Plantar faschia; help!

imported
#1

Hi everyone! I’d like to ask for anyone who knows about this; what is “Plantar Faschia”(sp) & more importantly…what the HECK can I do about it? I started having an awful pain on the ball of my right foot; unlike any kind that I’ve had before. My Shiatsu massage guy & my doctor both said it was probably Plantar Faschia (I may be saying those words wrong). My Dr referred me to a specialist; I haven’t gone yet, cuz the Shiastsu guy got it in check. But now it’s in my right foot; this time it’s on the outside of my right heel. Hiking is out of the question. Shiastsu guy said that almost all podiatrists will want to operate on it. He did get the right foot pain to go away; so I tend to believe him…but the left Heel is still real bad. Any ideas anyone?? Thanks so much! Happy hiking all!

Leah

#2

Hey folks; when I read what I wrote above; I realized that I’d mixed up the right & left foot. Started on the right; that got better; now it’s on the left. Not that it matters; it just hurts like heck no matter what side!! Any ideas of how to deal w/ this; are appreciated…Leah.

Leah

#3

Hi Leah,

Plantar Fascitis is when the fascia (a thin membrane that surrounds every tissue inside the body) on the muscles on the bottom of the foot (the plantar surface) is swollen or has been stressed or damaged, causing (usually) “trigger points” in the muscle tissue. Your shiatsu guy probably worked on some specific points in your calves, shins and/or feet to relieve what was going on.

Since it sounds like this is a recent occurence, you have probably done something that stressed out those muscles involved - Usually calf/shin muscles.

You can work on them yourself if you know the right places to work. You DO NOT, necessarily, have to have surgery. I had a friend who had it so bad she could barely walk. Between massage, self-massage, and stretches, she has virtually no trouble now.

To help you find where to look for the spots on your leg, first visualize your lower leg in quadrants. The 1st quadrant=center front to center outside of leg, 2nd=center outside to center back, 3rd center back to center inside, 4th=center inside to center front.

For the outside heel pain, you will be in the 2nd quadrant, which is the meaty outside part of your calf muscle. Sitting down on a kitchen type chair, rest your left palm on the left calf, with your thumb resting against the imaginary line that runs down the center outside of your leg. Right about where your middle finger should be resting is the area to start looking for the “Trigger Point”. Just go ahead and slight bend your middle finger and press very firmly right where the finger will naturally hit. If that is not the exact spot, it will be very near there. You will know when you’ve found it because it will be very tender and may, in fact, hurt like hell! One author calls the feeling “exquisite pain,” and I agree with that descripition. You may also feel a sensation triggered in the painful area around the heel - thus the name “trigger point.”

YOu can press and hold that spot for 8-10 seconds at a maximum pain threshold of about 7 on a 1-10 scale. Do this as many times a day as you think of it, up to 8 or 10 times a day.

For pain in the ball of the foot, you’ll work in the first quadrant. Again sitting, place your hand palm down, heel of the hand resting just where the knee bends, middle finger on the center outside imaginary line. This time, bend your index finger and press firmly where it naturally lands. The spot should be there, or within about an inch to either side &/or up & down from there.

There is a great book for trigger points that I highly recommend to anyone out there. It is called “The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief.” It is by Clair Davies, and is available on Amazon.com and probably at local bookstores as well. I use it frequently in my massage practice, and have memorized parts of it to use on myself for my daily living AND for my 2005 AT hike. I have relieved chronic knee, foot, hip, back wrist - you name it - pain using this book and this technique.

You can also do stretches to begin gently lengthening the muscles that are causing the problem. To stretch your calf, stand a little ways from a solid support (wall) and lean on it with your forearms, head resting on hands. Bend your right leg and place your right foot on the ground in front of you, toes touching the wall, leaving your left leg straight back behind you. Slowly move your hips forward until you feel a stretch in the calf of your left (straight) leg. Be sure to keep the heel of the foot of the straignt leg on the floor and your toes pointed straight ahead. Hold an easy stretch for 30 seconds. Do not bounce. Do not hold your breath. Switch and do the same with the opposite side. Do this every day, especially before going for a walk.

Hope this helps!

Hope the lenght doesn’t irritate anyone else!

Angie

Angie

#4

Leah, I didnt read all of Angies reply, but she is basically correct. I am a surgeon, and have had this problem myself. I talked with my orthopedic surgery colleagues, and gleaned the following : 1. the problem is something that will fix itself given enough time, up to about six months is needed. 2. Surgery is not needed for this. 3. Anti inflammatories,ie advil, aleve,etc are fine aids, but do not completely solve the problem alone or any faster. 4. orthotics in shoes are helpful if they are made correctly. 5. If you are having severe pain, particularly in the morning, you may benefit from a plastic brace you wear at night that can be bought at a medical supply store, just tell them your problem, and they can tell you what you need. The brace will keep the plantar tendon stretched out while you sleep, so it doesnt contract at night and then is less painful when you get up, as you dont have to “tear it” stretching it back to proper length with that first step outta bed in the morning. This item was what finally worked for me to stop the unending agony. Anyone who has had this knows what we are talking about. Good luck. I’ll look back here in a few days to see if you have any other questions I can try to answer.

Cutman11