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Have you had planter fasciitis?

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#1 Mercurial

Posted 28 November 2012 - 01:18 PM

I've had this now for about four months and it's so incredibly painful.  I have seen my Dr today, for the second time, and she's referred me for an ultrasound and injection of steroid into the site.  

Has anyone had this done - how painful is it?  Did it work?

I have tried anti-inflammatories, stretches etc but nothing helps and if anything the pain is getting worse.  Did you trying anything else that had a successful result.

#2 handsfull

Posted 28 November 2012 - 01:22 PM

Yep and yep!  Very painful, still have it and I had injections but there apparently is only so many you can have.  Podiatrist said comfy shoes ie. ugly fugly ones......have a pair for work and they do work.

Find wearing shoes with no proper support hurts like hell at the end of the day.

I do martial arts and no amount of exercise will allow me to  stretch it out properly.  All good at exercise but cannot walk down the hall later that night after tendons have shrunk back...

Get used to expensive comfy shoes...throw your vanity out the window....

#3 Mercurial

Posted 28 November 2012 - 01:27 PM

I haven't seen a podiatrist yet.  Might try to get in and see one before getting the injection.  Or have it done and then see one so that it doesn't come back.  

Shoe inserts, ugly shoes - what a glamorous life.

#4 Guest_AllegraM_*

Posted 28 November 2012 - 01:28 PM

I developed a mild case during my first pregnancy. Mainly due to pregnancy and my habit up until then of going barefoot on hard floors at home almost all the time.

I bought some Naturalizer shoes which had great support. A couple of months after I started to wear them, mine resolved. Of course, this was post-birth so that probably helped too.

I still wear my shoes during this pregnancy and so far it has not returned. I hope you get yours sorted out.

#5 WibbleWobble

Posted 28 November 2012 - 01:33 PM

Yes I had this years ago. So painful, I would be in tears at times getting out of bed.

I saw a podiatrist who suggested orthotics, but never got around to doing it.

Oddly enough at the time I was a massage student and we were practicing a therapy called trigger point, the trigger point for the feet is the back of the calf, so when my partner touched the trigger point ( and I screamed it hurt so much) the teacher worked on that spot and I never had the problem again.

If you google it you should be able to find a chart of the points and then ask someone to add some pressure to those points.

#6 la di dah

Posted 28 November 2012 - 01:36 PM

I have plantar fasciitis and also short achilles tendons up the back of my leg. The tendon in my calves actually WANTS me to wear high heels (less stretch than standing flat-footed) and the podiatrist said I can if I want to.

So no ultra-fug shoes here though I prefer a wedge heel or a thicker heel to the pin-like stilettos just because I have real bad recovery if I turn an ankle.

The plantar fasciitis is, honestly, a hardcore b**ch no matter what shoes I wear.

#7 Green Sheep

Posted 28 November 2012 - 01:40 PM

My DH had it and heel spurs.  He saw a physio who gave him stretching exercises as well the frozen water bottle idea that C~D~W~H suggested.  He also now wears supportive shoes (mostly Asics runners) and socks with extra support.  He found shoe inserts didn't help him
He refused injections and with the shoes and stretching exercises his has improved lots .....it took about 8 months for him to be almost pain free.

#8 kaishra

Posted 28 November 2012 - 02:48 PM

My husband had it, he did the stretches, wore the strassburg sock, got inserts and then had the shot, the man who did it said to him "for the next 30 seconds (or however long) I am not going to be your friend. The shots hurt. Luckily for him my husband could be the poster boy for cortisone shots as 1 shot cured him, that is unusual apparently, the physio wanted to do a paper about it.
He's just had the same shot in his back for a herniated disk, our fingers are crossed that it does the same and doesn't wear off

#9 mandala

Posted 28 November 2012 - 02:53 PM

I found the water bottle trick worked well. I also kept a tennis ball under my desk and rolled away as I sat typing. It still is a problem but mostly in the mornings.

#10 fairymagic

Posted 28 November 2012 - 02:59 PM

I too had it in one heel. I recommend seeing a podiatrist first though. I did the ice in the coke bottle trick every morning, got molded orthotics and haven't had any problems since. I had had it for about four months before seeing the podiatrist and had no idea what was causing so much pain.

See a podiatrist first - it is easier than trying the steroids - you can save them as a last resort.

#11 1ds1dd

Posted 28 November 2012 - 03:03 PM

I had it a couple of years ago and would literally cry if I needed to get out of bed in the night to go to the toilet, knowing the pain would be so bad. I would crawl to the bathroom at times to avoid walking. Only thing that helped me was seeing a podiatrist and getting inserts. I wore them religlously for about 2 months and haven't had a problem since.

#12 Wrenny

Posted 28 November 2012 - 03:12 PM

I used shoe inserts called "heel cups". They're made of silicon and raise your heel slightly as well as cradle your whole heel. 2) Make sure your shoes have built in arch supports, and 3) stretch your achilles tendons every day. Mine resolved within a year.

#13 FlutterbyBlue

Posted 28 November 2012 - 03:26 PM

I have it in both feet.  Unfortunately I also have problems with my ankles and lower legs and am caught in a lovely (NOT) little triangle where one condition sets off another, which sets off the third.  It is so painful at times, that I have walked into the doctors office more than once and begged him to just cut my feet off.

I have had the cortisone injections into my heels, twice.  Short term relief only, long term pain and discomfort, but then I always have an adverse reaction to cortisone so I don't know why I thought my heels would be any different.

I now have my own blood injected into my heels, it hurts like hell the next morning, but gets easier over time.  These injections often have to be repeated 6 weeks later but on the plus side they can give you permanent (or in my case about 1 year) relief.  The down side of this type of treatment is the incredible bruising/pain you get in your foot/feet over the next week or so.  However, I would still recommend this treatment over the cortisone every time.  
My podiatrist also suggested that should I need more injections, I should stand on ice packs (or similar) before getting the injections as this lessens the pain of the injections, and/or I should ask the doctor/practitioner to put the local anaesthetic into the side of my foot (behind the ankle bone) as this is less painful than into the heels themselves, but offers the same amount or more pain relief when it comes to the cortisone or blood injections.  

On a positive note, the first time I had the blood injections, I did the (Tasmanian) Russell Falls walk (it took me about 3 times the expected amount of time) just 5 weeks later.  Something that would have been impossible after the cortisone injections, or even pre injections.  For that walk alone, all the pain from the injections was worth it.

I have found, through much trial and error, that it is best to have the treatment in the morning or early afternoon.   Also, that if I sit on the edge of the bed or chair, with my feet hanging just over the edge and just clench and unclench my toes on and off for the rest of the day, it makes the next morning a lot easier to bear as far as pain goes.

I have also had orthotics and tubular elastic bandages to support my ankles.  Over the past few months I have been having my feet taped by a podiatrist (4 days on, 3 days off) and that brings a lot of relief to my ankles and lower legs.  and am currently testing some gel sleeves designed specifically for plantar faciitis, and they seem to be helping.

I do stretches for my Achilles tendons as well, and they have given me great relief in that area.  You can also do the heel rolling exercise with a rolling pin or a glass bottle, which helps to break up the knot of tendons/muscles in your heel.

Good luck, I hope your heels respond quickly to treatment and that you have no on going issues with them.  bbighug.gif

#14 sophiasmum

Posted 28 November 2012 - 03:36 PM

My DH was a marathon runner & developed PF. He took 6 mths off running with the view to resting the injury (did swimming instead), but it didn't go away. He ended up seeing a physio who is a runner himself & specialises in running injuries, who gave him stretches, ice & modified running program & within 3 wks he was back into it. That included rolling on a golf ball or iced bottle of water every night as PPs have mentioned. He never ended up getting the cortisone injections because he'd been told they can weaken the area over time??

#15 mumto3princesses

Posted 28 November 2012 - 03:39 PM

Yep, I had it. It's horrible!

Umm, the heel rolling excercise works well with frozen water bottles. I had a few that I rotated so there was always a frozen one ready to use.

Supportive shoes helped me along with the stretches and frozen water bottles. Oh, and unless I was doing the stretches etc I stopped taking my shoes off when I got home and that helped too.

I also taped my feet up and that helped heaps too. If I got sick of wearing the supportive shoes I was better off wearing wedge type shoes rather than something flat. If I wore a pair of thongs I really paid for it.

Edited by mumto3princesses, 28 November 2012 - 03:41 PM.

#16 More than a Mother

Posted 28 November 2012 - 03:45 PM

I've had it.

I did the golf ball, bottle of ice, and calf stretches. It worked for me.

#17 trainingwheels

Posted 28 November 2012 - 03:53 PM

Hi there,

I am a physiotherapist, new mum-to-be and have also suffered crippling plantar fasciitis myself. Have you had the injection yet? And have you had any hands-on physio treament so far? If not, can I suggest holding off until you try that?

One of the most common problems associated with plantar fasciitis is calf muscle tightness. You would then think of course that calf stretching would be the solution. It would be perhaps if stretching brought about any long term increase in muscle length, which it doesn't. Someone here mentioned trigger point massage. That's a huge part of what I do for people with musculo-skeletal complaints, and it's well worth trying this in not just the calf, but also the remaining lower leg muscles - peroneals, tibialis anterior and posterior and even the big toe flexor which is just palpable near the calf.

I've treated many people quite successfully for this condition and the things I usually do include the trigger point massage, the frozen bottle rolling as a home exercise, even an ice bucket, which sounds intolerable, but can be immensely helpful in acute stages. Also something called "low dye taping", which is a style of sports taping around and under the foot. Most of my patients have found this enormously relieving. It's also worthwhile checking out lower limb mechanics from the pelvis down, because these sorts of problems often come down the chain from other muscle dysfunctions further up.

I won't keep grinding on and boring everyone, but my point is, there are a number of treatment modalities out there worth trying before you resort to cortisone. Don't mistake me for being anti-cortisone either - I love the stuff when I can't get people moving because of painful restriction. It just needs to be used judiciously. The bummer with pregnancy of course is we can't pop anti-inflammatories!

Anyway, I hope this is helpful. Please let me know if you would like any more information.

#18 kpingitquiet

Posted 28 November 2012 - 04:05 PM

My mom has had it pretty bad ever since a foot injury. I believe she had the injections early on but now just sticks to more supportive shoes and does a series of foot stretches in the morning before her feet ever touch the floor. She also has a rolly gadget by the couch that she runs her feet over now and then in the evenings. It must be manageable for her as she spends all day on her feet, at work.

I have a mild case of it that I acquired during pregnancy. I have to be careful about not keeping my feet pointed for too long which is annoying as I tend to sit semi-lotus-style and also sleep in a way that my feet are pointed, and I also have shortened Achilles, but the pointing aggravates the hell out of it. I never went the route of medical treatment, just stretching, massage, and losing weight.

#19 mumto3princesses

Posted 28 November 2012 - 04:06 PM

QUOTE (trainingwheels @ 28/11/2012, 04:53 PM) <{POST_SNAPBACK}>
Also something called "low dye taping", which is a style of sports taping around and under the foot. Most of my patients have found this enormously relieving.

Ah yep, that's what it was called. It helped a lot.

#20 ~ky~

Posted 28 November 2012 - 04:15 PM

Yeouch! I've had it a couple of times and the only thing that helped me was rolling on a water bottle and continuing low level reduced frequency exercise and taking my time getting moving in the morning.

#21 Guest_CaptainOblivious_*

Posted 28 November 2012 - 08:30 PM

Yep.  I didn't go to the Dr though, but to the podiatrist. I have fully customised orthotics and they've made it so much better. It's still stiff and a bit sore initially when I start moving or after I've been playing sport but it's nowhere near the agony it used to be.

#22 Mercurial

Posted 28 November 2012 - 08:36 PM

Thanks everyone.  I can't believe that after four months how painful it still is.  I do suffer from tight calf muscles as well and have read that they're linked.  I'll give the frozen bottle a trick in the morning and see if that helps.

I will see a podiatrist before getting the injection, I have the referral so can have it done at any time.

#23 Lees75

Posted 28 November 2012 - 08:51 PM

A lot of my patients have had good results with extrcorporeal shock wave therapy, although the jury is still out with regards to evidenced based practice as there is limited research given the relative "newness" of the treatment. It's basically a last ditch effort for chronic sufferers, prior to surgery.

#24 ~Tranquillity~

Posted 28 November 2012 - 09:02 PM

Plantar fasciatis utterly, utterly sucks! I had the cortisone injections, having them did not hurt nearly as much as I was warned it would. They did help- however when you are doing so many different things (reducing/changing exercise regimes, massage, ice water bottles etc) it can be hard to pinpoint what it is that is actually working. It took a year of no running for mine to get better. Funnily enough, I found with experimentation that I was actually much better without the orthotics I had been wearing for a couple of years. I have also changed my running style completely to run more on the balls of my feet instead of my heels and it has not recurred so far.

Good luck.

#25 luke's mummu

Posted 28 November 2012 - 09:13 PM

I had it for about 1 year starting when my son was 6 weeks old. After 5 months of pain, 10 sessions of physio with no relief at all, I saw a sports physician. He sent me for an MRI, which showed due to the severe plantar fasciitis I had a 1/4 tear in the plantar fascia and also a stress fracture thru the heel spur where the plantar fascia joined. No wonder all the physio and stretches weren't helping! I had a CAM boot for 3 months, and also 2 autologous blood injections into the plantar fascia.

Took 3 months but eventually it healed OK. I still get a little pain when I walk on concrete all day (at work) and have to be very careful with my shoes.

My advice would be if it doesn't get better with physio or podiatry, ask t see a sports physician ASAP.

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