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Plantar Fascitis

post #1 of 14
Thread Starter 

Last February I took a two week trip to Ischgl and didn't experience any pain or discomfort anywhere.  After a few days of recovery following my return, I started to work-out again; mainly riding and running.  After a few days I began to experience some discomfort in my ankle.  The discomfort gradually shifted to my achilles and lower calf and then back to my ankle/heel.  Initially, the discomfort felt like a joint that needs to crack back into place and then everything is all-good.  Unfortunately, whatever it is that feels like it needs to crack back into place hasn't done so.  The stiffness in the achilles/lower-calf/ankle has not gone away, but at times the structural discomfort has gone away.  From what I've read, it does seem to be plantar fascitis, although I'm not certain.  I've tried rolling the ball on the bottom of the foot, and this has helped, but I don't trust it not to turn into a full on problem with moderate training.  My understanding is that plantar fascitis is basically tendinitis of the foot.  This gives me cause for concern because the discomfort feels like something is wrong structurally.  

In my minds eye, I've got an aversion to getting back in boots because the flexing into the skiers position is going to really aggravate the discomfort.  

Any advice would be greatly appreciated.

post #2 of 14
Doesn't sound like Plantar Fascitis to me. Mine was tendonitis from heel to arch, bottom of the feet. It's common w/ low arches (me). Mine was caused by lots of hard running and striking w/ the heels. Things that seem to help the most were: stretching the Achilles several times of the day, getting green superfeet to support the arch, and change the running style to land on/near balls of feet. Tried orthodics (for walking shoes) and creams which didn't help as much as the aforementioned.

That said, it doesn't matter what its labeled. Try anything to reduce the swelling: stretching, supporting what's missing (if anything), hot and cold treatments, taking antiinflammatories (ibuprofen), figure out the activity/motion that's aggravating the tendon and find an alternative. Worse case scenario, go to podiatrist; it didn't fix my pain, but put me on the right path to figuring it out.

Good luck.

Even when I figured it out, it took more than six months for all the pain to disappear. It took maybe a couple of months for the pain to be tolerable. Even now, I'm very conscious of how I walk/use my feet.

Similar story for tennis elbow....
post #3 of 14
See a doc and get referral to a physical therapist. There are good techniques for tendinitis and they can get you a good plan for rehab. Stretching may not be the best thing right now.
post #4 of 14

Doesn't sound like plantar fasciitis. Rest the foot and ankle, antiinflammatory meds, see doc if not getting better. 

post #5 of 14
Quote:
Originally Posted by oldgoat View Post
 

Doesn't sound like plantar fasciitis. Rest the foot and ankle, antiinflammatory meds, see doc if not getting better.

 

I agree.  PF was very specific for me.  Pain on the sole of the foot, right at the front of the heel bone where the arch tendon attaches.  Pain was worst first thing in the morning, could barely walk until it stretched out a bit.  I should think it's very hard to mistake for something else.  Very painful.

post #6 of 14

When is the pain worse/better?
What makes it worse/better?
History of ankle/foot/lower leg injuries?
How are your feet? flat/high arches? 
Any visible swelling/deformity?
Night pain?

what shoes do you train in? did you change them recently?

Can you walk on your toes?
Can you move the injured one as much as the non injured foot? (toes up, down, invert, evert)

post #7 of 14
Thread Starter 

Rest doesn't seem to be the answer.  I've tried resting it a few times since early March.  Any chance new boots caused the initial onset?  

 

During the trip preceding the onset I was skiing in a pair of boots with which I experienced some foot cramping.  I had never experienced this before and I was skiing in these boots for the first time.  

 

Following the trip I also noticed that my calfs were tighter than I'd ever experienced.  I read somewhere that tight calfs can be a cause of plantar fascists.  Recently I've been experiencing pulls/tightness in my hamstring (same leg).  [At this point I realize that I'm sounding like a hypochondriac but its a nagging discomfort that's going to get worse with training for a winter trip].  

 

Do spurs cause tendinitis?

 

I was a pitcher in college - I developed a vicious case of elbow tendinitis that I couldn't shake with all kinds of stretching and band work.  One day it just seemed to to go away, which I've hear happens with plantar fascitis.  (Actually occurred junior and senior year).  I bring up bone spurs because I had an MRI which showed bone spurs in my elbow.  I read on here where a couple guys had bone spurs in their feet which were causing some type of discomfort, which kind of sounded like my issues.  

 

Any chance it doesn't just come back to father time?

post #8 of 14

PF if ignored can end up causing bone spurs where the tendon attaches to the heel bone.  My PF went away after a few months but I altered a lot of my foot mechanics.  No bare feet (Birkenstocks or proper shoes with rigid soles from ball of the foot back), no tip-toeing, no going up stairs unless the whole foot is on the step, no push-off from the balls of the foot when running or walking.  My PF was caused by running in lightweight shoes with poor mid-sole rigidity, combined with poor running style and too much-too soon.  I don't see how ski boots can really be anything but helpful to PF as they stop your feet from flexing very much, and flexion seems to be the main cause in my case.

post #9 of 14
Thread Starter 
Quote:
Originally Posted by jzamp View Post
 

When is the pain worse/better?
What makes it worse/better?
History of ankle/foot/lower leg injuries?
How are your feet? flat/high arches? 
Any visible swelling/deformity?
Night pain?

what shoes do you train in? did you change them recently?

Can you walk on your toes?
Can you move the injured one as much as the non injured foot? (toes up, down, invert, evert)

Stiffest in the morning.

Can't really tell - rest doesn't seem to cure it, nor does rolling the ball on the bottom of the foot, although that seems to help.

No history of any leg problems.

I've got mid to high arches.

No visible swelling or deformity.

No night pain.

Run and ride and generally walk around in Asics Gel Nimbus 13s.

I can walk around on my toes but I'm pretty sure they'd give out quicker than they would have prior to this onset.

I think I can move the toes on each foot equally, but the difference I notice is in the ankle joint.  Less mobility with the problematic one.

post #10 of 14
Quote:
Originally Posted by Galtur View Post
 
Quote:
Originally Posted by jzamp View Post
 

When is the pain worse/better?
What makes it worse/better?
History of ankle/foot/lower leg injuries?
How are your feet? flat/high arches? 
Any visible swelling/deformity?
Night pain?

what shoes do you train in? did you change them recently?

Can you walk on your toes?
Can you move the injured one as much as the non injured foot? (toes up, down, invert, evert)

Stiffest in the morning. Any pain? Where specifically?

Can't really tell - rest doesn't seem to cure it, nor does rolling the ball on the bottom of the foot, although that seems to help. Any specific movement/activity that makes it worse?

No history of any leg problems. Good

I've got mid to high arches.

No visible swelling or deformity. How about when you first felt it?

No night pain. Good

Run and ride and generally walk around in Asics Gel Nimbus 13s.

I can walk around on my toes but I'm pretty sure they'd give out quicker than they would have prior to this onset. Any pain with Calf Raises? (straight leg and bent) IF yes where? 

I think I can move the toes on each foot equally, but the difference I notice is in the ankle joint.  Less mobility with the problematic one. I was asking about the ankle sorry, What specific moments are impaired?


If you can, what specific areas/structures hurt when you talk about ankle/heel? 
Did you feel/heard any popping sound? Snapping? Clicking?

Please try to be as specific as possible! ;)

post #11 of 14
Thread Starter 

Lately the stiffness has been in the achilles/lower calf.  There was never a pop from a single event.  The onset was while I was riding a stationary bike.  During the onset it felt like something needed to pop back into place like cracking a joint.  More recently, the same sensation has returned after a lengthy hiatus, along with subsequent stiffness in the areas described.  The stiffness is in all movements, however it seems to be more pronounced in pointing the toes and pulling them back towards the shin (not sure if thats described as a flex and unflex). No visible swelling or deformity at onset.  There has never been any real pain - just stiffness and disjointed sensations. 

 

I seem to be wearing-down the outer heel area of my shoes more these days; particularly on the problematic foot.  

post #12 of 14
Thread Starter 

Thanks to all for the tips and thoughts.

post #13 of 14

I would say it's not plantar fasciitis.
How is your calf flexibility? Are they really tight?
Do you have pain deep (closer to the bone) or more superficial right on the tendon?
If you palpate the area around the medial malleolus is it painful? 

post #14 of 14
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