heel spurs and pfPosted by joanne p on 2/20/03 at 08:09 (109981)
i have had xrays of heel and told i have pf and heel spurs have been taking vioxx for 2 months getting some relief but as soon as the 24 hrs is apporaching the pain is back full blast. In addition I have been having heartburn which i think might be due to the vioxx. Have been stretching and icing without the vioxx i have burning even when sitting . I am wondering if i should ask my primary care physiscan for a referal or is this normal
Re: heel spurs and pfdave r on 2/20/03 at 09:04 (109988)
what types of pain are you having. Do you have pain when you first get out of bed in the morning? Sounds to me like you have pf. Read the heel pain book listed on this site. Be very careful about what types of stretching you do. Most stretches do more harm than good because they are done wrong.You should back off on your activities. You need rest,rest, rest.
Re: heel spurs and pfjoanne p on 2/20/03 at 09:31 (110000)
The pain is marginally worse first thing but never goes away with or without the vioxx. The stretches I'm doing are ones where you stand on a step hang your heels down and push up to your toes. I have tried over the counter inserts which give minimal relief. The pain when sitting is more like a throbbing burning pain. Not the same type as when I walk on it. How long should one keep up a treatment before giving up and trying some thing else?
Re: heel spurs and pfdave r on 2/20/03 at 09:44 (110002)
I will tell you this. Those stretches that you are doing are bad news for alot of pf sufferers. This is why; If your pf is chronic the tissue quality of the fascia at its attachment is probably somewhat poor due to inflamation and scar tissue from repeated trama. Scar tissue does not stretch and most doctors will tell you that the plantar fascia really doesnt stretch either. Those stretches that you are doing are to stretch the achilles. A tight achilles causes alot of pf. If you over stretch you can do more harm than good. You need to be very careful when doing any stretching. i have had pf for 6 years and any weight bearing stretches at all always causes a flare up. There are other ways to stretch your achilles and foot. Do a search on this site. 'Julies stretches' are great stretches that have helped alot of people. i can not stress this enough. Overstretching does cause flareups for alot of people.. you need to take it slowly.
Re: heel spurs and pfjoanne p on 2/20/03 at 09:52 (110005)
ok . Would you recommend seeing a podiatrist as opposed to just my regular family physician.
Re: heel spurs and pfJulie on 2/20/03 at 10:21 (110011)
Dave is right. The exercise you're doing, with your heels hanging off the stair, is a dangerous exercise for anyone with PF. You're asking your injured plantar fascia to bear all the weight of your body, which is sure to cause further injury. Please stop doing it! Weight-bearing exercise of almost any kind is unsuitable for PF; non-weight-bearing is better. Dave mentioned the exercises I've posted here. They are yoga exercises for the feet, and if you click on the word yoga you'll be taken to them.
And Dave, I'm glad they've helped you! Thanks for passing that on to Joanne.
Re: heel spurs and pfJulie on 2/20/03 at 10:22 (110013)
Yes: you should see a podiatrist. Your family physician, however good, won't know very much about the complexities of feet. You need a foot specialist.
Re: heel spurs and pfjoanne p on 2/20/03 at 10:24 (110014)
ok I will call family doctor and try to get a referal today. Thanks I will keep you posted. This is a great website. Lots of information.
Re: heel spurs and pfjoanne p on 2/20/03 at 10:29 (110016)
Julie thanks for the info I have gotten a copy of the Yoga exercises. I am also going to get a referal to a podiatrist . You guys have been very helpful I will let you know how it goes.
Re: heel spurs and pfBev N on 2/20/03 at 11:49 (110034)
Julie, When I went to PT, they had me doing all of those exercises that everyone on the board says are bad for PF. It was a good therapist, she also has PF, and she had me doing those exercises on the slant board and all. Why do they have us do them they are trained and have masters degrees in therapy. Bev
Re: heel spurs and pfnancy s. on 2/20/03 at 12:12 (110044)
good questions, bev. in my own experience, i had two long-term (6 months) physical therapists for my foot problems. both were well trained, but the first tended to go more by her textbook training and did start recommending weight-bearing exercises long before i was ready for them. the second, and better, pt tended to be cautious and use her own on-the-spot intelligence more. i stuck with the second one, and am glad i did.
at least one thing seems continually clear on this board: there are professionals who are lazy and go by outmoded treatments, and there are professionals who continue to educate themselves both in their current everyday professional experiences and in their medical-literature studying. best to discover and latch onto the latter!
i know it can be confusing out there, but the vast info and advice available on this site tends to top that of any one professional; i say this while also believing it's crucial to find the very best professional you can for your individual care.
Re: heel spurs and pfBev N on 2/20/03 at 12:42 (110051)
I asked my dr. if I should try another round of PT , and he said no because it never helped the first round I had for 3 months. Is that how it is usually handled? If PT does not work, then you do not ever go back for another try? He told me just to rest feet and take Motrin 800mg TID for now, then we will add Neurontin if that does not help. I do the Julie yoga and the icing also. Sound like good advise or not? Thanks, Bev
Re: heel spurs and pfJulie on 2/20/03 at 16:51 (110094)
Bev, I can't answer that. I don't know. But bear in mind that practitioners have different views, and you must really decide about any exercise for yourself on the basis of how it affects you.
The slant board can be a useful exercise as long as the angle doesn't hold the feet in too strongly dorsiflexed a position. It's controlled, and it can help to lengthen shortened calf muscles. But it's still a weight-bearing exercise: it will be all right for some, but not for others.
Re: heel spurs and pfMar on 2/21/03 at 08:21 (110157)
I just started PT again this week (Russian Stim) and the therapist also recommended all those weight bearing exercises that just make things worse. I started to tell her of my past poor results with them and then just decided to yes her to death and not do them! I'm doing the Foot Trainer instead -- nice and gentle and no pain! Mar