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    Includes Expert Content
    Plantar Fasciitis
    Timothy01 posted:
    Good Morning! Plantar Fasciitis. A quick bio - Retired Marine 26 yrs. During that time really
    never had a sports related injury. I was (am) distance runner, 5 marathons,
    countless shorter races. Don't really know how I developed this injury I had
    done nothing that would tell me, "That's the incident or action I did to get this
    injury." Been to Doctors, read a ton of material on the subject and as I write this
    my feet are on 2 plastic water bottles that I froze. I'm on my feet a good deal
    of the time with security work. I wear good shoes (NB walking shoes) But as I have
    combated this now my shoe wear pattern is not normal. Wear to the outside heel
    of the shoe is common and in my mind shows a proper wear pattern. Now my right foot
    wear is correct, but the left wear pattern is on the inner heel of the left foot.
    Shoe inserts, xrays, more inserts. Now that my walking stride is causing my hips
    to hurt, foundation is the key but I can seem to come upon the elements that
    would correct my problem. Need a lttle advice, or this is what I did and it's
    better. Any advice, remedies, or devices used would be appreciated! Thanks! Tim (sorry for the length of this explaination))

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    Blake Boggess, DO responded:
    Have you been using custom orthotics or just over the counter orthotics?
    Timothy01 replied to Blake Boggess, DO's response:
    I have been using both, store bought very little suppport, custom a bit better, but when I'm on my feet a lot, they have a tendency to make the arch of my foot sore. That then creates a whole new problem feet swelling. I have worn the foot braces at night (Keeps the ankle 45 degree angle) My Doctor here told me in no uncertain terms wear shoes at all times, you can't go barefoot it will only stretch out the tendon more.
    David Berkoff, MD responded:
    Plantar Fasciitis,
    Can be a real pain in the foot. Good news it is typically self limiting but can last a year or more. Treatment starts with stretching, ice, orthotics, night splints. From there some docs will try a steroid injection (I am not a big fan of this) There are other treatments like Graston which a physical therapist can do that might help. In my clinic we also have begun using platelet rich plasma for this with very good results. Some docs also do prolotherapy for this which has decent outcomes as well. Last resort to me is casting and if this does not work you can always find a surgeon to operate. I would exhaust all my options before I took the knife as typically we can get nearly everyone better eventually.
    Timothy01 replied to David Berkoff, MD's response:
    Yes Sir I have been doing all the things you just spoke of. Ice, stretching, night splints, and orthotics. Which I have many pair which depending on the shoe, I have to find the correct pair or I'll be in a world of hurt for 8 hours as a Security Guard, I would like both you and Dr Boggess to hear that I have read that in some cases motion control work shoes and running shoes have been of some help. If you looked at the bottom of any pair of shoes I wear, typically (for the normal person) the wear region is outside back heel. My right shoe is correct but the left is rear inside of the heel. Which to me means a motion control problem. Does that sound close correct? If so, do you think the motion control shoes might be of some help? Shots no, they mask a problem they don't heal or cure a problem.
    Blake Boggess, DO replied to Timothy01's response:
    I agree and would try a pair of motion control shoes especially since you are on your feet so much. I rarely will do a corticosteroid injection after all other treatment options have been exhausted.

    Another treatment that I have seen to work that has not been mentioned previously is PRP or platelet rich plasma. This is an injection that concentrates the healing factors from your own body.
    Ezrida responded:
    I am also running and I am dealing with plantar fasciitis for more than a year now. There are many more things you can do to treat your PF, more than mentioned above. But I understood that treatment efficiency is very individual. If something works for one it may not work for the other.
    Did you try Taping? I have found it very useful. Taping will keep your foot from getting injured again and will help you get through your daily routine. There are a few Taping techniques you can find in YouTube - just type "Plantar Fasciitis Taping" in YouTube search.
    I also found a very informative website in:
    Take care & Good luck
    Timothy01 replied to Blake Boggess, DO's response:
    Sir I will look into that treatment.
    Timothy01 replied to Ezrida's response:
    Thanks! I have read about taping but never used it. I will give it a try! Thanks for the Web Site also. I'll take a look at that!
    BeppieStark replied to David Berkoff, MD's response:
    I have bursitis in the ball of my foot. Many of the treatments you are discussing for plantar faciitis are the same as were reccomended for me. Are the plasma injection and Graston also preferred treatments for bursitis?
    David Berkoff, MD replied to BeppieStark's response:
    I am not a believer in PRP for bursitis although some docs would disagree with me. Graston may help. Where in the ball is your bursitis? Do you mean a sesamoiditis?
    daflash responded:
    I had it last year. Got a pair of half-sole shoe inserts at Target. Stretching achilles tendon (calf muscles) after foot is raised for a length of time(after sleeping or resting) helped relieve pain. Pain eventually left after 6 months.
    Diagnostician responded:
    2 things jump off of your page. The left shoe has an abnormal wear pattern and your hips are now hurting also. I agree that starting with a good foundation is paramount. But what about addressing the cause of the problem rather than working around the issue with braces, orthotics, $130 shoes every 3 months, and frozen water bottles? Your post is old. I will monitor my email to see if your discussion is still ongoing and respond if I hear from you.
    mythteacher replied to Blake Boggess, DO's response:
    Although this posting is old, I'm new to this. My husband has suffered for the last 2 years with plantar fasciitis. He has tried steriod injections, ortho special shoes, ortho inserts, store inserts, many different types of shoes, stretching exercises, medical patches, charcoal patches, ice packs, massages, physcial therapy (1 year ,3x weeekly) but he still has severe problems to the point that at the end of the day he can barely walk. He is an electrician (owns company) but drives much of the day- job to job sites.We are at our wits' end and don't know what to do next. Any suggestions?

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