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How do you diag. PF if there is no morning pain?

Posted by Liam on 2/20/05 at 19:19 (169512)

Hello,
I've heard of atypical pf, althought I can't seem to find detailed info about it on the net. (maybe I lack of in net searching skills)
But I'm wondering how would a pro diagnose pf without morning pain? Heel pain can be caused by a few things (like achilles tendonitis) so how do you guys pin point it?
Thanks kindly for the replies
Liam

PS If any links available that give detail atypical pf, please let me know.

Re: How do you diag. PF if there is no morning pain?

CarolineH on 2/20/05 at 19:54 (169515)

I've been diagnosed with PF by my orthopedist who's a heel and ankle specialist and I really don't have morning pain. I get the most pain being in bed waiting to fall asleep when there's pressure on my heels or if I stand for a while. I just started PT after cortisone shots didn't help.

Re: How do you diag. PF if there is no morning pain?

Tina H on 2/21/05 at 07:28 (169542)

I've had 2 bouts of very bad pf in both feet (at different times) over the last five years. Morning pain was the last symptom I developed in both cases. I had pain that got increasingly worse throughout the day for about 6 months before I started getting the 'classic' morning pain. Don't think you necessarily have to have morning pain to have pf. A good podiatrist should be able to give you an accurate diagnosis. Good Luck, Tina

Re: How do you diag. PF if there is no morning pain?

Ed Davis, DPM on 2/21/05 at 22:57 (169608)

Liam and Tina:
While the majority of PF includes morning pain there is a subcategory of PF known as 'atypcial' PF that tends to follow the pattern you describe. This vareity tends to responds well to biomechanical intervention (orthotics, looking for achilles tighness).
Ed

Re: How do you diag. PF if there is no morning pain?

Liam on 2/22/05 at 21:15 (169665)

Thanks, where can I find detailed info about atypical please?