Plantar fasciitis

[vickster]

Yeah but did you get the ones I said?

Which ones? I didn't know your post referred to insoles

 

[vickster]

Thanks. I'll discuss with the physio

 

[MrGrumpy]

Thanks. I'll discuss with the physio

Why the Physio?

 

[vickster]

Why the Physio?

Cos that's who's treating me. It's caused by tight calf in turn caused by a bad knee. Why not?

 

[MrGrumpy]

Podiatrist?? Experts in feet ?? Dentist experts in teeth , Chiropractor deals with the spine ? Bit of a theme here ;-)

 

[vickster]

Podiatrist?? Experts in feet ?? Dentist experts in teeth , Chiropractor deals with the spine ? Bit of a theme here ;-)

Except treating the cause of the foot issue seems sensible The physio is quite competent, they cover all joints and soft tissues (and covered by my private healthcare)

 

[MrGrumpy]

Sure they do but the fact your still not fixed maybe suggests you need to seek professional help elsewhere. However if your healthcare doesn't cover alternatives then bash on !

 

[vickster]

Sure they do but the fact your still not fixed maybe suggests you need to seek professional help elsewhere. However if your health are doesn't cover alternatives then bash on !

I've only seen the physio once, a month ago nearly. If he suggests a podiatrist, all good. I'd be curious to know what they will do that's different? Do they work on tight muscles in calves and on knee issues too? It's a foot issue caused by a knee problem which is worsening

 

[vickster]

Have you tried swimming for all these ailments thats good for loads of different things.

Not having had shoulder surgery two weeks ago unfortunately . I might be starting hydrotherapy in a couple of weeks which might have multiple benefits

 

[vickster]

No improvement. Physio reckons PF more due to rotten knee, loss of calf muscle and weak glute. And interestingly he says that biomechanically there's a very strong link between the right shoulder and left glute!
Which makes sense!
Problem is the foot is so bloody painful it's becoming increasingly hard for me to do the exercises and stretches to address the causes Catch 22

GP has suggested I get a steroid injection into the foot so I can at least try to rehab. Doesn't fill me with a lot of joy obviously, but getting recommendations for a local orthopaedic foot specialist.
The Physio previously mentioned acupuncture but he said it's excruciating for PF so I passed on that so far. I can't really tolerate very much being done to it at the mo I'm taking a stronger anti inflammatory for shoulder which might help (although GP did say the pills don't do much for PF)

Gah!

 

[kingrollo]

I've only seen the physio once, a month ago nearly. If he suggests a podiatrist, all good. I'd be curious to know what they will do that's different? Do they work on tight muscles in calves and on knee issues too? It's a foot issue caused by a knee problem which is worsening

Podiatrist will look at how your foot hits the floor when you walk, will also do a gait assessment. They may also create you some custom insoles (these are totally different to what you buy in the shops)

Basically its inflamation of the bottom of your foot. First task is to correct what caused you to be inflamed - tight calves most often - then wait for the inflamation to go down. Note that even if you loosen up the calves it can take a good 12 months for the inflammation to stop.

If you can wear trainers to work this helped me greatly. I purchased some brooks walking trainers - not cheap at around £90 - but I would highly recommend them. They are full black so look like shoes which is great for walk.

 

[vickster]

Yep, I know this already I am wearing trainers as much as I can and did get some insoles. Resting the foot has been an issue, I've had to walk much more than usual as unable to drive following shoulder surgery

The inflammation was initially caused I think by limping following a knee injury to an already arthritic knee. The foot is so painful I can't really do the exercises for the calves and they hurt my knee too (getting some treatment for that soon)

Podiatrist might be a later step, the Physio did mention it. I'm seeing so many medics at the moment, and doing so much rehab, it's hard to fit everything in around work and life. I need to get the pain under control before I can start to resolve the causes

 

[kingrollo]

Yep, I know this already I am wearing trainers as much as I can and did get some insoles. Resting the foot has been an issue, I've had to walk much more than usual as unable to drive following shoulder surgery

The inflammation was initially caused I think by limping following a knee injury to an already arthritic knee. The foot is so painful I can't really do the exercises for the calves and they hurt my knee too (getting some treatment for that soon)

Podiatrist might be a later step, the Physio did mention it. I'm seeing so many medics at the moment, and doing so much rehab, it's hard to fit everything in around work and life. I need to get the pain under control before I can start to resolve the causes

Have you tried a night splint ? - basically you sleep with youre foot stretched ?

If your in that much pain you may be a suitable candidate for an injection - not as bad as it sounds IME

 

[vickster]

Have you tried a night splint ? - basically you sleep with youre foot stretched ?

If your in that much pain you may be a suitable candidate for an injection - not as bad as it sounds IME

No I've not, the physio mentioned it first time I saw him not since. He also mentioned acupuncture then, when I asked him again he said its extremely painful and wasn't keen. He also mentioned taping, but that's not a practical option. I'll gauge views on the steroid, according to the GP it doesn't have a long lasting effect, but it might give me enough relief to get the stretches going again

I don't know if PRP is an option for PF, I'll need to discuss that sort of thing wth the specialist if I see one

Just a lot to deal with at the mo

 

[kingrollo]

No I've not, the physio mentioned it first time I saw him not since. He also mentioned acupuncture then, when I asked him again he said its extremely painful and wasn't keen. He also mentioned taping, but that's not a practical option. I'll gauge views on the steroid, according to the GP it doesn't have a long lasting effect, but it might give me enough relief to get the stretches going again

I don't know if PRP is an option for PF, I'll need to discuss that sort of thing wth the specialist if I see one

Just a lot to deal with at the mo

You might the need steroid to break the cycle though. - you can't do the stretches because its inflamed, - its inflamed because its tight - you can't do the stretches because its inflamed - etc

I couldn't get PRP on the NHS.