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Oh No Not Plantar Fasciitis

 Poster: A snowHead
Poster: A snowHead
I'm not looking for sympathy but ....
My heel has hurt for the last few days but over the last couple of days it really hurts.

I didn't know what it was and woke up this morning thinking I may have Gout Sad
I fretted at the thought of no more roast swan, wild boar, brandy wine, caviar and other rich food favourites I've become so used to.

But good old Google has told me I have Plantar Fasciitis
I don't want it and it better be gone before the season starts.

Should I go and see my GP?

Are there any other sufferers out there?
Any tips?
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
GPs are shoite at diagnosing plantar fasciitis. You need to push to get referred to a podiatrist. (The GP will resist as it comes out of their budget but it is possible). Once you get an NHS podiatrist there is hope for you.

In the meantime, I have a Prostretch+ which is said to be a good help for Plantar Fasciitis. Quite reasonably priced and good for stretching some of your lower leg ski muscles anyway so order one right away Very Happy
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
I agree with dp.

Lady Fartbag was told she had it by the doctor, but when she went to the Podiatrist, found that it wasn't. In her case, it was an old injury which caused a bone spur to form in her heel area.

If there is a long waiting list - you should make a private appointment. At least if you get a correct diagnosis, you can get onto treatment quickly.
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Birkenstocks, footbeds in your shoes and lots of stretching and rolling your arch on a golf ball!

It never bothered me when skiing btw, but it is bloody horrible!
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
Yep! I had much physio and eventually went and saw a podiatrist. I think the podiatry appointment was about 45 quid so not massively expensive (couldn't get it on NHS). However the custom insoles he sold me were £££ - in fairness he did offer me the option of some cheaper off the shelf insoles - but I'd been struggling for months and was quite happy to throw money at it.
Physio reckoned that calf stiffness was a factor so I had various calf stretches, and foam rollering of my calf, as well as the golf ball under the arch thing mentioned above. I subsequently acquired a foot nano roller from @CEM all of which together keep it at bay.
Stretches the physio gave me were...
1) toe on wall, heel on floor, gently bring knee towards wall until you feel the stretch.
2) foot flat on floor a few inches from the wall. Bring knee to wall. Move the foot back slightly and try again, repeat until you feel the stretch and only just get the knee to the wall. Measure distance from toe to wall and note it - so you can see progress over time.
These may or may not be appropriate for others!
Probably worth getting to a professional, as Dr. Google is a bit crap at times, and months of PF can be a bit of a drag.
Good luck


Last edited by Anyway, snowHeads is much more fun if you do. on Fri 20-10-17 20:18; edited 1 time in total
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A night splint which is worn overnight can help. e.g https://www.amazon.co.uk/treatment-plantar-fasciitis-achillies-tendonitis/dp/B006289JU6/ref=sr_1_1?ie=UTF8&qid=1508526792&sr=8-1&keywords=night+splint+for+plantar+fasciitis&tag=amz07b-21
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
Once you know for sure - the only things that haven't been mentioned above are Ice (hold a cloth-covered ice pack over the area of pain for 15 to 20 minutes three or four times a day or after activity) and Ibuprofen (only for limited periods).
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
Agree with the above suggestions, they all help. Mine was only cured with an injection into the sole of the foot, so painful I wouldn't wish it on anyone.

The plus side is that if you are a skier there's is little effect whilst you are locked into a boot as the heel should not be moving.

I managed 2 weeks with no issues even when hobbling around whilst not skiing.
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i"ve had plantar fachitus for about 10 years, getting orthotic insoles really helps, but i actually never noticed it so much when skiing.
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@DrLawn, Sad

I've never had plantar fasciiatis but this video makes a lot of sense to me - http://www.sportsinjuryclinic.net/sport-injuries/foot-heel-pain/plantar-fasciitis/sports-massage-plantar. Can you find a sports massage therapist to check out your feet?
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Old Fartbag wrote:
I agree with dp.

Lady Fartbag was told she had it by the doctor, but when she went to the Podiatrist, found that it wasn't. In her case, it was an old injury which caused a bone spur to form in her heel area.

If there is a long waiting list - you should make a private appointment. At least if you get a correct diagnosis, you can get onto treatment quickly.


There are times we agree. I find that most unsettling.
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 And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
achilles wrote:
Old Fartbag wrote:
I agree with dp.

Lady Fartbag was told she had it by the doctor, but when she went to the Podiatrist, found that it wasn't. In her case, it was an old injury which caused a bone spur to form in her heel area.

If there is a long waiting list - you should make a private appointment. At least if you get a correct diagnosis, you can get onto treatment quickly.


There are times we agree. I find that most unsettling.

The symptoms were very similar to PF....and that is where you need a specialist.
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So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
I had PF about 5 years ago. Used various excercises and implements including ortho inserts in my shoes (on advice of podiatrist), was told to stop running for at least a year - which i did.
It did go away but time is needed.
Didn't bother my skiing also was more on my arch than heel as such.
Anyways good luck!!
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 You know it makes sense.
You know it makes sense.
Heel is often very tight calves.

I have had full planta and last year a painful heel. Saw proper sports physio a for both and required different treatment. The former was strapping and taping, after physio, and the latter was calf work.

It in doubt then pony up the £30 for a physio.
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 Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
A google diagnosis. Interesting, have you checked the positive predictive value? Plantar fasciitis - safe to do nothing - if you have a soft tissue infection could be very dangerous - always best to see GP.
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 Poster: A snowHead
Poster: A snowHead
Goodness me Snowheaders ... I'd never even heard of this PF stuff till 7am this morning and now I've tuned in to a Sunami of advice ...

There was me thinking I was the only person on the planet who was hobbling about.

So the good news is .. Dont Walk, Ski

That suits me just fine.

Seriously though, I think I had better get it looked at, as hobbling is not much fun.
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
@DrLawn,
Quote:

So the good news is .. Dont Walk, Ski

A skiing friend of mine had it last season in Saalbach. He had a long-term let so was was coming and going all season. He told me that it was painful when walking but didn't bother him whilst skiing, which ties in with what others have said above. A good excuse, if any were needed, to keep skiing to the max!
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
Get an opinion....from someone qualified.

I thought that I had plantar fascciitis as did the GP but, as it remained very painful and swollen, it was later diagnosed (correctly) as a fractured sesamoid bone in the tendons running underneath my foot.

Was in an air cast for a month and back running after about 8 weeks. No problem skiing...although it does ache when the weather turns!
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See someone, yes, but gel inserts for my heel plus most of the excercises previously advised have done the trick. Had a consultant diagnose mine 15 years ago. It returned 5years ago, but went again within a couple of months, never (so far) to be seen again. Not a life sentance in other words Very Happy
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@DrLawn, my hubby had it quite badly for a while, he made sure he has shock absorbing insoles in all of his shoes, and it did clear up. It didn't hurt him while skiing. Don't walk barefoot, put something on your feet as soon you get out of bed. Birkenstocks are a good suggestion. Some soles like these would be good. http://profoot.co/plantar-fasciitis-mens/ .. Our local GPs all send their patients with PF to J to get their insoles while they are waiting for a podiatry/biomechanics appointment.
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Have suffered with PF on and off for about ten years. Mine was a side effect of a ham string injury. Had loads of physio, strapping, tape, overnight sock strap, injection (painful), many exercises and orthotic insoles. The exercises and insoles make the most difference to keeping it at bay. I still don’t run tho Sad
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Tubaski wrote:
the custom insoles he sold me were £££
\

I get CEM to do the insoles for my shoes as well as my ski boots. Cheaper than medically-orientated suppliers but way cheaper
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
@dp, that's my plan when I need to replace my orthotics in my shoes!
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Thanks again guys,

I'm going to see my GP asap, then get hold of a private Podiatrist.

I've started taking the advice.
Ibprofen tabs
diclaphenic cream
I've just got the ice pack out of the freezer and back under my foot instead of the knee from last seasons problems.
Oooo that's cold!

The footbeds are on the way from Amazon.
Now to find a golf ball.

Is this FP problem anything related with "Tendonitis" ?

I just feel I'm having a twinge of that old chestnut again.
Cheers.
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@DrLawn, The sock-splint thing was the best for me. Bends your toes back (upwards) via a velcro strap that fixes to your shin.

Plus bin old trainers (the support will have gone) and put 3/4 arch support insoles in work shoes

PF is scary while it lasts but mine went completely after about a month (about 5 years ago) and never came back
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 snowHeads are a friendly bunch.
snowHeads are a friendly bunch.
Hi @DrLawn, tendons and fascia are different things in different places, but everything's connected so it's not surprising when there are several different symptoms all at the same time in different areas - sorry can't be more helpful
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 And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
DrLawn wrote:


Is this FP problem anything related with "Tendonitis" ?


I don't think so. You may be thinking of Achilles Tendonitis...which causes pain at the back of the heel.
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 So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
@DrLawn, You don't want to ice it. That just reduces inflammation soon after an injury. Ice will reduce the pain but heat will encourage blood flow which will help with healing. No pain, no gain. My father suffered with PF for years and eventually got a steroid injection into his sole. TBH I would just put up with the pain rather than have someone stick a needle into the sole of my foot.
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 You know it makes sense.
You know it makes sense.
Thornyhill wrote:
@DrLawn, You don't want to ice it. That just reduces inflammation soon after an injury. Ice will reduce the pain but heat will encourage blood flow which will help with healing. No pain, no gain. My father suffered with PF for years and eventually got a steroid injection into his sole. TBH I would just put up with the pain rather than have someone stick a needle into the sole of my foot.

In this case, I think you may be slightly wrong. Heat can make the problem worse...but....if cold isn't working, heat can be worth trying. The problem is the constant agitation, which causes inflammation, which needs reduced. I am not medically trained, so can't say with certainty. Toofy Grin


Last edited by You know it makes sense. on Sat 21-10-17 21:11; edited 2 times in total
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 Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
Hi Red 27, I just spotted those sock things on Amazon, I really dont fancy that sort of bondage stuff, it just looks so weird .. but if needs must.

Hi Motyl, The pain was just in the heel, but when things go wrong a bit everything else wants to join in. I had tendonitis a few of years ago. It has settled down but there is still a bit of a lump there,and threatens to nag whenever I put me wellies on.

Hi Yer Old Fartbag, I'm just learning the ropes.
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 Poster: A snowHead
Poster: A snowHead
DrLawn wrote:

Ibprofen tabs
diclaphenic cream

Now to find a golf ball.


Don't take brufen and diclofenac together as it's effectively an overdose (as told to me by a pharmacist).

I used a tennis ball when I had it - may be a bit easier on the foot being larger and softer.
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
martinm wrote:
I used a tennis ball when I had it - may be a bit easier on the foot being larger and softer.

+1

I have never been able to get on with a golf ball - only for masochists!
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
Have a look at the Dye Taping method - this will give the foot time to heal. Then a good authotic with light stretches as mentioned above.
Walking barefoot along a sandy beach would also help......just enough time before the season to book a week in Southern Spain!!
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Have a look at the Dye Taping method - this will give the foot time to heal. Then a good authotic with light stretches as mentioned above.
Walking barefoot along a sandy beach would also help......just enough time before the season to book a week in Southern Spain!!
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
Tubaski wrote:
@dp, that's my plan when I need to replace my orthotics in my shoes!


The only thing to be aware of is that CEM does insoles but he doesn't do corrective orthotics.

By this - I spent 3 years in corrective orthotics which actually actively pushed my feet back into the shape they were meant to be in. Now my feet are in the right shape, I just need supportive insoles to keep them that way.

So it's worth checking with an expert what you need. If your feet just need supporting then I recommend Colin all the way, if you actually need the orthotics to be performing a corrective action, then you need to keep seeing your podiatrist.

To put this corrective action into perspective... I had to have my ski boots refitted every season because over the course of each April-January, my arch has been re-built sufficiently to mean that the boot would cut off circulation to my lower foot. So if you need them, don't let the price put you off... they're cheaper than the cheapest of surgery and have very little impact on your daily life.
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It has been said that if there's a lot of different treatments for a condition it's because there's no one good one. PF is a case in point. It's one of those annoying ailments that come on usually for no good reason and (eventually) disappear in similar circumstances. The main thing is not to waste too much money on quackery and snake oil whilst suffering. A ski boot immobilises your sole beautifully so is good therapy!
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
Old Fartbag wrote:
Thornyhill wrote:
@DrLawn, You don't want to ice it. That just reduces inflammation soon after an injury. Ice will reduce the pain but heat will encourage blood flow which will help with healing. No pain, no gain. My father suffered with PF for years and eventually got a steroid injection into his sole. TBH I would just put up with the pain rather than have someone stick a needle into the sole of my foot.

In this case, I think you may be slightly wrong. Heat can make the problem worse...but....if cold isn't working, heat can be worth trying. The problem is the constant agitation, which causes inflammation, which needs reduced. I am not medically trained, so can't say with certainty. Toofy Grin


Complete rest for 10 weeks and lots of heat should sort it. Not standing up for 10 weeks might be a bit of a challenge. Ice will certainly reduce inflammation and pain but it won't help healing...so the question is 'Do you want the pain in October or January?'
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
@DrLawn, I had PF a year ago, it is painful and took a good while to go away. Made it painful to walk. Not a problem skiing as the foot is mostly immobilised in the ski boot. You have my sympathy, the rolling the ball under the foot was helpful
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Seen lots of patients with this as a GP. Ruptured my Achilles' tendon the year before last.

Both problems usually caused by the big ole muscles in your calf being a bit tight.

Thing that works best seems to be stretching. Best way I found to do it (on a ski injury forum somewhere) was to build a 30 degree ish wedge and stand on it for 10 minutes a day. Heels down, feet pointing up the wedge.

Good luck! Heel cushions help in the short term. Also see patient.co.uk
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Also
Don't mix anti inflammatorys - it is basically an overdose as the pharmacist says. Bad for the kidneys.
The bondage socks do seem to work if you can tolerate them.
Heel raises also work as they take the tension out of the bottom of your foot in the short term. In the long term raised heel will lead to shorter calf muscles and therefore more problems.
Props to anyone who had the injection I'm told it's the most painful one you can have, anywhere. Including epidurals and eyeballs!
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