Need help with plantar fasciitis and possible heel fat pad atrophy!

Bump

Switch from the Nike Free to one of the Hoka models. Hokas have a soft, thick heel and more important, they change the impact point from the end of the heel to more under the heel almost to the midfoot.

Next, you could try removing the existing insert and replacing it with a Superfeet green, blue, or black insert. The difference is that each color has a decreasing amount of cushion. They mostly support the arch and prevent pronation, which can exacerbate PF.

I strongly recommend against the Strasbourg sock. It can hyperextend the big toe if you keep it on all night.

I would say give things more time.

More time to strengthen your whole leg chain.

Your Doctor and therapists probably prescribed a few exercises (foot and hips) but experiment around and try every isolation movement and stretch possible for your whole body kinetic chain.

Give yourself more time for foot recovery—stimulating healing factors blood flow by stretching, light activity, good well portioned nutrition and good sleep. Diet is more complicated than todays “nutritionists” and social media and commercially motivated peddlers can possibly understand. Physics, surface area to volume ratio, dynamic complex chemical reactions, are all variables in the nutritious ness of any given prepared cuisine. Good eating is about tuning in to what you need and being continuously aware of where you’ve come from, where you want to go and where you are. Like different medicine for different circumstances

Then, also, see if there are abstract things you can do... exercise is a very human process involving our psyche so this can help

Read the Stoics

Read the church fathers and Saints

Read the scholars and good men of all the nations and religions

Read the scholars and scientists and philosophers of all nations and history

Meditate, pray, wander, talk it out

Listen to holy music, surround yourself with truly sacred things

Reflect on life, write out your biography

Learn languages

Organize your life

Ask difficult questions

Find peace of mind

Be careful how you are using any pharmacological substances, either from medicine, recreation or herbal supplements. Sometimes the correct use can miraculously heal diseases while the incorrect uses perpetuate problems and block healing.

For plantar fasciitis you need something that keeps the fascia tucked into the plantar area, instead of coming out. Search Amazon for something that wraps the arch and can be tightened.

I haven't had fat pad atrophy, but green Spenco innersoles are very cushioned and cheap.

Read "The Magnesium Miracle" by Dr Carolyn Dean MD

Take Remag the form of magnesium she recommends and the homeopathic remedy Rhus-Tox and you will be cured.

Please thank me on this forum afterwards it's the best advice you will receive!

Big Stick wrote:

Read "The Magnesium Miracle" by Dr Carolyn Dean MD

Take Remag the form of magnesium she recommends and the homeopathic remedy Rhus-Tox and you will be cured.

Please thank me on this forum afterwards it's the best advice you will receive!

This has helped me out tremendously. However I don't get the expensive endorsed version of Magnesium. At my local health store I bought Kal brand Magnesium Glycinate 2 month supply for $20. Glycinate form is readily absorbed and doesn't upset stomach. I also take a Green food, Spirulina supplement and Fish Oil.

Will try that thanks!

PF is a nightmare. Lots of PTs treat the PF instead of the real problem: tight calves. Most people benefit from more aggressive stretching. Some people need to aggressively massage the calf and achilles tendon to increase the extensibility of the lower leg. That's what worked for me. I had the best PT in the world (not exaggerating) work on me for about 6 weeks, and still needed 2 more years. I really got at it towards the end, once I understood what the real problem is. Don't bother with cortisone, ultrasound, infrared, e-stim, etc. Get those calves lengthened so they don't tug on the PF every time you push off.

Watch out, though. My PT knew how hard to push me. I didn't, so trying to maintain mobility is a guessing game for me.

Plantar fasciitis is not inflammatory and not even a real injury. There may be some damage to it but not enough to justify debilitating pain. After all a surgeon can resolve it just by cutting it.

My hypothesis is it is really more of a nerve condition than anything. But whatever it is, nobody knows how to cure it. There's 100 different things that all were tried by some random person just before their PF went away on its own, which it will eventually, or maybe not. You can try the cures if it amuses you, but be aware things like tape and arch supports alter your biomechanics and your arch will get weak over time.

Yeah I never really wore the tape for extended periods of time.

Bad Wigins wrote:

Plantar fasciitis is not inflammatory and not even a real injury. There may be some damage to it but not enough to justify debilitating pain. After all a surgeon can resolve it just by cutting it.

My hypothesis is it is really more of a nerve condition than anything. But whatever it is, nobody knows how to cure it. There's 100 different things that all were tried by some random person just before their PF went away on its own, which it will eventually, or maybe not. You can try the cures if it amuses you, but be aware things like tape and arch supports alter your biomechanics and your arch will get weak over time.

I agree completely that it is not inflammatory, and the amusing cures usually do not help.

It's not that nobody knows how to cure it, it's that almost nobody knows. My PT knew. The problem was scar tissue near my achilles, which kept the whole area from stretching, and so putting too much strain on the plantar fascia. Think of 2 rubber bands tied to each other. If one gets too tight, it might not be the one that breaks, but the other one will have to stretch more, and endure more strain.

I don't knwo anything about cutting hte pf, or whatnot, but it sounds too scary for me to ever try.

Not sure why, but my contributions to this thread have disappeared.

Switch to racing flats.

I had it for 4 years wrote:

It's not that nobody knows how to cure it, it's that almost nobody knows. My PT knew. The problem was scar tissue near my achilles, which kept the whole area from stretching, and so putting too much strain on the plantar fascia.

A reasonable theory, but can you be sure your PT didn't just have lucky timing?

Bump. Yeah I never saw them kuduzu.

Go get your spikes out of the closet and head down to the track and run a bunch of fast intervals until you are certain your plantar fascia is completely torn (maybe have a medical friend inject the area with lidocaine so you can run through the pain). The problem with a partial tear is it will nag on forever. It is better to tear it completely and then start fresh after it has regrown.

Thats what Ive heard some people say. I have a doctors appointment today. Im going to ask him if I can get some xrays taken on both feet. I just messaged my calves and it helped with decreasing the pain. I dont know how I did not feel that before. Someone posted to stretch the hell out of the calves. I never focused solely on that. I think he was right. My calves are tight. I can feel them contracting on their own sometimes. Its probably causing the pain in my fascia.

Had an xray yesterday and I dont have bone spurs or fat pad atrophy. My magnesium supplement should be coming soon. Anybody else have recommendations. My doc wanted to give me another cortisone shot but I passed. He said I could do that, try custom orthotics, or surgery.

Bump.