Exercising with toes causes lasting burning painPosted by Jen L on 6/21/03 at 11:30 (122541)
My foot pain have been mainly on the heels and the insertional points until recently. I have tried to do some exercise with toes, that's moving the toes toward my body and hold them for a few seconds while keeping the foot in a neutral postion. I did it very gently in the morning, but the rest of the day and the following days I have the burning pain at the whole buttom of the feet, especialy the ball of the feet. It does not feel like to go away even I stopped doing the exercises. I have been doing other parts of non-weight stretchings for months without any difficulty.
Did the exercise irritate the whole planta fascia, so the soft tissue band has inflammed even worse? Or is it some nerve related problems starting now? This is really my concern.
I had nerve conduction test in early May and doctor ruled out nerve problems. The pain on the insertional points are still there. I am in the process of getting ESWT (low intensity) booked for July, do you think I should reconsider the procedure and have doctor reevaluation now?
Thank you in advance.
Re: Exercising with toes causes lasting burning painEd Davis, DPM on 6/21/03 at 11:34 (122542)
Hard to say without looking at your feet but if your plantar fascia is very tight it is somewhat more likely to get insertional pains which can occur at either end-- heel or bases of the toes. ESWT can potentially cause some loosening of the fascia -- check out some of Steve G's post on that. Another thing to look at is the achilles tendon -- is it tight and limiting dorsiflexion (moving the foot back on the leg) motion.
Re: Exercising with toes causes lasting burning painJen L on 6/21/03 at 11:51 (122545)
I remember SteveG's post, Dr.Ed. I believe that's what I should get: to make the fascia stronger and less tight. Moving the toes seems to be such an small thing to do and I would hardly think it's an exercise with any healthy feet. I know my feet are in a very bad shape.
I once was measured for dorsiflexion in a PT place, the right foot is 25 and the left 20. I was told it was good.
Thank you Dr.Ed.
Re: Exercising with toes causes lasting burning painEd Davis, DPM on 6/21/03 at 14:19 (122557)
Most patients would be in the 10 to 15 degree range. I would consider anything less than 10 degrees to have a negative influence on PF. I would be curious to know if the numbers you have been supplied are accurate as they are unusually high.
Re: Exercising with toes causes lasting burning painDr. Z on 6/21/03 at 20:20 (122588)
Those number are high for ankle dorsiflexion. I would stop the toe excerising for now. Contrasts baths could help you reduce your new pain.