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 Plantar Fasciitis and what the doc said

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walnut864 Posted - 03/30/2010 : 20:55:22
I posted this on anothe rforum with no answer. I would kust like some opinions on the matter, thanks.
After several months of what I self diagnosed as Plantar Fasciitis. I had no luck curing the pain using an MBS approach. So I decided to visit a podiatrist. I was diagnosed with fasciitis. She said that I may have strained it really bad. The xray came up negative for a tear or spur. There is some swelling and inflammtaion in that area. I was offered a set of orthodic shoes that I could not afford. She adviced that I get some very good arch supports for my shoes and wrap my foot for support and see what happens. If I strained it then it should heal with support. If I tore it then it sounds likes Im screwed. Whats the deal here? If I have a small tear can it not be repaired? Can this thing not heal itself if torn?
13   L A T E S T    R E P L I E S    (Newest First)
walnut864 Posted - 05/16/2010 : 14:39:20
I forgot all about this topic. Sorry for that.
I still have some pain inthe AM. I do where some arch support type orthotic inserts in my shoes. I was gonna go without them and treat it as TMS but, I realy like the feel of the inserts compared to the way the shoes feel without them.

It does appear to be a little better the last week or so.
I have tried t he wrapping and taping and all that but it was very uncomfortable.
Thanks for all the replies!
Irish Jimmy Posted - 05/04/2010 : 06:05:26
I was diagnosised with PF and told I would have to wear orthodics and take motrin the rest of my life by a podiatrist. I was also told at (20?) to consider my future jobs, and to work somewhere that would "keep me off my feet".

After finding TMS, I stopped wearing my orthodics and gradually the foot pain went away, all while following the TMS approach. It is very empowering when you feel the pain go away and you start to feel strong.

Don't give up.
Dave Posted - 04/12/2010 : 20:46:50
quote:
Originally posted by ezrida

Hi
I am also running and I am dealing with plantar fasciitis for more than a year now. My podiatrist prescribed...

If you choose to treat plantar fasciitis as TMS, then orthodics, taping, and any other physical treatment is contradictory.

If the diagnosis is due to some acute injury or strain, the body will heal itself completely. If the pain lingers and becomes chronic despite proper rest, it may well be TMS.
ezrida Posted - 04/12/2010 : 13:38:38
Hi
I am also running and I am dealing with plantar fasciitis for more than a year now. My podiatrist prescribed me with Custom made orthotics which did not work at all. There are many more things you can do to treat your PF, more than mentioned above. But I understood that treatment efficiency is very individual. If something works for one it may not work for the other.
Did you try Taping? I have found it very useful. Taping will keep your foot from getting injured again and will help you get through your daily routine.
I also found a very informative website in:
http://www.plantar-fasciitis-elrofeet.com
Take care & Good luck
Fox Posted - 04/07/2010 : 06:19:39
Good point about the blood flow (unless the autonomic nervous system has the capability to not only cut off, but also can increase, blood flow to certain areas of the body - and I believe that Sarno says just this on his CD). But what is the purpose of stretching even if we do say that swelling might indicate a true injury? I know that the PTs and the podiatrists say to do this, but is there any evidence behind their recommendation or is this merely more medical wishful thinking when the true cure just may be the passage of time to let your body rapidly heal itself.
wrldtrv Posted - 04/06/2010 : 20:11:05
No, I wouldn't think TMS could cause swelling. Pain, yes. Remember, TMS theory says there is some tiny arterial constriction causing pain, or numbness or other sensations to muscles, tendons, or nerves. If you think about it, swelling is actually the inflow of blow to the inflamed area; the opposite of TMS.

Fox Posted - 04/06/2010 : 10:14:09
Can't the TMS process bring about swelling? I believe that it did for me. I believe that others have said the same thing on this forum. Anyhow, I would caution anyone regarding using stretching as part of a PF treatment regimen in that this presupposes the existence of a an injury or mechanical weakness that must be corrected physically. Unless there is evidence that stretching itself actually helps with PF, I would be hesitant to add that since it is hard to get the notion of physical injury/mechanical problem out of your head once you give this notion credibility by feeling that you must stretch.
wrldtrv Posted - 04/05/2010 : 16:31:55
First, an x-ray could not dx a tear (you'd need an mri for that), but only a bone spur. Second, it's good news that there is no spur.

I don't know whether you also have TMS, but the swelling and inflammation indicates a real tear. That is not as big a deal as it sounds. The fascia is merely the fibrous material that surrounds the tendons and ligaments. It's like that web of fascia you can peel off a piece of meat. It is a lot more painful (and a nuisance) than harmful. The standard treatment is ice, anti-inflammatories like ibuprofin, gentle stretching, and mostly the passage of time. It will usually feel worse out of bed in the AM when it is stiff, and better later when it warms up and lengthens. You can take a warm shower, or just bathe your feet in warm water first thing out of bed and it will probably feel better. For the same reason, wear supportive shoes, espec in the Am.

I have had several bouts of PF over the years, and in fact, I'm going through one at the moment, while training for a marathon. I'm not discounting the possibility of some simultaneous TMS going on (with you as well as me), but it is good to keep an open mind about injury vs TMS). I'm not a doc, but I've had a lot of experience with various running injuries as well as probably TMS conditions.

Good luck. What helped me was knowing the pain is worse than the actual injury. Despite PF for the past month or more, I have continued to train for my marathon, and in fact, ran 20 miles yesterday. By the way, if you are a male over 50 you are more likely to get PF. Good luck!
Fox Posted - 04/05/2010 : 08:48:42
One last thing - I had the PF in different feet - so it wasn't some structural or some wear and tear problem that returned in the same foot. I believe I talked my brain out of it in the right foot, but my brain then lamely gave it the old college try in the left foot.
Fox Posted - 04/05/2010 : 08:37:20
Oh, and one more thing. I went back to walking a half hour to an hour a day when the pain decreased from being unbearable with each step to just very painful with each step. I was able to push through the moderate pain with no bad long term result, and in fact received total relief after two months, but I just couldn't force myself to walk anymore than necessary when the pain was intense.
Fox Posted - 04/05/2010 : 08:28:27
Don't do the orthotics or other structural treatment or you'll be declaring to yourself that this is a physical problem and you'll have a tough time getting rid of this. PF is TMS if you don't have an obvious tear. I've had PF twice, once with pronounced swelling. Once in the heel and once in the mid foot area. Both times, I looked at it as TMS. I did wear some Dr. Scholl's PF gel cushions in my loafers - the time the heel was involved - and bought some slightly orthotic sandals - just for pain relief - not for structural treatment. I also used an ice wrap a few days - but only to get the swelling down. I stopped my daily walking a while, thought Sarno thoughts, and waited it out. I tossed the gel cushions when the pain decreased a bit. After two months each time, I was fine. I still wear the sandals at times (really pretty rarely), but only because they look cool.
walnut864 Posted - 04/02/2010 : 18:50:27
quote:
Originally posted by Monte

There is always the chance that this could be "strain or torn".

Are you a TMS person? Have you had other pain symptoms that you have successfully reversed?

If so there is a good possibility that this is TMS/MBS. Did you really go 100% with the TMS approach or were you a bit iffy on is this tms or is this physical injury?

Monte Hueftle
TMS Mind Body Coach
www.runningpain.com


Im definetly a TMS person and have many painful symptoms that are now gone.
This one is kinda stubborn and so is my "Shoulder impingement"
the shoulers impingement has been going on over a year and MRI found nothing, just swollen and inflamed tendons where my arms meets the shoulder. Lots of pain, some tenderness, clicking, popping and grinding. I feel it may be due to bad posture and weak shoulder and back muscles, I tried some shouler exercises and was suprised how weak my shoulder muscles are.
Monte Posted - 04/01/2010 : 08:38:54
There is always the chance that this could be "strain or torn".

Are you a TMS person? Have you had other pain symptoms that you have successfully reversed?

If so there is a good possibility that this is TMS/MBS. Did you really go 100% with the TMS approach or were you a bit iffy on is this tms or is this physical injury?

Monte Hueftle
TMS Mind Body Coach
www.runningpain.com

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