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I have pain first thing in the morning and also throughout the day. This is common, right?

Posted by Kim B. on 3/09/00 at 00:00 (017087)

I get the impression by talking to some docs that they think PF sufferers have pain first thing in the morning and then it subsides as the day goes along. I have pain in the morning, and instead of it getting better as the day goes on, my pain gets worse, the more I am on my feet.

Is it this way for others who are PF diagnosed? Or, since I have so much pain, burning, tingling and numbness, everywhere... ankles, shins, knees, etc., if there is a co-exhisting condition such as TTS or something else. I saw my x-rays with the little heel spurs on them (both feet), so I know I have heel spurs. But can heel spurs/PF cause this much pain?? Does PF radiate up the legs?

I'm so confused, any info or direction would be appreciated.

Regards, Kim B.

PS. The massage appointment I had scheduled for today was canceled. It has to be rescheduled. Boy, I was counting on that today. Big disappointment for me.


Re: I have pain first thing in the morning and also throughout the day. This is common, right?

Laurie R on 3/09/00 at 00:00 (017092)

Hi Kim,
Have you told your doctor about all your symptoms? You sound just like me I have PF and TTS.I'm not saying you have TTS but it sounds just like me.My foot and ankle go numb all the time and I am in pain all the time.Like Wendy said the PF pain kind of goes away but the TTS pain gets alot worse as you do more activity.By the end of the day my foot is on fire.I also get the burning throw my foot and shooting pains.

Kim do you see a podiatrist? Also have you had a EMG test?

Best to you.I hope you feel better. Laurie R


Re: I have pain first thing in the morning and also throughout the day. This is common, right?

salina on 3/09/00 at 00:00 (017093)

hello, I also have the kind of pain that just keeps getting worse and worse the longer I am on my feet. As far as I know, I just have PF. But I saw my records where the podiatrist wrote down that I have sharp pain upon first morning steps. I was shocked when I read this because I told him no such thing. He kept asking me that, and I kept telling him that my feet were more stiff than usual in the morning, but there is nothing significant with the first steps. But he obviously wrote that down anyway. And I got the impression he wasn't listening when I was trying to tell him just how much pain I was in. I told him how I could only stand up for a few minutes before the pain was so bad all over my feet I would have to sit down. And he only advised me to stop running. I HADN'T BEEN RUNNING!!! I tried telling him about my right foot turning red and stuff and my lower legs aching and cramps, and he said I had shin splints. I DO NOT!!
i think I could have told him my feet were turning green and he would have just told me to take it more easy.
I think there are so many different types and levels of this PF business. Don't feel like you are alone. I am totally shocked at how quickly my feet get to hurting so bad.
I just hope you have a good doctor that will help determine if you have any other issues going on also. Hope you get better soon.

Re: I have pain first thing in the morning and also throughout the day. This is common, right?

Rick R on 3/10/00 at 00:00 (017097)

Kim,

When I first was blessed with PF and had nothing too impressive to run around with and show the kids on my x-rays, I had the typical morning and after rest pain that would subside as I walked around. The more I walked around the worse the pain would be but after I stoped and rested and got up again. As those bad boys grew into trophy class pinnacles, the post rest/morning pain became less of the predominant pain replaced by an ever increasing pain that built up as the day wore on and I wore out.

If I have TTS it's in my right foot. Here I get the burning, tingling, numbness that others have associated with TTS but I have never been diagnosed as such. This has always been a strange one that typically got worse as the day wore on, never presented itself as a first thing in the morning pain. It did wake me up at night at times, feeling like it was on fire. I could walk it off, which of course interrupted that all-important solid night off of the heels. This never went up the drive train into the shins and knees in my case.

I do think there may well be a shift in symptoms as you graduate from PF to PF with spurs. Did you have more typical symptoms in the early stages?

Hang in there,

Rick


Re: I have pain first thing in the morning and also throughout the day. This is common, right?

Sherman on 3/10/00 at 00:00 (017120)

I also have pain in the morning and throughout the day, if I'm active. What exactly is TTS? My orthopedic surgeon told me to try wearing this big ugly boot for a month and if that doesn't help the pain that I will need surgery. I have been putting up with this for 2 years and am fed up.

Re: I have pain first thing in the morning and also throughout the day. This is common, right?

alan k on 3/10/00 at 00:00 (017123)

Do a search on tts Sherman, and read up on the pros and cons of surgery. There may be many more options to explore besiedes what your doctor tells you, which you should explore before considering surgery.

TTS is a nerve entrapment near the ankle that makes feet feel painful, and sometimes the ankle region and back of leg too.


alan k


Re: I have pain first thing in the morning and also throughout the day. This is common, right?

alan k on 3/11/00 at 00:00 (017135)

You should definitely see a neurologist and a back specialist.

While you may have 'heelspurs' and that may be causing your trouble, it is entirely possible that the spurs are doing nothing at all to you.

Burning, tingling, and numbness are signs of nerve entrapment. The feeder nerve for the tibial does not run in the front of the knee where you present symptoms. It is possible you have a tarsal tunnel entrapment anyway, but just as likely that there is an entrapment in the spine somewhere. Also note that it is a little known recent discovery that 'Fibromylagia' symptoms may be caused by nerve entrapment higher in the spine, and has been experimentally relieved with a decompaction surgery on the back of the neck.

Put two fingers together and tap alongside and under the ankle, fairly firmly, and see what sensations result. This is a preliminary test for tarsal tunnel syndrome. A nerve conduction study should be done (tarsal tunnel syndrome vs. radiculopathy) but cannot rule out anything, only confirm.

You need to push for more tests, and hopefully get MRI on feet, back, and neck.

Hope this helps....


alan k


Re: I have pain first thing in the morning and also throughout the day. This is common, right?

Sherman on 3/11/00 at 00:00 (017138)

Alan K.
I feel like I have done everything possible. It has reached a point that it is really affecting my style life. I can't take walks, I quit tennis, it hurts to practice volleyball with my daughter, there are only a couple of types of shoes I can wear with minimal pain, and I hate limping. I've done the orthotics, stretching, icing, cortisone, heel cushions, personal trainer to help build-up calve muscles. I think this started back when I ruptured my achilles tendon on opposite leg. Someone told me I never built-up the stength in that leg so I've been overcompensating with my left leg. If you have any suggestions of other things I can try I certainly will. My doctor is out of ideas but he does want me to see another doctor for a second opinion. Thanks.

Re: I have pain first thing in the morning and also throughout the day. This is common, right?

Laurie R on 3/09/00 at 00:00 (017092)

Hi Kim,
Have you told your doctor about all your symptoms? You sound just like me I have PF and TTS.I'm not saying you have TTS but it sounds just like me.My foot and ankle go numb all the time and I am in pain all the time.Like Wendy said the PF pain kind of goes away but the TTS pain gets alot worse as you do more activity.By the end of the day my foot is on fire.I also get the burning throw my foot and shooting pains.

Kim do you see a podiatrist? Also have you had a EMG test?

Best to you.I hope you feel better. Laurie R


Re: I have pain first thing in the morning and also throughout the day. This is common, right?

salina on 3/09/00 at 00:00 (017093)

hello, I also have the kind of pain that just keeps getting worse and worse the longer I am on my feet. As far as I know, I just have PF. But I saw my records where the podiatrist wrote down that I have sharp pain upon first morning steps. I was shocked when I read this because I told him no such thing. He kept asking me that, and I kept telling him that my feet were more stiff than usual in the morning, but there is nothing significant with the first steps. But he obviously wrote that down anyway. And I got the impression he wasn't listening when I was trying to tell him just how much pain I was in. I told him how I could only stand up for a few minutes before the pain was so bad all over my feet I would have to sit down. And he only advised me to stop running. I HADN'T BEEN RUNNING!!! I tried telling him about my right foot turning red and stuff and my lower legs aching and cramps, and he said I had shin splints. I DO NOT!!
i think I could have told him my feet were turning green and he would have just told me to take it more easy.
I think there are so many different types and levels of this PF business. Don't feel like you are alone. I am totally shocked at how quickly my feet get to hurting so bad.
I just hope you have a good doctor that will help determine if you have any other issues going on also. Hope you get better soon.

Re: I have pain first thing in the morning and also throughout the day. This is common, right?

Rick R on 3/10/00 at 00:00 (017097)

Kim,

When I first was blessed with PF and had nothing too impressive to run around with and show the kids on my x-rays, I had the typical morning and after rest pain that would subside as I walked around. The more I walked around the worse the pain would be but after I stoped and rested and got up again. As those bad boys grew into trophy class pinnacles, the post rest/morning pain became less of the predominant pain replaced by an ever increasing pain that built up as the day wore on and I wore out.

If I have TTS it's in my right foot. Here I get the burning, tingling, numbness that others have associated with TTS but I have never been diagnosed as such. This has always been a strange one that typically got worse as the day wore on, never presented itself as a first thing in the morning pain. It did wake me up at night at times, feeling like it was on fire. I could walk it off, which of course interrupted that all-important solid night off of the heels. This never went up the drive train into the shins and knees in my case.

I do think there may well be a shift in symptoms as you graduate from PF to PF with spurs. Did you have more typical symptoms in the early stages?

Hang in there,

Rick


Re: I have pain first thing in the morning and also throughout the day. This is common, right?

Sherman on 3/10/00 at 00:00 (017120)

I also have pain in the morning and throughout the day, if I'm active. What exactly is TTS? My orthopedic surgeon told me to try wearing this big ugly boot for a month and if that doesn't help the pain that I will need surgery. I have been putting up with this for 2 years and am fed up.

Re: I have pain first thing in the morning and also throughout the day. This is common, right?

alan k on 3/10/00 at 00:00 (017123)

Do a search on tts Sherman, and read up on the pros and cons of surgery. There may be many more options to explore besiedes what your doctor tells you, which you should explore before considering surgery.

TTS is a nerve entrapment near the ankle that makes feet feel painful, and sometimes the ankle region and back of leg too.


alan k


Re: I have pain first thing in the morning and also throughout the day. This is common, right?

alan k on 3/11/00 at 00:00 (017135)

You should definitely see a neurologist and a back specialist.

While you may have 'heelspurs' and that may be causing your trouble, it is entirely possible that the spurs are doing nothing at all to you.

Burning, tingling, and numbness are signs of nerve entrapment. The feeder nerve for the tibial does not run in the front of the knee where you present symptoms. It is possible you have a tarsal tunnel entrapment anyway, but just as likely that there is an entrapment in the spine somewhere. Also note that it is a little known recent discovery that 'Fibromylagia' symptoms may be caused by nerve entrapment higher in the spine, and has been experimentally relieved with a decompaction surgery on the back of the neck.

Put two fingers together and tap alongside and under the ankle, fairly firmly, and see what sensations result. This is a preliminary test for tarsal tunnel syndrome. A nerve conduction study should be done (tarsal tunnel syndrome vs. radiculopathy) but cannot rule out anything, only confirm.

You need to push for more tests, and hopefully get MRI on feet, back, and neck.

Hope this helps....


alan k


Re: I have pain first thing in the morning and also throughout the day. This is common, right?

Sherman on 3/11/00 at 00:00 (017138)

Alan K.
I feel like I have done everything possible. It has reached a point that it is really affecting my style life. I can't take walks, I quit tennis, it hurts to practice volleyball with my daughter, there are only a couple of types of shoes I can wear with minimal pain, and I hate limping. I've done the orthotics, stretching, icing, cortisone, heel cushions, personal trainer to help build-up calve muscles. I think this started back when I ruptured my achilles tendon on opposite leg. Someone told me I never built-up the stength in that leg so I've been overcompensating with my left leg. If you have any suggestions of other things I can try I certainly will. My doctor is out of ideas but he does want me to see another doctor for a second opinion. Thanks.