General Discussion Triathlon Talk » Does PF ever actually go away? Rss Feed  
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2006-02-20 8:17 AM

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Subject: Does PF ever actually go away?
Yet another plantar fasciitis thread...

I've had this condition for several months now, and while it has improved with stretching, massaging, foot exercises and the like, does it actually ever go away? I have some light pain in the mornings, but I think it's light b/c I sleep with my foot off the bed. I usually get the light pains after I've walked for a couple of hrs with my wife. It just seems to me like it'll always be like this. My rationalization, then, is why not start running again? I've resorted to cycling over the last couple of months to let my pain heel, but if this is a chronic state, I can deal with light pain and start running like I used to. Thoughts, anyone?

Edited by agaliza 2006-02-20 8:27 AM


2006-02-20 8:30 AM
in reply to: #349808

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Subject: RE: Does PF ever actually go away?
I've had PF twice during my running "career". Both times it lasted a significant time but eventually went away. Although it probably wasn't smart and I'm not suggesting it. I never stopped running because of it. I just stretched my feet before putting weight on them anytime I had been sleeping or sitting for a long time.
2006-02-20 8:33 AM
in reply to: #349808

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Subject: RE: Does PF ever actually go away?
My wife had it off and on for a couple of years.  She rigged up a night brace (before such things were widely available commercially) She never quit running on it.
2006-02-20 8:37 AM
in reply to: #349822

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Subject: RE: Does PF ever actually go away?
expensivehobby22 - 2006-02-20 9:30 AM

I've had PF twice during my running "career". Both times it lasted a significant time but eventually went away. Although it probably wasn't smart and I'm not suggesting it. I never stopped running because of it. I just stretched my feet before putting weight on them anytime I had been sleeping or sitting for a long time.


What's a "significant time"? Do you stil have some heel pain?
2006-02-20 8:59 AM
in reply to: #349828

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Philadelphia, south of New York and north of DC
Subject: RE: Does PF ever actually go away?

Yup, mine has gone away.

I had it last year for about six months.  Haven't had any problems since last August or so.  I credit this to changing all of my shoes, both running and walking/working, and to never going barefoot.

Massage and stretching also helped a lot in the healing process. 

2006-02-20 9:01 AM
in reply to: #349808

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Master
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Subject: RE: Does PF ever actually go away?
I had a mild case a year or two ago.  The only thing that really seemed to help was to do the massage of the foot before stepping out of bed the first thing in the morning.  Lasted a little while, but has not returned.  Good luck!


2006-02-20 9:40 AM
in reply to: #349808

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Subject: RE: Does PF ever actually go away?
By 'significant time' I meant 2-3 months. First time my freshman year of college and then again my junior year. I haven't had any heel pain in the 4 years since then.
2006-02-20 11:09 AM
in reply to: #349910

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Subject: RE: Does PF ever actually go away?
I have bouts of it on and off. I think that everyone is different, but mine went away completely only to come back again from time to time when I do something stupid like let my shoes get too worn out and go running on them and get out of my good habits of stretching. When I get bouts of it I usually lay off it and ride the bike until it's mostly better, then start running again.
2006-02-20 11:32 AM
in reply to: #349808

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Subject: RE: Does PF ever actually go away?
Okay, I think I'm convinced that it's okay for me to start running again. I'll start off by doing 20-30 mi. week or so, and see how my heel handles it. I've just had an itch to run the last few weeks, and I need to scratch it.
2006-02-20 11:56 AM
in reply to: #349808

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Subject: RE: Does PF ever actually go away?
I had it for 8 months after very badly spraining an ankle. I tried everything and the only thing that cured me was a pair of orthodics in my walking and running shoes. Wear them every day, hasn't come back in 2 years.
2006-02-20 1:51 PM
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Subject: RE: Does PF ever actually go away?
Biggest help I found was night splint.

Worked wonders to get back on my feet. I still use it on occasion when I over do it. The splints use lowers the pain level again within a few days.


2006-02-20 2:54 PM
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Subject: RE: Does PF ever actually go away?
PF does not go away. The pain will go away, but it could flare up at any time. The tissue will always be there, just take the extra measures needed to make sure it does not get irritated
2006-02-20 3:08 PM
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Subject: RE: Does PF ever actually go away?
I had a case of PF once back in fall of last year. I think it lasted altogether 5 days or so. Yes, it did eventually go away. But the level of pain didn't decline until 4th or 5th day. I remember I had to wear beach sandals to work for a couple of days.
2006-02-20 3:26 PM
in reply to: #350053

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Subject: RE: Does PF ever actually go away?
I've had it for about 2 years now. I went to my physician and he introduced me to a specialist who took a cast of my foot and made me orthotic insoles to fit in my shoes. I wear them in all my shoes, except for the shoes that I do sports in: (running, cycling, soccer, etc.) The othotics have worked wonders and the pain is very minor. The only time I get the pain now is if I go without the insoles for a couple of days straight.

However, one thing with me is that I weigh 220 lbs, which is one reason for my PF. But, my doctor told me that the main reason for my PF is by walking in steel shanked boots all day on a concrete floor. He said that just wearing construction boots on a concrete floor for 8 hours a day is enough to cause this condition.

My advice is to get some orthotics made for you and you will see the pain subside.

It definitely has not stopped me from training at any time. Not much will deter me from that.
2006-02-20 8:30 PM
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Subject: RE: Does PF ever actually go away?
Although I hate to be the bearer of possible not-so-nice news, but cortisone shots were the only thing that worked for me. You have to be careful, and they are very painful, but they worked for me when all else failed. Just a suggestion.
2006-02-20 8:35 PM
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Subject: RE: Does PF ever actually go away?
I have to say no. I do believe that some people are pre-disposed to PF. Stretching, losing weight, ice, NSAID's and massage help reduce it greatly. I have had a real bad time with it over the last year.


2006-02-20 9:09 PM
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Subject: RE: Does PF ever actually go away?

I've had it pretty steadily now for nearly 2 years too.  The thing that's helped the most recently is to change to a running shoe that is the most comfortable that I've had in those 2 years, the Saucony Hurricane7.  I think a GOOD orthopod and a top quality running shop with knowledgeable sales staff can put you in the right shoe, possibly with inserts too, but it will take some leg work (sorry for the pun...couldn't resist).

 

 

2006-02-20 11:56 PM
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Subject: RE: Does PF ever actually go away?
Cortisone shots, prescription anti-inflammatory and OTC arch support inserts (by New Balance, they're awesome) did the trick for me. I was running again in about two weeks. Now if the achilles would just heal. Also, never go barefoot, especially in the morning, until you are healed. Wake up and put on the arch support shoes before you get out of bed, so you won't mess up whatever healing you did overnight. I find that doing some calf raises on the curb before running helps keep me pain free, but that may be the achilles I'm helping, my pain kinda runs together down there.

BTW, they sprayed some kind of freezing liquid on the injection site before the shots and it didn't hurt at all. The freezing hurt worse than the shot, but very tolerable.

Edited by donmck 2006-02-20 11:59 PM
2006-02-21 9:53 AM
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Subject: RE: Does PF ever actually go away?

I dont know I had it over a three month span about a year ago and have not had an episode since. any time Im walking around and feel the slightest twinge that reminds me of PF I hit the calf stretches and soup cans just to be safe but I can say for me its gone away.

Now ITBS for me is another story.



Edited by soupaman 2006-02-21 9:54 AM
2006-02-21 10:56 AM
in reply to: #349808

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Subject: RE: Does PF ever actually go away?
This PF analysis is starting to remind me that youth is slipping. It's a good thing that work outs help to keep us young, but I digress. I just bought the Strassburg sock (thesock.com) and have been wearing orthotics which have helpled some. I've decided to run a track session tonight, and see how my foot feels when I wake up tomorrow. My PF hasn't completely gone away, but I've missed running.
2006-02-21 11:07 AM
in reply to: #350053

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Subject: RE: Does PF ever actually go away?
agaliza - 2006-02-20 10:32 AM

Okay, I think I'm convinced that it's okay for me to start running again. I'll start off by doing 20-30 mi. week or so, and see how my heel handles it. I've just had an itch to run the last few weeks, and I need to scratch it.


Be carefull of doing too much too soon. It seems like the trick to getting over PF is to rebuild strength in your foot very gradually. If you go too hard, the area is re-injured and inflamed, you have to get off it, and the PF cycle starts again. Do run though, or walk, or just some light and easy stretching exercises. Do whatever you can manage without aggravating the injury too much, so that your foot doesn't weaken or tighten up any more than necessary. Use ice afterwards.

Edited by Micawber 2006-02-21 11:23 AM


2006-02-21 12:06 PM
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Subject: RE: Does PF ever actually go away?
I have had it for 11 + months now. After seeing a sports med orthopod and doing all the stretches and wearing a night splint, I still took about 2-3 months off from running.

Started biking instead. 2-3 months later started walking/running for 15-20 mins. It was chronic and it has never quite gone away. Ran very little. Biked allot last season.

This fall started I swimming a bit and still only run 2 X / week and mostly on a treadmill for 25-35 mins. I bike indoors 2-3 times per week. Now I'm gearing up for my first tri. There was a silver lining in that dark PF cloud for me!

In the past 3 weeks I have noticed the PF has made a big improvement, it's seems like it is healing quickly now. It may be just time healing it or time plus the stretching.

The one thing I found that seemed to help me turn the corner on PF was, rolling an ice bottle under my foot as soon after running as possible; and following that up with using a tennis ball to stretch it. I also use the tennis ball 3-4 times a day for as long as I can (15-20 mins). It helps that I sit at a desk all day.

Good luck and be patient. Stretch, ice, massage, and gradually increase your mileage (less than 10% per week). I'd say no to cortisone.
2006-02-21 12:10 PM
in reply to: #350931

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Subject: RE: Does PF ever actually go away?
rjd04 - 2006-02-21 1:06 PM

I have had it for 11 + months now. After seeing a sports med orthopod and doing all the stretches and wearing a night splint, I still took about 2-3 months off from running.

Started biking instead. 2-3 months later started walking/running for 15-20 mins. It was chronic and it has never quite gone away. Ran very little. Biked allot last season.

This fall started I swimming a bit and still only run 2 X / week and mostly on a treadmill for 25-35 mins. I bike indoors 2-3 times per week. Now I'm gearing up for my first tri. There was a silver lining in that dark PF cloud for me!

In the past 3 weeks I have noticed the PF has made a big improvement, it's seems like it is healing quickly now. It may be just time healing it or time plus the stretching.

The one thing I found that seemed to help me turn the corner on PF was, rolling an ice bottle under my foot as soon after running as possible; and following that up with using a tennis ball to stretch it. I also use the tennis ball 3-4 times a day for as long as I can (15-20 mins). It helps that I sit at a desk all day.

Good luck and be patient. Stretch, ice, massage, and gradually increase your mileage (less than 10% per week). I'd say no to cortisone.


Thanks for the tips. Everyone. I'll probably avoid the cortisone shots also.
2006-02-21 6:27 PM
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Subject: RE: Does PF ever actually go away?
I"ve had about two bouts of it, about 4 and 8 years ago. Stretching (rolling on a tennis ball/soda can), ice massage, shoe inserts (superfeet, not custom) all helped, but I think the biggest help was the night splint. It still hides under my bed & I pull it out once in awhile. I notice an immediate difference (i.e. better the next day) when I wear it. Some times I can only stand to have it on a few hours before I get creepy crawlies in my legs and ditch it in the middle of the night. I have learned to habitually prop my toes in my sheets so that my ankles are about 90 degrees while relaxed which lets me stretch durign the night, but still keep from tightening up.
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