Misdiagnosed Heel Pain

I've been seeing a lot of heel related topics here recently so I thought I would share my tale of woe and hopefully it will help some struggling with similar symptoms. I woke up one morning after a hard fought tennis match (no injuries or incidents of pain) and the back of my heel/achilles was stiff and painful to step on. I have never experienced this sensation and thought maybe I banged my heel into the ground a little harder than normal and that given a few days would probably go away on its own. After walking around a bit the pain went away completely as I "warmed up".

Over the course of a couple of weeks nothing improved and the pain wouldn't go away completely after stretching a bit. If I walked for a bit the spot where the achilles attaches to the heel would become sore. So I decided to call my doctor and schedule an appointment but he was booked for some time and he called me and said I just needed rest as it was probably a heel bruise or ankle sprain. That didn't sit right with me so I went and saw an Urgent Care doctor who also told me it was just a mild ankle sprain and would be fine in 4-6 weeks. Again I wasn't terribly reassured so I bought those Smart Feet Green insoles which felt great but didn't make my heel feel any better.

Fast forward about a month and I'm still in the same boat. I haven't been playing tennis and while the stiffness and pain in the morning has decreased, walking still hurts. I see a sports medicine doctor for my wrist and he asked about my tennis and I told him I hadn't been playing because I sprained my ankle and he asked how long had it been hurting and I said almost two months now. Finally a doctor took me seriously and he asked more questions and said that's not an ankle sprain and ordered X-Rays right there. I knew it was bad when he asked if before this had I experienced heel pain. I said no and he said "You're lucky you made it this long" Besides arthritis in my ankle there was this bony deformity on the heel he said was a result of the pounding of tennis and the tendon pulling on the heel bone. I didn't even need him to point it out. It was like a little claw sticking out of the heel irritating and inflaming the tendon.

He then did an ultrasound and showed me the tendon where it was healthy and where it was inflamed and had me fitted for a boot to immobilize it which I'll be wearing for three weeks to try and get the inflammation down. He said if the pain is gone after the three weeks then we'll go to physical therapy. I asked about surgery but I was so dazed and depressed I forgot what he said. My fear is taking time off to heal, time away while doing the PT and finally getting on a tennis court and the same thing happens. Part of me wants to cut my heel open and file the bone down myself and just get it over with.

So that's where I'm at now. Next appointment is November 9th and I'm pretty bummed but I hope this helps some of you experiencing similar symptoms. Listen to your body. Oh and stretch your calves!!!!! I knew this was more than an ankle sprain and I let it linger for too long because I didn't want to come across as a know it all or one of those guys who self diagnoses using Web MD every time they get a sniffle.
 
The Urgent Care "Doc in the Box" is the bottom of the medical practice food chain. Going to see one for what you knew to be an orthopedic problem is a mistake.
 
:)

Yeah I know but it was next to the Best Buy I was shopping at and my regular doctor had no openings for a month. Thankfully the sports doctor has let me bend the referral rules a couple of times, yesterday being one of them.
 
I've been seeing a lot of heel related topics here recently so I thought I would share my tale of woe and hopefully it will help some struggling with similar symptoms. I woke up one morning after a hard fought tennis match (no injuries or incidents of pain) and the back of my heel/achilles was stiff and painful to step on. I have never experienced this sensation and thought maybe I banged my heel into the ground a little harder than normal and that given a few days would probably go away on its own. After walking around a bit the pain went away completely as I "warmed up".

Over the course of a couple of weeks nothing improved and the pain wouldn't go away completely after stretching a bit. If I walked for a bit the spot where the achilles attaches to the heel would become sore. So I decided to call my doctor and schedule an appointment but he was booked for some time and he called me and said I just needed rest as it was probably a heel bruise or ankle sprain. That didn't sit right with me so I went and saw an Urgent Care doctor who also told me it was just a mild ankle sprain and would be fine in 4-6 weeks. Again I wasn't terribly reassured so I bought those Smart Feet Green insoles which felt great but didn't make my heel feel any better.

Fast forward about a month and I'm still in the same boat. I haven't been playing tennis and while the stiffness and pain in the morning has decreased, walking still hurts. I see a sports medicine doctor for my wrist and he asked about my tennis and I told him I hadn't been playing because I sprained my ankle and he asked how long had it been hurting and I said almost two months now. Finally a doctor took me seriously and he asked more questions and said that's not an ankle sprain and ordered X-Rays right there. I knew it was bad when he asked if before this had I experienced heel pain. I said no and he said "You're lucky you made it this long" Besides arthritis in my ankle there was this bony deformity on the heel he said was a result of the pounding of tennis and the tendon pulling on the heel bone. I didn't even need him to point it out. It was like a little claw sticking out of the heel irritating and inflaming the tendon.

He then did an ultrasound and showed me the tendon where it was healthy and where it was inflamed and had me fitted for a boot to immobilize it which I'll be wearing for three weeks to try and get the inflammation down. He said if the pain is gone after the three weeks then we'll go to physical therapy. I asked about surgery but I was so dazed and depressed I forgot what he said. My fear is taking time off to heal, time away while doing the PT and finally getting on a tennis court and the same thing happens. Part of me wants to cut my heel open and file the bone down myself and just get it over with.

So that's where I'm at now. Next appointment is November 9th and I'm pretty bummed but I hope this helps some of you experiencing similar symptoms. Listen to your body. Oh and stretch your calves!!!!! I knew this was more than an ankle sprain and I let it linger for too long because I didn't want to come across as a know it all or one of those guys who self diagnoses using Web MD every time they get a sniffle.

Well as i write this I am in a "boot" after yesterday getting a PRP injection. There has been some success with this treatment for tendon/ligament injuries. I have done everyting over the past year to try to heal this, it's somewhat "manageable" now but I thought it worth it to try this relatively new treatment. Just do a google seatch on it

Drak
 
I've been seeing a lot of heel related topics here recently so I thought I would share my tale of woe and hopefully it will help some struggling with similar symptoms. I woke up one morning after a hard fought tennis match (no injuries or incidents of pain) and the back of my heel/achilles was stiff and painful to step on. I have never experienced this sensation and thought maybe I banged my heel into the ground a little harder than normal and that given a few days would probably go away on its own. After walking around a bit the pain went away completely as I "warmed up".

Over the course of a couple of weeks nothing improved and the pain wouldn't go away completely after stretching a bit. If I walked for a bit the spot where the achilles attaches to the heel would become sore. So I decided to call my doctor and schedule an appointment but he was booked for some time and he called me and said I just needed rest as it was probably a heel bruise or ankle sprain. That didn't sit right with me so I went and saw an Urgent Care doctor who also told me it was just a mild ankle sprain and would be fine in 4-6 weeks. Again I wasn't terribly reassured so I bought those Smart Feet Green insoles which felt great but didn't make my heel feel any better.

Fast forward about a month and I'm still in the same boat. I haven't been playing tennis and while the stiffness and pain in the morning has decreased, walking still hurts. I see a sports medicine doctor for my wrist and he asked about my tennis and I told him I hadn't been playing because I sprained my ankle and he asked how long had it been hurting and I said almost two months now. Finally a doctor took me seriously and he asked more questions and said that's not an ankle sprain and ordered X-Rays right there. I knew it was bad when he asked if before this had I experienced heel pain. I said no and he said "You're lucky you made it this long" Besides arthritis in my ankle there was this bony deformity on the heel he said was a result of the pounding of tennis and the tendon pulling on the heel bone. I didn't even need him to point it out. It was like a little claw sticking out of the heel irritating and inflaming the tendon.

He then did an ultrasound and showed me the tendon where it was healthy and where it was inflamed and had me fitted for a boot to immobilize it which I'll be wearing for three weeks to try and get the inflammation down. He said if the pain is gone after the three weeks then we'll go to physical therapy. I asked about surgery but I was so dazed and depressed I forgot what he said. My fear is taking time off to heal, time away while doing the PT and finally getting on a tennis court and the same thing happens. Part of me wants to cut my heel open and file the bone down myself and just get it over with.

So that's where I'm at now. Next appointment is November 9th and I'm pretty bummed but I hope this helps some of you experiencing similar symptoms. Listen to your body. Oh and stretch your calves!!!!! I knew this was more than an ankle sprain and I let it linger for too long because I didn't want to come across as a know it all or one of those guys who self diagnoses using Web MD every time they get a sniffle.

Thanks for the INFO!!!! mate
I had same issue. but suddenly its gone. because i started putting ice after tennis.

even i play 3-4 hours of tennis + 1-2 hours at gym / per day for 5 days a week

it seems its not happening..

i would write again. if happens again. but I am planning to reduce the day and add rest days.

because im having knee problems and ankle.
 
I've been seeing a lot of heel related topics here recently so I thought I would share my tale of woe and hopefully it will help some struggling with similar symptoms. I woke up one morning after a hard fought tennis match (no injuries or incidents of pain) and the back of my heel/achilles was stiff and painful to step on. I have never experienced this sensation and thought maybe I banged my heel into the ground a little harder than normal and that given a few days would probably go away on its own. After walking around a bit the pain went away completely as I "warmed up".

Over the course of a couple of weeks nothing improved and the pain wouldn't go away completely after stretching a bit. If I walked for a bit the spot where the achilles attaches to the heel would become sore. So I decided to call my doctor and schedule an appointment but he was booked for some time and he called me and said I just needed rest as it was probably a heel bruise or ankle sprain. That didn't sit right with me so I went and saw an Urgent Care doctor who also told me it was just a mild ankle sprain and would be fine in 4-6 weeks. Again I wasn't terribly reassured so I bought those Smart Feet Green insoles which felt great but didn't make my heel feel any better.

Fast forward about a month and I'm still in the same boat. I haven't been playing tennis and while the stiffness and pain in the morning has decreased, walking still hurts. I see a sports medicine doctor for my wrist and he asked about my tennis and I told him I hadn't been playing because I sprained my ankle and he asked how long had it been hurting and I said almost two months now. Finally a doctor took me seriously and he asked more questions and said that's not an ankle sprain and ordered X-Rays right there. I knew it was bad when he asked if before this had I experienced heel pain. I said no and he said "You're lucky you made it this long" Besides arthritis in my ankle there was this bony deformity on the heel he said was a result of the pounding of tennis and the tendon pulling on the heel bone. I didn't even need him to point it out. It was like a little claw sticking out of the heel irritating and inflaming the tendon.

He then did an ultrasound and showed me the tendon where it was healthy and where it was inflamed and had me fitted for a boot to immobilize it which I'll be wearing for three weeks to try and get the inflammation down. He said if the pain is gone after the three weeks then we'll go to physical therapy. I asked about surgery but I was so dazed and depressed I forgot what he said. My fear is taking time off to heal, time away while doing the PT and finally getting on a tennis court and the same thing happens. Part of me wants to cut my heel open and file the bone down myself and just get it over with.

So that's where I'm at now. Next appointment is November 9th and I'm pretty bummed but I hope this helps some of you experiencing similar symptoms. Listen to your body. Oh and stretch your calves!!!!! I knew this was more than an ankle sprain and I let it linger for too long because I didn't want to come across as a know it all or one of those guys who self diagnoses using Web MD every time they get a sniffle.

Sounds like you have...Plantar fasciitis
http://www.bing.com/health/article/mayo-MADS00508/Plantar-fasciitis?q=plantar+fasciitis
 
I spoke with my doctor yesterday to clarify a couple of things and he told me it was insertional achilles tendinosis with what sounded like he said "endiophyte" but that can't be right. Bad reception on my cell. My friend suggested maybe he said osteophyte. What the doctor described was less like a growth but more a deformity caused by the tendon pulling on the heel. I asked if I should be stretching the achilles and he said there was some debate but he felt some very light stretching would help break up scar tissue and help the tendon heal correctly.

I guess November 9th will be the big reveal. Thanks for the comments and support. Without tennis I am struggling to stay positive. Been trying to stay busy with Arkham City and adding more Star Wars art to the man cave/bar.
 
Heel Spur, the calcification you saw. Many docs think this is the problem, but it is not. You got a form of plantar fascitiis, and I get mad that US doctors still give "boot"and "rest"...yes, sure, you will be resting for one year.
Look for a PT who has experience with runners. Then seek advice from a specialized podiatrist (not surgeon) who uses cold laser, ultrasounds and infrared/ultraviolet.
 
Cold laser, infrared and the rest of it is a load of crap. Do a search on cold laser, plantar fascitis and Aetna. I'm no big fan of insurance companies but Aetna did a huge review of the scientific literature, which they make available online, to justify their not paying for such treatment. They reviewed a huge amount of scientific literature on this topic. Drug-store heel cushions and 10 days of Mobic cured my fascitis.
 
It sounds like Haglund deformity... Take a good care of your calves. Stretch and to the myofascial release of the calves, to decrease the tension on the Achilles tendon.


I had a healthy dose of skepticism that this type of stretching would have any positive effect on my heels. Yesterday I played 2 sets of singles and felt very little pain in either of my heels. At the time, I attributed that to the new pair of shoes I bought the previous day.

After the 2 sets, I did the stretching putting both my legs up on the net for about 30 seconds. I then played 1 more set of singles. I had zero pain that set and no pain in my heels the rest of the day. The biggest surprise was this morning. I usually brace myself for the initial "stiff morning heel" pain and much to my delight there was none.

Bottom line, try this stretching if you have heel pain. It definitely worked for me.
 
I will definitely try those stretches. I'm game for just about anything that's going to extend my tennis "career". Not quite ready to transition back to golf just yet. I just don't want the Achilles to rupture. I had a buddy who experienced that and he was never the same mentally on the court. In the back of his mind he was terrified it would occur again and after every point he would feel it as though to make sure it was still there.

I spoke to my doctor and he said it was not a heel spur. Here's an image of it if anyone is interested. The top of the ultrasound is the Achilles tendon. You can see the healthy area near the top and the the inflamed region near the bone (white line in the middle) and then on the left you can see the deformity on the left side growing upward.

When I see my doctor on the 9th I will bring up all the concerns you guys and girls have brought up. He's not gonna know what hit him. Thanks again for the feedback it is very much appreciated.

299193_2524932211480_1498644413_2782658_1360278838_n.jpg
 
Cold laser, infrared and the rest of it is a load of crap. Do a search on cold laser, plantar fascitis and Aetna. I'm no big fan of insurance companies but Aetna did a huge review of the scientific literature, which they make available online, to justify their not paying for such treatment. They reviewed a huge amount of scientific literature on this topic. Drug-store heel cushions and 10 days of Mobic cured my fascitis.

It is the "crap"that put me back on a treadmill and a tennis court in two weeks, after almost one year of "rest and plantar crap" given me in the US. I have to say, those procedures were performed in Roma, Italy, where sport doctors are focused to get the player back to the game, not to get the insurance's approval.
 
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