine, the day they finally broke in I just laced em up way too tight and then hyper extended my ankle by leaning forward too far on it and that's when I started to feel the pain.

I've been playing ice for 4 years now and have never experienced it.

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05-02-2012, 01:27 PM
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Best cure for lace bite

http://maltesesports.com/products.html

Scroll down to lace bit pads

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05-02-2012, 01:33 PM
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neksys
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Originally Posted by salty justice View Post
I don't believe it is a cyst, it is the tendon itself that is balled into a knot and just sitting there. It's pretty hard and I'm not sure if I'm helping or hurting it by pressing on it, trying to work it out.
Tendons don't "ball into knots". Thats not the way they work. They attach bone to muscle but can't contract on their own - they are just the glue that transmits muscle contractions into skeletal movement.

It is almost certainly a cyst, and it sounds like a huge one. I really think you need a referral. The tendon associated with lace bite isn't much wider than a pencil, so if its swollen to the size of a golf ball, you have a potentially serious issue.

Anyways, do what you want, but you are putting your mobility at risk by trying to "play through" this. You need a referral to someone who knows what they are talking about. Lace bite is pretty rare in clinical practice, especially where there isn't much in the way of winter sports.

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05-02-2012, 02:26 PM
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Originally Posted by neksys View Post
Tendons don't "ball into knots". Thats not the way they work. They attach bone to muscle but can't contract on their own - they are just the glue that transmits muscle contractions into skeletal movement.

It is almost certainly a cyst, and it sounds like a huge one. I really think you need a referral. The tendon associated with lace bite isn't much wider than a pencil, so if its swollen to the size of a golf ball, you have a potentially serious issue.

Anyways, do what you want, but you are putting your mobility at risk by trying to "play through" this. You need a referral to someone who knows what they are talking about. Lace bite is pretty rare in clinical practice, especially where there isn't much in the way of winter sports.
I live by the beach so that is the case, which is why I haven't taken my doctor up on her suggestion to get an MRI. I'm not sure what that would do to help the problem other than cost a crapload of money. Xrays showed no bone issues.

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05-02-2012, 02:34 PM
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Originally Posted by pelts35.com View Post
Best cure for lace bite

http://maltesesports.com/products.html

Scroll down to lace bit pads
This is what I find confusing. I've seen similar types of products advertised to prevent lace bite. If you wear them on your skate as a way of healing lace bite then it means that it's okay to play with lace bite?

I'm hoping that playing with my foot wrapped and padded on the affected area will have the same result as these types of products. By doing so I would describe the affected area as being "less bad" than it was before but with flareups post game continuing.


Last edited by salty justice: 05-02-2012 at 02:39 PM.
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05-02-2012, 02:37 PM
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Originally Posted by neksys View Post
Tendons don't "ball into knots". Thats not the way they work. They attach bone to muscle but can't contract on their own - they are just the glue that transmits muscle contractions into skeletal movement.

It is almost certainly a cyst, and it sounds like a huge one. I really think you need a referral. The tendon associated with lace bite isn't much wider than a pencil, so if its swollen to the size of a golf ball, you have a potentially serious issue.


Anyways, do what you want, but you are putting your mobility at risk by trying to "play through" this. You need a referral to someone who knows what they are talking about. Lace bite is pretty rare in clinical practice, especially where there isn't much in the way of winter sports.
Could it be a calcium deposit? I've read that can happen with lace bite.

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05-02-2012, 02:46 PM
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Originally Posted by salty justice View Post
Could it be a calcium deposit? I've read that can happen with lace bite.
Could be. You can get calcified hematomas from soft tissue trauma - basically the bruise/bleeding from an impact triggers a body response that turns the area to bone. It would likely have shown up on x-ray.

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05-02-2012, 02:50 PM
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Originally Posted by neksys View Post
Could be. You can get calcified hematomas from soft tissue trauma - basically the bruise/bleeding from an impact triggers a body response that turns the area to bone. It would likely have shown up on x-ray.
That's what it feels like, but my doctor didn't notice it on the xray. Maybe I should have someone else look at them.

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05-02-2012, 03:01 PM
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Get professional medical advice. In the mean time, are you SURE your skates fit fine? One cause of lace bite is that the boot is too shallow. Make sure the depth of the boot is correct for you. However like others have said; something that size should be looked at before considering anything else.

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05-02-2012, 03:21 PM
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Originally Posted by salty justice View Post
That's what it feels like, but my doctor didn't notice it on the xray. Maybe I should have someone else look at them.
Its not a calcified hematoma. They form in muscle, not tendons. Its almost certainly a cyst. They do feel quite hard.

Its your foot and your life, but I'm telling you, if you don't think your Dr. is understanding the problem, you need a referral to a specialist who knows what they are looking at.

Sure, it might be expensive, but you don't want to rupture a tendon. Repairs are even more expensive and your foot will never, ever be the same.

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05-02-2012, 03:29 PM
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Originally Posted by AIREAYE View Post
Get professional medical advice. In the mean time, are you SURE your skates fit fine? One cause of lace bite is that the boot is too shallow. Make sure the depth of the boot is correct for you. However like others have said; something that size should be looked at before considering anything else.
I've been using the same size CCMs for roller and ice for maybe 8 years, but I recently upgraded to the UL10s. I baked them and wore them in for 2 months, they finally started to fit perfectly and I laced them up way too tight one night and played -- big mistake.

The "knot" on the front of my ankle feels like the top half of a golf ball when pressing on it, but what is actually protruding from the skin is basically half of that, so like the top quarter of a golf ball. When it's swollen it's soft and basically looks like the top half of a golf ball protruding then.

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05-02-2012, 03:30 PM
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Originally Posted by neksys View Post
Its not a calcified hematoma. They form in muscle, not tendons. Its almost certainly a cyst. They do feel quite hard.

Its your foot and your life, but I'm telling you, if you don't think your Dr. is understanding the problem, you need a referral to a specialist who knows what they are looking at.

Sure, it might be expensive, but you don't want to rupture a tendon. Repairs are even more expensive and your foot will never, ever be the same.
Okay, I'm on it.

Thanks for the advice!

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05-04-2012, 04:18 PM
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You said your doctor suggested an MRI and that they didnt show up on an x-ray.

That's why you should take her up on the idea of an MRI. MRIs show soft tissue, not bone. So if its a problem with the tendon or a cyst, that would then show up on the MRI and better help them figure out what your problem is.

I recently just started to get some lace bite. Like you, I simply tied a skate too tight one game and it irritated the tendon and now playing on it regularly isnt really letting it heal. However, my lump is only about 2/3 the size of a marble. I've been using a gel pad over the area and it keeps the pain away. It may not exactly be healing, but it doesnt bother me at all. But mine is a LOT smaller than yours.

I'd get it checked out and take advantage of that MRI, it may show them exactly what they need to know to help you.

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05-10-2012, 12:25 PM
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Originally Posted by salty justice View Post
This is what I find confusing. I've seen similar types of products advertised to prevent lace bite. If you wear them on your skate as a way of healing lace bite then it means that it's okay to play with lace bite?

I'm hoping that playing with my foot wrapped and padded on the affected area will have the same result as these types of products. By doing so I would describe the affected area as being "less bad" than it was before but with flareups post game continuing.
I don't think the pads are designed to help you play through lace bite. I believe they are designed to help prevent future attacks. I think medical attention and time off may be necessary and once healed add a lace bite protector to your skate for prevention. Just my two cents as I am battling a very minimal case of lace bite myself. I'm waiting for my new skates to arrive as we speak. Going from One55's to CCM U+12... Should help do the trick.

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03-13-2013, 12:26 PM
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After 3 cortison injections and sitting for 10 months I tried playing last night. The swelling/knot/cyst on the top of my ankle came right back.

I feel like I'm right back to square 1 the day I sprained my tendon a year ago. This sucks.

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03-13-2013, 03:21 PM
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Soft tissue injuries suck.

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03-13-2013, 05:42 PM
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I totally read the title has lingerie and lace bite and perked up a little.

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03-13-2013, 07:35 PM
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I totally read the title has lingerie and lace bite and perked up a little.
Well they have a Lingerie Football League. I wouldn't mind a Lingerie Hockey League.

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03-14-2013, 01:24 AM
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Do the pencil test(google), if you fail then your skates do not fit properly. Also, check the tongues.

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03-14-2013, 09:26 AM
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Originally Posted by salty justice View Post
After 3 cortison injections and sitting for 10 months I tried playing last night. The swelling/knot/cyst on the top of my ankle came right back. I feel like I'm right back to square 1 the day I sprained my tendon a year ago. This sucks.
My lace bite in December was higher up the leg, and affected the Tibialis anterior tendon. I had tied my skates too tight - used a new wax lace and did not flex my foot forward after tying it - and the pain was so bad I was unable to walk for several days.

I did not think it was a skate fitting issue until you mentioned being off skates for almost a year with the same symptom appearing again. At this point I think it could be because that much time should have allowed your leg to heal, and a proper fitting and tied skate should not need gel pads or other aids. Perhaps the tongue has hardened and should be replaced with a new, softer one?

My first recommendation would be to see a sports orthopaedist who specializes in lower leg injuries, and have them take an up-to-date MRI to see if you have permanently damaged the tendon. No point in seeking a better fitting skate if your tendon is permanently damaged and surgery is required.

I hope whatever damage exists can be rectified, and good luck.

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03-15-2013, 10:16 AM
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salty justice
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Do the pencil test(google), if you fail then your skates do not fit properly. Also, check the tongues.
I passed the pencil test perfectly. Surprisingly I don't think my skates are too small even though I wear 10.5 CCMs with a size 13 foot.

I noticed my injured left foot slides forward a little bit in the boot and doesn't sit all the way back in the heel so I just put some super feet insoles in my skates to give me the high arch support I need. Walking around the house feels much better with the arch support, but I can't lace my top 3 eyelets tight at all without feeling pain (with either insole).

Unfortunately I like a tight fitting skate, but maybe I need to learn how to play with loose skates?

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