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plantar fasciitis

ralral Posts: 1,791 Mega Baller
On top of my knee, neck and back issues, now it looks like I have plantar fasciitis in my back heel. Not nice.

Today I tried one gel heel cushion in my back binding. Although it was strange at first, I finished my set with less pain that the previous one

Any suggestions or experience with it?
Rodrigo Andai
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Comments

  • igkyaigkya Posts: 733 Crazy Baller
    Yes, but as with most injuries, u won't like it. Rest. I saw an Ortho Podiatrists, who made a cast that I was to wear in my shoe. Problem was, it was so damn big and uncomfortable, I couldn't use it. Ended up making my own shim which I could easily transfer from shoe to shoe and my insoles for ski boots. Problem eventually went away.
  • wtrskiorwtrskior Posts: 704 Crazy Baller
    Rest the foot and Wear good supportive shoes.
  • bradbbradb Posts: 36 Baller
    Try super feet inserts for your shoes. Made my pain go away.
  • Stevie BoyStevie Boy Posts: 2,154 ★★★★Quad Panda Award Recipient ★★★★
    edited December 2016
    @ ral I have been through Plantar Fasciitis not nice at all, one thing I can tell you is do not have the injections, they put a needle direct into your heel, the pain was like nothing I have ever felt before, when I went back for the second one, I was laying on the bed and just as he was about to administer it , I sat up and told him that I couldn't do it, I ended up buying some MBT shoes that helped a lot, they take a bit of getting used to, have a read about them first, also stretch those calves and hamstrings.
    It disappeared as quickly as it arrived, so hang in there, really uncomfortable avoid walking around in bare feet or slippers, that just aggerevates it.

    Addicted To Carbon Fibre

  • BraceMakerBraceMaker Posts: 4,461 Mega Baller
    Doubt the skiing is the cause - so do whatever feels good on the ski, but you're going to have to modify your other activities for a bit.
  • 6balls6balls Posts: 5,470 Mega Baller
    PT. All kinds of rest and home stretches etc but it's tough to settle down. I have much better luck with patients willing to go to PT
    Dave Ross--die cancer die
    CentWaterSkier12Jody_Seal
  • bishop8950bishop8950 Posts: 1,201 Open or Level 9 Skier
    Another vote for rest and stretching. I had it once for a few months and never since
  • A_BA_B Posts: 4,288 Mega Baller
    edited December 2016
    Get a good pair of shoes with arch support. Same in your boots, not just a heel cup.
    I bought a foot rocker and also did a lot of calf raises. If I get any feeling of them coming back, I jump on the foot rocker.

    I'm on my iPad and not seeing the link option, so just google advance foot rocker. Mine was a Nautilus, but I don't think they make it any longer.

    Just found an interesting YouTube video called the instant cure for PF. He says to stretch the top of the foot down. Give it a try and see if it works like,he says.
  • CentCent Posts: 206 Baller
    P T is the best answer in my experience.
  • Stevie BoyStevie Boy Posts: 2,154 ★★★★Quad Panda Award Recipient ★★★★
    For what it is worth, I think mine was caused by doing a indoor project at home, without any foot wear.
    Try looking on the internet for "Pro Stretch " or "Foot Rocker" (I think Walmart might do it)
    I used the Pro Stretch excellent for the calves, takes the tension away from the foot, probably help the ankles out as well.
    Rehabilitation you name it I have it.

    Addicted To Carbon Fibre

  • wtrskiorwtrskior Posts: 704 Crazy Baller
    Mine was partially caused by walking bare foot on hardwood floors. I have custom naot Sandles I wear indoors now.
  • EdmundEdmund Posts: 183 Baller
    I have had it a couple of times, and if you are like I was, you can hardly walk across the room when you first get up in the morning. The advice given by the others above will help. Just do a little internet research and develop your own PT plan. After suffering for a week or so, you may hopefully find it to be suddenly gone. Good luck.
  • RogerRoger Posts: 1,588 Mega Baller
    I had this problem last year. I made two changes which solved it for me. At the lake, I use these. For my tennis and dress shoes, I use these. I have not changed from the stock inserts in my Vapor bindings. I don't think we spend enough time in them to have much effect on our feet. The inserts and flip flops solved this for me. I have another pair of flip flops for non wet use from HAMMACHER SCHLEMMER & COMPANY which are great though expensive. See them here.
    Roger B. Clark - Okeeheelee skier. Senior driver, Senior Judge
  • ESPNSkierESPNSkier Posts: 177 Baller
    @ral I feel your pain and went through the process last year including 3 steroid injections, stretching, rolling my foot on a frozen bottle of water, etc. I bought several pairs of Powerstep ProTech Full Length PRO shoe inserts and wear them in all of my shoes now. When it was at it's worst I also placed one of these inserts in my Radar Vapor front boot but have now gone back to a Vapor insert. It does go away but will quickly come back if you are not careful. Good luck.
  • RogerRoger Posts: 1,588 Mega Baller
    @ESPNSkier - Exactly what I pointed him to. Those for my dress and tennis shoes and for days at the lake, flip flops designed for plantar fasciitis. Between those, I've not had the problem return, so worth every penny spent!
    Roger B. Clark - Okeeheelee skier. Senior driver, Senior Judge
  • ralral Posts: 1,791 Mega Baller
    Thanks to all for the very valuable advice!
    Rodrigo Andai
  • DmaxJC_skiDmaxJC_ski Posts: 346 Solid Baller
    My daughter is a dancer, had a partial tear of the plantar fascia, major scar tissue and fasciitis now. Been 2 years of serious treatments and pain for her, she is 13, casts, orthotics, braces, taping, the works, 99% of the problem is the calf muscles being too tight and the fascia gives up to that. Deep tissue massage on the calves an feet will help tremendously, my daughter has also had 3 injections done under radiography to help pinpoint the problem and reduce the chance of rupture, with exceptional results. When we are at the RMT I can hear the scar tissue breaking and popping in her foot, she takes it like a champ. Aircast makes a really good brace that has helped a bit also.
  • BdeckerBdecker Posts: 324 Crazy Baller
    I had this problem too. Super feet inserts didn't work for my feet, and after lots of PT it looked like custom orthotics were my only answer. I was in the process of having molds made when I tried "sole" footbeds. They have worked phenomenally for me. I now wear their flips exclusively and footbeds in just about every shoe I wear including my hard shell bindings. It's been a good 5+ years since with no pain.
  • JordanJordan Posts: 1,247 ★★★Triple Panda Award Recipient ★★★
    Years ago I suffered plantar fascia while training for a marathon. Unbelievable pain as the distances increased.

    The key was understanding what was happening. Since I had high arches and in my gate my foot would roll excessively from outside to the inside during the weight transfer.

    The solution was both orthotics and a firmer motion control shoe. For the orthotic to do its' job, a more solid foundation was required.

    The point is that you should experiment with different footwear in combination with various insoles/orthotics etc.
  • teammalibuteammalibu Posts: 1,009 Mega Baller
    I second the super feet green inserts Mr. Jones got me to try them a few years ago and The PF went away and never came back! The other thing he stressed was not to jump out of bed in the morning on to a hard floor without streaching he said keep your shoes next to the bed! Thanks Mr. Jones!
    Mike Erb Cedar Ridge Canton Miss.
    Horton is my hero
  • BCMBCM Posts: 260 Baller
    @DMaxJC_ski - a few years ago I had some PF issues while training for a marathon (50+miles a week) I visited a local sports medicine doc (he was also the doc for the local D1 college football, track, and XC teams). He suggested using inserts as a last resort, rather he suggested working on stretching and then strengthening the back of my legs (calves to glutes). I had great success, never used inserts.

    It is a very slow healing process. It took me about 6 months of basically no running. But 4 years later I am running, I hike a lot for work, and don't use any type of insert and have no PF issues. I still stretch regularly and spend some gym time working on stretching and strengthening the back of my legs.
  • mwetskiermwetskier Posts: 1,337 Mega Baller
    edited December 2016
    i suffered from pf for a long time before i hit on something that no foot doc ever suggested. they taught me how to tape my foot to reduce the pain during the day, but no one ever suggested taping them at night so my arch was supported while i slept. the idea came to me out of the blue and i figured it probably wouldn't work but decided to try it. all the stretching and injections and insoles couldn't fix the problem but compressing the arch for the 6 to 8 hours every night while i slept did the trick.
  • thompjsthompjs Posts: 542 Solid Baller
    I have custom orthotics for my shoes. If I quit wearing them it comes back. Tape helps with flare ups.
  • gt2003gt2003 Posts: 726 ★★★Triple Panda Award Recipient ★★★
    I got it when I started running a lot. I tried having the Podiatrist wrap them but that did no good. Instead of messing around with treatments he said often never work and are done many times just to ensure future visits he recommended the injections. I only had to have them once. It sounds horrible but he injected through the side of my heel and it wasn't pleasant but it wasn't horrible either. I've heard BAD stuff about injecting from the bottom of the foot up! Within a couple of days I was back to 100%. He made me some custom inserts that were hugely valuable.

    If you don't want to go that route try an over the counter insert that gives you arch support. My arch is too high to use superfeet but LOTS of people love them. I have used "sole" inserts and currently use Powerstep Pinnacles. The cool/good/positive thing about the Sole inserts is you can put them in the oven and mold them to your feet.

    Good luck. This isn't a fun battle. I hope you win it shortly!
    2014 HO TX
    1996 Malibu Echelon
  • WaterSkier12WaterSkier12 Posts: 269 Baller
    Agree with stretching your PF, Achilles and gastrocs, but don’t neglect your hamstrings. Everything goes downhill, and we sit way too much. Inserts, heel cups, resting night splints, casts all can be used.
    I send them all to PT, majority get better. Don’t get an injection, Unless it’s Ultrasound guided by an experienced Foot/Ankle-Sports doc. Tenex is another option, but like the shot, a last resort.
    Don’t have open surgery unless,you have diagnosed nerve damage-tarsal tunnel syndrome
    Good luck
  • DobrodanDobrodan Posts: 17 Baller
    I've had PF three times over the years. The cure for me has always been stretching the hams and achilles/calves. The best way to stretch the calves is to put the front of your feet on a stair and drop your heels, let it stretch. Do it as often as you can throughout the day. The thing about PF for me is that it didn't get gradually better, it just disappeared. Good luck.
    MISkier
  • MISkierMISkier Posts: 3,037 Mega Baller
    In addition to the stretching (especially the calf stretch off the stairs), don’t tie your shoes too tight. I loosened mine up a lot just recently and have far fewer foot problems while running than ever before. I previously cranked the heck out of the laces.
    The worst slalom equipment I own is between my ears.
  • cragginshredcragginshred Posts: 722 Crazy Baller
    edited January 2018
    @ral In the PT clinic I would have not just stretch the calf, but the soleus and most importantly mobilize the fascia on the bottom or plantar side of your foot.
    Put the sole of your foot on a 2" step then do what looks like a calf stretch but you drive your knee over your toe with your knee bent.

    In addition freeze some water bottles and roll your bare foot on it till numb a couple of times a day.

    Lastly tape two tennis balls together- use coban. You can also do some really good fascia mobilizations with the balls as well!

    I need to have my own beer fund part of this forum for free PT advice!
    Vapor pro 2017
    GaryWilkinson
  • LanceHCookLanceHCook Posts: 37 Baller
    I have had PF a couple times over the years, I run, XC ski and am generally pretty active all year. The first time I had it I went to a podiatrist who gave me the injections, recommended Super Feet and taped my foot. I think I had 3 injections and after about 2 months it got better. I wasn’t impressed.

    Next time I got it, my new GP who is a D.O. (Doctor of Osteopathy) offered to fix it while I was at an appointment for an unrelated issue. He wrenched on it and the next day it was better and it stayed better. I went back for a follow up 2 weeks later and he didn’t even have to do his D.O. magic because it was still better. It’s still better.

    A year or so after that, he fixed some shoulder pain. There is something to the facial manipulation these guys do and if you can get to a D.O. to have a look at it, you might save yourself weeks of recovery time. Maybe he’s just manipulating my insurance company, and I’m pretty cynical about “alternative” medicine, but right now, I’m a believer in these docs.

    WaterSkier12
  • WaterSkier12WaterSkier12 Posts: 269 Baller
    Lance, you mean fascial not facial right?;-)
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