Home The Book Dr Articles Products Message Boards Journal Articles Search Our Surveys Surgery ESWT Dr Messages Find Good Drs video

resume activity?

Posted by R C on 5/21/02 at 10:16 (084760)

We often discuss here when and how much activity can be undertaken after the pain is gone. I thought I'd share what they told me.

I just met with my superb orthopedic doctor, following up on successful treatment for PF. (Background: sudden onset PF from heavy lifting, no relief after 2 years and 2 podiatrists, finally orthopedic guy put me in a cast 4 weeks plus 4 weeks excellent PT. Now 'cured'.) I had been diligently continuing with my home regimen (heat, massage, exercises, stretching, ice), and generally staying off my foot as much as practicable. I am also taping the foot, just in case. I asked how long I should keep this up and when I could expect to (ahem!) play golf again. His response was that I should keep up the home regimen and go easy on walking/standing for at least year (but keep up with the stretching for the rest of my life). If I can go a year without re-injury, then the newly healed tissues will have had a chance to strengthen properly, and then I can think about easing back into a higher level of activity (e.g., hitting little white dimpled balls). But he recommended I never go back to running, but to consider swimming or biking instead.

Sounds prudent, perhaps overly cautious, but I will do as I'm told.

Note to curious non-golfers: the reason golf can aggravate PF is that in a golf swing there is a massive weight shift and a push-off involving the right foot (assuming right-handed golfer).

Re: resume activity?

Carole C in NOLA on 5/21/02 at 12:35 (084771)

He does sound awfully cautious, although you probably will heal best if you do what he says. I don't have the patience, at this point.

I was wondering about golf. Thanks for the information. My brother and I have been talking about retiring in Florida together in the not so distant future and playing a LOT of golf. Doesn't that sound idyllic? :) For now, I think that if I wear supportive tie-up shoes, maybe with my orthotics, I can do it. At any rate, I will have to re-learn the sport first because I have not played since I was in high school.

Since I've never been much of a runner, I don't plan to begin now. However, a moderate amount of walking for exercise does not seem to be a problem for me now if I wear the right shoes.

Carole C

Re: resume activity?

Carmen on 5/21/02 at 13:47 (084779)

Great information RC thanks for sharing!

Re: resume activity?

Rich on 5/22/02 at 07:34 (084837)

Hello RC...I tend to side with your doc. A year does sound pretty conservative, but what is it compared to enjoying the rest of your life without PF? I know now that you are pain free that you want to reclaim the years you have suffered. Better to find an alternate activity for the time being. Still, I don't see harm in just putting or something similar (can you tell I don't play golf?). I'm biking on a recumbent bike and swimming and feeling much better. The gym was not convenient, so I bought the bike for home use and don't give myself any excuses!

Be patient for awhile longer, it will pay off for you! See ya at the 19th hole!! LOL

Rich

Re: resume activity?

brianh on 5/22/02 at 10:13 (084853)

I would think that if you cannot resume your normal activities, that puts into question whether or not you are really 'cured'.

I also had PF for a couple years before I cured it. During that time I continued to play golf at least once a week, usually twice. It never occurred to me to give up the game, I just rode in a cart instead of walking. After I reached a pain free state (about 4 months), I immediately resumed walking the course (whenever possible), and I continue to be pain free.

I guess what I'm saying is that each case is unique, and you have to decide for yourself if you are really 'cured', or just 'repaired'.

Re: resume activity?

PerryS on 5/22/02 at 15:44 (084885)

I was just checking to see how everyone seems to be doing.

I think the 'never run again' advice is a little harsh. I'm a competitive marathoner, and I know tons of runners who have had PF and returned to running pain-free. After recovering from PF, I'm back to running at the same intensity that I did prior to my injury.

But, maybe your case is an exception. I'm not an orthopedist, and I don't know the particulars of your case. Just curious: Is your doctor a runner? A lot of non-running doctors do not recognize the value of running.

Re: resume activity?

R C on 5/22/02 at 23:51 (084957)

I don't know whether my doctor is a runner, but I understand his advice. In my particular case, 5 separate health care specialists have tried to produce a suitable orthotic for me, and in each case the result was something that made the PF worse (in one case, catastrohpically worse). So in other words, if I start running again, I have no correction to whatever biomechanical defect may have contributed to my original injury, and am asking for trouble.

All that aside, I have to give up running anyway: if I injure myself again, my patient and long-suffering wife will rip my nuts out (I can say 'nuts', can't I?). She's had to work extra hard for two years to take care of the house and family, with me on the Disabled List. Been blessed to have her to lean on, will have to take her on a nice cruise or something. And stay healthy.

I don't know if my doctor is a golfer, either, but I sure as heck couldn't give up golf. Many non-golfers do not recognize the value of golf!

Re: resume activity?

Carole C in NOLA on 5/21/02 at 12:35 (084771)

He does sound awfully cautious, although you probably will heal best if you do what he says. I don't have the patience, at this point.

I was wondering about golf. Thanks for the information. My brother and I have been talking about retiring in Florida together in the not so distant future and playing a LOT of golf. Doesn't that sound idyllic? :) For now, I think that if I wear supportive tie-up shoes, maybe with my orthotics, I can do it. At any rate, I will have to re-learn the sport first because I have not played since I was in high school.

Since I've never been much of a runner, I don't plan to begin now. However, a moderate amount of walking for exercise does not seem to be a problem for me now if I wear the right shoes.

Carole C

Re: resume activity?

Carmen on 5/21/02 at 13:47 (084779)

Great information RC thanks for sharing!

Re: resume activity?

Rich on 5/22/02 at 07:34 (084837)

Hello RC...I tend to side with your doc. A year does sound pretty conservative, but what is it compared to enjoying the rest of your life without PF? I know now that you are pain free that you want to reclaim the years you have suffered. Better to find an alternate activity for the time being. Still, I don't see harm in just putting or something similar (can you tell I don't play golf?). I'm biking on a recumbent bike and swimming and feeling much better. The gym was not convenient, so I bought the bike for home use and don't give myself any excuses!

Be patient for awhile longer, it will pay off for you! See ya at the 19th hole!! LOL

Rich

Re: resume activity?

brianh on 5/22/02 at 10:13 (084853)

I would think that if you cannot resume your normal activities, that puts into question whether or not you are really 'cured'.

I also had PF for a couple years before I cured it. During that time I continued to play golf at least once a week, usually twice. It never occurred to me to give up the game, I just rode in a cart instead of walking. After I reached a pain free state (about 4 months), I immediately resumed walking the course (whenever possible), and I continue to be pain free.

I guess what I'm saying is that each case is unique, and you have to decide for yourself if you are really 'cured', or just 'repaired'.

Re: resume activity?

PerryS on 5/22/02 at 15:44 (084885)

I was just checking to see how everyone seems to be doing.

I think the 'never run again' advice is a little harsh. I'm a competitive marathoner, and I know tons of runners who have had PF and returned to running pain-free. After recovering from PF, I'm back to running at the same intensity that I did prior to my injury.

But, maybe your case is an exception. I'm not an orthopedist, and I don't know the particulars of your case. Just curious: Is your doctor a runner? A lot of non-running doctors do not recognize the value of running.

Re: resume activity?

R C on 5/22/02 at 23:51 (084957)

I don't know whether my doctor is a runner, but I understand his advice. In my particular case, 5 separate health care specialists have tried to produce a suitable orthotic for me, and in each case the result was something that made the PF worse (in one case, catastrohpically worse). So in other words, if I start running again, I have no correction to whatever biomechanical defect may have contributed to my original injury, and am asking for trouble.

All that aside, I have to give up running anyway: if I injure myself again, my patient and long-suffering wife will rip my nuts out (I can say 'nuts', can't I?). She's had to work extra hard for two years to take care of the house and family, with me on the Disabled List. Been blessed to have her to lean on, will have to take her on a nice cruise or something. And stay healthy.

I don't know if my doctor is a golfer, either, but I sure as heck couldn't give up golf. Many non-golfers do not recognize the value of golf!