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Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

Posted by Andrea on 7/29/99 at 00:00 (009236)

I have had pf (i think) for 11 months now in both feet. I was training for a marathon and three weeks before I felt a bruise like feeling on my left heel. I continued to run and I believe by overcompensating and placing weight on my right foot developed the same injury in that foot too. (I ran the marathon --a very poor choice and am probably paying for it now.)My symptoms though do not seem like common pf suffers. I have no pain in the a.m. and it is not necessarily always in my heels. The pain radiates throughout the entire mid foot (arch and outside) and it progressively gets worse by standing still or in one place for long periods of time. The only way I can describe the pain is a 'burning aching' inside my feet. Not burning as is hot but a deep aching feeling. Some days it comes on sooner than others. Some days it is completely debilitating. I am able to walk (most of the time) and it actually gets better as I move. While walking sometimes I get shooting pains in my heel and arches. My Doc's all say it is pf.

I have been to 2 podiotrists, two rhumetologists (it is not arthritis)had acupuncture, tried store orthotics, custom orthotics (made it worse) PT, cortizone through electrodes, stretching, icing, rest--you know the routine.

Of course I would welcome any idea on treatment but more than anything, I would just like to be able to talk to someone who is having similar pain. I feel so isolated--not many (I haven't found any) who describe this type of pain.

Any thoughts?


Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

Beth on 7/29/99 at 00:00 (009240)

Andrea,
Have you had any nerve testing done? I seem to have similar pain in that I have the burning quite a lot in my right foot. My pain is made better with rest-esp. elevating my right foot. I had some nerve testing done and was diagnosed with tarsal tunnel syndrome (nerve entrapment around the ankle). I'm going to see a neurologist for a second opinion in a few weeks. My heel pain is not too bad lately. I've been resting a lot, taking 3 Bromlein tablets a day, using the ibuprofin cream and stretching with the Foot Flex. Most of my pain is centering around my burning. I'm excited today because I am able to tie my shoes a little tighter. I hope that means the inflamation is going down (in my humble opinion, I think that's what it means!) Has your burning ever led to tingling or numbness? Mine did before I got orthotics. I'm only a few months into this and am trying a lot of different things to get relief. My birkenstock sandles came today so I'm going to break them in. It's nice to not have socks on-a little bit cooler! I'm also considering getting some magnets to tape to my inserts...still contemplating.
Beth
P.S. feel free to e-mail me privately at :(email removed) for the burning issue in our lives!



Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

pete on 7/29/99 at 00:00 (009245)

my situation is simalar in that i've always had diffuse pain...no sharp pain in the morning...walking and standing aggrevate it...i'll bet yours (as with many others) is due to poor ankle dorsiflexion...caused by tight calves/achilles...compare your ankle flexibility with any freinds/reletives...i'll bet your's is worse...compare your worst foot with your better foot...i'll bet the worse foot has less ankle dorsiflexion (forward flexibility)...while doing a calf stretch against the wall for instance...the backs of my legs seems permanently tight...no matter what i try to do, or how much i stretch i can't seem to increase the flexibility...i'm going to try a vitamin b12 shot tomorrow as suggested by one of the earlier postings...it's a shot inthe dark but something (or a lack of something) must be causing the inrelenting tightness in our legs...

Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

wendy2 on 7/29/99 at 00:00 (009263)

Sounds somewhat familiar. The only difference I have is that walking, especially fast walking makes my feet worse. I would describe the mild pain as a dull aching but the sharp stabbing pains can feel like hot pokers. I have been told by two podiatrists that I have TTS (my sports med dctr also suspects this). I am waiting for nerve testing and another specialist to hopefully get a positive diagnosis. Hang in. (I also have PF but it's not too bad right now - and the pain is very different than TTS, felt like my feet were ripping apart when I'd start walking).

I also have good days (thankfully it's been getting better again) but I can have complete set backs from just walking too fast. When the pain is bad my right foot swells, but I don't know why. I also ignored the pain for a long time...not any more, I listen to my feet.


Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

Doug Padian on 8/01/99 at 23:09 (009384)

Andrea:

I have had similar symptoms for about four years. It started when I was catering long hours and my feet just started hurting. It has been the same ever since. I quite convinced now that I don't really have plantar fascitis in the classic sense. I don't have the AM pain in the morning and the pain is diffuse through my feet like you describe. I have the most pain when just standing, but it will hurt more the more I walk, so that's different from you. I have high arches and the plantar fascia is very tight across the bottoms of my feet. I saw a massage therapist once who immediately felt this when he went to massage my feet. I have been through all the therapies with no success. Orthotics only hurt my feet more.

Lately, I have been seeing a podiatrist who says my peroneal muscle group is too tight. The peroneal muscles run along your shinbone from your knee to you foot and run along the outside of the shinbone. He has been massaging them and my calves regularly and I *think* it is helping, but if it is it is slow. Anyway, you might want to give it a try. I've never heard of doing this before, but I figure I'll try anything at this point. Please email me if you find a treatment that helps you!


Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

Andrea on 8/02/99 at 13:19 (009395)

Thanks Doug. I have a question though. You said the peroneal muscle runs along the shin and where does it attach at the foot that they think it is causing this pain? You said shinbone twice. Could you elaborate a little more. Also during this 4 year period, has your pain ever gone away completely--does it come and go or is it all the time?

Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

Doug on 8/23/99 at 00:00 (010107)

Yes the muscles runs from the knee to the foot along the outside of the shinbone. The pain has always been at the same level -- never getting worse, but not getting better.

Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

Beth on 7/29/99 at 00:00 (009240)

Andrea,
Have you had any nerve testing done? I seem to have similar pain in that I have the burning quite a lot in my right foot. My pain is made better with rest-esp. elevating my right foot. I had some nerve testing done and was diagnosed with tarsal tunnel syndrome (nerve entrapment around the ankle). I'm going to see a neurologist for a second opinion in a few weeks. My heel pain is not too bad lately. I've been resting a lot, taking 3 Bromlein tablets a day, using the ibuprofin cream and stretching with the Foot Flex. Most of my pain is centering around my burning. I'm excited today because I am able to tie my shoes a little tighter. I hope that means the inflamation is going down (in my humble opinion, I think that's what it means!) Has your burning ever led to tingling or numbness? Mine did before I got orthotics. I'm only a few months into this and am trying a lot of different things to get relief. My birkenstock sandles came today so I'm going to break them in. It's nice to not have socks on-a little bit cooler! I'm also considering getting some magnets to tape to my inserts...still contemplating.
Beth
P.S. feel free to e-mail me privately at :(email removed) for the burning issue in our lives!



Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

pete on 7/29/99 at 00:00 (009245)

my situation is simalar in that i've always had diffuse pain...no sharp pain in the morning...walking and standing aggrevate it...i'll bet yours (as with many others) is due to poor ankle dorsiflexion...caused by tight calves/achilles...compare your ankle flexibility with any freinds/reletives...i'll bet your's is worse...compare your worst foot with your better foot...i'll bet the worse foot has less ankle dorsiflexion (forward flexibility)...while doing a calf stretch against the wall for instance...the backs of my legs seems permanently tight...no matter what i try to do, or how much i stretch i can't seem to increase the flexibility...i'm going to try a vitamin b12 shot tomorrow as suggested by one of the earlier postings...it's a shot inthe dark but something (or a lack of something) must be causing the inrelenting tightness in our legs...

Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

wendy2 on 7/29/99 at 00:00 (009263)

Sounds somewhat familiar. The only difference I have is that walking, especially fast walking makes my feet worse. I would describe the mild pain as a dull aching but the sharp stabbing pains can feel like hot pokers. I have been told by two podiatrists that I have TTS (my sports med dctr also suspects this). I am waiting for nerve testing and another specialist to hopefully get a positive diagnosis. Hang in. (I also have PF but it's not too bad right now - and the pain is very different than TTS, felt like my feet were ripping apart when I'd start walking).

I also have good days (thankfully it's been getting better again) but I can have complete set backs from just walking too fast. When the pain is bad my right foot swells, but I don't know why. I also ignored the pain for a long time...not any more, I listen to my feet.


Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

Doug Padian on 8/01/99 at 23:09 (009384)

Andrea:

I have had similar symptoms for about four years. It started when I was catering long hours and my feet just started hurting. It has been the same ever since. I quite convinced now that I don't really have plantar fascitis in the classic sense. I don't have the AM pain in the morning and the pain is diffuse through my feet like you describe. I have the most pain when just standing, but it will hurt more the more I walk, so that's different from you. I have high arches and the plantar fascia is very tight across the bottoms of my feet. I saw a massage therapist once who immediately felt this when he went to massage my feet. I have been through all the therapies with no success. Orthotics only hurt my feet more.

Lately, I have been seeing a podiatrist who says my peroneal muscle group is too tight. The peroneal muscles run along your shinbone from your knee to you foot and run along the outside of the shinbone. He has been massaging them and my calves regularly and I *think* it is helping, but if it is it is slow. Anyway, you might want to give it a try. I've never heard of doing this before, but I figure I'll try anything at this point. Please email me if you find a treatment that helps you!


Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

Andrea on 8/02/99 at 13:19 (009395)

Thanks Doug. I have a question though. You said the peroneal muscle runs along the shin and where does it attach at the foot that they think it is causing this pain? You said shinbone twice. Could you elaborate a little more. Also during this 4 year period, has your pain ever gone away completely--does it come and go or is it all the time?

Re: Diffuse arch pain, some heel pain almost 1 year, can anybody relate?

Doug on 8/23/99 at 00:00 (010107)

Yes the muscles runs from the knee to the foot along the outside of the shinbone. The pain has always been at the same level -- never getting worse, but not getting better.