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achilles tendonitis - do I need to get my boot fitted?

post #1 of 9
Thread Starter 

Hi:

I think I have achilles tendonitis - after exercising, I experience pain on my L heel, it is just painful to "walk" on my heels and I have to wear shoes w/ soft (foam) heels.  

 

If that's the case, do I need to get my boot fitted?  The current boot I have, bought 3 yrs ago.  I ski about 5-10 days/yr the past 3 years.  I am still new to this sport but I do enjoy it every much. Already have 4 trips planned this coming season, each trip about 7 days long.

 

 

Thanks!

post #2 of 9

I would focus on healing your foot directly rather than altering your boots. Achilles tendinitis is on the back of the heel and/or ankle but your post reads as if your pain is on the bottom of the heel. Is that the case? Google "plantar fasciitis" and see if that matches your situation. 

post #3 of 9
Thread Starter 

Thanks. Yes, my pain is on the bottom of the heel.  I will see a doctor tomorrow to check it out (& confirm the dx).  Thanks for your advice.  

post #4 of 9
Funny thing, use of a walker boot after my Achilles reattachment surgery last spring resulted in a lot of discomfort in the bottoms of both heels that the surgeon said was the beginning of planter fasciitis. He suggested use of anti inflammatory medication and the stretches described in http://physicaltherapy.about.com/od/flexibilityexercises/a/footstretch.htm?utm_term=plantar%20fasciitis%20exercises&utm_content=p1-main-3-title&utm_medium=sem&utm_source=msn&utm_campaign=adid-359313cb-6220-4942-97d5-0d487fdf3261-0-ab_mse_ocode-31641&ad=semD&an=msn_s&am=exact&q=plantar%20fasciitis%20exercises&dqi=&o=31641&l=sem&qsrc=999&askid=359313cb-6220-4942-97d5-0d487fdf3261-0-ab_mse except for the stair step one. That one would be potentially hazardous for a newly repaired Achilles.
post #5 of 9

Have you done any soft tissue work to release the inflammation? Like trigger point therapy, foam rolling, etc.? With achilles tendonitis, you will typically have a lot of inflammation building up in the calf and plantar fascia that, if released, will actually take pressure off of the tendon. 

post #6 of 9
Thread Starter 

Kneale Brownson and Dr. Jen:  I had a x-ray and my doctor said I have plantar fasciitis for my L foot.  My heel becomes very painful after Step aerobic class.  I only skied 1 time this season and did not have any problems after.  However, any advise you can share, specifically on what I need to watch out for, will be greatly appreciated! 

post #7 of 9

you need to evaluate your footwear and use proper footbeds or insoles.  

This comes from my personal when I put a wrong 3mm wedge in my boot and even that after just 3hours of skiing taking them out at lunch gave me excruciating plantar fasciatis and bottom foot cramps for that I had to abandon skiing plans that day and for the next day and was laid up for 3days basically with a cramped foot.

So something as small as just a couple mm can cause the pain, especially if you're doing somethign like a step class.

 

If you get insoles and never gotten them before, you also should be careful to not get too stiff of an insole, it needs to have some give if you're exercising and doing pure impacts on it.  If you get too stiff of an insole and are exercising on it, the oversupport will also give you foot pain.  I personally use Sole trim-to-fit footbeds in my regular shoes, which do flex and give a bit after molding to your foot, after throwing out superfeet and an inhouse store brand from a running shop which had solid and supportive to me soles.  

 

Because of the flex though, they will eventually wear out though, so they won't last as long as say a superfeet.

post #8 of 9
Quote:
Originally Posted by fosphenytoin View Post

Kneale Brownson and Dr. Jen:  I had a x-ray and my doctor said I have plantar fasciitis for my L foot.  My heel becomes very painful after Step aerobic class.  I only skied 1 time this season and did not have any problems after.  However, any advise you can share, specifically on what I need to watch out for, will be greatly appreciated! 

Two things: 1. Something for inflammation relief (I used a couple aspirin a couple times a day, but I tolerate aspirin well)
2. Multi-minute stretches of the Achilles.

My wife was diagnosed with plantar fasciitis several years ago and was advised to use warm water soaks along with the stretches.
post #9 of 9
Thread Starter 

@raytseng thanks for your input.  I think I will need to pay a visit to the specialty footwear shop to get some kind of insoles or footbeds.  I have been wearing the same pair of shoes w/ soft cushions ever since, it definitely helps. 

 

I thought skiing should not exacerbate my plantar fasciitis because I use the front part of my foot, not the heel part.  But I was wrong, coz it started to hurt again after I skied one day last week.

 

@Kneale Brownson - yes, I figure I should take some anti inflammatory (like ibuprofen or alleve or aspirin) to alleviate the pain.  I have been very lazy soaking my foot in warm water though, even though I should. 

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