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Plantar Fasciitis - ish

Posted on 5/8/23 at 2:37 pm
Posted by m2pro
Member since Nov 2008
29208 posts
Posted on 5/8/23 at 2:37 pm
Look, I have exhausted my local doctors for suggestions or help.

I have something akin to plantar fasciitis, but i suppose it's not. I've been to the foot doc. He's done an ultrasound, and xrays or whatever. He couldn't professionally say he sees something wrong but let me assure you I got SOMETHING going on. It's not pain in my heels so much but the tendons that you see when you look up plantar pics online (see below). The actual fascia itself and the tendons that look to connect to my toes are always burning hot and ALMOST have like a "click" to them in certain occasions. I have tried all the different things, man. MANY types of inserts. Many types of shoes. Stretching calf. Icing feet. Voltaren. Short of surgery, you name it I have faithfully tried it.

I don't suspect anyone here will have the magic answer that will help me, but any suggestions I may not have tried yet would be helpful. Or since misery loves company, maybe we can exchange emails and start a knitting circle for support.

Last useful info: staying off my feet (like a desk job) would help, but only temporarily. Also, high arch shoes like hokas destroy my feet while oddly my danner lace up hunting boots have a large toe box and while that seems to help a lot it does nothing to heal them, and they're still uncomfortable to stand in for long periods of time.

Thanks in advance if you have any suggestions.

This post was edited on 5/8/23 at 2:39 pm
Posted by Yewkindewit
Near Birmingham, Alabama
Member since Apr 2012
21058 posts
Posted on 5/8/23 at 5:25 pm to
A friend of mine tells me that her feet feel like they are on fire. I have no other details other than she talks about it being plantar fasciitis as the root cause.
Posted by Uncle JackD
Member since Nov 2007
59237 posts
Posted on 5/9/23 at 6:37 am to
Get yourself some oofos flip flops to wear around the house. That helped my PF big time.
Posted by SquatchDawg
Cohutta Wilderness
Member since Sep 2012
16792 posts
Posted on 5/9/23 at 6:44 am to
How much walking or jogging do you do? It may sound counterintuitive but this helped me.

It’s purely anecdotal, but I used to wake up with my feet/tendons “sore” in the morning….particularly from the balls of my feet to my heels and as soon as my feet hit the floor out of bed. It freaked me out. After reading up on it one of the causes was weakening of the foot through no real activity. I spent way too much time in a car or behind a desk for 20 years.

I started walking and then doing light/increased jogging and it went away. Also there are a number of silly foot exercises you can find online like picking up marbles with your toes and putting them in a bowl.

I was in my late forties when this happened and hasn’t come back since.
This post was edited on 5/9/23 at 6:59 am
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
43204 posts
Posted on 5/9/23 at 8:14 am to
You have two choices:

1. Exercise and strengthen your feet
2. Get orthotics.

I chose to strengthen my feet. It took a couple of months, but it went away in both of my feet and hasn't come back. I'm running anywhere from 30-40 miles per week with no issues.

The Knees Over Toes program has a good plantar routine that really helped. The main takeaways were dragging a weighted sled backwards, zero drop footwear or barefoot for workouts, a slant board for stretching, and various calf raises. I'd also recommend a Mobo Board for stability work. The weighted sled and Mobo Board will absolutely blast the muscles in your feet.

Get some zero drop shoes and start using them for walks and working out. I'd advise staying away from Altras or No Bull because of their stack height and cushioning. Xero or Vivo would be the better choice IMO or simply go barefoot. I get a lot of looks at my gym, but I'm barefoot for my workouts including dragging that damn sled.
This post was edited on 5/9/23 at 8:15 am
Posted by Harambe
Cincinnati Zoo
Member since Aug 2016
287 posts
Posted on 5/9/23 at 9:46 am to
Strengthen your feet. It took me couple months as well. Doing ankle and foot exercisers increases blood flow to the area and that's how it will heal. At least that's the concept I got from some website.

I also got a lower drop shoe with a wide toe box to walk in.

I continue to do the exercises daily and have kept the pain away.
This post was edited on 5/9/23 at 9:51 am
Posted by REB BEER
Laffy Yet
Member since Dec 2010
17072 posts
Posted on 5/9/23 at 10:34 am to
I used to have it bad. I tried everything like you said...rolling foot on frozen water bottle, wearing crocs around the house, some sort of brace to keep my toes pulled back, etc.

One tip I can tell you is never walk around barefooted and I started walking on the treadmill at a pretty good incline. I think walking uphill like that keeps pressure off the heel and has strengthened the tendons.

Good luck.
Posted by TigerAlum93
Member since Sep 2010
3109 posts
Posted on 5/9/23 at 2:15 pm to
Something that has not been mentioned that helped me was a night splint or Strasburg Sock.
Posted by EngineerOnDemand
Member since Apr 2013
173 posts
Posted on 5/10/23 at 3:35 am to
Sounds like you may have a neuroma. I was diagnosed with Morton’s neuroma and a simple steroid injection into the inflamed nerve dramatically reduced the pain .
Posted by Trailer Trash
Livingston Parish
Member since Feb 2006
547 posts
Posted on 5/10/23 at 8:55 am to
Very similar symptoms here twice in last 5-7 years. Self diagnosed as PF. Rolling and stretches did nothing. Read somewhere that jumping rope cures it. What the hell it already hurts all the time so I started jumping rope every morning. 4 or 5 sets of 25 that i slowly increased. Also bought some shoes that were better than what i had been using with good support (not nikes from the outlet mall). Did all walking and exercise in those shoes only.

Also began wearing good cowboy boots for work.

one day i realized it didnt hurt anymore. fast forward a couple years and started lazily doing my 30 minute walks in Hey Dudes and it started hurting again. Rinse and Repeat the jumprope, good shoes to exercise in, and boots at work and it healed up again.

Try it, you have nothing to lose. It is the formula that works for me.

Posted by Aubie Spr96
lolwut?
Member since Dec 2009
43204 posts
Posted on 5/10/23 at 9:07 am to
quote:

jumping rope



Another great foot exercise.
Posted by steve123
Member since Jul 2011
1359 posts
Posted on 5/10/23 at 9:57 am to
I don’t have any answers but I can give you the misery loves company. I too have tried just about everything including physical therapy, walking boot, ice, stretches, and cortisone shot. Imaging shows no tear so I’ve been told I’m not a candidate for surgery. Pain is bad enough that I’ve actually been prescribed narcotics to deal with it.
Of all the suggestions posted, probably the one that has offered me some relief is the Oofos flip-flops. But unfortunately I can’t wear those to work.
I’ll try jumping rope as I have not tried that and have nothing to lose at this point.
Posted by calcotron
Member since Nov 2007
9328 posts
Posted on 5/10/23 at 2:25 pm to
Exercise and stretching, I also recommend the pulse massager thing (mine has a round semi soft ball shaped attachment), feels amazing if you can stand it.
Posted by m2pro
Member since Nov 2008
29208 posts
Posted on 5/10/23 at 2:57 pm to
quote:

Get yourself some oofos flip flops to wear around the house. That helped my PF big time.



I actually did, and they absolutely helped.

*edit*

Thanks to all for the replies. I'll try that rope jumping thing. I have adjusted shoes for zero tension and started calf stretches again with some minimal relief. So, I do feel like it is PF even if they can't see it with their tools.
This post was edited on 5/10/23 at 3:00 pm
Posted by jose
Houma
Member since Feb 2009
29371 posts
Posted on 5/10/23 at 3:06 pm to
Sounds like to me you have 1 of 2 things.

Either a Morton Neuroma or Metatarsalgia. IF the pain is near your toes as opposed to the heel area like you say this is likely the diagnosis.

For metatarsalgia. I would switch to more flat soled shoes.

For a Morton's Neuroma, I would try a metatarsal pad and get wide toe box shoes. Also a steroid injection into the neuroma will help.
Posted by DownSouthTiger
downsouth
Member since Jan 2005
2597 posts
Posted on 5/10/23 at 3:21 pm to
I suffered with it for many years and one of my plantars tendons actually is partially torn from it. I was sitting on the beach and had my son go under from a wave and when I took off running I felt it pop. An mri showed its partially torn which is likely from how inflamed and hurting it was before I took off running. What has helped me tremendously was to discontinue any type of jumping exercise like burpees, box jumps, running. Stopping doing any lunges has helped also. I wear Hoka's 100% of the time and never go barefoot. I have some Hoka recovery slides to wear to walk in the yard or around the house. If I wear other shoes or sandals it will flare up and last months.
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