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Medical Forum / Diseases and Disorders / Arthritis / March 2006Unpopular Cure For Plantar Fasciitis
Yeah I stretched the soleus and gastrocnemius religiously and wore a special night sock frequently. Used ice, massage, NSAIDS, and toe curls to a lesser extent. Always wore heel cups or some other recommended insert. But I'm convinced that those treatments had minimal effect and the thing that cured this bitch of a disease was rest, and for me that meant NO running and minimal walking over a 6-week period. Used a ski machine as a substitute but even *that* irritated the heel and had to be severely curtailed. My apologies to all you purists out there but you are not going to run your way through plantar fasciitis, even if you follow all of the other recommended treatment modalities. Jack >and wore a >special night sock frequently Where'd you find a sock small enough to fit your 2" penis? > Yeah I stretched the soleus and gastrocnemius religiously and wore a > special night sock frequently. Used ice, massage, NSAIDS, and toe [quoted text clipped - 13 lines] > > Jack Where does it say to "run through" an injury ? Rest is the key , if only I would not run or train for say 4 weeks I'm sure any lasting niggles from my injury would dissappear. Dear Jack, I am not real up to speed on foot ailments, but the way it sounds, a period of rest and being very easy with weight bearing activities should be helpful. Elevate it, soak it, maybe tape it and go with a crutch or at the least a cane, for a while, to assist with the weight bearing on normal activities, couldn't hurt. As it seems you're living to run, rather than running to live,, if you truly enjoy the activity that much, a visit to a podiatrist and a foot X-ray might give you a measure of piece of mind, knowing further damage is not a risk. 3 X your body weight every time you land on that foot could do all kinds of nasty things, and better to waste the bucks for a doctors appointment than take a chance of sacrificing something you love to do. There aren't many things people enjoy doing in life that aren't illegal, immoral or fattening. Do all you must to keep this activity safe for you, even if it means taking a little time off from it. Best Wishes for a speedy recovery--og > Yeah I stretched the soleus and gastrocnemius religiously and wore a > special night sock frequently. Used ice, massage, NSAIDS, and toe [quoted text clipped - 13 lines] > > Jack Better than an x-ray, find a good podiatrist with an ultra sound machine. That can look at soft tissue. Find other activities while it's healing, or it wont. : Yeah I stretched the soleus and gastrocnemius religiously and wore a : special night sock frequently. Used ice, massage, NSAIDS, and toe [quoted text clipped - 13 lines] : : Jack While I appreciate what you're saying, I also dealt with Plantar Fasciitis. I decided NOT to forego running, cycling and standing/walking around. Instead, I did the night splints a bit (not much), wore shoes around the house instead of going barefoot, stretched just a bit, wore a heel cup in my walking shoes and used ice every night for 20 minutes. I DID run my way through Plantar Fasciitis, just as my orthopaedist said I would. It took a year, but the pain was minimal and I much preferred that to the "6 week off" period that you are advocating. The point, though, is this: because ceasing all running activities worked for you, you are saying that's the only thing that will work for everyone else. Truth is, we're all different. If not running worked for you and you prefer that, great. I preferred to run through it. Don't tell me what will and will not work for me based on the limited experience of one guy who didn't get results as quickly as he wanted using other modalities. It's that kind of arrogance that will keep you from being able to learn from the experiences of others. It'll keep you intellectually immature. > The point, though, is this: because ceasing all running activities > worked [quoted text clipped - 11 lines] > from the > experiences of others. It'll keep you intellectually immature. You are both correct in treatment. Understand PF is the name of general diagnosis of a problem with the fascia. The degree of injury or placement can vary widely. Because of the variability of injuries and problems, solutions also vary. So yes, some people can run through it and others have to completely stop or some combination of the two plus the night splints, etc. etc. The real pain in the a.s, metaphorically speaking, is finding what will work for you, which sad to say, takes time and runners hate down time. For starters and only a opinion, if you know you are a slow healer in general, then I would suggest a conservative approach. If a fast healer, try a more aggressive approach -DF The latest edition of "Arthritis Today' put out by The Arthritis Foundation, says take two weeks of rest, then walk or run it off. I say BULL!! I've suffered with a horrid case of PF along with pain in the balls of my feet and in both ankles. (I have ankylosing spondylitis, a fun erosive arthritis which affects the spine, peripheral joints, and points of tendon insertion into bone). >From the medical encylopedia on line: Enthesis the site of attachment of a tendon or ligament to bone. The enthesis consists of four zones: the tendon, unmineralized fibrocartilage, mineralized fibrocartilage and lamellar bone. Entheses are metabolically active and are nourished by blood supply from the peritenon, perichondrium and periosteum. Entheses are involved in a number of inflammatory, traumatic and degenerative processes (enthesitis or enthesopathy). Radiographically detectable bone excrescences may occur in various degenerative disorders; these bone outgrowths are termed enthesophytes or spurs. I truly do think how to get rid of PF depends on what is causing the PF. I tried everything to make it go away...nothing worked. The stretches helped for all of about 2 seconds, then the pain was right back. The only thing that helped me with it was working with my arthritis med combinations. Finally Enbrel, azulfidine, prednisone, and injectable MTX got it under control. PF is a bitch, no doubt about it. I'm glad that you found something that works for you, Char What are you, a lil girlie or something? >The latest edition of "Arthritis Today' put out by The Arthritis >Foundation, says take two weeks of rest, then walk or run it off. [quoted text clipped - 28 lines] >I'm glad that you found something that works for you, >Char >You are both correct in treatment. Understand PF is the name of general >diagnosis of a problem with the fascia. The degree of injury or [quoted text clipped - 8 lines] > >-DF That's true. I "ran through it" for years without doing *any* kind of treatment or adjustment and yet it stayed mild, but when it flared in late January, man I was lucky to hobble. I simply don't believe that the icing, stretching, night splint, massage,etc. had any effect on improvement. Abstinence was the ticket. Ironically, I tore a lateral knee meniscus two months earlier and that had no effect on running, only on crouching. Surgery for partial removal 2/24. The damn PF was more disabling than the cartilage damage. At 62, it's all catching up to me; you just don't heal the same way. Other egs, in the past yr. a strained neck/trapezius from bench presses took 6 months before becoming pain-free and the rotator cuffs and bicipital tendons are chronically sore. Everything has seemed to collapse at once like a pre-programmed genetic destruction. _____________________ > At 62, it's all catching up to me; you just don't heal the same way. > Other egs, in the past yr. a strained neck/trapezius from bench > presses took 6 months before becoming pain-free and the rotator cuffs > and bicipital tendons are chronically sore. Everything has seemed to > collapse at once like a pre-programmed genetic destruction. We can't pick our parents. :) -DF >We can't pick our parents. :) Mine sure dumped me fast though. They say one look at me, and mom passed back out, and pops headed for the door never to be seen again. -DF : > The point, though, is this: because ceasing all running activities : > worked [quoted text clipped - 24 lines] : : -DF Agreed, Doug! It's not a "my way is the only way" approach. Thanks for summarizing the balance and individuality I was trying to bring across. > You are both correct in treatment. Understand PF is the name of general > diagnosis of a problem with the fascia. The degree of injury or [quoted text clipped - 6 lines] > you know you are a slow healer in general, then I would suggest a > conservative approach. If a fast healer, try a more aggressive approach I was diagnosed with PF and other foot problems. Wore special orthotics for years. Did all the exercises. Pain never went away until I stopped eating potatoes. Clear to me that there can be many causes for your foot problems - and not all of them are below the knee. I think Userfriendly is right. You need to find what is right for you. For my nagging PF, I know that the "toe off" in my running, or the running hills is what makes the PF flair up. If I can use the Night Splint (30 - 45 mins) to get stretched and run flatfooted in the hills I can keep things under control. I have gone through complete recovery, just to flair up again once normal activity is resumed. I find that taping the arch, using a night splint, custom Orthotics rolling a soup can underfoot keep me running and pain free - I am never far from a flare up. I have learned to live with it. /john >I think Userfriendly is right. You need to find what is right for you. >For my nagging PF, I know that the "toe off" in my running, or the [quoted text clipped - 7 lines] >never far from a flare up. I have learned to live with it. >/john Lots of folks swear by taping but very few know how to do it properly. Especially someone like me who is all thumbs. For what it's worth, all the football teams have magnetic pulse therapy machines. My old internist had one, and found insurance companies wouldn't pay for it. At the time, I had a stress fracture that's wouldn't heal, inspite of even a walking cast. 12 sessions with that and it healed. On the other hand, I used a podiatrist recently, who had a ultra sound viewing, to see exactly what was going on. While he did shoot some cortisone, he regularly shot some king of stuff to flush it out. I keep it simple. I place my heel on a can or tuck my foot up on the bench I am sitting on - just so that the foot is flexed. I put 1-2 wraps of tape around (snugly) the arch. Don't go too tight, when you put weight on the foot it will expand against the tape. I place it high enough up the foot to support the arch but not so high that it sits where the foot and ankle begin to flex. So probably not quite as far up the foot as your shoes lace. You just don't want the tape where it tugs at the skin. You have to play with it - watch for blisters. If you do get a small blister - just take a tag end of tape and place it dry side down on the blister and tape over it. They go away in a few days. I like the Johnson & Johnson Coach tape. It is well ventilated, flexible and pulls off nicely. Be advised, I came up with this on my own but it works for me. Free advice is worth every penny you pay for it. Good luck. /john Lurker unlurking momentarily. :-) Two years ago I was diagnosed with PF and my doctor said only exercise and good support shoes would clear my problem. Yes, I rolled a empty fly-spray can with my affected foot, and took to wearing support shoes. I also cut up my old soft sheepskin ankle boots to make a soft support pile for the arch of my foot. It took some months, but the pain went away and I've stopped using my support shoes and stopped exercising (I hate exercising in any form!) I'm ever ready to take up the exercise and use the support shoes at the slightest twinge of pain. So far I've been lucky. I thought I'd share my experience. :-) All right, back to lurking.  SignatureSanchona sanchona@optusnet.com.au http://synchona.tripod.com/index.html First Novel: "A Family Of Strangers" will be published by Five Star Publishing end of 2006 |
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