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Reading Topic #3191

sjkid99 sjkid99 rating
Member since 30-Aug-02
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21-Jul-10, 10:54 PM (PST)
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"Heal pain"
 
   I have this pain in my heal for the past few months. I never had this pain before and alway wear good support shoes as I do a lot of walking in my job. How do I get rid of it and would seeing a doctor be worth it.

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Rocco32
Member since 19-Oct-09
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22-Jul-10, 07:50 AM (PST)
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1. "RE: Heal pain"
In response to message #0
 
LAST EDITED ON 22-Jul-10 AT 07:52 AM (PST)
 
If it feels similar to what you might consider a bruised heal and you can't remember a specific trauma, a good possibility would be Planter Fascia.

http://en.wikipedia.org/wiki/Plantar_fascia

This is a stubborn condition that can present itself from day to day activities but is a common result for runners and triathletes.

Physical therapy, rest and wearing shoes with proper arch support will help with recovery. Most people over use their running and walking shoes. For running shoes, I have heard opinions they should be replaced after 300 miles.

In physical therapy, the treatments you will most likely receive will be stretching, deep tissue work, ice, exercises to promote arch strength and prescribe a boot or sock to wear while sleeping to promote stretching.

It can take weeks to months to correct.

I would recommend getting a professional opinion.

Good luck

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MarcusWelby MarcusWelby rating
Member since 6-Dec-07
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22-Jul-10, 10:00 AM (PST)
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2. "Heel pain"
In response to message #0
 
   LAST EDITED ON 22-Jul-10 AT 10:01 AM (PST)
 
Although P.F. is one diagnosis, another common condition is equivalent to a "heel spur".

Try this for a few days... it's inexpensive and easy.

Get excellent quality adhesive tape, and make three to six "U" applications around the posterior part of your heel just below where the Achilles tendon attaches and down to the lower part of your heel. If the tape doesn't firmly adhere to your skin, use "Tincture of Benzoin" first on the skin, and let it dry, before applying these u-shaped/horseshoe-shaped adhesive tape strips.

Strapping your heel this way thickens the heel pad substantially lessening the trauma. You should get same day relief, and within a week, no longer require the taping.

Let us know.

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bigbasin bigbasin rating
Member since 10-Feb-03
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22-Jul-10, 10:52 AM (PST)
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3. "RE: Heal pain"
In response to message #0
 
   If you do have Plantar facias (sic?), here is what I did:

1. I used a night splint like this: http://www.drugstore.com/products/prod.asp?pid=185647&aid=336064&aparam=plantar%20fasciitis%20night%20splints&scinit1=plantar%20fasciitis%20night%20splints

2. purchased a hard nubby ball that I rolled my heel on while working on the PC etc

3. froze a water bottle and rolled my heel on it daily

4. when it hurt, it was like a poker running through my heel, then, when it didn't it was like lucy holding the football waiting for charlie brown to kick it, then, all of a sudden, to let me know that it didn't go away, the poker returned.

for me, it lasted about 6 months, for others, it lasts shorter and for others, much longer

best of luck

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oralio oralio rating
Member since 1-Dec-03
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22-Jul-10, 08:15 PM (PST)
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4. "RE: Heal pain"
In response to message #0
 
LAST EDITED ON 22-Jul-10 AT 08:17 PM (PST)
 
Plantar fasciitis. Takes 6-12 months to fully heal pain free. Some guys do cortisone shots, but that can sometimes only delay healing.

You MUST wear a "night splint" when you sleep. Good ones are on amazon for not much money. Goes a long way toward decreasing morning heel pain, and speeds healing.

Be the change
you wish to see

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sjkid99 sjkid99 rating
Member since 30-Aug-02
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22-Jul-10, 10:14 PM (PST)
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5. "RE: Heal pain"
In response to message #4
 
   Thanks for the input. I will look into getting a night splint to see if that helps and also do what others have said worked for them. I didn't want to spend big bucks going to see the doc as my insurance only pays half of the cost most of the time and a doctor visit runs in the hundreds. I would rather be using that for some provider fun. I will let you know how things go.

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oralio oralio rating
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23-Jul-10, 06:47 AM (PST)
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7. "RE: Heal pain"
In response to message #5
 
If it is plantar fasciitis, get the night splint with the smooth plastic shell on the outside, so it doesn't stick to your sheets as you sleep.

The other advice is good. Get the green plastic spikey ball by "Footrubz." Use it every morning before you get out of bed. Start gently, and as your foot warms up, apply more pressure as you roll your foot over it. 3-5 minutes.

After you do physical activity, try to ice your heel. 12-20 minutes.

Invest 29 bucks in a "Prostretch," and use it before you do anything physical, or if you can, do it gently a few times a day. Amazon. 2-3 minutes, split up into 1-minute at a time.

If your body tolerates it, use anti-inflammatories like ibuprofen. It's not just for pain -- it also lowers inflammation, which can speed healing.

Here's the rub -- if you're overweight, try to lose weight to decrease the pressure. But if you're suffering from PF, it makes it less comfortable to exercise, which makes it harder to lose weight.

Most important, be patient. This will take a long time, and it will require diligence in the above therapies.

Be the change
you wish to see

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arbiez_temp arbiez_temp rating
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22-Jul-10, 10:53 PM (PST)
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6. "RE: Heal pain"
In response to message #0
 
   LAST EDITED ON 22-Jul-10 AT 11:02 PM (PST)
 
Could be a variety of things and you should get checked out. Asking us doesn't really help your medical issue.

In the interim, you can try heel cups to ease pressure on heel, knee and leg. When I was a young guy, I bruised my heels often due to running hurdles and these helped.
http://www.google.com/search?aq=0&oq=heel+cu&sourceid=chrome&ie=UTF-8&q=heel+cups

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ninerkid ninerkid rating
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26-Jul-10, 06:43 PM (PST)
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8. "RE: Heal pain"
In response to message #0
 
If it's plantar fasciitis, here is a good way to tell. When you get up in the morning and roll out of bed and take the first step is that when the pain the most unbearable? Then does it gradually seem to get a little better after you walk around for about a minute? If you answer yes to those questions then I would say it's 99% probable you have plantar fasciitis. Having had it myself in both heels more than a few times in my life here is my advice.

1. Get the night splint, this will aid with the heel pain when you get up in the morning.

2. Ibuprofen can help with pain throughout the day.

3. Buy some inserts for your shoes. These are the ones I have been using for over 10 years, I swear buy them, only thing I wear, you get free shipping if you order more than $50.
http://www.strabell.com/scripts/prodView.asp?idproduct=31

4. Buy shoes that have stability, I pretty much will only wear New Balance or Asics now, look for ones that have Stability in their description The last models I have bought are New Balance 1011 & Asics Gel Kayano. No more Nike, Adidas etc... A quick test when you shop for shoes is grab the shoe from the bottom, one hand under the heel and the other hand under towards the front part of the shoe. Now twist the shoe, basically you want that thing with almost no movement, if the shoe twists easily don't buy it. This is what causes the injury. See the pic in this link:
http://www.netterimages.com/image/4638.htm
The ligament that is attached to the heel is the Plantar Fascia, when it twists it becomes inflammed causing the heel pain. In extreme cases you can tear the ligament.


http://forum.myredbook.com/dcforum2/User_files2/a8dzn1n65qw4kzpq.jpg

Remember buy shoes that have strong stability, that is the key to prevention of re-occuring injuries.

Good Luck!

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MarcusWelby MarcusWelby rating
Member since 6-Dec-07
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27-Jul-10, 12:34 PM (PST)
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9. "RE: Heal pain"
In response to message #8
 
   He should do the simple adhesive tape heel strapping first. Cheaper, faster, and the most likely to help.

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oralio oralio rating
Member since 1-Dec-03
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28-Jul-10, 08:28 PM (PST)
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10. "RE: Heal pain"
In response to message #9
 
The only problem with taping is that many people can't tolerate taping for weeks on end. It often results in rashes and irritation.

Be the change
you wish to see

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MarcusWelby MarcusWelby rating
Member since 6-Dec-07
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28-Jul-10, 09:02 PM (PST)
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11. "Strapping trial makes the most sense"
In response to message #10
 
   >The only problem with taping is that many people can't
>tolerate taping for weeks on end. It often results in rashes
>and irritation.

Not really. Fewer than 5% of humans have an allergic contact dermatitis to the tape, and relief can occur within 12 hours. Usually after just one week, no more taping is required.

If the tape fails to stick properly, apply (and dry) a thin layer of tincture of benzoin before applying the tape strips.

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oralio oralio rating
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28-Jul-10, 10:20 PM (PST)
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12. "RE: Strapping trial makes the most sense"
In response to message #11
 
"Usually after just one week, no more taping is required."

Typical healing for PF takes months. That's far longer than a person should be taping the same area every day.

Be the change
you wish to see

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MarcusWelby MarcusWelby rating
Member since 6-Dec-07
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29-Jul-10, 00:28 AM (PST)
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13. "RE: Strapping trial makes the most sense"
In response to message #12
 
   LAST EDITED ON 29-Jul-10 AT 00:38 AM (PST)
 
>"Usually after just one week, no more taping is required."
>
>Typical healing for PF takes months. That's far longer than
>a person should be taping the same area every day.

That's the point. You are confused. I'm not postulating he has PF. If the pain is originating from the calcaneus, such as with a spur, and not plantar fasciitis, then taping works in just a few days.

Taping/strapping the heel daily for a week is not a problem. Have no idea why you think it exceeds some imaginary limit.

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majestic_moments majestic_moments rating
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29-Jul-10, 10:16 PM (PST)
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14. "RE: Strapping trial makes the most sense"
In response to message #13
 
   >>"Usually after just one week, no more taping is required."
>>
>>Typical healing for PF takes months. That's far longer than
>>a person should be taping the same area every day.
>
>That's the point. You are confused. I'm not postulating he
>has PF. If the pain is originating from the calcaneus,
>such as with a spur, and not plantar fasciitis, then taping
>works in just a few days.
>
>Taping/strapping the heel daily for a week is not a problem.
> Have no idea why you think it exceeds some imaginary limit.

I agree that there is confusion and the genesis is that you weren't clear that your advice was offering an avenue suggesting basically a differential diagnosis for PF versus a heal spur, not a bad suggestion, just not clear on the intent, which appears to say that if a a presumed heal spur will resolve more quickly that PF.

MarcusWelby
Member since 6-Dec-07
96 posts 22-Jul-10, 10:00 AM (PST)

2. "Heel pain"
In response to message #0
LAST EDITED ON 22-Jul-10 AT 10:01 AM (PST)

Although P.F. is one diagnosis, another common condition is equivalent to a "heel spur".

Try this for a few days... it's inexpensive and easy.

Get excellent quality adhesive tape, and make three to six "U" applications around the posterior part of your heel just below where the Achilles tendon attaches and down to the lower part of your heel. If the tape doesn't firmly adhere to your skin, use "Tincture of Benzoin" first on the skin, and let it dry, before applying these u-shaped/horseshoe-shaped adhesive tape strips.

Strapping your heel this way thickens the heel pad substantially lessening the trauma. You should get same day relief, and within a week, no longer require the taping.

Let us know.

  Alert Top

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