Plantar fasciitis - recurring

Discussion in 'Health & Fitness' started by bharat, Nov 20, 2009.

  1. bharat

    bharat Rookie

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    i visited a doctor about a month ago for this and he gave shot to my foot. After 4 days the pain was gone and everything was great and I started tennis again.

    Now its been 1 week since the pain started again and when I called the doc he said he would give another shot to the foot.

    Just wondering if anyone else had issues with multiple shots.

    Also he charged me $450 for the first one and im sure this one will be another $450. So it would be great to hear from people who the second shot worked for.

    Thanks
    Bharat
     
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  2. jazzyfunkybluesy

    jazzyfunkybluesy Banned

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    Did you get this from playing tennis? Have you ever had this before? What kind of tennis shoes do you wear?
     
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  3. bharat

    bharat Rookie

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    Never had this before, i think its from tennis. So here's the full story

    I started about 2 years ago and about 2 months into tennis went out and got K-Swiss tennis shoes with very good arch support. I have a wide foot so its was either KSwiss or NewBalance and it picked the former

    Wearing K-Swiss for a couple of months I noticed pain in the shins and after some research on line found that its called shin splints. So consulted a doctor and he suggested I change my shoes.

    Then I got NewBalance Tennis shoes were nice but had less arch support than the K-Swiss ones. The shin splints almost went away.

    After about 1 yr I did not realize that my shoes were wearing out until i noticed this foot pain. Then looked at the shoes and got new ones (New balance Tennis shoes) but the damage was done and I have this now.

    it doesnt go away no matter what i do ... i learned to stretch before tennis ... working out my legs to build some strength .. got that shot ... wear a foot support thing when I sleep ... aleve,advil etc etc
     
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  4. jhp49

    jhp49 Rookie

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  5. scotus

    scotus Legend

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    More important than shoes are insoles.

    For $450, you could get a nice pair of orthotics designed for sports from your foot doctor.

    I am glad the cortisone shot worked for you the first time around. But cortisone shots tend to be less effective once the condition turns chronic.

    So I would suggest that you get a pair of orthotics right away. Take a little time off tennis. Buy a pair of overnight splints. Ice your feet and stretch religiously. And most important of all (in my case at least), ask your doctor for prescription for Voltaren Gel.
     
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  6. blastforehand

    blastforehand Rookie

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    The top of the line New Balance 1004 model shoe has a fabric that wraps around the central part of the foot and is tightened via the shoe laces. This seems to be helping my plantar fascitis quite a lot.
     
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  7. chess9

    chess9 Hall of Fame

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    Some great advice above. Here's a small tip that might be relevant for someone here. Now that I'm recovering from golfer's elbow, I'm lifting a bit more and doing calf raises. I noticed on Tuesday that my left foot was bothering me a bit the day after doing some very heavy calf raises. It seems the exercise tightens the calf, achilles tendon and plantar fascia, causing pain. Soooo, I spent the next two days doing some easy stretching and it's gone now. I ran 3 miles today without any pain as well.

    -Robert
     
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  8. Topaz

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    I had PF for about two years...I never had a shot, but I went to a soft tissue specialist and received active release therapy (ART) on that foot. Painful as hell, but it worked *for me*.

    I was wearing New Balance when I started having the problems. Will never, ever wear them again. I also use a plain, Dr. Scholl's insert in all my athletic shoes. Many people have posted saying they have had great success when using the green Superfeet insoles.
     
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  9. bigfoot910

    bigfoot910 Rookie

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    The best thing I have found is a combination of orthotics, muscle/fascia stripping and stretching (using Graston technique, gua sha, ART, or some other technique), and ankle stabilization exercises.

    I found that I could get this combination at the chiropractors office. There may be another healthcare provider that will put together a treatment protocol like this (the total approach will help get rid of this quicker and keep it away better as opposed to individual steps), but this is what has worked for me and the people I have treated for it in the past.

    Hope you get to feeling better soon!!!
     
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  10. bharat

    bharat Rookie

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    Thanks for the help guys, this forum rocks!!

    I canceled my doc appointment (becoz the doc said all he can do is give me another shot) and got myself the Dr. Scholls heel pain relief insoles. I must say these are much better, if only I saw them a couple of months ago ... would have avoided the 450 I gave to the doc for that stupid shot.

    These are the ones I got at Walgreens

    I suggest anyone with PF to try these before going to the doctor. I also switched back to my K-Swiss shoes which have a lot more arch support than NB.

    Hope the PF will go down completely and I can go back to my normal tennis. I noticed that I have changed my footwork etc to accommodate the PF pain.

    Again, thanks for your inputs.
     
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  11. jrod

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    ^^^ If the problem persists even with the added after-market insoles, you really should consider seeing a podiatrist. Sometimes the problem is not entirely addressed by after-market products and occassionally they can aggravate the problem or potentially cause other problems. This happened to me and my problem was finally resolved with custom insoles.

    Also, you could likely benefit from doing specific exercises to help alleviate your PF pain and continue to do these after the PF goes away as a part of routine maintenance.
     
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  12. Gemini

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    I definitely agree with the use of orthotics. I got PF right out of college for the first time. I was wearing the Nike Air Zoom Beyond at the time which had very little if any arch support. That's when I first felt the pop in my right foot.

    After being diagnosed with PF, I started wearing orthotics in all my shoes along with stretching, ice, rest and some stabilization exercises for my ankles. It didn't make my PF go away altogether but the pain is a lot more tolerable than it was for the first few months after injurying it.
     
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  13. Rule26

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    Heal pads genrally soften the pain for PF. Heal Spurs and shin splints may be caused by not getting enough arch support. Whether you pronate and / or supinate would be reflected on how a specialist builds up the orthotics. In terms of a layman's guess - do you wear out the outside or the inside of your shoes first? If you wear out the outter part and have high arches you would be a very strong candidate for orthotics. Even with the orthotics the combination of high arches and supination requires that you monitor the wear of your shoes and the placement of support. Width helps but if the soles of the shoe use less flexible (more rigid) supportunder the arch, the shoes will work against you once they wear out regardless of brand.

    I have tried K-Swiss, New Balance and Wilson, and Nike.

    By brand - they all seem to favor adding reinforcement to the inside instead of the outside - On a given year I try to find out which of their models fits this requirement (for myself)

    K Swiss are the spongiest but within a month they were shot.

    New Balance was great but they put in this "cross-stabilizer" which is great for pronators and was bad for my supination.

    Nike's - City was in between K-Swiss and New Balance in comfort and fit (for me) seemed to be good but lost it's rebound about as quickly as the KSwiss.

    Wilson's Tour which seemed more rigid, kept it's "bounce" the longest.

    Back to New Balance - I liked them more than the Wilson's when I first used them but once the Wilson's broke in, they felt like they were better fit of the two.

    Myself - I'm still trying to figure out which one is best for me. But hope that gives you something more to start out with.

    New Balance has been rumored to look at upgrading their image in Tennis Shoes.

    Orthotics have definately helped me.
     
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  14. Topaz

    Topaz Legend

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    Those are the ones I use! Have them in both my tennis and my running shoes...I hope they work out well for you as well!
     
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  15. larry10s

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    new balance 1004 or 803???
     
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  16. skraggle

    skraggle Professional

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    My PF cure:

    Had it BAD in left foot a few years ago. Did ice, stretching, rest, you name it. Nothing worked.

    Started wearing Superfeet green in all shoes, and using them on top of generic drugstore gel insole in tennis shoes.

    Now feet are totally healthy and I'm back to my plodding speed. Will never play without this combo again.

    Hope this helps someone...
     
    #16
  17. ilovecarlos

    ilovecarlos Professional

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    I also had a bad case several years ago. On top of that I also had something called Morton's neuroma in the base of several toes on my left foot. Ouch. Made my whole foot just ache...a deep ache that lasted almost 8 months!!! I found that there are certain shoes (besides atheletic) that I really must not wear. Flip flops are a huge no no as are slide sandals. Good luck. When you're feet hurt, life's a *****;)
     
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  18. gflyer

    gflyer Professional

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    I had similar problem last year.
    The doctor saved me with very simple suggestions.
    First, he suggested to play with heavier shoes with more shock absorption (I was playing with very light asics shoes).I use nike courtballistec 1.3 now.
    Then he prescribed superfeet green insoles.
    Last he suggested stretching exercises.
    Believe it or not my p.f. went away in few weeks (less than a month).
    I play ~4 times/week for 2-3 hours and the pain never came back.
    Good luck.
    g
     
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  19. Rule26

    Rule26 Rookie

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    double post - corrected
     
    Last edited: Nov 23, 2009
    #19
  20. Rule26

    Rule26 Rookie

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    1004's


    Also to note: per instruction of Dr.: I remove the factory inserts and replace them with flat, soft inserts, then the orthotics go on top of them.

    So by my set up, the dynamics of the shoe change change favorably in the shoes that have a higher instep

    For me it's the damage done by wearing the shoes when the shoes wear out.

    I used to wait for the tread to wear through, now I keep a couple pairs going, with a replacement pair - ready.

    Will possibly be trying the NB 782's, the Addidas Tours, and new Wilsons soon.

    $250/yr vs $1000 in medical & not playing for 3-6 months.
     
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  21. WildVolley

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    I had plantar fasciitis for a brief time - about two weeks. I used rest, stretching, and considered a night splint, but instead just propped something below my feet to keep my foot in the proper position.

    Since then, I've been trying to strengthen my feet by going barefoot and exercising without shoes. Has anyone else tried this? It is working so far for me.

    A healthy foot usually has an arch and it doesn't need support to stay in place, just the muscularity and ligaments of the foot. When going barefoot is hard on my feet due to hard surfaces, I try to wear my Crocs as often as possible, as they don't press or support my feet and have only mild arches in them. When I can, I also run barefoot on the beach and walk in deep sand to exercise my feet and toes.

    There's a growing movement of people advocating barefoot living. They believe that overly supportive and cushioned shoes encourage poor mechanics of stride and impact and encourage the foot to become weak. I partially believe this, but I still rely on quality shoes when I play tennis. After I'm done, however, I switch into my Crocs quickly.
     
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  22. Fedace

    Fedace Banned

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    Yea One shot doesn't work usually. It takes multiple shots but there is no garantee that will cure it either.. Do you already have custom molded Orthotic that costs ~$500. ??? People tell me that is the best way to go. I had my PF for 7 month now...
     
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  23. Jim A

    Jim A Professional

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    You can find my prior posts on all of this. In a nutshell

    ART worked very well for me, and stretching, etc has done quite a bit to keep it at bay

    There are a million things that will just relieve the symptoms but not treat the cause.

    shoes that have a higher heel will take pressure off the achilles but also result in it shortening

    look into ART, constriction/dilation therapy for the soleus (cause of most PF issues), eccentric stretching for the calf, etc solve the issue also t p therapy dot com

    of course you can always spend a ton on orthotics, etc, but for me it was 3 ART sessions, some massage a couple times a year when I need it if I'm not taking care of myself and the right shoe for the court (for me its Nike, the MaxAir works well although I think T22 by Prince and the Head Radical Pro would be goo fits as well)
     
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  24. larry10s

    larry10s Hall of Fame

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    what is ART?
     
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  25. Topaz

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    ART - active release therapy.
     
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  26. fba0861

    fba0861 New User

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    I've had plantar fasciitis for several years now. Most probably due to my weight (5'-4", 190lb). My feet just cannot handle the stress.

    Since I started using the Dr. Scholls inserts on ALL my shoes. The pain was greatly reduced but has not gone away completely. It usually shows up when I wake up in the morning. But goes away after I have done some stretching on my calf.

    Bottom line is that PF is a condition that needs constant attention. No amount of shots will make it go away.

    I am tempted to try the new barefoot walkers by Vibram, but find the cost too prohibitive.

    http://www.vibramfivefingers.com/barefooting/barefoot_running.cfm
     
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  27. WildVolley

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    In your case, the most obvious solution would be to drop some weight, but for many people that's easier said than done.

    I have a pair of the Vibram KSOs. They definitely offer more protection than going barefoot, but they aren't particularly quick or easy to put on. When I'm on the beach, I just go barefoot and watch for rocks and shells. If I'm training on dirt or paved surfaces, I use the Vibrams.

    I'm a believer in strengthening the foot, but if you still have pain, you need to go slowly.
     
    #27
  28. chess9

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    Are you guys buying the Dr. Scholl's out of the machine that tests your foot's structure? The ones that sell for about $50? How are they?

    -Robert
     
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  29. Topaz

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    Nope, the ones I buy are just in plastic packaging...over the counter. I'm not sure I've ever seen one of those machines, but now I'll be on the lookout for them!
     
    #29
  30. dozu

    dozu Banned

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    walk away... no, run away from your doctor!

    if any part of your body hurts, it's telling you to either rest, or correct the CAUSE!, not getting a shot to mask the pain!
     
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  31. Fedace

    Fedace Banned

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    OK i finally got my 1st steroid shot in the foot. and it started working in 10 minutes and now i am pain free for the 1st time in 8 month. Lets see how long it lasts.......
     
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  32. Fedace

    Fedace Banned

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    OK man.... i got my shot and after few hours of sleep, it now feels 10X worse than it ever has. Now i can't even walk on it. Was this normal for you ???:confused:
     
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  33. chess9

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    It initially felt good because of the anaesthetic they gave you before the shot. Typically, after a cortisone injection, the area will be a bit sorer than before. This may last only for a day. Mine only lasted one day when I had my GE shot.

    -Robert
     
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  34. Fedace

    Fedace Banned

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    thanks dude, that makes me feel little better. it hurts like hell right now after the anesthetic wore off. How long did the shot work for you ? weeks or month or forever ???:confused:
     
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  35. chess9

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    I had my shot about 3 weeks ago, and my GE is 99% gone. I was supposed to hit lightly again today, but it rained. I play on Friday though. The shot seems to have done the trick for me, plus lots of rest, and some stretching. But, I'm several centuries older than you, so you should be fine soon. :)

    -Robert
     
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  36. Moz

    Moz Hall of Fame

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    My first GE cortisone took 7 days to stop being painful and worked for a couple of months. The second one took 5 days or so to stop being painful but never fully worked. That's the way with these things. It will eventually be money down the drain.

    With regards to PF. Another vote here for Superfeet (blue). They actually worked better for me than orthotics I had made - which incidentally were inappropriately thick and cumbersome for a sportsman.

    It sometimes comes back slightly if I walk for too long in a certain pair of shoes. I also had my feet done recently during a sports massage - it was agony. But it never comes back to the point it is a problem, but it's a constant reminder of the lurking danger. I know self massage using tennis balls.

    By the way - I never got problems running in racing flats or spikes where my mechanics are far better (I think your feet get lazy in motion control footwear).

    It's harder to be in control of your footstrike mechanics on a tennis court - I don't feel as though tennis shoe manfacturers pay enough (any) attention to the action of your feet - they are worried about looks, comfort and durability.
     
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  37. Jim A

    Jim A Professional

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    Good points Moz,

    I noticed some hip problems lately and realized a certain pair of dress shoes just needed to be tossed

    + 1 on superfeet and/or Sole footbeds, haven't seen the updated Dr.Scholls..but a high-end sport specific and often thin footbed can do wonders...

    sports massage is agony but when I leave the results speak for themselves...

    I also use The Stick, which helps get a bit deeper and working the muscles in the legs/feet..it's about $30
     
    #37
  38. skraggle

    skraggle Professional

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    I think the reason Superfeet have worked so well for me is that I wear them in every shoe I wear, not just my tennis shoes. I also use a gel insole in conjunction with SF in any shoe that can accommodate it. For me, it seemed that before my foot could heal, I had to give it consistent support at all times.
     
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  39. Fedace

    Fedace Banned

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    What is Superfeet ?? and also i was told to wear Crocs. What is a Croc and where can i buy it ?????
     
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  40. Topaz

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    #40
  41. skraggle

    skraggle Professional

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    Super feet are full-length insoles that have different support profiles based on different colors. I got mine at REI. Moz wears the blue, which are designed for more strenuous sport, and I probably should have gone for those. But my greens have worked well for me, and I'm not changing a thing with my foot plan.

    Crocs are weird-looking sandal/shoes that have arch support built in. Doctors and nurses wear them a lot because they're easy on the feet. You see knockoffs of them in drugstores an discount stores like Target and Wal-Mart.
     
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  42. Fedace

    Fedace Banned

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    so Crocs are shoes that should be worn at Home probably. My doctor said never go Barefeet even at home... is this what i should wear at home ?? and where do i buy them ?
     
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  43. WildVolley

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    Here's the Crocs website. www.crocs.com

    Crocs are the original famous closed foam shoes that are reviled by many for being ugly. I find them extremely comfortable, but I'm not sure how they'd work for your pf. While they have an arch support, they are not highly supportive in the traditional sense. Instead, the usual Croc fit is large (in the classic Crocs: Caymans & Beach) and doesn't pinch the foot at all. Think of them as comfortable rubber clogs.

    Personally, I find them close to being barefoot but with more cushioning. I use them when stringing or around the house, or when I go out and don't care what people think.
     
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  44. Fedace

    Fedace Banned

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    so does that mean i should buy the Flip flops instead ?? what are some of the best ones ??
     
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  45. WildVolley

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    If I were buying them for foothealth, I'd get either the Cayman in a muted color (these are the standard crocs) or the Prepair clogs or slides which Crocs is selling as an after-sport shoe for foot health.

    The advantage of the clog or slide style is that they can be worn either with socks or barefoot, and they are very quick to slip into. The Caymans can usually be purchased for around $20, so you wouldn't be out a lot of money if you found they didn't work for you.
     
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  46. Jim A

    Jim A Professional

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    Fedace you really need to do some research outside of the TT boards

    the worst thing you can do with PF is to walk barefoot, oftentimes med professionals will recommend sandals with strong support such as Birkenstock, a flip flop isn't much different than going barefoot...
     
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  47. Topaz

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    Actually...there is a lot of research out there now advocating going barefoot (in general, not as a specific treatment for PF)...our feet have been broken down in a way by the shoes that we wear. The idea here is that if we give them as much time as possible away from shoes, that the natural strength and support of the foot will be restored. Feet don't really need any help from shoes (barring any specific injuries/conditions).

    An interesting article regarding this train of thought:

    http://nymag.com/health/features/46213/

    Some interesting snippets from the article:

    Read more: How We're Wrecking Our Feet With Every Step We Take -- New York Magazine http://nymag.com/health/features/46213/#ixzz0XzOiAkSd
     
    Last edited: Nov 26, 2009
    #47
  48. Jim A

    Jim A Professional

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    Topaz, I agree and am aware of the ongoing move back to minimalism and for the most part think there is a good mix out there (not everyone needs Vibram Five Fingers, but some barefoot running,etc is good for the overall health of the feet)

    however for most people w/PF it exacerbates the issue, much like trying to do eccentric calf stretching when still injured

    My points to Fed is that while he seeks advice from the TT community it doesn't appear that he is really looking elsewhere for help (outside of the traditional doctor with a shot and $500 insoles) and while I like to help it feels like I'm doing someone else's homework
     
    #48
  49. Topaz

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    Heh, heh, that's the perfect way to describe it!
     
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  50. Fedace

    Fedace Banned

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    Exactly, my doctor me Walking barefoot is Murder 1 on someone that has PF. i will look inot Birkenstock and get a pair..... is that good sandals ??
     
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