jennydrake’s AchillesBlog

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Hi! How are you doing now? Does it still hurt? I had plantar fasciitis about 2 years ago and indeed, it was really painful. I had stem cell treatment with my ortho surgeon, who specializes in sports injury, Dr Purita, and it went well. I said bye bye to pain 3 weeks after my last session and I went back to running again after that…

You must be doing something right if you don’t need PT. Pretty awesome that you can start ballet too–pointing, releve will no doubt be good therapy. Thanks for the update and good luck!

This actually answered my downside, thanks!

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Your psoitng really straightened me out. Thanks!

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Appreciation for this infromiaton is over 9000-thank you!

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Looks pretty good. I’m still a ROM wimp. Even post-op, most people eventually get as much as they need (unless they were repaired way too short), and a few get too much and “heal long”, likely from over-stretching on purpose or by accident. Gradually learning to walk more normally is a great way to recover DF ROM, IMHO. Add some ankle wiggling while seated, and you’re golden!

So 4 things help plantar fasciitis according to the PT I work with: stretching the calf, strong anti-inflammatory medicine, PT for foot intrinsic muscles (picking up marbles with toes, towel crunches with toes, etc…), and good insoles with a healthy amount of arch support. That can mean orthotics from a PT/podiatrist or semi-custom insoles like superfeet (on amazon).
Hope that helps. There may be other stuff but that’s what is proven with research.

Thank you for the suggestion! I switched to crocs and it did seem to help. Now I have 3 pair of shoes that I rotate through including crocs, depending upon the Foot Humor at that moment.

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Thank you for your kind comments. I have just published another update and will have yet another on Monday.

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21/2 years ago, I ruptured both Achilles at the same time and when I came out of the boots, I had severe PF and also heel pain that felt like a bruise. I took to wearing crocs, birkenstocks and orthotics religiously indoors and out. It took awhile, and although my feet do get fatigued after awhile, I virtually no longer have the foot pain.

March 25 I got out of the cast and into a walking boot. It does not have heel lifts. I can walk (indoors) all I want in the boot and 2x/day I come out of the boot and can walk in running shoes. The running shoe walk is igniting PF. the pain is NOT along the bottom of the foot, but (according to the GP) at the “trigger points’ and it is burning, searing, relentless pain. It does not improve with exercise. The more I try to roll my foot and use it correctly–the worse the pain gets. Again the pain is in the SAME foot as the Achilles injury.

When it is really ignited it will hurt to touch the two spots involved. One is on the inside, below the ankle bone, where the soft tissue meet the foot sole. This is the spot that screams the loudest. The other is on the outside, below the ankle and an inch forward–again where the soft tissue meets the foot sole. The resting pain is on not on the bottom at all, but is made much worse weight bearing. When it gets good and mad, the pain is on the bottom of the foot just below those side spots.

Obviously the Achilles rehab is the main goal here, so I can’t just *stop* and rest and I am supposed

Hi, I had severe PF on the (other) foot. You can imagine my gait pattern at the time!! first of all, is it definately PF. I had heel pain when the cast was taken off but it was a different kind of pain. The heel pain when the cast was taken off was more due to dissuse/wasting. I got a pair of crocs as per Norms advice and it disappeared within a few days. Crocs in the house and inserts with sketchers shape ups/fit flops or similar outdoors. With PF, the heel was painful to touch in a specific spot. It was like walking on glass. I had an ultrasound scan which showed thickening of the fascia - mine was around 50% thicker than the other side. I did the exercises religiously but I don’t know if they helped as I have nothing to compare it to. As I wasn’t wearing the boot on the PF side, I ended up with a splint called a strassburgh sock which really helped, more than the exercises in my case. I finally had an image guided steriod injection. Interestingly splints for PF prevent the foot from going into plantar flexion overnight so I think you really need to know if you definately do have plantar fasciitis rather than heel pain due to diss

This is pretty common because your achilles and plantar fascia are very interrelated. Typically there are a few exercises and stretching does more than anything else to relieve pain, but since we aren’t allowed to heal long, we can’t stretch too much.
If you roll the bottom of your foot on a tennis ball that’s on the ground it may help. If your ankle isn’t up to that try taking a golf ball in hand and rolling it that way. I say golf ball because your hand can’t put as much pressure but the golf ball will help with that since it’s not as friendly to your plantar fascia.
I’m guessing there are other helps for this, but I’m new to the ATR side of it. Anyone else?

Jenny. WAY TO GO GIRL!!! My cast comes off this coming WEDNESDAY April 10th at 11 AM (4 days, 14 hours, 53 minutes from now) and although the past 3 weeks have not been that bad, I’m ready for it to come off. In the past week I get occasional swelling just in front of the hee inside the castl. I’m SOOO looking forward to soaking in a tub full of hot water and massaging the whole foot when I want to.

I really appreciate the detailed steps you provided for your daily rehab. I don’t think I’ll be able to get my foot flat any time soon as it’s been at about 30 degrees for over a month.

Prior to my “reinjury” I slept without the boot on at night - tried several nights with it on and could NOT sleep at all. Does anyone know of a lightweight “splint” that can be put on at night that would hold the foot at the desirable angle and provide the recommended support while also being “comfortable”?

Well, it would have helped if i had actually taken a picture!!! Turns out it is plantar fasciitis. Yes, ti is a stretch to get back in the boot, but I start stretching before I get out of bed, then continue before going into the boot. But the up side??? I CAN SCRATCH during the night!!! That eclipses every inconvenience.

No help here on the “fire spot” — though I can’t see where you’re pointing.
Do keep resting, elevating, and icing (and maybe compressing too) to control the swelling.
The only downside of sleeping bootless is that your AT & calf can tighten up overnight so it’s a stretch to get back to neutral in the boot. And since it’s still fighting the stretch when you put your full body weight on it, it’s a serious stretch.

Good luck, Jenny. I think most boots are as protective agains rocks and such as most FG casts. But both are WAY more protective than a shoe. Soon after I got into 2 shoes this 2d time around, I walked around my sailig club, which was covered in big hard pine cones — not the square ones we’ve been discussing in a (very) different context, but still SCARY. No reinjury, but I was very nervous — fearful of “ordinary” twisted ankles more than AT injury. (All the muscles etc. that stabilize the ankle in all directions are weak and “rusty” after immobilization, even with a quick protocol like UWO. We all assume it’s even worse with slower rehab.

Hey Normof thenorth,

You did not miss any posts–I just uploaded the blog to this site yesterday.
I don’t know for certain, but is suspect one reason the Dr. has kept me in a cast is where/how I live. I am on a farm with VERY steep hills and soil that grows great rocks. LOL! There is no level ground here and no pavement. So there may be a greater likelihood of my taking a tumble and being injured in doing so.
Yes, I am in week 10 of “helpless” and minimally productive–though I have done a good bit of long overdue computer work..
The cast comes off on Monday, March 25th! I can’t wait!!
Jenny

I’m not sure how I missed your late-Feb blog posts, Jenny, but I think I’ve caught up now. I’ve had 2 ATRs, both sides now, 8 yrs apart. Both were totally pain-free apart from the first moments, the discomfort from swelling, and the week of post-op moaning and groaning after the surgery for ATR #1. I skipped the surgery for ATR#2, so it stayed pain-free. (And let’s just say that if Christ arranged my lack of pain, it would be Very Ironic!)

BTW, I’m not sure you’ve noticed this irony, but: virtually 100% of us here who tore our ATs by over-stressing them, were ABSOLUTELY SURE that somebody had stepped on or kicked the back of our leg, but nobody had — and that apparently really happened to you!! First time I’ve heard THAT story, and it’s a real switcheroo!

Your Surgeon reminds me of mine back in 2001-02, ATR #1 — conservative, old-school, set in his ways. He did mostly hip and knee replacements, thought he could treat an ATR in his sleep, and treated me like a geezer (at ~57), rather than a competitive volleyball player who wanted to get back on the court — and the small sailboat, and the bicycle, etc. He was a fine fellow a

Don’t Stop, Jenny!

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