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Nightmare PT (long, sorry)

Selkie2012-07-08 22:12:11 +0000 #1
I have been suffering---emphasis on suffer---with plantar fasciitis for four weeks. Saw the ortho who put me into PT. Well, the PT sessions were limited to extremely painful deep muscle massage on my foot, calf, and IT band. She showed me one stretch targeting my pereonis longus (sp?), and even though my heel still hurt like a xxxxx, she had me doing one-legged balances on a wobble pad, something she stopped at my insistence after that made it worse. Apparently, the bones in my foot/ankle weren't in the right place, so she was trying to get them in position. In addition, I have limited ankle/foot mobility.

I still have bruises on my IT band and calves, and it's been more than a week since my last session.

Long story short, after five sessions, I stopped going. I repeatedly told her it was worse and I also told her that besides my painful heel, the only place where I felt tightness/discomfort was my glute/piriformis and behind my knee.

She told me that it would have to get worse before it got better. I called my doctor, spoke to his nurse who was not surprised that it was worse due to the massage. I'm now on prescription strength Aleve. It still hurts but still seems to slowly be improving. Weirdly, the heel/calf pain isn't as bad when I stand/walk, but it hurts more when I touch/massage it.

I've limited my activity to biking (on the trainer only) and swimming. The only walking I'm doing is what is necessary, but I have quite a hike to/from my car at work. I had been wearing a Strassburg sock, which helped at first, but switched to a traditional night brace (that seems to be helping somewhat). 'm icing my foot, stretching calves/piriformis, using a foam roller on calf/piriformis, massaging w/a spikey massage ball/stretching the fascia on my affected foot. Also, I'm wearing Superfeet insoles, which the doctor instructed. I'm even wearing sneakers at work.

Is there anything else I should be doing to speed my recovery? I have a follow up with the ortho in a couple weeks. I'm not/not going to do a cortisone shot, which he did NOT encourage, and he told me that he refuses to do surgery for this affliction.

7rider2012-07-08 22:17:01 +0000 #2

So sorry to read this. This stinks.

Not sure what to say as you're doing just about everything I could think of - and then some. Just want to say I hope it heals up soon. PT is a b***h sometimes.
shootingstar2012-07-08 22:24:23 +0000 #3
I'm not a health care professional and hope others will jump in. But I am a bit confused.

Isn't sometimes that is alleviated by customized orthotics?

About 25 years ago, I started to experience pain when walking only after half an hr. in running shoes. I knew something was wrong...and went to podiatrist.

Anyway, really bad that PT experience. Hope you heal soon!
Veronica2012-07-08 23:12:21 +0000 #4

I have no advice, but I hope it all heals up soon! Do good vibes count?

jessmarimba2012-07-08 23:19:23 +0000 #5
I know two people who had surgery for plantar fasciitis already this year. Not saying that should be your method of treating it, but that I'm surprised (as scalpel-happy as we are) that he refuses to treat it with surgery. They're both back running and are pain-free.

Fortunately, I've never had to deal with it, so all I can do is wish you luck! It sounds like you're doing everything right at this point. I hope it heals quickly.
limewave2012-07-08 23:18:02 +0000 #6
So sorry for your experience

I hope you are able to recover soon!

My experience with plantar fasciitis is that it is a long recovery. It takes time. I kept a tennis ball under my desk and by the couch so that I could roll it under my foot throughout the day. I also did a lot of calf stretching. A tight calf can really aggravate PF. I believe I took 2 weeks off of running altogether while I focused on stretching and rolling--several times each day.

Then I slowly started walking and jogging, keeping my miles low. I didn't start running distance (over 4 miles) for 3-4 months. But I was able to heal the PF and haven't had an issue since (that was 2 years ago).

I also know some people that have had surgery for PF and are back to running. But in my opinion, if can rehab myself, even if it takes 5-6 months of reduced mileage or even eliminating running altogether in favor of cycling, walking, swimming, etc--it is well worth avoiding surgery.
Trek4202012-07-08 22:44:16 +0000 #7

Originally Posted by Selkie

Apparently, the bones in my foot/ankle weren't in the right place, so she was trying to get them in position.

I'm not a PT, no medical experience or training. Can you get a referral to one of these PT's?
Irulan2012-07-08 22:52:16 +0000 #8
Just curious, since I've been through "it got worse before it got better" deep tissue massage. Did the practitioner give you a time frame or estimate for when you could expect to turn the corner? This kind of deep work can really be a drag, but I'm wondering if you bailed too soon on it, discomfort or not?



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