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Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Posted by Nanci A. on 11/14/00 at 18:19 (032743)

>
Hi, I was just diagnosed with pf today. I went to the dr. after just 2 weeks of pain, thank god, so I hopefully can start healing right away. I read most of Scott's book and some of the rest of the site and have come away with some questions about all this VERY helpful material.

There are very many questions; I would be grateful for any answers to any of them.

1. Is this right: stretch your calf muscles, but not your arch? Should I be trying not to move my foot around even when I'm sitting down? How can I do overall leg stretches for my hips, knees, hamstrings without affecting the arch? Should I always be wearing stiff shoes when I stretch now?? Also, when I straigthen my leg and bend my ankle up as far as I can, I feel a stretchy pain in the back of my heel and an increase in the tingly pain on the bottom of my foot. Is this a good thing to do or a bad thing?

2. My pain is concentrated on the bottom of the balls of my feet. Is this where the ice should be, or in the heel area? Or all over the bottom of the foot? Does it help to ice the lower back of the heel also?

3. I was wearing New Balance shoes that I guess got too old. How do you tell when your shoes are endangering your feet? For example, I wear Birkenstocks all the time I'm not wearing New Balance. Could my birks be getting old? They sortof press on the 'hurty' places on my foot, but maybe this is good (i.e., working as a sort of a massage, rather than injuring it more?)

4. Anybody do deep water running? If so do you keep your FootFlexed or pointed?

5. Finally, I think I want to go to a podiatrist and I'm wondering if anyone has a good reference for me. I live in the Bay Area (Mountain View) in California.

Thank you, thank you, thank you. I'm very depressed about this since over the past two years I've been fighting sciatica and shoulder/neck joint/nerve problems. They seem to be getting better and I've lost 15 pounds in the last 4 months and wanted to lose another 10. Just as I've found out about the wonderful physical and psychological benefits of exercising, now I can't.

Nanci

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nancy N on 11/14/00 at 21:27 (032762)

Nanci--

A lot of us can feel your pain about the exercise. My case first came on when I decided to go for walks after work in order to do something good for myself. Talk about a cruel joke.

Others can answer the majority of your questions better than I, but for my part, I would recommend that you make sure any stretching you do is not weight-bearing. Peoples' experiences with it vary, but I suspect that weight-bearing stretching kept aggravating the problem spot for me and may be part of why my current case of PF has been so stubborn. I don't know of any 'home-made' ways to do non-weight-bearing stretches, but some of the products listed on this site can help--I know the Acu-Flex is good for that, and while I've never used the Personal Foot Trainers, I suspect they offer a similar function.

If someone knows of any suggestions that don't involve spending money, I'm sure they'll post them. (The only one I know of is using a towel to pull your feet back, but I seem to recall seeing on here that it's not a good method. I don't remember exactly, though)

Good luck, and keep us posted.

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Julie F on 11/15/00 at 01:10 (032766)

Hello Nanci

Welcome! You've asked very good questions, and I'd like to have a go at answering some of them. But (1) I want to wait until you've had a reply from one of the doctors to your other post on their board, and (2) I'm just about to leave the house to catch a train into town (it's 7am here in London). By the time I get home this afternoon you'll probably have had plenty of good advice from others - but I'll be in touch again.

All the best, Julie

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Dr. Biehler on 11/15/00 at 12:10 (032776)

Typical plantar fasciitis starts out with pain in the heel area or along the plantar band that leads up to the ball of the foot. If the pain is under the ball of the foot we are usually talking something else and I would have to know which toes the pain is under. If you do have PF, you don't want to be streching the fascia before it heals. If tight calfs helped cause it , you can always trech them out later ( they don't strech out over night anyway ). If you are using ice, use it on the area that hurts. I don't want to comment on your shoes untill I have a better idea of where your pain is and when it hurts. Dr. B.

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Julie F on 11/15/00 at 12:53 (032779)

>
Hi Nanci

I'm home, after a mammoth excursion into town to get my visa for India and do lots of shopping - including a pair of New Balance shoes. It was all a bit much for my right heel, which I'm now zapping with my intra-sonic and so typing this with one hand, but successful otherwise.

I wanted to wait before saying anything to you till you'd had a reply from one of the doctors, because from your description your problem didn't sound to me like pf, and it seems as though it doesn't to Dr Z either.

The first thing I'd say is: get yourself to someone who knows about feet: a podiatrist, orthopaedic doctor, or sports medicine doctor. You need a proper evaluation and diagnosis before you can start a treatment plan, and if the person you see knows his or her stuff, they should be able to give you sensible advice. GPs know very little about pf - I've heard several unsettling stories lately about wrong diagnoses and wrong advice being given. You need a specialist.

The second thing I'd say is, go easy on the stretching until you've been seen and know exactly what the problem is. Some of the exercises that are useful for pf may also be appropriate for ptt (if that's what you've got), but some may not. So I really don't want to advise you, except to say please don't go overboard on exercise. It's going to be hard for you to pull back, as you love it so much, but you really should for now.

I don't know anything about ptt, but I imagine that as far as activity/exercise is concerned, it needs to be approached similarly to pf - i.e. if it hurts, don't! Anything that increases the pain is not doing you good. My bottom line, as an almost-life-long yoga practitioner and teacher is, Listen to your body - and don't try to 'work through it'. It doesn't work.

If relative rest is indicated for ptt, as it is for pf, you'll need to think more about strengthening exercise and perhaps. I believe you can make the various tendonitises worse by stretching the calf muscles. I think the classic 'wall stretch' recommended for pf, which can irritate the Achilles tendon if one isn't careful, is probably not good for ptt either.

The towel-grabbing exercise Nancy N mentions is good (you can actually do it without a towel, simply by pulling your toes back along the floor so that the arch lifts). But be careful if it hurts the arch. I agree with Nancy that your exercise, certainly for now, should be non-weight-bearing. So - no aerobics for awhile: sorry! And as I've already said, I really would wait with all exercise, if I were you, till you've had a proper diagnosis and have been advised exactly what will help and what won't.

Icing helps reduce inflammation, so if you are icing, ice the painful area because that is where the inflammation is. I find the gel packs best: real ice melts, frozen water-in-a-bottle never feels cold enough for me, and frozen peas get hard and solid once thawed and re-frozen.

I believe shoes are too old when they've started wearing unevenly. I read somewhere on this site that running shoes should be replaced after a certain number of miles, but I don't recall how many. The footbed of Birkenstocks can wear down, but can be replaced. I suppose you know that you can also buy Birkenstock footbeds separately, to put into other shoes. But check Birks with your specialist, when you find him/her. They give good arch support, but if they are starting to hurt you they may not be suitable for you now. Richard Graham, our resident pedorthist, should be able to advise you on shoes - if he doesn't reply to your post here, ask him on the 'orthotics' board.

I don't know about deep water running, but I would imagine that you should hold your foot in a position that doesn't hurt - whether dorsi-or plantar-flexed. Reading Dr Z's post to you, I would imagine dorsiflexion is out. And - just guessing - I'd have thought a neutral position for the foot would be best. But again, you need a response from someone who (a) knows about deep water running and (b) has ptt. And what about swimming? Marvellous all-over exercise, and great for the cardiovascular system.

You say you've been suffering from sciatica and other nerve problems. You should consider the possibility (probability, I'd guess) that your foot problem is related to these. Mine started with impingement of the sciatic nerve, and the doctors have said many times that foot problems often begin with problems in the back. So you should consider seeing a chiropractor or an osteopath (do you have osteopaths in the States? - I know you have chiros). That's probably an unnecessary remark, come to think of it, as you've probably done that already. If you have a chiro you like and trust and who has helped you, ask him/her about this.

I hope all this helps, and I hope you also get responses from other people who know more about ptt than I do. And above all, be patient, and don't despair - it's clear from your enthusiastic attitude that you'll get a treatment strategy in place, and you will heal.

All the best, Julie

Re: gel pack / slush pack

Ken A on 11/15/00 at 16:23 (032789)

Speaking of gel packs, I learned a few years ago that you can put a 50/50 solution of water and isoprophyl alcohol into a freezer bag, then pop it into the freezer. After a few hours it freezes into a slush consistancy somewhat similar to a gel pack. It easily conforms to body contours. Varying the percentages varies the consistancy of the slush. (More alcohol = slushier/softer.) I used it on my back. But no doubt a gel back is better and less likely to break. But in a pinch...

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nanci A on 11/15/00 at 21:31 (032815)

>
Thank you for your help. I've somehow managed to wangle an appointment with a sports medicine dr. TOMORROW! So I'm very excited to hopefully pin down what it is before it causes great pain/damage.

I don't think it was due to tight calves specifically because I'm fairly good about stretching overall before working out and I don't tend to have tight muscles anyways. I did Scott's test and can lift my toes up about 45 degrees.

In the morning it starts out tight/tingly/sore right at the top of my arch just below the ball, over the day it evolves to tingly pain (kind of like the pain when you ice it) all over my foot. There is kind of a weird fragile-like pain in my ankle/back-of-heel.

I'll report in again after my appt -- wish me luck!

Thank you.

Nanci

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nanci A. on 11/15/00 at 21:39 (032818)

>
Thank you so much for your kindness and time on your way out of the country!

I'm behaving myself -- not stretching, trying the dynastep for a few hours, not exercising, taking my naproxen. We'll see what the dr. says tomorrow! (I'm very jazzed -- given what I've read on this site I should probably scale back my expectations...but I hope not!)

Boy, icing the bottom of your feet must be one of the circles of hell. It really hurts! So I'm not doing it again till the dr. says I have to.

I hadn't thought that the sciatica could be a cause of the foot problem. They're on different sides (though my right foot feels about how my left foot did about 10 days ago. I'm currently attributing this to power of suggestion -- you wouldn't believe how much BOTH my feet hurt after reading alot of this site yesterday. At any rate, I haven't had a flare-up of the sciatic recently, but I will mention it to the dr.

I have a shoulder impingement/pinched nerve in my neck that has kept me from swimming, but I'll ask the dr. about that tomorrow too.

I'll check back in tomorrow night -- thank you!

Re: gel pack / slush pack

Nanci A. on 11/15/00 at 21:41 (032819)

>
I've used these in the past and they're great.

Kaiser recommends 1 pint rubbing alcohol and 3 pints water in a one-gallon bag. Put it all in a second bag upside down to prevent leaks. Then put a damp towel between you and the bag.

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Julie F on 11/16/00 at 03:05 (032831)

>
Hi Nancy

No problem. I was only going into central London, 1/2 an hour away, not out of the country! I'm so glad you've got an appointment for today.

Icing does hurt. I hate doing it, but always feel better aferwards. Five minutes is about enough. But you're right to lay off it till you see what the sports medicine doctor says.

Be a bit careful with painkillers in the long term. I take ibuprofen very occasionally if I'm hurting more than usual and want a good night's sleep, but it does mask the pain and I feel I need to know when I'm hurting so I can stop as soon as possible. Whatever hurts is re-injuring.

The sciatica may not have been the direct cause of the foot problem, but it could have contributed. If you've been suffering from it for two years your walking and standing and sitting, etc have almost certainly changed, however subtly, to accommodate it, and once the body is out of balance anything can happen.

I don't think you mentioned the pain at the back of your ankle in your first post. I don't think you should be doing any weight-bearing stretching with that. But you say you're being good and have stopped, so that's ok.

BTW, can I ask you when you started aerobics and if your problems began after that?

Do let us know how you get on today.

All the best, Julie

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nancy N on 11/16/00 at 10:30 (032848)

Nanci--

The ice does hurt, but if you do it consistently a few times every day, you'll get used to it. I have PF in my right foot and it's second nature for me to ice that one now. If I do my left, it's a whole different ballgame. Hang in there, and one day it won't bother you so much anymore.

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nanci A. on 11/17/00 at 13:51 (032945)

>
Saw the sports med dr. yesterday. He can't find anything wrong with my bones, muscle, ligaments, etc. He things I should go see a neurologist, and agrees with the diabetes test ordered by the initial dr. He doesn't think I have PF.

Although today, the pain is concentrated in that classic PF spot.

This is a very weird injury/ailment. The pain changes almost hourly, both in degree and location and type.

He seemed to be competent and concerned and listened to me, but couldn't find anything. Here's what he did, so you REAL experts can tell me if he missed anything: He took xrays of my ankle, looked at my walk, tested the strength of my foot in different ways, had me go up on my tiptoes and back on my heels, did sensation tests, and pushed all over my foot trying to find the one place it hurts. He didn't see any reason to ice or take anti-inflammatories, based on his exam.

I took the diabetes test today, I'm not taking naproxen anymore, unless I want to for pain. I'm not going to ice unless it gets worse and I think it might help. I have an appointment with a new internist on Nov. 30, who I hope will refer me to a neurologist. I'm going to not exercise (bleh) until then and try to rest it somewhat.

Thanks again to all of you, I will check in on Nov. 30 or if anything changes drastically.

Nanci

PS. I've been exercising regularly for a year, and mostly for 5 years before that. No big change in routine, and I've actually lost weight recently.

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nancy N on 11/14/00 at 21:27 (032762)

Nanci--

A lot of us can feel your pain about the exercise. My case first came on when I decided to go for walks after work in order to do something good for myself. Talk about a cruel joke.

Others can answer the majority of your questions better than I, but for my part, I would recommend that you make sure any stretching you do is not weight-bearing. Peoples' experiences with it vary, but I suspect that weight-bearing stretching kept aggravating the problem spot for me and may be part of why my current case of PF has been so stubborn. I don't know of any 'home-made' ways to do non-weight-bearing stretches, but some of the products listed on this site can help--I know the Acu-Flex is good for that, and while I've never used the Personal Foot Trainers, I suspect they offer a similar function.

If someone knows of any suggestions that don't involve spending money, I'm sure they'll post them. (The only one I know of is using a towel to pull your feet back, but I seem to recall seeing on here that it's not a good method. I don't remember exactly, though)

Good luck, and keep us posted.

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Julie F on 11/15/00 at 01:10 (032766)

Hello Nanci

Welcome! You've asked very good questions, and I'd like to have a go at answering some of them. But (1) I want to wait until you've had a reply from one of the doctors to your other post on their board, and (2) I'm just about to leave the house to catch a train into town (it's 7am here in London). By the time I get home this afternoon you'll probably have had plenty of good advice from others - but I'll be in touch again.

All the best, Julie

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Dr. Biehler on 11/15/00 at 12:10 (032776)

Typical plantar fasciitis starts out with pain in the heel area or along the plantar band that leads up to the ball of the foot. If the pain is under the ball of the foot we are usually talking something else and I would have to know which toes the pain is under. If you do have PF, you don't want to be streching the fascia before it heals. If tight calfs helped cause it , you can always trech them out later ( they don't strech out over night anyway ). If you are using ice, use it on the area that hurts. I don't want to comment on your shoes untill I have a better idea of where your pain is and when it hurts. Dr. B.

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Julie F on 11/15/00 at 12:53 (032779)

>
Hi Nanci

I'm home, after a mammoth excursion into town to get my visa for India and do lots of shopping - including a pair of New Balance shoes. It was all a bit much for my right heel, which I'm now zapping with my intra-sonic and so typing this with one hand, but successful otherwise.

I wanted to wait before saying anything to you till you'd had a reply from one of the doctors, because from your description your problem didn't sound to me like pf, and it seems as though it doesn't to Dr Z either.

The first thing I'd say is: get yourself to someone who knows about feet: a podiatrist, orthopaedic doctor, or sports medicine doctor. You need a proper evaluation and diagnosis before you can start a treatment plan, and if the person you see knows his or her stuff, they should be able to give you sensible advice. GPs know very little about pf - I've heard several unsettling stories lately about wrong diagnoses and wrong advice being given. You need a specialist.

The second thing I'd say is, go easy on the stretching until you've been seen and know exactly what the problem is. Some of the exercises that are useful for pf may also be appropriate for ptt (if that's what you've got), but some may not. So I really don't want to advise you, except to say please don't go overboard on exercise. It's going to be hard for you to pull back, as you love it so much, but you really should for now.

I don't know anything about ptt, but I imagine that as far as activity/exercise is concerned, it needs to be approached similarly to pf - i.e. if it hurts, don't! Anything that increases the pain is not doing you good. My bottom line, as an almost-life-long yoga practitioner and teacher is, Listen to your body - and don't try to 'work through it'. It doesn't work.

If relative rest is indicated for ptt, as it is for pf, you'll need to think more about strengthening exercise and perhaps. I believe you can make the various tendonitises worse by stretching the calf muscles. I think the classic 'wall stretch' recommended for pf, which can irritate the Achilles tendon if one isn't careful, is probably not good for ptt either.

The towel-grabbing exercise Nancy N mentions is good (you can actually do it without a towel, simply by pulling your toes back along the floor so that the arch lifts). But be careful if it hurts the arch. I agree with Nancy that your exercise, certainly for now, should be non-weight-bearing. So - no aerobics for awhile: sorry! And as I've already said, I really would wait with all exercise, if I were you, till you've had a proper diagnosis and have been advised exactly what will help and what won't.

Icing helps reduce inflammation, so if you are icing, ice the painful area because that is where the inflammation is. I find the gel packs best: real ice melts, frozen water-in-a-bottle never feels cold enough for me, and frozen peas get hard and solid once thawed and re-frozen.

I believe shoes are too old when they've started wearing unevenly. I read somewhere on this site that running shoes should be replaced after a certain number of miles, but I don't recall how many. The footbed of Birkenstocks can wear down, but can be replaced. I suppose you know that you can also buy Birkenstock footbeds separately, to put into other shoes. But check Birks with your specialist, when you find him/her. They give good arch support, but if they are starting to hurt you they may not be suitable for you now. Richard Graham, our resident pedorthist, should be able to advise you on shoes - if he doesn't reply to your post here, ask him on the 'orthotics' board.

I don't know about deep water running, but I would imagine that you should hold your foot in a position that doesn't hurt - whether dorsi-or plantar-flexed. Reading Dr Z's post to you, I would imagine dorsiflexion is out. And - just guessing - I'd have thought a neutral position for the foot would be best. But again, you need a response from someone who (a) knows about deep water running and (b) has ptt. And what about swimming? Marvellous all-over exercise, and great for the cardiovascular system.

You say you've been suffering from sciatica and other nerve problems. You should consider the possibility (probability, I'd guess) that your foot problem is related to these. Mine started with impingement of the sciatic nerve, and the doctors have said many times that foot problems often begin with problems in the back. So you should consider seeing a chiropractor or an osteopath (do you have osteopaths in the States? - I know you have chiros). That's probably an unnecessary remark, come to think of it, as you've probably done that already. If you have a chiro you like and trust and who has helped you, ask him/her about this.

I hope all this helps, and I hope you also get responses from other people who know more about ptt than I do. And above all, be patient, and don't despair - it's clear from your enthusiastic attitude that you'll get a treatment strategy in place, and you will heal.

All the best, Julie

Re: gel pack / slush pack

Ken A on 11/15/00 at 16:23 (032789)

Speaking of gel packs, I learned a few years ago that you can put a 50/50 solution of water and isoprophyl alcohol into a freezer bag, then pop it into the freezer. After a few hours it freezes into a slush consistancy somewhat similar to a gel pack. It easily conforms to body contours. Varying the percentages varies the consistancy of the slush. (More alcohol = slushier/softer.) I used it on my back. But no doubt a gel back is better and less likely to break. But in a pinch...

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nanci A on 11/15/00 at 21:31 (032815)

>
Thank you for your help. I've somehow managed to wangle an appointment with a sports medicine dr. TOMORROW! So I'm very excited to hopefully pin down what it is before it causes great pain/damage.

I don't think it was due to tight calves specifically because I'm fairly good about stretching overall before working out and I don't tend to have tight muscles anyways. I did Scott's test and can lift my toes up about 45 degrees.

In the morning it starts out tight/tingly/sore right at the top of my arch just below the ball, over the day it evolves to tingly pain (kind of like the pain when you ice it) all over my foot. There is kind of a weird fragile-like pain in my ankle/back-of-heel.

I'll report in again after my appt -- wish me luck!

Thank you.

Nanci

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nanci A. on 11/15/00 at 21:39 (032818)

>
Thank you so much for your kindness and time on your way out of the country!

I'm behaving myself -- not stretching, trying the dynastep for a few hours, not exercising, taking my naproxen. We'll see what the dr. says tomorrow! (I'm very jazzed -- given what I've read on this site I should probably scale back my expectations...but I hope not!)

Boy, icing the bottom of your feet must be one of the circles of hell. It really hurts! So I'm not doing it again till the dr. says I have to.

I hadn't thought that the sciatica could be a cause of the foot problem. They're on different sides (though my right foot feels about how my left foot did about 10 days ago. I'm currently attributing this to power of suggestion -- you wouldn't believe how much BOTH my feet hurt after reading alot of this site yesterday. At any rate, I haven't had a flare-up of the sciatic recently, but I will mention it to the dr.

I have a shoulder impingement/pinched nerve in my neck that has kept me from swimming, but I'll ask the dr. about that tomorrow too.

I'll check back in tomorrow night -- thank you!

Re: gel pack / slush pack

Nanci A. on 11/15/00 at 21:41 (032819)

>
I've used these in the past and they're great.

Kaiser recommends 1 pint rubbing alcohol and 3 pints water in a one-gallon bag. Put it all in a second bag upside down to prevent leaks. Then put a damp towel between you and the bag.

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Julie F on 11/16/00 at 03:05 (032831)

>
Hi Nancy

No problem. I was only going into central London, 1/2 an hour away, not out of the country! I'm so glad you've got an appointment for today.

Icing does hurt. I hate doing it, but always feel better aferwards. Five minutes is about enough. But you're right to lay off it till you see what the sports medicine doctor says.

Be a bit careful with painkillers in the long term. I take ibuprofen very occasionally if I'm hurting more than usual and want a good night's sleep, but it does mask the pain and I feel I need to know when I'm hurting so I can stop as soon as possible. Whatever hurts is re-injuring.

The sciatica may not have been the direct cause of the foot problem, but it could have contributed. If you've been suffering from it for two years your walking and standing and sitting, etc have almost certainly changed, however subtly, to accommodate it, and once the body is out of balance anything can happen.

I don't think you mentioned the pain at the back of your ankle in your first post. I don't think you should be doing any weight-bearing stretching with that. But you say you're being good and have stopped, so that's ok.

BTW, can I ask you when you started aerobics and if your problems began after that?

Do let us know how you get on today.

All the best, Julie

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nancy N on 11/16/00 at 10:30 (032848)

Nanci--

The ice does hurt, but if you do it consistently a few times every day, you'll get used to it. I have PF in my right foot and it's second nature for me to ice that one now. If I do my left, it's a whole different ballgame. Hang in there, and one day it won't bother you so much anymore.

Re: Newbie ?? stretching, ice, shoes, deep water running, dr. referral

Nanci A. on 11/17/00 at 13:51 (032945)

>
Saw the sports med dr. yesterday. He can't find anything wrong with my bones, muscle, ligaments, etc. He things I should go see a neurologist, and agrees with the diabetes test ordered by the initial dr. He doesn't think I have PF.

Although today, the pain is concentrated in that classic PF spot.

This is a very weird injury/ailment. The pain changes almost hourly, both in degree and location and type.

He seemed to be competent and concerned and listened to me, but couldn't find anything. Here's what he did, so you REAL experts can tell me if he missed anything: He took xrays of my ankle, looked at my walk, tested the strength of my foot in different ways, had me go up on my tiptoes and back on my heels, did sensation tests, and pushed all over my foot trying to find the one place it hurts. He didn't see any reason to ice or take anti-inflammatories, based on his exam.

I took the diabetes test today, I'm not taking naproxen anymore, unless I want to for pain. I'm not going to ice unless it gets worse and I think it might help. I have an appointment with a new internist on Nov. 30, who I hope will refer me to a neurologist. I'm going to not exercise (bleh) until then and try to rest it somewhat.

Thanks again to all of you, I will check in on Nov. 30 or if anything changes drastically.

Nanci

PS. I've been exercising regularly for a year, and mostly for 5 years before that. No big change in routine, and I've actually lost weight recently.