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BC_J400

Plantar fasciitis

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I've picked up this "condition" from an incident in the workplace early last year.  It's still hanging around as painful as ever.  I do physio once a week and he stretches the crap out of everything, calf etc.   I am aware of what all the websites say about treatment and how to alleviate the pain, but I'm not getting a lot of benefit.

Has anyone had this condition and what worked for you to *fix* it or at least reduce the pain?

It's very painful, I can't run, I have pain when riding and walking around even at the local shopping centre is extremely painful.

 

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13 minutes ago, BC_J400 said:

I've picked up this "condition" from an incident in the workplace early last year.  It's still hanging around as painful as ever.  I do physio once a week and he stretches the crap out of everything, calf etc.   I am aware of what all the websites say about treatment and how to alleviate the pain, but I'm not getting a lot of benefit.

Has anyone had this condition and what worked for you to *fix* it or at least reduce the pain?

It's very painful, I can't run, I have pain when riding and walking around even at the local shopping centre is extremely painful.

 

Hokas fix it 😆😆😆😆😆

Have pmed

Edited by Fitness Buddy

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11 minutes ago, BC_J400 said:

I do physio once a week and he stretches the crap out of everything, calf etc. 

Has anyone had this condition and what worked for you to *fix* it or at least reduce the pain?

You might need a new physio...  seems a bit of a sham to be going back weekly unless you are seeing them for something else? How did you pick it up? Normally that's how you figure out how to fix it

I had it. Sorry to be the bearer of bad news, but 3 years in total. 1 month no running while accute. Walking was more painful than running. Hip & ankle stability was an issue, but wearing ballet flats for years caused the issue. 

2 minutes ago, Fitness Buddy said:

Hokas fix it 😆😆😆😆😆

They certainly can help! Having something soft underfoot will alleviate pain. May not "fix" it...

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See a podiatrist and specifically one that likes running.  Physio's aren't as qualified/knowledgeable in the foot as a podiatrist.

If you are in SA I can put you onto the right person.

My podiatrist had me on calf loading exercises and then ease into running slowly. I didn't have it acute though. Also had a weaker gluten medialis which I went back to the physio and got a custom pilates program to deal with that area.

Also second seeing another Physio,   make sure the issue isn't coming from hip stability which can cause stress through the ankle.

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2 minutes ago, skinnee said:

See a podiatrist and specifically one that likes running.  Physio's aren't as qualified/knowledgeable in the foot as a podiatrist.

If you are in SA I can put you onto the right person.

My podiatrist had me on calf loading exercises and then ease into running slowly. I didn't have it acute though. Also had a weaker gluten medialis which I went back to the physio and got a custom pilates program to deal with that area.

Also second seeing another Physio,   make sure the issue isn't coming from hip stability which can cause stress through the ankle.

Gluten medialis what is that.  Assume you meant glute medius.  

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I had it a number of years ago. No real issues now.

Did a lot of strengthening and stretching, lots calf raises. Continue to do these daily after riding or running.

Losing a few kg helped reduce the load on it as well, although I’m hardly a lightweight.

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Time & rest. Lots of both.

Then arch support when I finally was able to run.

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The reason you see so much on the internet about plantar fasciitis (fasciopathy) is that there isn't one clear (quick) fix

A detailed/thorough history and assessment normally leads to individualised treatment involving several (or more) of the following

 - load modification / education on response to activity

 - graduated strengthening program (both calf and further up limb if indicated)

 - shockwave therapy

 - biomechanics/footwear intervention

 - stretching/massage ( I almost never recommend these as I don't think they help long term, but if they give temporary relief that's fine)

 

Some (few) are a candidate for a corticosteroid injection if they fail the above treatment. It's not without risk but generally the benefits (pain/function) outweigh the risks.

This condition should be viewed like a tendon problem - they can take a while especially if they have been sore for a long time.

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1 hour ago, Fitness Buddy said:

Gluten medialis what is that.  Assume you meant glute medius.  

Are you are teacher :P  , I meant that muscle .

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I had a cortizone injection and it lasted for about 5 weeks unfortunately :-(    The MRI report says "low grade P F."

The physio is working regularly on the calf to stretch and to free up the ankle but it's really not helping.  

Ice doesn't seem to help other than to numb the area a little but wears off soon after.

I could lose a kilo or two so I'll try and continue down that path.

It must be fairly bad as there's no way in hell I could try running on it.   It was caused by doing the Illinois agility test 3 times in a row.

Very frustrating!

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2 hours ago, BC_J400 said:

I've picked up this "condition" from an incident in the workplace early last year.  It's still hanging around as painful as ever.  I do physio once a week and he stretches the crap out of everything, calf etc.   I am aware of what all the websites say about treatment and how to alleviate the pain, but I'm not getting a lot of benefit.

Has anyone had this condition and what worked for you to *fix* it or at least reduce the pain?

It's very painful, I can't run, I have pain when riding and walking around even at the local shopping centre is extremely painful.

 

Interested to hear how you picked it up from a single incident. Isn't it more of a chronic overuse injury?

Edited by AA7

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2 hours ago, BC_J400 said:

walking around even at the local shopping centre is extremely painful.

Isn't that true for all blokes?

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10 hours ago, Aidan said:

The reason you see so much on the internet about plantar fasciitis (fasciopathy) is that there isn't one clear (quick) fix

A detailed/thorough history and assessment normally leads to individualised treatment involving several (or more) of the following

 - load modification / education on response to activity

 - graduated strengthening program (both calf and further up limb if indicated)

 - shockwave therapy

 - biomechanics/footwear intervention

 - stretching/massage ( I almost never recommend these as I don't think they help long term, but if they give temporary relief that's fine)

 

Some (few) are a candidate for a corticosteroid injection if they fail the above treatment. It's not without risk but generally the benefits (pain/function) outweigh the risks.

This condition should be viewed like a tendon problem - they can take a while especially if they have been sore for a long time.

This.

Have picked up a case of this myself in October and have been treating ever since via Podiatrist.  Has taken a long time to see any improvement but the last 3 weeks has been the best it has been following a fairly intensive shockwave therapy program.

Currently on a 3 week break to "give it some time" and then will go back and review with the podiatrist.

In the meantime, lots of stretching and exercises to strengthen everything up.

Mine has come about following seeing a skin specialist who removed a small spot from the side of my heel.  During the healing process I walked with a limp for approximately 3 weeks.  This created abnormal load / use which resulted in the faciitis.

I am walking every day and I can see it improving, but every morning getting out of bed and putting the feet on the floor can be challenging.

Good luck with it

Edited by Ayto

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Had it few years ago, came on suddenly during a run and nearly floored me.  E see up at physio, doing stretches me talk to etc but wasn't getting much relief.  After a month she asked me why shoes I was wearing, which was Altras for running, boots at work and thongs or nothing.  She asked me what my old runners were, which were stand ASICS support shoes.  She told me to wear them everywhere, all the time, for everything.  I did, and within about a month it was gone and never came back.

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Not sure which of these did the job but something got rid of it...

Freezing a water bottle and rolling it under my arch and heel

Sleeping in a Strassburg sock- nightmare of a thing

 

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I was doing a series of agility tests (5) and during the third one it all went pear shaped and I couldn't finish the rest.

This happened in April 2017 and is still as bad now as the day it happened, with the exception of when I had the injection.

Edited by BC_J400

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32 minutes ago, pieman said:

 

Freezing a water bottle and rolling it under my arch and heel

 

 

I found this worked for me when I was starting to notice some pain.

Also stopped wearing thongs everywhere

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When I did mine it was so bad I couldn't put any weight on my heel for 2 weeks.

I tried all the fixes, but really it just took about 9 months of no exercise. I put on close to 30kgs in that 9 months.

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I find rolling a golf ball under the foot helps significantly also

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1 hour ago, BC_J400 said:

This happened in April 2017 and is still as bad now as the day it happened, with the exception of when I had the injection.

And 100% sure it's PF? Had a second opinion just in case?

What shoes to you wear day to day? Supportive & with some cushioning?

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16 hours ago, BC_J400 said:

I've picked up this "condition" from an incident in the workplace early last year.  It's still hanging around as painful as ever.  I do physio once a week and he stretches the crap out of everything, calf etc.   I am aware of what all the websites say about treatment and how to alleviate the pain, but I'm not getting a lot of benefit.

Has anyone had this condition and what worked for you to *fix* it or at least reduce the pain?

It's very painful, I can't run, I have pain when riding and walking around even at the local shopping centre is extremely painful.

 

get a second opinion - So how long does a person need to see a single health care practitioner before it sinks in that the treatment they are receiving isn't working?

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a rich guy at work who has NFI about injuries, is throwing an inordinate amount of money at this to make it disappear

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Get a wooden wobble board only cost 30 or 40 bucks, I had PF for 18 months, after a few weeks of single leg balancing on the wobble board there was huge improvement/PF gone.

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On 21/02/2018 at 9:27 PM, Aidan said:

The reason you see so much on the internet about plantar fasciitis (fasciopathy) is that there isn't one clear (quick) fix

A detailed/thorough history and assessment normally leads to individualised treatment involving several (or more) of the following

 - load modification / education on response to activity

 - graduated strengthening program (both calf and further up limb if indicated)

 - shockwave therapy

 - biomechanics/footwear intervention

 - stretching/massage ( I almost never recommend these as I don't think they help long term, but if they give temporary relief that's fine)

 

Some (few) are a candidate for a corticosteroid injection if they fail the above treatment. It's not without risk but generally the benefits (pain/function) outweigh the risks.

This condition should be viewed like a tendon problem - they can take a while especially if they have been sore for a long time.

This is probably the go, I had it so bad I couldnt walk of a morning for a while. was getting a podiatrist to smash me senseless, careful what shoes wearing and load, strengthening and then did shockwave.  shockwave didnt fix it but it made it a lot more bearable and was a godsend.  the research is 50/50 on it it laymans terms, but my n=1 is it is worth it.

I then broke my foot playing cricket and was in a aircast boot for six weeks or so... dont buy inferior brands, totally cured.  Will get a "pinch" every now and again for a second, like once every two three months, but cured as i hug a forest.

 

Edited by Oompa Loompa

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6 hours ago, Oompa Loompa said:

but cured as i hug a forest.

Eh?

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11 hours ago, Fitness Buddy said:

Touch Wood I think he means.  So hug a forest is touching a lot of wood. 

Ah thanks. Never heard that one b4.

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On 2/22/2018 at 12:17 PM, BogFrog said:

And 100% sure it's PF? Had a second opinion just in case?

What shoes to you wear day to day? Supportive & with some cushioning?

I've had an ultrasound and an MRI and it's confirmed - low grade PF.

I usually wear casual Nike's with arch orthotics plus a soft gel one on the heal.   Wore my Brooks beast imports yesterday without orthotics and they were surprisingly good.

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On 2/22/2018 at 12:22 PM, Cat Lady said:

get a second opinion - So how long does a person need to see a single health care practitioner before it sinks in that the treatment they are receiving isn't working?

Who said that I was seeing a single health care practitioner?

Have seen multiple GP's (same practice), Physio, Osteo, Specialist Surgeon & additional doctor for cortisone.

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On 2/21/2018 at 6:45 PM, BC_J400 said:

I've picked up this "condition" from an incident in the workplace early last year.  It's still hanging around as painful as ever.  I do physio once a week and he stretches the crap out of everything, calf etc.   I am aware of what all the websites say about treatment and how to alleviate the pain, but I'm not getting a lot of benefit.

Has anyone had this condition and what worked for you to *fix* it or at least reduce the pain?

It's very painful, I can't run, I have pain when riding and walking around even at the local shopping centre is extremely painful.

 

 

6 minutes ago, BC_J400 said:

Who said that I was seeing a single health care practitioner?

Have seen multiple GP's (same practice), Physio, Osteo, Specialist Surgeon & additional doctor for cortisone.

sorry, I misunderstood, but  this was your opening sentence - I do physio once a week.  no reference to other treatments.

Edited by Cat Lady

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