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Plantar Fasciitis (1 Viewer)

Zow

Footballguy
Did a search and while plantar fasciitis is mentioned here or there I didn't see a thread dedicated to this wonderful foot/heel ailment. So, I'm posting this thread in the hopes that those of us who have it or have had it can use this thread to give tips and or suggestions of what to do (or not do).

For those of you following the weight loss thread and my threads over the years you probably are aware that I used to be in pretty good shape but while I remained active throughout the years, working too many hours at a sedentary job combined with a careless diet and genetics have put me in a position where I'm overweight per BMI. So, about a month ago I looked in the mirror and decided to get back into shape. So, over the next few days thereafter I ran in the mornings or went on a long hike and then walked 18 holes of golf. Unfortunately, on one of the hikes that was a significant elevation ascent and descent, I wore an older pay of shoes (because the hike had dusty terrain) and noticed some heel pain when done. Stupidly, I ignored the pain and ran the next day with some pain (though it didn't get worse). I then rested for a few days, thought whatever was wrong had healed, and I decided to walk 18 holes. Felt fine but on the 15th hole, after using the restroom after hitting my tee shot (par 3), I went to jog up up to the green with my pushcart so as to catch up to the group and not slow down play. Upon doing so, it felt like a gremlin crawled into my shoe and stabbed my heel with the sharpest needle on the planet. Ever since that moment I've had constant heel pain and am pretty certain it is plantar fasciitis.

Three weeks after the second and most significant time hurting it, I'm still pretty much in the same constant pain. In talking to others and researching online it seems like this is a pretty common albeit painful and lengthy problem that many face when they either get older and/or become overweight and overwork the calf/plantar during exercise. For me, this is really impacting my quality of life as I really cannot work out at all (depressing me and not motivating me to clean up diet in the interim) and I look goofy walking around at work with a noticeable limp.

Suggestions made that I've taken:
Ice daily
Purchase a foot roller massage thing that also has little nubs to hit pressure points or whatever
Purchased and wear in bed a splint that basically keeps my foot in the same spot with foot slightly pulled towards shin
Purchased and wear in my golf shoes and athletic shoes a Dr. Scholls plantar fascitis inserts
Got a professional massage with a masseuse who specializes in sports medicine and he focused a lot on the calf
Calf stretches daily

Suggestions that I've not taken:
Freeze a bottle of water and run foot over it
Cortisone shot
Max ibuprofen for 7-14 days
Foot massager

What sparked this thread is that I recently spoke with a doctor (not formally, just on the golf course) and his recommendation was pretty grim which is just that I stay off my feet for several weeks. I have multiple golf tournaments coming up, I enjoy playing with my kids (my son recently got into soccer), I obviously need to climb steps, walk to other offices/court, etc. and I just get generally crabby if I don't exercise so just laying in bed for a couple of weeks. So, I figured I see what other suggestions other may have. At this point, given how badly this sucks, I'm at a loss and seriously considering the painful cortisone shot in a couple of weeks if this doesn't improve. But, I'd rather it heal naturally.

What do you got?

(As a rant, getting old sucks. I'm in the worst shape I've ever been and now I have a torn rotator cuff, plantar fasciitis, and my left eye is suddenly blurry for no reason.)
 
I went through the exact same thing. Thankfully, the combination of ice boots every night, inserts, calf roller, and max ibuprofen before exercise got me past it without curtailing my activity and it is now no longer an issue and I use none of the remedies. Strengthening the calf and associated muscles seems to be the long term fix. So there is hope, but getting through it is no fun. I did buy a pair of ice boots that made the icing process each night much more intense and targeted and I think that helped the daily recovery.
 
I did an excersize where I had both feet flat on the ground and then you lift only the inside middle of your foot up and inch and repeat many times.

It took me a bit for my muscles to learn that movement, but I still do it till this day and haven't had an issue since then.
 
Did a search and while plantar fasciitis is mentioned here or there I didn't see a thread dedicated to this wonderful foot/heel ailment. So, I'm posting this thread in the hopes that those of us who have it or have had it can use this thread to give tips and or suggestions of what to do (or not do).

For those of you following the weight loss thread and my threads over the years you probably are aware that I used to be in pretty good shape but while I remained active throughout the years, working too many hours at a sedentary job combined with a careless diet and genetics have put me in a position where I'm overweight per BMI. So, about a month ago I looked in the mirror and decided to get back into shape. So, over the next few days thereafter I ran in the mornings or went on a long hike and then walked 18 holes of golf. Unfortunately, on one of the hikes that was a significant elevation ascent and descent, I wore an older pay of shoes (because the hike had dusty terrain) and noticed some heel pain when done. Stupidly, I ignored the pain and ran the next day with some pain (though it didn't get worse). I then rested for a few days, thought whatever was wrong had healed, and I decided to walk 18 holes. Felt fine but on the 15th hole, after using the restroom after hitting my tee shot (par 3), I went to jog up up to the green with my pushcart so as to catch up to the group and not slow down play. Upon doing so, it felt like a gremlin crawled into my shoe and stabbed my heel with the sharpest needle on the planet. Ever since that moment I've had constant heel pain and am pretty certain it is plantar fasciitis.

Three weeks after the second and most significant time hurting it, I'm still pretty much in the same constant pain. In talking to others and researching online it seems like this is a pretty common albeit painful and lengthy problem that many face when they either get older and/or become overweight and overwork the calf/plantar during exercise. For me, this is really impacting my quality of life as I really cannot work out at all (depressing me and not motivating me to clean up diet in the interim) and I look goofy walking around at work with a noticeable limp.

Suggestions made that I've taken:
Ice daily
Purchase a foot roller massage thing that also has little nubs to hit pressure points or whatever
Purchased and wear in bed a splint that basically keeps my foot in the same spot with foot slightly pulled towards shin
Purchased and wear in my golf shoes and athletic shoes a Dr. Scholls plantar fascitis inserts
Got a professional massage with a masseuse who specializes in sports medicine and he focused a lot on the calf
Calf stretches daily

Suggestions that I've not taken:
Freeze a bottle of water and run foot over it
Cortisone shot
Max ibuprofen for 7-14 days
Foot massager

What sparked this thread is that I recently spoke with a doctor (not formally, just on the golf course) and his recommendation was pretty grim which is just that I stay off my feet for several weeks. I have multiple golf tournaments coming up, I enjoy playing with my kids (my son recently got into soccer), I obviously need to climb steps, walk to other offices/court, etc. and I just get generally crabby if I don't exercise so just laying in bed for a couple of weeks. So, I figured I see what other suggestions other may have. At this point, given how badly this sucks, I'm at a loss and seriously considering the painful cortisone shot in a couple of weeks if this doesn't improve. But, I'd rather it heal naturally.

What do you got?

(As a rant, getting old sucks. I'm in the worst shape I've ever been and now I have a torn rotator cuff, plantar fasciitis, and my left eye is suddenly blurry for no reason.)
Wait, so the 15th hole was a par 3?

Also, @shuke I recall he was pretty active in the prior plantar fasciitis thread.
 
Foot issues suck. I’ve been on my feet at work for a million years. I recently did some PT for foot pain. My pain was more in the arch and around the outside of the foot. Peroneal tendinitis.

Saw the doc, X-ray showed nothing. We knew it wouldn’t. He proscribed custom insoles and some PT. I don’t love the insoles. I’m trying to get used to them. Had them adjusted once. Might need to do it again. The PT helped a lot. My problem is I never have the opportunity to be off my feet. But I’m in way less pain now than a few months ago. if I could do another round of PT and change jobs 😂 I think it would go away.
 
I went through the exact same thing. Thankfully, the combination of ice boots every night, inserts, calf roller, and max ibuprofen before exercise got me past it without curtailing my activity and it is now no longer an issue and I use none of the remedies. Strengthening the calf and associated muscles seems to be the long term fix. So there is hope, but getting through it is no fun. I did buy a pair of ice boots that made the icing process each night much more intense and targeted and I think that helped the daily recovery.
Ice boots?

I'll have to check amazon.
 
Totally amateur, non doctor advice....get the cortisone shot

I had sesamoid bone problems a few years back (back to back years at the end of the summer). Woke up basically unable to put any weight on my foot. Limped around like a goof. It was brutal.

Went to a foot specialist...got a shot, played softball and basketball games back to back 6 hours later. Never had another problem with it.
 
I've seen a podiatrist for Plantar Fasciitis in the past. Even had a boot to wear for a bit that immobilized the ankle.

I got into yoga during the pandemic and that seemed to eliminate the issues. I basically got to my most flexible version of my self, ever. I've gained weight since then, but I still do a lot of stretching of core and lower body and have almost no Plantar Fasciitis pain now.

Do you ever stretch after workouts? Before workouts? Can you touch your toes without bending your knees? 5-10 mins a day of stretching will really help over time.
 
Sorry, Zow. This sucks, and my understanding is that PF is an issue that tends to persist. I've had only very mild cases from time to time but always managed to dodge anything really troublesome.

One very modest piece of advice I can give is to avoid walking around barefoot. Wearing shoes around the house should help -- it's certainly not a miracle cure or anything, but I would add it to the list of things you should try.
 
Totally amateur, non doctor advice....get the cortisone shot

I had sesamoid bone problems a few years back (back to back years at the end of the summer). Woke up basically unable to put any weight on my foot. Limped around like a goof. It was brutal.

Went to a foot specialist...got a shot, played softball and basketball games back to back 6 hours later. Never had another problem with it.
I've heard this from others, too, but my doctor friend and the internet seem to warn against it. Weird.
 
Sorry, Zow. This sucks, and my understanding is that PF is an issue that tends to persist. I've had only very mild cases from time to time but always managed to dodge anything really troublesome.

One very modest piece of advice I can give is to avoid walking around barefoot. Wearing shoes around the house should help -- it's certainly not a miracle cure or anything, but I would add it to the list of things you should try.
I've gotten the bold as advice from others as well. You inspired me to order these PA sandal/slipper things I found on amazon designed for in home wear.
 
I've seen a podiatrist for Plantar Fasciitis in the past. Even had a boot to wear for a bit that immobilized the ankle.

I got into yoga during the pandemic and that seemed to eliminate the issues. I basically got to my most flexible version of my self, ever. I've gained weight since then, but I still do a lot of stretching of core and lower body and have almost no Plantar Fasciitis pain now.

Do you ever stretch after workouts? Before workouts? Can you touch your toes without bending your knees? 5-10 mins a day of stretching will really help over time.
1. Not often.
2. Almost always.
3. Never have been able to even when I was in my best shape.
 
One very modest piece of advice I can give is to avoid walking around barefoot. Wearing shoes around the house should help -- it's certainly not a miracle cure or anything, but I would add it to the list of things you should try.
This. I recently got some Oofos , as recommended by several runners in the 10k thread - they've been awesome for all my aches and pains from training.
 
One very modest piece of advice I can give is to avoid walking around barefoot. Wearing shoes around the house should help -- it's certainly not a miracle cure or anything, but I would add it to the list of things you should try.
This. I recently got some Oofos , as recommended by several runners in the 10k thread - they've been awesome for all my aches and pains from training.
I'm near certain that's what I ordered. Or some knockoff version.

ETA: Got something called the GPOS mens sport recovery sandal (version designed specifically for PF). They were in the same amazon category as Oofos but on sale.
 
Have your uric acid levels checked. Gout can disguise itself in many ways.
My what now?
Gout usually attacks the feet first, commonly the big toe but any joint in the body can be affected. Uric acid is the test for gout. Ask your wife if your heel feels warm to the touch that's another way to differentiate between gout and plantar faciitis.
 
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I've seen a podiatrist for Plantar Fasciitis in the past. Even had a boot to wear for a bit that immobilized the ankle.

I got into yoga during the pandemic and that seemed to eliminate the issues. I basically got to my most flexible version of my self, ever. I've gained weight since then, but I still do a lot of stretching of core and lower body and have almost no Plantar Fasciitis pain now.

Do you ever stretch after workouts? Before workouts? Can you touch your toes without bending your knees? 5-10 mins a day of stretching will really help over time.
1. Not often.
2. Almost always.
3. Never have been able to even when I was in my best shape.
Almost forgot, when mine was flared up. Have to keep the sheets loose on the bed. No tuck. Seinfeld reference.
 
Treat the problem and the symptom. The pain from PF is the symptom but its usually caused by tight calves, achilles or hamstrings which then puts strain on the tendon on the foot.

 
PF sucks. I had it a few years ago and it lasted it about 9 months due to ignoring it initially and then pushing it too soon thinking it was over the last few months.

The worst was getting out of bed in the morning, that first walk to the bathroom was excruciating.

What finally worked was a combination of:

1. wearing a compression foot sleeve I bought from Walmart for a month
2. elevating my foot while laying down/sleeping for a few weeks
3. stretching my foot, I can't remember the name of the stretch but I'll try to find it, did this stretch probably 100 times a day (eta: the stretches in the video hack posted are what I did, I guess I was stretching my calf/achilles not my "foot" lol)
4. zero hiking/running/sport for 3 months (sucked big time)

I think the first 2 helped with the pain, the last 2 are what helped it heal.

There are probably more scientific solutions, that is just the recipe that saved me. At times I thought it was going to be there for the rest of my life. Two years PF free now.
 
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One very modest piece of advice I can give is to avoid walking around barefoot. Wearing shoes around the house should help -- it's certainly not a miracle cure or anything, but I would add it to the list of things you should try.
This. I recently got some Oofos , as recommended by several runners in the 10k thread - they've been awesome for all my aches and pains from training.
This. Oofos are life changing.
 
Stretch, ice, tennis ball to roll your foot on and exercises to strengthen the calves.

Or so like I did and have it tear on you - it will be a PITA for a few weeks but the pain is gone after. Doctor told me my body naturally what they do for obese patients that can’t heal - they go in and cut it to relieve the pressure.
 
Stretch, ice, tennis ball to roll your foot on and exercises to strengthen the calves.

Or so like I did and have it tear on you - it will be a PITA for a few weeks but the pain is gone after. Doctor told me my body naturally what they do for obese patients that can’t heal - they go in and cut it to relieve the pressure.
I read about that and want to avoid this procedure at all costs because I still like to play sports and I need that push off ability. Heck, I suppose a silver lining here is this may finally spark me to drop the ~40 lbs or so I need to lose.
 
I went through the exact same thing. Thankfully, the combination of ice boots every night, inserts, calf roller, and max ibuprofen before exercise got me past it without curtailing my activity and it is now no longer an issue and I use none of the remedies. Strengthening the calf and associated muscles seems to be the long term fix. So there is hope, but getting through it is no fun. I did buy a pair of ice boots that made the icing process each night much more intense and targeted and I think that helped the daily recovery.
Ice boots?

I'll have to check amazon.
These are the ones I have. They appear out of stock now but there are other options.
 
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Currently wearing the GPOS sandals. They do provide significant relief as opposed to walking around barefoot. On, on the plus side, they are hideous-looking enough that my wife told me to buy a pair of the Oofos to wear outside the house and the GPOS ones will be in in-house only sandals.
 
Have your uric acid levels checked. Gout can disguise itself in many ways.
You’re correct, but that’s not how gout is diagnosed.

As for the OP, you’ve listed most of the treatments already. A couple more options here.

Of the stuff you mentioned, I’d strongly consider the steroid injection, plus rest and stretches described in the above link.
 
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Totally amateur, non doctor advice....get the cortisone shot

I had sesamoid bone problems a few years back (back to back years at the end of the summer). Woke up basically unable to put any weight on my foot. Limped around like a goof. It was brutal.

Went to a foot specialist...got a shot, played softball and basketball games back to back 6 hours later. Never had another problem with it.
I've heard this from others, too, but my doctor friend and the internet seem to warn against it. Weird.
Not something you want to do repeatedly, but a single shot while your rest and rehabilitate won’t cause undue harm.
 
I have had plantar fasciitis in both feet since 2017. Everyone is a bit different but for me it's just about pain management. As others have mentioned there are various exercise routines you can incorporate which will help. I would also add I find PT to be all but worthless, but regular foot massages are more effective. At least for me - not sure that's universal experience. I used to weekly receive about one hour (IIRC it included whirlpool, electrical impulse, and couple other things.) The copay was $40 and foot massages in Chinatown were $18, which is how I stumbled onto to alternate therapy lol.

The first six months were a bit excruciating. It used to be very hard to get out of bed without first doing foot/ankle stretches for five minutes. First steps of each day were intensely painful. Over time that got better and for the most part I've been (mostly) pain free for 5+ years, save for an arthritic big toe. But I don't take it for granted, I habitually roll my feet and stretch first thing most mornings. Also bought several pairs of no show compression socks which helps with blood flow.

Have also done a few things with my diet to ensure I'm getting plenty of anti-Inflammatory foods. OK, my wife does that, but there's a non-zero chance I would have figured that out.
 
Totally amateur, non doctor advice....get the cortisone shot

I had sesamoid bone problems a few years back (back to back years at the end of the summer). Woke up basically unable to put any weight on my foot. Limped around like a goof. It was brutal.

Went to a foot specialist...got a shot, played softball and basketball games back to back 6 hours later. Never had another problem with it.
I've heard this from others, too, but my doctor friend and the internet seem to warn against it. Weird.
It’s because the shot actually weakens the area. I partially tore my rotator cuff skiing this year. Currently doing PT in an attempt to avoid surgery. Saw 2 drs, both said no shot if I wanted to do the surgery. Both also said with diligent PT, I should be able to fix it.
 
Have your uric acid levels checked. Gout can disguise itself in many ways.
My what now?
Gout usually attacks the feet first, commonly the big toe but any joint in the body can be affected. Uric acid is the test for gout. Ask your wife if your heel feels warm to the touch that's another way to differentiate between gout and plantar faciitis.
Also if it’s red
 
I've seen a podiatrist for Plantar Fasciitis in the past. Even had a boot to wear for a bit that immobilized the ankle.

I got into yoga during the pandemic and that seemed to eliminate the issues. I basically got to my most flexible version of my self, ever. I've gained weight since then, but I still do a lot of stretching of core and lower body and have almost no Plantar Fasciitis pain now.

Do you ever stretch after workouts? Before workouts? Can you touch your toes without bending your knees? 5-10 mins a day of stretching will really help over time.
1. Not often.
2. Almost always.
3. Never have been able to even when I was in my best shape.
#3 is baffling to me. do some yoga
 
Stretch, ice, tennis ball to roll your foot on and exercises to strengthen the calves.

Or so like I did and have it tear on you - it will be a PITA for a few weeks but the pain is gone after. Doctor told me my body naturally what they do for obese patients that can’t heal - they go in and cut it to relieve the pressure.
I read about that and want to avoid this procedure at all costs because I still like to play sports and I need that push off ability. Heck, I suppose a silver lining here is this may finally spark me to drop the ~40 lbs or so I need to lose.

I don’t recommend it - definitely lose some weight but I will say that I returned to tennis, golf, running and other sports after with know real side effects.
 
Treat the problem and the symptom. The pain from PF is the symptom but its usually caused by tight calves, achilles or hamstrings which then puts strain on the tendon on the foot.

I have battled PF for years. When it flares up, I do the frozen water bottle rolls, take Advil, get back to strengthening my calves and perform various calf and hamstring stretches. If I remember to do the stretches at least once a weak once the pain is gone, PF stays away. The one stretch that has been really helpful is a modified standing wall calf stretch as shown in the video, if stretching my left calf, the left leg is the foot farthest from the wall. I keep the left foot planted on the floor, lift my right foot a couple of inches and push it across my left foot about 6-12 inches while keeping it in front of the left foot, I do this exercise 5-10 times daily and hold the stretch for 30 seconds each time.
 
Totally amateur, non doctor advice....get the cortisone shot

I had sesamoid bone problems a few years back (back to back years at the end of the summer). Woke up basically unable to put any weight on my foot. Limped around like a goof. It was brutal.

Went to a foot specialist...got a shot, played softball and basketball games back to back 6 hours later. Never had another problem with it.
I've heard this from others, too, but my doctor friend and the internet seem to warn against it. Weird.
It’s because the shot actually weakens the area. I partially tore my rotator cuff skiing this year. Currently doing PT in an attempt to avoid surgery. Saw 2 drs, both said no shot if I wanted to do the surgery. Both also said with diligent PT, I should be able to fix it.
Steroids ****** healing, so you generally don’t give them to parts that are partially/fully torn. Through some of the same physiologic pathways, they limit inflammation too, along with the pain that accompanies it. Zow is dealing with the latter.

It‘s a little controversial, but like anything in medicine, it’s a risk:benefit calculation. Steroids are also not a long term solution. But I believe a single injection can help kick start the recovery process, by limiting pain in the short term, while earnest rehabilitation is pursued. This is assuming he’s already failing/can’t tolerate conservative measures.

Literature review. FTR, nothing has great evidence in the treatment of plantar fasciitis - that’s not because nothing works; it likely reflects the need for a multimodal approach.
We found low quality evidence that local steroid injections compared with placebo or no treatment may slightly reduce heel pain up to one month but not subsequently. The available evidence for other outcomes of this comparison was very low quality. Where available, the evidence from comparisons of steroid injections with other interventions used to treat heel pain and of different methods of guiding the injection was also very low quality. Although serious adverse events relating to steroid injection were rare, these were under‐reported and a higher risk cannot be ruled out.
Anecdotally, I’ve never seen an adverse outcome from PF injection - I have in other areas (low back). Personally, I’ve had single steroid injections in my shoulder and elbow, for tendinitis. Both really helped IMO, with no apparent side effects.

ETA I guess you can’t say r3tard
 
Link to other thread.

 

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