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plantar fasciitis-treatment tips?

Posted on 7/31/17 at 9:38 pm
Posted by shamrock
Baton Rouge
Member since Sep 2015
3621 posts
Posted on 7/31/17 at 9:38 pm
I've got it and it's caused pain for 2 months. I've got inserts and I tape my foot in the mornings, ice it at night..minimal improvement..starting to sleep with a boot tonight..any advice?
Posted by BeachDude022
Premium Elite Platinum TD Member
Member since Dec 2006
34810 posts
Posted on 7/31/17 at 10:19 pm to
Compression socks. Ice. Stretching first thing in the am. Lots of Advil. Worst case scenario, surgery.
Posted by Volt
Ascension Island, S Atlantic Ocean
Member since Nov 2009
2960 posts
Posted on 7/31/17 at 11:35 pm to
I gave a steroid injection into the plantar fascia of a patient in January who has had pain for years and she continues to say that the pain is 95% gone

Otherwise, ice, stretch, orthotics (inserts), and hope it doesn't hang around for long
Posted by GEAUXT
Member since Nov 2007
29239 posts
Posted on 8/1/17 at 5:41 am to
Ice, stretching (any calf/hamstring) stretches help, shoes full time (running shoes with a heel to toe drop), inserts (Spenco not the Dr Scholls crap), anti inflammatories as needed. Any time you're not wearing your good shoes and inserts you're gonna be taking a step back in the healing (pun intended)

The steroid shot can help, but only if you're doing those other things

I'm a podiatrist, and probably 1/4 to 1/3 of my new patients everyday are plantar fasciitis

It'll take a few weeks to a month of doing all those things to get back to normal
This post was edited on 8/1/17 at 5:43 am
Posted by Izzy Mandelbaum Sr
Think you're better than me, huh?
Member since Jul 2017
514 posts
Posted on 8/1/17 at 6:07 am to
How helpful are these? LINK
Posted by GEAUXT
Member since Nov 2007
29239 posts
Posted on 8/1/17 at 6:19 am to
You really need something more stable and supportive. Those would certainly be better than barefoot, but not as good as a running shoe. On that same note, you need a good supportive running shoe (ASICS, Brooks, NB, Mizuno) not one of those minimalist things you can fold into a pretzel.
Posted by LSUfan20005
Member since Sep 2012
8814 posts
Posted on 8/1/17 at 8:18 am to
Get a super-bounce kids ball and roll your foot out every hour. Also consider scraping your arch with the handle of a butter knife every evening, lube with lotion.

I bet your calves are all jacked up as well. Roll those out and stretch like it's your job.

Not a fan of ice here, honestly.
Posted by zatetic
Member since Nov 2015
5677 posts
Posted on 8/1/17 at 8:40 am to
I used to have feet trouble. Would wear arch supports and what not. Feet never were fine until I started barefoot running. Barefoot running built up my foot how it was supposed to be, all the support muscles and everything.

If you use supports you will always need supports to do what you want.
Posted by Izzy Mandelbaum Sr
Think you're better than me, huh?
Member since Jul 2017
514 posts
Posted on 8/1/17 at 9:10 am to
I tried rolling mine on a tennis ball. It helped a little. I've never tried ice.
Posted by tommy2tone1999
St. George, LA
Member since Sep 2008
6772 posts
Posted on 8/1/17 at 10:12 am to
Also stretch your calves. The Plantar Fascia connects to the calf muscle.
Posted by tiger94gop
GEISMAR
Member since Nov 2004
2915 posts
Posted on 8/1/17 at 10:42 am to
Freeze a water bottle and roll under your foot. You are treating it wrong though. The more you cushion the worse it will get. Walking around barefoot or minimal shoes/sandals are better after stretching. Also do leg/feet exercises like Hindu squats, wall squats, calf stretches, balance ball, etc. The more you have to stabilize with your feet the stronger they become. It seems counterintuitive, but the less cushion; fewer feet problems. It will take a while, but more cushion is not the answer.

Posted by GEAUXT
Member since Nov 2007
29239 posts
Posted on 8/1/17 at 11:01 am to
quote:

I used to have feet trouble. Would wear arch supports and what not. Feet never were fine until I started barefoot running. Barefoot running built up my foot how it was supposed to be, all the support muscles and everything.

If you use supports you will always need supports to do what you want.



That is great that your problem resolved. However, 100's-1000's of medical journals, about 100 years of research, and the upwards of 500-600 patients I treat a year for heel and arch pain would suggest that the treatment I suggested above is the correct one.
Posted by GEAUXT
Member since Nov 2007
29239 posts
Posted on 8/1/17 at 11:04 am to
quote:

but more cushion is not the answer.


Definitely true. Most people who try to self-treat before coming in purchase some sort of gel or memory foam shoes or insoles. They do absolutely nothing. Support, not cushion, is the key.
Posted by dnm3305
Member since Feb 2009
13571 posts
Posted on 8/1/17 at 12:18 pm to
I struggled with it for years and nothing helped until I got custom orthotics molded of my foot at the Hanger Clinic. Literally within one month of having custom inserts, I was pain free
Posted by the almighty
Everywhere
Member since May 2008
173 posts
Posted on 8/1/17 at 4:18 pm to
Tried this but the best ball to use imo is a lacrosse ball bc it is stiffer and you can apply more pressure like a deep tissue massage. Every morning when I wake up, I roll it under both my feet for about 15 seconds each before I even get out of bed. Pretty painful the first couple of weeks, but now I'm pain free
Posted by shamrock
Baton Rouge
Member since Sep 2015
3621 posts
Posted on 8/1/17 at 5:09 pm to
Thanks a lot folks, rolling both my feet over a tennis ball and baseball now. Wore a support device in bed which helped me feel a little better this am. Seems like exercise, support and time are the keys. Thanks again very much
Posted by LSUfan20005
Member since Sep 2012
8814 posts
Posted on 8/1/17 at 6:48 pm to
You really should try a toy super bounce ball (the little ones that bounce high). Best for the feet.

Question: Do you walk/run a little duck-footed? Feet turn out?
Posted by shamrock
Baton Rouge
Member since Sep 2015
3621 posts
Posted on 8/1/17 at 7:33 pm to
yes, but not bad said my physical therapist
Posted by OldSouth
Folsom, LA
Member since Oct 2011
10940 posts
Posted on 8/1/17 at 9:12 pm to
I had it for about 3-4 years until I started stretching.

Squat down without letting your heels come off the floor while letting your knees go forward. Keep your back straight. You don't have to hold it or anything just do 8-10 of those when it flares up throughout the day. You will only be able to go down about a foot or so but that's all it takes.
Posted by shamrock
Baton Rouge
Member since Sep 2015
3621 posts
Posted on 8/1/17 at 9:15 pm to
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