NPR

Anyone had this recently and if so how have you treated it? Mine has slowly developed in my left heel/sole over past few months and is now pretty painful. I play lots of golf and walk an average of 10+k steps a day and am able to continue playing however it is painful afterwards. So far I am icing it 2-3 times a day, taking ibuprofen and trying to stretch it out. I have also ordered sorbothane insoles designed with arch support and they should arrive in next few days. Anything else I can do ... and please dont say rest! Any help much appreciated.

dpedin wrote: ↑Wed Nov 01, 2023 12:13 pm Anyone had this recently and if so how have you treated it? Mine has slowly developed in my left heel/sole over past few months and is now pretty painful. I play lots of golf and walk an average of 10+k steps a day and am able to continue playing however it is painful afterwards. So far I am icing it 2-3 times a day, taking ibuprofen and trying to stretch it out. I have also ordered sorbothane insoles designed with arch support and they should arrive in next few days. Anything else I can do ... and please dont say rest! Any help much appreciated.

I think I have something related, rather than the bottom of my foot, on the back of my heel. I found shoes with good arch support really helped, also having the heel slightly raised helped too.

Don't keep pushing it, again, mine is not exactly the same, but every time I've tried to push through, it's only ended up more painful and took longer to recover from.

dpedin wrote: ↑Wed Nov 01, 2023 12:13 pm I have also ordered sorbothane insoles designed with arch support and they should arrive in next few days.

My mum had it and insoles helped a lot.

Also....

.......please dont say rest!

Get a buggy at the golf course.....it'll cut your steps by 75%.

I tried everything you have, until eventually I was given a very strong anti-inflammatory and after months of suffering it was gone in a week.

Ibuprofen isn't strong enough for Plantar Fasciitis in my opinion, maybe check with you doc about doing a course of something much stronger.

I've had it a few times, or varying strengths and lengths of time. In my view, the underlying issue is always one of stretching out certain nerves, muscles and tendons/ligaments, which will be different from case to case. For me, it always involved the long nerve down the outside of your leg (using one of those long rollers), and then a mixture of rolling out quads and muscles around the knee. It would seem not be going anyway and then one day disappear. In the meantime, small, hard balls were good for rolling under the foot while you're sitting or standing to loosen the bits there, and insoles helped too.

Amputate

Woddy wrote: ↑Wed Nov 01, 2023 1:22 pm I've had it a few times, or varying strengths and lengths of time. In my view, the underlying issue is always one of stretching out certain nerves, muscles and tendons/ligaments, which will be different from case to case. For me, it always involved the long nerve down the outside of your leg (using one of those long rollers), and then a mixture of rolling out quads and muscles around the knee. It would seem not be going anyway and then one day disappear. In the meantime, small, hard balls were good for rolling under the foot while you're sitting or standing to loosen the bits there, and insoles helped too.

Calf stretches on the first step at home, dropping the heel down each time also works.

dpedin wrote: ↑Wed Nov 01, 2023 12:13 pm Anyone had this recently and if so how have you treated it? Mine has slowly developed in my left heel/sole over past few months and is now pretty painful. I play lots of golf and walk an average of 10+k steps a day and am able to continue playing however it is painful afterwards. So far I am icing it 2-3 times a day, taking ibuprofen and trying to stretch it out. I have also ordered sorbothane insoles designed with arch support and they should arrive in next few days. Anything else I can do ... and please dont say rest! Any help much appreciated.

I’m pretty sure must be getting low on covid boosters.

Make sure you get good coverage across your body, not just in your upper arm and brain.

Woddy wrote: ↑Wed Nov 01, 2023 1:22 pm I've had it a few times, or varying strengths and lengths of time. In my view, the underlying issue is always one of stretching out certain nerves, muscles and tendons/ligaments, which will be different from case to case. For me, it always involved the long nerve down the outside of your leg (using one of those long rollers), and then a mixture of rolling out quads and muscles around the knee. It would seem not be going anyway and then one day disappear. In the meantime, small, hard balls were good for rolling under the foot while you're sitting or standing to loosen the bits there, and insoles helped too.

The suggestion to "amuptate" after your post made me lol, but before such drastic measures...


I've been using a lacrosse ball as a pin-point massage tool for my back for years, it's really good for hamstrings, quads, calfs, feet too.


On another note, so to speak, I was reading a post by a famous musician who has been doing a corner stretch

He says this has cured bursitis and tendonitis in his arms and has allowed him to play stringed instruments without wearing medical sleeves for the first time for years. I've been doing this stretch for a week now but it's too early to say if it's had any effect

Arch support insoles are indeed the way to go initially.

If the pain persists, a really strong anti-inflammatory drug to knock it on the head completely can work wonders, but comes with some hazards attached in terms of tissue damage and vulnerability to new infections.

Sandstorm wrote: ↑Wed Nov 01, 2023 1:43 pm

Woddy wrote: ↑Wed Nov 01, 2023 1:22 pm I've had it a few times, or varying strengths and lengths of time. In my view, the underlying issue is always one of stretching out certain nerves, muscles and tendons/ligaments, which will be different from case to case. For me, it always involved the long nerve down the outside of your leg (using one of those long rollers), and then a mixture of rolling out quads and muscles around the knee. It would seem not be going anyway and then one day disappear. In the meantime, small, hard balls were good for rolling under the foot while you're sitting or standing to loosen the bits there, and insoles helped too.

Calf stretches on the first step at home, dropping the heel down each time also works.

I was lucky when I got it, to have a summer booked full of relining swimming pools, standing on a sharp slope for hours on end cured mine..

I swear by SuperFeet ... everyone will be different, but these worked better for me than couple hundred dollar pro-made orthotics!




Calf stretches and massages worked for me too. Post-exercise stretching even if you don't feel tight at all. I'll tighten up the next day. Warm foot bath / shower. A good warm-up - not stretching, but getting the blood flowing and loosening up with dynamic movements - also seemed to help prevent getting a flare-up afterwards (largely proved by jumping straight into something like refereeing, feeling I'd just be trotting around anyway, but paying the price for it the next day).

I used to roll the soles of my feet on a hard lacrosse ball (and there are specific rollers for plantar fasciitis too) but I never was consistent enough with it to know if it actually helped.

Sad to say, it's not actually curable - when it disappears, it's of it's own volition.

I had it for 18 months after ankle surgery - they cut my right heel bone completely off and reattached it at a different angle.

Treatment can assist with the pain. The old "Towel grip" technique is surprisingly effective

For some or other reason my brain read Planetar Fascists. I thought it was a thread on Star trek or some such.

Cheers everyone - a few good ideas there that I will try.

dpedin wrote: ↑Thu Nov 02, 2023 9:57 am Cheers everyone - a few good ideas there that I will try.

You’re welcome

Insoles and Aussie Outback



Worked for me.

Also, if you're still running, check your form. You may find that you've adjusted your landing to compensate for the pain, which also makes it a bit worse.

Obviously this depends upon the specific plantar fasciopathy.
One of the newer treatments is extracorporeal shockwave therapy which seems to be fairly effective.
À biomechanical assessment would be my advice if off the shelf insoles and stretches etc do not work. Could try topical voltarol or other decent anti inflammatory gels or oral NSAIDs.
If it doesn't settle down then a local cortico steroid injection may be warranted.

C69 wrote: ↑Fri Nov 03, 2023 7:23 am Obviously this depends upon the specific plantar fasciopathy.
One of the newer treatments is extracorporeal shockwave therapy which seems to be fairly effective.
À biomechanical assessment would be my advice if off the shelf insoles and stretches etc do not work. Could try topical voltarol or other decent anti inflammatory gels or oral NSAIDs.
If it doesn't settle down then a local cortico steroid injection may be warranted.

My mate, a doc, had a local/steriod injection for plantar fasciitis and reckoned it was most painful injection he had ever had!!! He did however say if brought instant relief.

dpedin wrote: ↑Fri Nov 03, 2023 8:57 am

C69 wrote: ↑Fri Nov 03, 2023 7:23 am Obviously this depends upon the specific plantar fasciopathy.
One of the newer treatments is extracorporeal shockwave therapy which seems to be fairly effective.
À biomechanical assessment would be my advice if off the shelf insoles and stretches etc do not work. Could try topical voltarol or other decent anti inflammatory gels or oral NSAIDs.
If it doesn't settle down then a local cortico steroid injection may be warranted.

My mate, a doc, had a local/steriod injection for plantar fasciitis and reckoned it was most painful injection he had ever had!!! He did however say if brought instant relief.

Oh yes it's very very painful.

Got sorbothane insoles and played golf yesterday, they seemed to help a little and I wasn't quite so sore afterwards although large G&T may have helped? Thought I was going out for a practice round but asst pro joined me and we ended up submitting card for winter league. 85 net 75 and 5 over net par but happy with that given limp! Still icing and doing stretches as advised.

dpedin wrote: ↑Fri Nov 03, 2023 8:57 am

C69 wrote: ↑Fri Nov 03, 2023 7:23 am Obviously this depends upon the specific plantar fasciopathy.
One of the newer treatments is extracorporeal shockwave therapy which seems to be fairly effective.
À biomechanical assessment would be my advice if off the shelf insoles and stretches etc do not work. Could try topical voltarol or other decent anti inflammatory gels or oral NSAIDs.
If it doesn't settle down then a local cortico steroid injection may be warranted.

My mate, a doc, had a local/steriod injection for plantar fasciitis and reckoned it was most painful injection he had ever had!!! He did however say if brought instant relief.

Nah, having blood taken from your inflamed Achilles Tendon, centrifuged and cells extracted and injected back in.....


The receptionist said "Oh, you're here for the really painful injection............"

It was

mat the expat wrote: ↑Mon Nov 06, 2023 1:04 am

dpedin wrote: ↑Fri Nov 03, 2023 8:57 am

C69 wrote: ↑Fri Nov 03, 2023 7:23 am Obviously this depends upon the specific plantar fasciopathy.
One of the newer treatments is extracorporeal shockwave therapy which seems to be fairly effective.
À biomechanical assessment would be my advice if off the shelf insoles and stretches etc do not work. Could try topical voltarol or other decent anti inflammatory gels or oral NSAIDs.
If it doesn't settle down then a local cortico steroid injection may be warranted.

My mate, a doc, had a local/steriod injection for plantar fasciitis and reckoned it was most painful injection he had ever had!!! He did however say if brought instant relief.

Nah, having blood taken from your inflamed Achilles Tendon, centrifuged and cells extracted and injected back in.....


The receptionist said "Oh, you're here for the really painful injection............"

It was

Ouch!

The missus has PF. It appeared first about 6-8 months ago in her left foot. Got better, now it's back but in her right foot, further towards (in) the heel. She's perimenapausal so thinks it's related to that and the general shit that comes with it.

She's struggling to walk - has tried a bit of cocodamol which hasn't helped much, insoles etc. Next stop is the GP, but probably need to wait a few weeks before an appointment comes up. Will try the local podiatrist in the meantime, but she's really struggling.

dpedin wrote: ↑Mon Nov 06, 2023 7:44 am

mat the expat wrote: ↑Mon Nov 06, 2023 1:04 am

dpedin wrote: ↑Fri Nov 03, 2023 8:57 am

My mate, a doc, had a local/steriod injection for plantar fasciitis and reckoned it was most painful injection he had ever had!!! He did however say if brought instant relief.

Nah, having blood taken from your inflamed Achilles Tendon, centrifuged and cells extracted and injected back in.....


The receptionist said "Oh, you're here for the really painful injection............"

It was

Ouch!

Verliy, I did whimpereth!

Reminds me of the steroid injections into the disc in my back that was bulging.

Instant relief but pain level as it was going in was about 11/10 (especially the last one I had)

That shit's painful enough to pronounce, let alone suffer through. Commiserations!

Gumboot wrote: ↑Wed Nov 08, 2023 7:54 am That shit's painful enough to pronounce, let alone suffer through. Commiserations!

First time I saw the phrase, I assumed it was something to do with alien Hitlers.

I've had a few infections straight into my knees - steroid injections and such like. I also had injection to aspirate fluid in my knee and to collect a sample for labs when I had septic arthritis - a bacterial infection in knee joint. Knee was very tender and junior doc in A&E struggled to find the right place and kept hitting bone! I asked if I could get a local but he said this would have been just as painful! Once he hit the right spot this horrible red gunge started pouring out which was very disconcerting but did relieve the pain temporarily.