Plantar Fasciitis

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Hi,everyone! I was working out one afternoon doing toe raises at the gym and when I left and went to my mothers house I got up of the sofa and took 3 steps and I felt a pain in front of my heel on each step and on the fourth step I couldn't put any weight on my foot. I did not hear a snap or a pop when I did this. I went to my general parctioner six days after I did this( I was on crutches before this) and he said I had bruised my heel and balls of feet.He gave me a walking boot and a sit down job at work but I still had to walk about 500 steps on concrete(yes I counted them)  After 4 weeks and still having trouble, he did do some x-rays but they were negative. I asked to go see a podiatris (I hope I spelt that right) Podiatrist did an mri and to my surprise it was negative also for no tears. He said I could have micro tears and said I had Plantar fasciitis.My podiatrist has told me to walk on it using my walking boot and take a half dozen steps with my tennis shoe, I did this for a few days and now Ive been unable to walk on it for the firey hot burning pain on the entire bottom of my foot and cause of the soreness. I've been off work now for almost three weeks(but this happened Jan.3,I was on sit down job at work before this) and my foot burns like its on fire.

My couple of questions are= Does Plantar fasciitis cause the whole bottom of your foot to burn like fire especially in the evening and night?? sometimes cold to the touch but on fire!

I never really been completely off my feet for a period of time, shouldn't I have been completely off my foot for a number of weeks??

This has been going on now for close to 7 weeks now, how long will this take???

Please, someone give me some advise and pointers!! and answers.

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So sorry to hear that you are experiencing such pain.  It truly hampers your ablility to be mobile.  As for your burning pain, by the end of my work day, my heel burns something fierce.  My entire foot doesn't burn... just the heel.  I end up walking with a limp because it hurts to put weight on it.  I had xrays that showed nothing..... and an MRI that was negative.  Yet, I am diagnosed with plantar fasciitis.  I did have surgery on my other foot for the same issue, and was put in a CAM walking boot cast for several week prior to that, as a treatment option.  It did nothing for me.  I was never ordered to be off my feet prior to surgery.  I just went through so many treatment options (cortisone injections, night splint, CAM boot cast, physical therapy, and radial shock wave therapy).  So, the burning in your foot could very well be plantar fasciitis, however, if I were you, I would see a podiatrist rather than a general practitioner.  A podiatrist is obviously an expert on foot care, and you may get a more accurate treatment plan.   Good luck to you, and keep us posted! 

Lisa, thank you so much for your reply. I have been to see a podiatrist and he said I had p.f. I'm unable to walk on my foot hardly at all,maybe a dozen steps or so and only putting about 30% of my weight on it. I have a walking boot that I use some but sometimes I think that is what causing the burning. I have pain at the base of my heel where the arch comes down to it, and pain in my arch close to the ball of my big toe and under my big toe is quite sore.  I've read about some streatching and excerises on here so I guess I'll try them but I'm kinda afraid of injuring my foot evern worse.   Oh well, thanks again for your reply.

Another symptom I have is I can't hardly bend my toes,is that a common symptom with p.f.

Hi- Are you taking anti-inflamatories? How about icing- DAILY? I have some serious PF issues and just recently concluded that ice is a huge help! I can go from a horrific day to a normal one if I commit to ice. Just some quick advice. I tore my plantar fascia about a yr ago and truthfully your symptoms sound really similar, but the tear showed up on an MRI..

Good luck- jb

HI Lisa- What kind of surgery did you have? Did it help at all? 

jb

Lisa said:

So sorry to hear that you are experiencing such pain.  It truly hampers your ablility to be mobile.  As for your burning pain, by the end of my work day, my heel burns something fierce.  My entire foot doesn't burn... just the heel.  I end up walking with a limp because it hurts to put weight on it.  I had xrays that showed nothing..... and an MRI that was negative.  Yet, I am diagnosed with plantar fasciitis.  I did have surgery on my other foot for the same issue, and was put in a CAM walking boot cast for several week prior to that, as a treatment option.  It did nothing for me.  I was never ordered to be off my feet prior to surgery.  I just went through so many treatment options (cortisone injections, night splint, CAM boot cast, physical therapy, and radial shock wave therapy).  So, the burning in your foot could very well be plantar fasciitis, however, if I were you, I would see a podiatrist rather than a general practitioner.  A podiatrist is obviously an expert on foot care, and you may get a more accurate treatment plan.   Good luck to you, and keep us posted! 

Judi,

I had the in-step plantar fasciotomy (open).  The incision was actually near the arch of my foot and my podiatrist did a total release (one of the bands had already ruptured).  I was in the boot cast, non-weight bearing for 2 weeks, if I remember correctly.  Then, partial weight bearing, and eventually walking with normal shoes on.  The recovery time is lengthy, but well worth it.  I hear so many unsuccessful stories about the surgery that I was afraid to go ahead with it.  But, I like to consider myself a success story!!  Foot number 2 is going to be done in a few weeks, as that now suffers, despite various treatments.

HI judi, thanks so much for your reply. I am taking anti-inflamatories going on three weeks now. I have a few questions for you if you don't mind! Were you ever on bed rest?? I am unable to walk but a dozen steps or so and not with all my weight. Were you like this at first??   I have been given a walking boot to use and I might have discovered whats causing the burning pain under my entire foot is because I've been trying to do too much walking in it as I discovered yesterday. I used it about a third as much and I didn't get that really bad burning pain that night some but very little. I have been off work for three weeks now and the doctor wants me to increase my walking in my tennis shoe and boot. Im really afraid of these micro tears and tearing them again. Any advise would be greatly appreciated. 

                                                                    Thainks so much!! 
 
judi Bliquez said:

Hi- Are you taking anti-inflamatories? How about icing- DAILY? I have some serious PF issues and just recently concluded that ice is a huge help! I can go from a horrific day to a normal one if I commit to ice. Just some quick advice. I tore my plantar fascia about a yr ago and truthfully your symptoms sound really similar, but the tear showed up on an MRI..

Good luck- jb

Hi- Sorry it took a while to get back to you. Sure, allow me to answer your questions....

When I tore my plantar fascia, I was not on total bedrest, but I had to use a knee scooter (a bit embarrassing) or crutches. Right after my tearing incident I really could not step down on it at all. It took a few wks before I was able to do so. And yes, too much walking can really mess things up. Regarding REtearing, I've been told that it is not totally possible to retear a big tear. Once it heals, its usually pretty safe from the same injury. 

How are you doing now? Have you tried tape yet? 

My podiatrist told me to walk on it a little more with my tennis shoe and with my boot. He told me to take natural steps with my tennis shoe so I try to take natural steps but am unable to put my full weight on it or to get on the balls of my foot. I take about 30 (maybe I shouldn't be those aren't natural steps) and take about 50 with my boot started this on Monday this week. And by the middle of the afternoon my foot is like a burning torch,excruciating burnig pain on the entire bottom of my foot. So I have to cool it down with cool water bath (ice seems like its too cold and I let a fan blow on it when I elevate it) the rest of the day until I go to bed. I guess I'm trying to do too much.
 Im still unable to hardly move my toes, but Wed. when I woke up my foot was normal size and I was able to move my toes some what but after moving them for a bit (not being able to hardly move them for awhile I guss its human nature to move them some) I felt a pulling,streatching,tearing like pain at the base of my big toe and the one next to it on the bottom of my foot, a small lump like swell came up and I was unable to hardly move my toes again and it got inflamed and swelled up some.  I think I may have or do now I guess some micro tears at the base of my toes where the pf fans out besides the pain at the base of my heel. Does the pf reach that far to the toes??? I think it does!   I'm getting pretty down(: with all this going on. I sure would like to get back to work. No, I haven't tried tape yet not really sure how to do it?? Did you ever have trouble with your toes???

   Thanks again Judy for your reply, any more answers or advice would be much appreciated!!!
 judi Bliquez said:

Hi- Sorry it took a while to get back to you. Sure, allow me to answer your questions....

When I tore my plantar fascia, I was not on total bedrest, but I had to use a knee scooter (a bit embarrassing) or crutches. Right after my tearing incident I really could not step down on it at all. It took a few wks before I was able to do so. And yes, too much walking can really mess things up. Regarding REtearing, I've been told that it is not totally possible to retear a big tear. Once it heals, its usually pretty safe from the same injury. 

How are you doing now? Have you tried tape yet? 

Tony- Sounds like you are going through PF hell. I am so sorry. I've been there. I have to say, I do understand the frustration. At this point- what about crutches? Also, keep in mind, our bodies do heal on their own (to some degree). I thought you said that the MRI showed no real tearing... Is your doc reliable? IT sounds like a tear to me (but of course I'm no MD, just a 4th grade teacher :)

Are you on your feet all day for work? 

IF your anti-inflamatories are not seeming too effective, try another kind. It took me a while before I found an anti-inflamatory that my body agreed with. 

Good luck- judi

Judy,thanks again for your reply. Yes my mri showed no tears that was the radiologist report. My podiatrist told me a tear might not show up on an mri, that I may have micro-tears. Im not working at all right now, this will be my 4th week off work. Im not walking much at all right now, my podiatrist told me that I need to start and try walking on it more so I been taking about 20-25 steps with it in a tennis shoe but I'm not putting on my weight on it nor am I on the balls of my feet. He also told me to start walking more with my walking boot so I've been taking about 70 steps with it. I do this in the morning, soon after waking up and after I do this walking, in the afternoon about 4 or 5 my foot will start this excruciating burning pain on the entire bottom of my foot and swell some. So I soak it in some cool to cold water (it seems like ice is to cold and doesn't seem to help as much) and I elevate it in front of a fan and let it blow on it. Other wise I do not walk on my foot at all. Do you know if anyone had another mri run and it showed a tear after the first one didn't. Is there a sight to show you how to tape it ? I go back to the doctor tomorrow, I don't know what Im gonna do!!! 
                                                                                                     Thanks again,for your support.
judi Bliquez said:

Tony- Sounds like you are going through PF hell. I am so sorry. I've been there. I have to say, I do understand the frustration. At this point- what about crutches? Also, keep in mind, our bodies do heal on their own (to some degree). I thought you said that the MRI showed no real tearing... Is your doc reliable? IT sounds like a tear to me (but of course I'm no MD, just a 4th grade teacher :)

Are you on your feet all day for work? 

IF your anti-inflamatories are not seeming too effective, try another kind. It took me a while before I found an anti-inflamatory that my body agreed with. 

Good luck- judi

You can look on youtube for PF taping. I had a chiropractor show me. Where do you live? Is there a chiropractor that you can check-in about this? They tend to take more time than an MD and in my opinion have more creative   ideas.  How about acupuncture- that's been fairly helpful for me.

-j

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