I've been doing a lot of speed-walking the past couple of years, which is great. But I've recently developed plantar faciitis in my right heel, for the first time in my life. And I can't seem to get it healed up. Any advice?
Overview
Plantar fasciitis is irritation and swelling of the thick tissue on the bottom of the foot.
Symptoms
The most common complaint is pain in the bottom of the heel. It is usually worst in the morning and may improve throughout the day. By the end of the day the pain may be replaced by a dull aching that improves with rest.
Most people complain of increased heel pain after walking for a long period of time.
Treatment
Conservative treatment is almost always successful, given enough time. Treatment can last from several months to 2 years before symptoms get better. Most patients will be better in 9 months.
Initial treatment usually consists of:
If these fail, putting the affected foot in a short leg cast (a cast up to but not above the knee) for 3-6 weeks is very often successful in reducing pain and inflammation. Alternatively, a cast boot (which looks like a ski boot) may be used. It is still worn full time, but can be removed for bathing.
- Anti-inflammatory medications
- Heel stretching exercises
- Night splints
- Shoe inserts
Some physicians will offer steroid injections, which can provide lasting relief in many people. However, this injection is very painful and not for everyone.
In a few patients, non-surgical treatment fails and surgery to release the tight, inflamed fascia becomes necessary.
Causes
The plantar fascia is a very thick band of tissue that holds up the bones on the bottom of the foot. This fascia can become inflamed and painful in some people, making walking more difficult.
Risk factors for plantar fasciitis include:
A typical patient is an active man age 40-70.
- Foot arch problems (both flat foot and high arches)
- Obesity
- Running
- Sudden weight gain
- Tight Achilles tendon (the tendon connecting the calf muscles to the heel)
This condition is one of the most common orthopedic complaints relating to the foot.
Plantar fasciitis is commonly thought of as being caused by a heel spur, but research has found that this is not the case. On x-ray, heel spurs are seen in people with and without plantar fasciitis.
Tests & diagnosis
Typical physical exam findings include:
X-rays may be taken to rule out other problems, but having a heel spur is not significant.
- Mild swelling
- Redness
- Tenderness on the bottom of the heel
Prognosis
Nearly all patients will improve within 1 year of beginning non-surgical therapy, with no long-term problems. In the few patients requiring surgery, most have relief of their heel pain.
Prevention
Maintaining good flexibility around the ankle, particularly the Achilles tendon and calf muscles, is probably the best way to prevent plantar fasciitis.
Complications
Complications with surgery include:
With other treatments, a complication is continued pain.
- Infection
- Nerve injury
- No improvement in pain
- Rupture of the plantar fascia
When to contact a doctor
Contact your health care provider if you have symptoms of plantar fasciitis.
I've been doing a lot of speed-walking the past couple of years, which is great. But I've recently developed plantar faciitis in my right heel, for the first time in my life. And I can't seem to get it healed up. Any advice?
I can sympathise. It's a pain in the, er, foot. I've had it three times, and each time it went on months. Resting up completely helps, as does getting the right type of footwear. Figure out if you're over- or underpronated, and get appropriate running shoes.
And see a doc, obviously. (Not that I did, but I'm an idiot.)
This may sound strange, but this site recommends finding a gravel surface and walking on it with your socks on for 10 minutes:
http://www.chirunning.com/shop/pages.php?id=352&pageid=18
http://chirunning.com/blogs/danny/2010/04/13/plantar-fasciitis-prevention-and-cure/
I'm a runner and swear by the Chi Running/Chi Walking technique, so that's why I checked this site first. When you speed-walk, does your heel hit the ground first? If so, that may be part of the problem. When you're all healed up and ready to walk again, try shortening your stride and landing mid-foot (the barefoot shoes Kitty Pryde mentioned are excellent for improving your form).
I used to have terrible foot pain in the mornings, could barely walk. I never had it diagnosed.
When I started sleeping on a warm water bed, the pain left and never returned.
Today I'm fine and dandy.
Weird.
Got in my right foot, too... along with bone spurs and tendinitis (that spelling doesn't look right at all, but that's what the spellchecker picked for me!) One of the things that helps me when it's really throbbing is to get a bottle of water, freeze it, and roll it under my foot from toes to heel and back. You'll think you're gonna die, but it really helps. A rolling pin does a great job, too, if you don't like the icy cold - of course, that's the end of the rolling pin for pie dough, so don't use mama's favorite one. Ol' Boy cut me a thick dowel rod - about a foot long - and I use that just to keep it happy. Aleve (or the generic Naproxin Sodium) is essential. Good luck.
This is the kind of splint I used:
http://www.bannertherapy.com/Produc...lantar-fasciitis-daytime-splint&number=17-158
It's something you can use during the day, too. I had to do something during the day or it just wasn't going away.
There are night splints that pull up your toes, too. I didn't have to try that, but I did sports-tape that arch at night.
Well, I went to the doctor today, and as it turns out I don't have plantar faciitis after all! I have Achilles tendinitis.
Ha!
So much for self-diagnosing.
Thanks much, everyone! I am indeed going to see a doctor in about 10 days.
Ironically, I do not have high arches. My feet are as flat as a sheet of paper.
So what does one do for that?
I do a lot of walking and sometimes my feet hurt but all I do is soak them in warm water.
I get it ranging from severe to non-existent. When it's really bad I can't believe it will ever go away. Then one day, it's gone. I too have flat feet.
I usually suffer when I wear shoes I like rather than shoes that are good for me. (-;
First time I've ever had it, but man it sure doesn't seem to want to go away. And my feet, size 12, are as flat as a sheet of paper.