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Wanderers Ways. Neil Thompson 1961-2021

Plantar fascitis


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3 hours ago, Tonge moor green jacket said:

What were you drinking Mick- might try it!

I'll keep up with the excercises, thanks all.

Everything 

My scientifically curious mind wondered what had happened. 

I could only think that 2 weeks without shoes meant my feet had got a proper stretching out. A reset. 

Can you carry off the flip flop look at work?

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1 hour ago, ErnestTurnip said:

Suffered from this and it took ages to shift although I did carry on training while I had it. 

aye, same here - it didn't stop me from running, but it probably affected how uncomfortable it was to walk first thing in the morning

I did all those exercises in that diagram above, they probably did help, but it took that long to shift, it felt more like a natural, lengthy recovery

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Probably worth checking - with PF all the pain should be in your heel. You might sometimes get a little pain up the ankle due to pressure on joints as you try and adjust how you walk - but if the pain is more widespread worth getting a check with a doctor just to make sure you haven't got anything else going on. 

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It is mainly there. If I stand on something that presses into the arch though, then...

I will speak to the doc, but haven't really got time to wait for a podiatry appointment through NHS.

Other discomfort is through adjusting gait involuntarily. Just been to tobutt for advice and new footwear.

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I never had the heel pain with mine, only inflammation along the full length of the plantar fascia. I could feel it with my thumb along the PF tissue, a bit like bubble wrap.

A physio worked on the inflammation with his knuckles, it was excruciating but worked eventually.

Loads of advise online, just go with what works for you.

If you go for the injection, go with a guided one with a specialist rather than with your GP just taking a punt.

 

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Interesting to hear all this. I've been suffering big time for the last year and a half. Stand/walk about a bit for much more than an hour and it's agony, plus pain up the shin and me toes go numb (literally). Visits to NHS podiatry get scheduled every few months, but insoles they provide just make it worse. Plus they don't seem connected to the original GP appointment I went to. That generated X-rays (showing some bone degradation in the ankle) but the later lot don't seem to have access to that. So really unsure what to do next - just as well we're shit, so I don't bother, but driving up for games would be horrible.

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I’ve got a miniature mechano set in my leg after a trimalleolar fracture years ago. 

Cant get down the stairs in the morning but ok after stretches and a few exercises I got from a proper physio. (Bob Ward in Blackpool)

Pay a little and get properly sorted. GP’s just pass the book imo. 

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Just now, gonzo said:

I’ve got a miniature mechano set in my leg after a trimalleolar fracture years ago. 

Cant get down the stairs in the morning but ok after stretches and a few exercises I got from a proper physio. (Bob Ward in Blackpool)

Pay a little and get properly sorted. GP’s just pass the book imo. 

To be fair, that's part of their job isn't it- to get you to the right people.

Pretty sure the work loads mean at times they don't have enough time to spend with patients to get everything sorted.

Suppose that's when you have to become a bit stubborn and more demanding; though it's not easy when it's not in your nature and you feel you're overburdening them.

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11 minutes ago, Tonge moor green jacket said:

To be fair, that's part of their job isn't it- to get you to the right people.

Pretty sure the work loads mean at times they don't have enough time to spend with patients to get everything sorted.

Suppose that's when you have to become a bit stubborn and more demanding; though it's not easy when it's not in your nature and you feel you're overburdening them.

Aye for me its having to wait 3 weeks for an appointment for the GP knowing they are just gonna refer you to the hospital and then wait another 3 weeks then 6 hours in there for them to say you need to see physio :D 

 

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12 minutes ago, gonzo said:

Aye for me its having to wait 3 weeks for an appointment for the GP knowing they are just gonna refer you to the hospital and then wait another 3 weeks then 6 hours in there for them to say you need to see physio :D 

 

I feel your pain.

2018 I had a chest infection and was sent for an x-ray to check for pneumonia. Standard stuff. No issues.

Same again this time.

Only the x-ray folk tell the gp this time that the chest is clear, but the heart doesn't quite appear right, and didn't last year!

GP knows fuck all about it, as x-ray folk said nowt last year.

The info from the x-ray folk was by the gp opinion not worthy of any further action, but as they suggested I should be referred to cardiology, he did.

Booked an appointment, earliest date end of may.

In the meantime x-ray folk say, the issue was caused by me not being able to inflate chest fully as I was struggling with infection, and the heart is fine.

Cardiology then cancel the appointment because I don't need it.

Kinell, just talk to each other and save some money!!

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6 hours ago, darwen_white said:

If you go for the injection, go with a guided one with a specialist rather than with your GP just taking a punt.

This!!! In the mid-80's I used to sell the steroid injection (ironically that I had into both my big toes the other week). One of my best customers was Arthur Morris, orthopaedic consultant, who was Warrington RL's doctor. Sat with him in his private rooms one day and watched him inject into a plantar fasciitis for one of their forwards. Fucking hell this massive bastard burst into tears. Would love to have remembered it as Les Boyd but unfortunately not. If you end up going down that route make sure that they inject the local anaesthetic first and then the steroid and not to mix the two in a syringe and then inject - you really need the anaesthetic to start working first!!!!

On a separate note. If you go for orthotics, and the local NHS podiatry isn't good, and you go private, try to find a podiatrist that uses a machine that you stand on (that looks like a pair of scales) that scans your foot and then creates the orthotics from various off-the-shelf parts. I sold custom-made orthotics about 5 years ago and we couldn't compete with that gizmo. I'm lucky, I got referred to Oldham Musculo-skeletal service for my arthritic toes and the podiatry service were brilliant. Couple of hints - ask for two sets - one standard thickness to wear with trainers/loose shoes/boots and a thin set to wear with dress shoes (brogues, etc) and any new shoes that you buy, make them a half-size bigger

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Injecting steroids in the plantar fascia can weaken the tissue and cause bigger problems. Be warned 😯

About 10 years ago there was strong evidence to suggest that taking blood from the arm and injecting it into plantar fascia worked wonders. Not sure what happened to these theories but doubt the NHS would do this.

 

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2 hours ago, darwen_white said:

Injecting steroids in the plantar fascia can weaken the tissue and cause bigger problems. Be warned 😯

 

 

2 hours ago, Tonge moor green jacket said:

Wow. I've heard long term use of steroids can weaken tissue, but that sounds a bit shit.

 

Yeah it’s long term use in any tissue that causes a problem - Tommy Smith ex-Liverpool player had both his knees ruined by repeated injections and is the classic example used to illustrate the problem. 

Infrequent use shouldn’t be an issue. I’m allowed three per year into my toes but will try to keep it to one a year if I can manage the pain with my orthotics 

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3 hours ago, boltondiver said:

Had it now for 2 weeks, seems to be getting worse.

but, keeping going, stoically 

 

How is yours, R?

Mate, it's the worst thing I've ever suffered with - fucking agony. Just keep doing calf raises & stretches whenever you can. I did loads of stuff that the guys above have mentioned but the biggest game changer was when I started wearing the stiff insoles. I had some prescribed by the NHS specialist but found the PRO 11 ones the most beneficial - Groupon sell them at less than half the Amazon price. If it is definitely PF,  then I don't think there is any set period of time that you can expect it to go. Mine lasted around 12 months but I had a friend who's problem cleared up in around 3 months. Good luck.

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