Originally Posted by gearcruncher
No word yet , my bone cruncher wasnt open today . He did however refer me to a foot doctor who acknowleged the issue and signed the prescription for me . Guess I should have added this to my original post .
I do agree with you that there may still be other problems over the Plantar Faciitis
You have pain first thing in the morning or after you have been sitting for awhile?? Get checked out by the specialist. It usually takes a few weeks of diligent stretching 3-4 times a day both knee straight and bent as the achilles tendon is composed of gastroc and soleus and the gastroc attach on femoral condyles of the knee. Thus knee must be straight to actually stretch. There is some stimulation from stretching that helps the healing process. I don't actually believe that you can stretch a musculo-tendon unit but it certainly helps somehow.
2) Freeze a water bottle and when you get home roll the bottle under your foot while on the couch, this will stretch and ice it.
3) If you are able to take NSAIDs, take a good therapeutic dose for several weeks consistently.
If the above do not alleviate 80-100% of the pain:
4) you need to get into a night splint at night when you sleep. This will prevent the plantar fascia which is rather rope like structure from contracting at night. When we sleep we point our feet downward causing the fascia to heal to some degree in a contracted position. Your achilles tendon will also contract some at night. You go to stand down in the morning and the fascia gets tight and acts like ripping a dried band aid off. The fascia will pull off the bone when you stand down. A night splint allows the fascia to heal in an extended position so when you stand down it doesn't rip as much.
5) Wear your custom inserts. This should support the arch and fascia while you walk. The insert will take some tension off the fascial insert.
6) Steroid injection. Safe but the injection is painful and takes about 15 seconds. Knocks out nearly 100% of pain and last for several months and is often curative.
7) Chronic plantar fasciitis that does not respond to other treatments sometimes require surgical fascial release. This can be done through a endoscope or small open incision.
Assuming you actually have PF, if you stay consistent with the above advice, it will go away. I would get baseline x rays and be examined by a specialist to rule out other diagnoses.