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Edited on Wed Jul-15-09 05:56 PM by mike_c
First, have you been to an orthopedist? If not, I strongly recommend it. Let me tell you my story. It has a happy ending, I think.
I've been struggling with foot pain for five or six years. It's gotten progressively worse. I've been to podiatrists, GPs, physical therapists, and most recently, an orthopedist. Last year I had to use a cane about 50 percent of the time, and have been terribly restricted for the last several years. I used to be a runner and distance hiker. For much of the last several years it was all I could do to walk around the block, and that was only on good days. I'm talking debilitating foot pain. Sounds like you know that part of the story.
It was diagnosed as a variety of things, and I have occasional gout, which made diagnosis even more difficult, since "Oh your gout is just flaring up" was such an easy response when I'd end up in the doctors office begging for some relief. But when it was clear the gout was under control, the next most likely diagnosis was PF. The symptoms are completely congruent with PF. My arches DO pronate terribly when under weight, so I wear PowerStep insoles in all my shoes. Ice helps. The pain mostly moves around the underside of my feet, from heel to ball, and I get tendonitis in other parts from the resultant gait problems.
After YEARS of no relief, my GP finally referred me to an ortho a few weeks ago, who took x-rays, spent five minutes measuring my joints ranges of motion, and ruled out PF except possibly as an intermittent response to strain, certainly not likely to be chronic. His diagnosis-- remember, half a dozen different docs have been diagnosing and treating me for PF for years-- was "Achilles contracture," essentially tightening of my Achilles tendon. He prescribed another round of physical therapy, this time focusing on stretching my Achilles tendons. The physical therapist has gone even further, working not only my Achilles, but also my calf muscles and some scar tissue on the back of one heel from an old surgery.
I've been to SIX PT sessions, and I'm 99 percent pain free as long as I do my daily stretches as well (and I suspect the remaining percent or so is just from long inactivity). I'm walking better than I have in YEARS-- the PT guy showed me how bad my gait had become, and it improved dramatically after the FIRST session. At first the pain would return after a day or so, but now it's completely gone-- but I do have to do prolonged stretches three times daily. Remeber too that I've had PT previously, specifically for PF and gotten only minor (and shortlived) relief.
I was VERY skeptical about this latest diagnosis. It did not sound even remotely possible that "stiff calf muscles" could cause the range and severity of feet symptoms I've suffered with for years. I'd given up any thought of ever hiking again-- now my PT guy assures me that I'll be hiking again soon, and I believe it. The change has been that dramatic.
My advice, see an orthopedist, and if he/she doesn't mention Achilles contracture, ask whether it might be a factor in your case. My ortho says it's not a textbook diagnosis, but that he's seen it over and over in similar cases, and I can personally testify that the results are AMAZING.
Best of luck to you, my friend!
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