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runner's guestbook

Posted by kcowden on 4/09/01 at 13:14 (044097)

I just found this site and am suffering from PF. I just read through the runner's questbook - is that still up and going? all I could find were the archived messages from a couple of years ago. I'd really like to hear from some folks dealing w/ this now and compare information.

Re: runner's guestbook

hankc on 4/10/01 at 13:29 (044179)

Kcowden,
Are you a runner? If so I can share with you what has helped me (and what hasn't). I have been able to resume
running about a month and 1/2 ago and have dealt with chronic plantar fasciitis so there's hope yet. If I'd have been
a little more patient in the outset, however, perhaps chronic pf would not have developed and I would have
saved a lot of grief!
best wishes, Hank

Re: runner's guestbook

kcowden on 4/10/01 at 14:34 (044181)

Hi - thanks for the response. I've been running from 1.5 - 4.5 miles a day, almost everyday (barring walking during pregnancies, and one bout w/ achilles tendonitis, etc.) for the last 8 or 9 years. The pf started this past summer - I started icing, stretching, etc. and then slacked off (shame on me). At the same time, I started increasing my running - both distances and time. Somewhere along the way, my shoes wore out, I kept pushing the pace and boom. I've seen one doctor and tomorrow I go to some very highly acclaimed foot specialist. I've been told by a friend who saw the same doctor last week that the answer they'll give is $250 orthotics, wear running shoes (w/ the orthotics) for 6 mos. to a year, no running for a year, no other shoes, etc. I'm really wanting to know if there are some alternative remedies that will work. I've had superfeet insoles in my running shoes (I quit running at the end of Jan), but I can't wear those to work everyday, and I just got some PowerStep insoles for my office shoes that seem much better. I'm trying not to be vain and impatient, but it's becoming difficut!

I'm curious about sleeping in a boot, a stricter regimen of icing and stretching, and these other forms of insoles on a constant basis (rather than the full blown orthotic). What worked for you?

Re: runner's guestbook

Nancy N on 4/10/01 at 14:44 (044183)

There are many runners on this board who will tell you that running through the pain is NOT going to make you better, and will, in fact, make you worse. I know it's hard to give up doing something you love, but if you ever want to be able to do it (or anything else on your feet) again, you're better off taking a break from it until you're healed. Nothing else that you try is going to help you if you keep reinjuring yourself.

Re: runner's guestbook

B Floyd on 4/10/01 at 18:24 (044201)

I'm an athlete who has had PF for 8 months. I started with pain of 7 (on a scale of 1 - 10, 10 being worst). I have gradually gotten down to a 2.5 and feel I'm within a few months of full recovery. I've been to 2 PODs and one Physiatrist. I was given different advise from all 3. Let me share what seems to be working. My latest POD gave me my first injection of cortisone (I've had a total of 2 and will stop there). In addition to cortisone, he reccommended physical therapy 3X week for 4 weeks. I'm two weeks into the physical therapy and it's helping! Between the cortizone and the PT, I have gone from a 4 in pain to the 2.5 I'm at now (this occurred over 3 weeks). I gave up running for the last 8 months. I started swimming to keep the aerobics going and to keep the weight off. I went 4 months without custom orthotics which was STUPID. My 1st pod recommended 'visco heels' which were useless for me. I then tried JMR Orthodics (over the counter) which worked pretty well. My 2nd doctor recommended a pair of custom orthotics which have helped me a lot. Net net: My advise: Don't run, get the custom orthotics, stretch regularly, and get a prescription from you POD for Physical Therapy, talk to your POD about cortisone injections. And finally, don't get bummed out about having PF and the potentially long recovery. Grab the bull by the horns and get agressive with your road to recovery!

Re: runner's guestbook

Bill E. on 4/11/01 at 09:40 (044248)

I have been running for over 20 years and late last summer developed PF. The cause: running barefoot on the beach...I think. At first I tried to rest a bit and then a 5 mile run. Big mistake!!! I haven't run for over 8 months now but I hope to start up again in the next week or so. I am that much better. My PF was never at the level of some of the people who post here! I can tell you what worked for me but I think that PF is a very individual injury (disease??). Early on I had one cortisone shot. It helped for a couple of weeks but then back to where I was. My personal feeling is to avoid the shots. I have been geting physical therapy which consists of ultrasound with cortisone cream and foot massage. That has really helped me. I stretch daily. Probably not as much as I could or should and that helps a lot. I use a night splint which seems to help but I never had that horrible 'getting out of bed pain'. I have been using the stationary bike and elliptical cross trainer at the gym to stay in aerobic condition and keep my weight down. For a long time I used nonsteroid anti-inflamatory drugs (ibuprophen and naproxen) but found that it really didn't make much difference. I now use one of those on bad days more for pain relief than to really keep the inflamation down consistently. I try to stay off my feet as much as is reasonable but I have a relatively non strenuous office job so that is easy. I use SuperFeet and Spenco orthotics in all of my shoes and I find that Birkenstocks are outstanding! I guess that is about it. Actually I have been fairly agressive in trying to get better. I now feel almost 'normal' and am tempted to try to run a half mile or so on the treadmill to see how I do.

There is hope. At least I have it! I am shooting for long distance running by the end of the summer but will let my feet dictate progress and will probably always use good insoles in my running shoes since at my age I suspect that I have lost some of my natural heel cushioning.

email me if you want any more discussion.

Bill

Re: runner's guestbook

kcowden on 4/11/01 at 11:13 (044253)

thanks, you all for the responses. I go to the doctor today so I'll let you know what the prognosis is. I'm glad to hear a number of things that go into this. I stopped running Jan. 31st. Now, I only walk the dog slowly about 10 minutes and have started masters' swimming and just got introduced to the elliptical thing - all of which is good (but not as good as my morning runs). I'm just curious what they're going to tell me. I'll keep you posted.

Re: runner's guestbook

hankc on 4/12/01 at 18:04 (044385)

Please keep us posted on your progress. Hopefully you'll heal quickly but
be patient with this injury! I think that if a choice were offered for a cure:
1. Take a year off from running.
2. Run steep inclines 5 days a week for 52 weeks into a headwind in 90
degree heat with a 15 pound backpack.
- many runners would choose number 2. It is easier than number 1.
Unfortunately number 2 is not an option. I'm trying to make
a comeback now with my running but tonight my foot is bothering me a
fair amount. I had been doing fine for the last 6 weeks by running
slowly on a level, packed sand track. My mistake, I believe, was doing a couple of longer runs on an asphalt course with a lot of hills. Hopefully this won't be a long setback. I agree with a previous poster that the cortisone shot is not a good idea. I had one a few years ago and the
pf came back with a vengeance after a temporary respite. For me the
best help has been custom orthotics (expensive but worth it) and not
wearing tennis shoes except to run. Nightsplints helped only a very small degree. Acupuncture did nothing.
Anyway, good luck with the swimming. I've been doing a good bit of that too. Although swimming is an excellent exercise it sure doesn't seem the same as running!
best wishes, Hank

Re: runner's guestbook

kcowden on 4/24/01 at 10:52 (045559)

and the prognosis is... I have pf and it will probably be cured in a year. Three doctors in the room - all had had it and it took all about a year to recover. He said I needed to stretch and ice and get custom orthotics to wear in my running shoes (though not for running) and to wear them as much as I could. However, he said I didn't have to wear them daily to work. I haven't gotten them yet. Insurance is suppossed to pay for them (though they can always stick it to your deductible) and my husband swears his $25 inserts that would only fit in a size bigger shoe did the trick. He's not a runner, but he did have pf once, so I'm contemplating trying that. The cortisone shot was not recommended (for fear of getting 'claw toe') and I have to go through this 'therapy' w/ no success before I'm eligible for the electric shock treatment (new, some others have been posting messages about it). Anyway, apparently stretching, different shoes (heels are actually ok, but sandals and clogs and mules are not), and just waiting a year will work. I got a night splint and some Birkenstocks, but one of those has actually made it worse, so I'm working on that now. It's spring and I just really want to go for a run...

Re: runner's guestbook

hankc on 4/10/01 at 13:29 (044179)

Kcowden,
Are you a runner? If so I can share with you what has helped me (and what hasn't). I have been able to resume
running about a month and 1/2 ago and have dealt with chronic plantar fasciitis so there's hope yet. If I'd have been
a little more patient in the outset, however, perhaps chronic pf would not have developed and I would have
saved a lot of grief!
best wishes, Hank

Re: runner's guestbook

kcowden on 4/10/01 at 14:34 (044181)

Hi - thanks for the response. I've been running from 1.5 - 4.5 miles a day, almost everyday (barring walking during pregnancies, and one bout w/ achilles tendonitis, etc.) for the last 8 or 9 years. The pf started this past summer - I started icing, stretching, etc. and then slacked off (shame on me). At the same time, I started increasing my running - both distances and time. Somewhere along the way, my shoes wore out, I kept pushing the pace and boom. I've seen one doctor and tomorrow I go to some very highly acclaimed foot specialist. I've been told by a friend who saw the same doctor last week that the answer they'll give is $250 orthotics, wear running shoes (w/ the orthotics) for 6 mos. to a year, no running for a year, no other shoes, etc. I'm really wanting to know if there are some alternative remedies that will work. I've had superfeet insoles in my running shoes (I quit running at the end of Jan), but I can't wear those to work everyday, and I just got some PowerStep insoles for my office shoes that seem much better. I'm trying not to be vain and impatient, but it's becoming difficut!

I'm curious about sleeping in a boot, a stricter regimen of icing and stretching, and these other forms of insoles on a constant basis (rather than the full blown orthotic). What worked for you?

Re: runner's guestbook

Nancy N on 4/10/01 at 14:44 (044183)

There are many runners on this board who will tell you that running through the pain is NOT going to make you better, and will, in fact, make you worse. I know it's hard to give up doing something you love, but if you ever want to be able to do it (or anything else on your feet) again, you're better off taking a break from it until you're healed. Nothing else that you try is going to help you if you keep reinjuring yourself.

Re: runner's guestbook

B Floyd on 4/10/01 at 18:24 (044201)

I'm an athlete who has had PF for 8 months. I started with pain of 7 (on a scale of 1 - 10, 10 being worst). I have gradually gotten down to a 2.5 and feel I'm within a few months of full recovery. I've been to 2 PODs and one Physiatrist. I was given different advise from all 3. Let me share what seems to be working. My latest POD gave me my first injection of cortisone (I've had a total of 2 and will stop there). In addition to cortisone, he reccommended physical therapy 3X week for 4 weeks. I'm two weeks into the physical therapy and it's helping! Between the cortizone and the PT, I have gone from a 4 in pain to the 2.5 I'm at now (this occurred over 3 weeks). I gave up running for the last 8 months. I started swimming to keep the aerobics going and to keep the weight off. I went 4 months without custom orthotics which was STUPID. My 1st pod recommended 'visco heels' which were useless for me. I then tried JMR Orthodics (over the counter) which worked pretty well. My 2nd doctor recommended a pair of custom orthotics which have helped me a lot. Net net: My advise: Don't run, get the custom orthotics, stretch regularly, and get a prescription from you POD for Physical Therapy, talk to your POD about cortisone injections. And finally, don't get bummed out about having PF and the potentially long recovery. Grab the bull by the horns and get agressive with your road to recovery!

Re: runner's guestbook

Bill E. on 4/11/01 at 09:40 (044248)

I have been running for over 20 years and late last summer developed PF. The cause: running barefoot on the beach...I think. At first I tried to rest a bit and then a 5 mile run. Big mistake!!! I haven't run for over 8 months now but I hope to start up again in the next week or so. I am that much better. My PF was never at the level of some of the people who post here! I can tell you what worked for me but I think that PF is a very individual injury (disease??). Early on I had one cortisone shot. It helped for a couple of weeks but then back to where I was. My personal feeling is to avoid the shots. I have been geting physical therapy which consists of ultrasound with cortisone cream and foot massage. That has really helped me. I stretch daily. Probably not as much as I could or should and that helps a lot. I use a night splint which seems to help but I never had that horrible 'getting out of bed pain'. I have been using the stationary bike and elliptical cross trainer at the gym to stay in aerobic condition and keep my weight down. For a long time I used nonsteroid anti-inflamatory drugs (ibuprophen and naproxen) but found that it really didn't make much difference. I now use one of those on bad days more for pain relief than to really keep the inflamation down consistently. I try to stay off my feet as much as is reasonable but I have a relatively non strenuous office job so that is easy. I use SuperFeet and Spenco orthotics in all of my shoes and I find that Birkenstocks are outstanding! I guess that is about it. Actually I have been fairly agressive in trying to get better. I now feel almost 'normal' and am tempted to try to run a half mile or so on the treadmill to see how I do.

There is hope. At least I have it! I am shooting for long distance running by the end of the summer but will let my feet dictate progress and will probably always use good insoles in my running shoes since at my age I suspect that I have lost some of my natural heel cushioning.

email me if you want any more discussion.

Bill

Re: runner's guestbook

kcowden on 4/11/01 at 11:13 (044253)

thanks, you all for the responses. I go to the doctor today so I'll let you know what the prognosis is. I'm glad to hear a number of things that go into this. I stopped running Jan. 31st. Now, I only walk the dog slowly about 10 minutes and have started masters' swimming and just got introduced to the elliptical thing - all of which is good (but not as good as my morning runs). I'm just curious what they're going to tell me. I'll keep you posted.

Re: runner's guestbook

hankc on 4/12/01 at 18:04 (044385)

Please keep us posted on your progress. Hopefully you'll heal quickly but
be patient with this injury! I think that if a choice were offered for a cure:
1. Take a year off from running.
2. Run steep inclines 5 days a week for 52 weeks into a headwind in 90
degree heat with a 15 pound backpack.
- many runners would choose number 2. It is easier than number 1.
Unfortunately number 2 is not an option. I'm trying to make
a comeback now with my running but tonight my foot is bothering me a
fair amount. I had been doing fine for the last 6 weeks by running
slowly on a level, packed sand track. My mistake, I believe, was doing a couple of longer runs on an asphalt course with a lot of hills. Hopefully this won't be a long setback. I agree with a previous poster that the cortisone shot is not a good idea. I had one a few years ago and the
pf came back with a vengeance after a temporary respite. For me the
best help has been custom orthotics (expensive but worth it) and not
wearing tennis shoes except to run. Nightsplints helped only a very small degree. Acupuncture did nothing.
Anyway, good luck with the swimming. I've been doing a good bit of that too. Although swimming is an excellent exercise it sure doesn't seem the same as running!
best wishes, Hank

Re: runner's guestbook

kcowden on 4/24/01 at 10:52 (045559)

and the prognosis is... I have pf and it will probably be cured in a year. Three doctors in the room - all had had it and it took all about a year to recover. He said I needed to stretch and ice and get custom orthotics to wear in my running shoes (though not for running) and to wear them as much as I could. However, he said I didn't have to wear them daily to work. I haven't gotten them yet. Insurance is suppossed to pay for them (though they can always stick it to your deductible) and my husband swears his $25 inserts that would only fit in a size bigger shoe did the trick. He's not a runner, but he did have pf once, so I'm contemplating trying that. The cortisone shot was not recommended (for fear of getting 'claw toe') and I have to go through this 'therapy' w/ no success before I'm eligible for the electric shock treatment (new, some others have been posting messages about it). Anyway, apparently stretching, different shoes (heels are actually ok, but sandals and clogs and mules are not), and just waiting a year will work. I got a night splint and some Birkenstocks, but one of those has actually made it worse, so I'm working on that now. It's spring and I just really want to go for a run...