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plantar faciatis

James Barrett Knowing you will DNF sucks hello all dont post very often..mostly lurk and sponge up all the information you all deliver but i just wanted to say that knowing you will not finish really hurts..i have been training EN style shortley after my finish of the ST George ironman! I have signed up for the silverman 1/2 and a fun olyin Oct and Nov...I have been batteling Plantar Faaciatis badly in my left foot now for almost 3 months...I have had 2 cortozonne shots..2 doses of streroid perscriptions...have been icing and stretching..no running (only eliptical)..wear orthotics...changed shoes..and even stood down on any form of running for 10-12 days during this treatments..still having issues altough not as bad ..i have come to the conclusion that i will not be able to complete my oly nor my half ironman in nov..but do except thay i will still hit the swim and the bike extra hard and accept my DNF with grace(shit)seeing i already have commited and money/time is already spent...any suggestions from the wicked smart people...special taping procedure something....anything thanks for listening James

 

Comments

  • James: Sorry about the DNF. First, I'm not wicked smart---more remedial. I had PF too. I ended up not running for about 3 months and the problem did not go away. I ended up going to a local sport med doctor (an athlete). He sent me to ART (active release therapy). Frankly I thought it would be hookie--but it really worked extremely well. It is painful, and I'd break into a sweat as they worked on me! As part of this they had me do tons of stretching and strength training on my calfs and legs. They gave me a medical boot to wear at night.

    After about a month of this, I started a walk to run program. Really simple:
    1st session 1 minute run, 9 walk
    2nd session 2 minute run, 8 walk
    3rd session 3 minute run, 7 walk.... you get the idea.

    I rolled my the soles of my feet with a golf ball while watching TV. Also the Sport Dr sent me to an in house podiatrist--who looked at orthotics for me. He determined that I did not need custom orthotics, but could use inserts off the self.

    This worked for me...so sample size of one.
  •  x2 on ART.

    Also check out Leigh Boyle's info on self massage ;http://www.athletestreatingathletes.com/

    She has a part on the foot and calf. Also on chronic injuries, how occur etc. Great info. check it out. 

  • all good stuff
    thanks for your advice and links...I have not ...did not finish ///yet but was preparing myself for the possible if not probable outcome
    I will definately look into the ART as i have heard good things before...
    thanks again
    James
  • James--One other thing I thought about is aqua jogging.   I had a friend who did this as the sole form of running before a half.  I think there are a couple of article on this on the forum. 

  • James,
    coming in late.
    have you stretched your gatsctrocs and your plantar fascia - BOTH?
    you should also ice your plantar fascia after every run. there is an element of inflammation in plantatar fasciitis
    -hb

  • I had a different version of this conversation with Coach P Friday nite over copious tapas and a couple libations.

    Not everyone fits in a box. Some call it the 80/20 rule. In musculoskeletal care 80% get better with very generalized care. The other 20% need very individualized approaches...some may not resolve. That said, I would 2x www.athletestreatingathletes.com.

    ART is no joke IF applied properly. Graston can also be effective but on some of the deeper structures it loses it's efficacy.

    Where do you live?
  • so it sounds like you've only had shots, meds and rest. what have you done to actually dig out the injury and loosen it up.

    strongly strongly recommend you get some PT. let them dig it out, tape it up etc. PF is a dynamic injury. most people treat it structurally versus functionally (meaning that they go the traditional RICE route and add orthotics etc instead of working on the muscles that broke down first to shift the workload squarely to the PF). 3 months in, you're whole lower leg needs work. A PT will tape it for you and address the soft tissue/muscle problems. They'll also be able to tell you where its coming from so that you can balance things back out.
  • I also found the Strassburg sock to be really helpfull

     

    http://www.thesock.com/

     

    Hope it helps you!

  • Hi James,

    I have also had mild to moderate plantar fasciitis for the past 4 months. I stretch, wear orthotics and sleep with a boot every night. Some days I have very little pain, but it won't go away completely. I work in the OR at an orthopedic surgery center and one of the ortho surgeons suggested I get a PRP (platelet rich plasma) injection into my heel...it supposedly has a 95% cure rate for plantar fasciitis with only a 2 week downtime following the injection. However insurance may not cover it until it is more widely accepted. Once you've tried everything (ART, PT, etc.) without relief, you might want to consider asking your ortho about this new treatment.
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