Question for the Doc's

NickW

Guest
#1
So I used to have PF pretty bad in both feet and have completely cleared it up in the left foot and I think I have cleared the PF up in my right foot, but I have another pain on that right foot that hurts on the medial side of the ankle and wraps down under the heel, kind of maybe around where the calcaneus meets the talus and navicular. It really seems to give me a lot of ankle pain, but I'm not sure what I did exactly as I never rolled the ankle or anything. Also, my right foot used to be my strong and dominant foot when doing the single leg eccentric raises but now is considerably weaker than my left. I've been living on 3-4 ibuprofen a day to help ease the pain, but I know that is not good and just masks the real problem. Anyhow, I'm thinking I need to go in and see a Dr but I'm not sure what kind to go see. I've seen some sports medicine places by my house and I wonder since I am a runner if I should look into one of these places or if I should just go to a regular podiatrist first. Any input or suggestions would be greatly appreciated or if you have an idea on what the issue might be that would be useful as well. Thanks and sorry for the wall of text!
 
#2
I forgot to mention that I can still walk and run (I haven't run but once in the last two weeks because I was seeing if rest would help) although these things seem to aggravate it and make it worse. Thanks again!
 
#3
Bump

Anybody?

I also finally just made an appointment at a new podiatrist since no one answered here. I will be seeing him tomorrow and it looked like he had good reviews from what I can find and my regular doctor recommended him, but I am not sure about him being barefoot friendly or not. The only Dr that I know of around here that is truly barefoot friendly is Dr Ray McClanahan (sp?), who doesn't take insurance so he's out of the question.
 
#4
NickW said:
So I used to have PF pretty bad in both feet and have completely cleared it up in the left foot and I think I have cleared the PF up in my right foot, but I have another pain on that right foot that hurts on the medial side of the ankle and wraps down under the heel, kind of maybe around where the calcaneus meets the talus and navicular. It really seems to give me a lot of ankle pain, but I'm not sure what I did exactly as I never rolled the ankle or anything. Also, my right foot used to be my strong and dominant foot when doing the single leg eccentric raises but now is considerably weaker than my left. I've been living on 3-4 ibuprofen a day to help ease the pain, but I know that is not good and just masks the real problem. Anyhow, I'm thinking I need to go in and see a Dr but I'm not sure what kind to go see. I've seen some sports medicine places by my house and I wonder since I am a runner if I should look into one of these places or if I should just go to a regular podiatrist first. Any input or suggestions would be greatly appreciated or if you have an idea on what the issue might be that would be useful as well. Thanks and sorry for the wall of text!
Click to expand...

consider a sports certified chiropractor, cheaper and they will look at you, not just your feet
 
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#6
Nick,

Do you do any band work to strengthen your ankles? It was benificial to me when I had something similar. I added it to my regular routine.

Please let us know what the doc says.

Jim
 
#7
Jim, I don't do any band work, but I do several lower leg and foot strengthening exercises. I do have bands available to me so I will look into it. I just wonder why that ankle/foot has gotten weaker on the right side despite doing exercises... I will keep everyone posted what this doc says. So afraid he's going to put me in a boot...
 
#8
So had my apt today and it looks like I have an impingement of the portal something or other. Basically it's an impingement on the medial side of my ankle/foot. Sounds like I will have to go see a sports physical therapist who may do astym or graston or some other things (exercises). I really don't know what the PT will do for sure though until I see them. My doc says not to run right now and to wear one of my old orthotics in some shoes for right now. I am going to throw them in my Kinvaras so I can try to stay low drop even if I have to wear a shoe. He sounded like the PT should help, but it won't be a fast fix.
 
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#9
Not sure this is worth a whole lot - but I had ASTYM when I had PF and it helped immensely. I know your current problem isn't PF. I'm just saying ASTYM as a treatment I found very beneficial. Hopefully (if that's what they determine would help your situation) it will help for you as well.

Jim
 
#10
Man, I can't even remember what it was like to not hurt in my right foot after working out. It's like I wake up and feel fine but the longer the day goes on the worse my heel/ankle get. If I add in running I pretty much ruin the rest of my day. I've heard that astym and graston can both be painful, but if it works I am so willing to go through more pain.
 
#11
The impression in my mind is that Graston tends to be reported as more painful than ASTYM. I haven't had Graston - so what I said isn't based on any personal experience. I would describe ASTYM as "a little uncomfortable" - and it improved with each treatment.

Jim
 
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#12
From what I understand, these techniques are basically a way to readjust your fascia/muscles, quickly, and, yep, painfully. Anytime you do something quickly, you exchange saving time for pain. From what I understand both those techniques involve blunt blade-like objects that are then dragged across your fascia/muscles in order to force them to let go of their death grip. Effective? Yes. A permanent fix? Depends on the if the source of the problem can be detected and treated. Unfortunately the musculskeletal system is complex and the cause has an effect that usually triggers another cause and effect and another and another, etc. and finding the original source is often not possible, or a guess at best. The hope, is that, if you crush the fascia/muscles into submission, simultaneously, they may quit playing cause and effect/chain reaction, with each other -and their muscle memory will be broken. Trigger point therapy also works, but if you have too many trigger points in one muscle, or muscle group, your muscle will lock up and yank the fascia out of place as well, and it all turns into a big rats nest. When I do trigger point therapy on people, I will occasionally encounter a "locked" muscle, or muscle group. And I can tell because I cannot locate isolated trigger point (knots in muscles), instead the entire muscle is rock hard -which indicates to me that there were so many trigger points that the entire muscle just basically seized up and turned into a hard, angry, rock.
 
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#13
jldeleon said:
From what I understand, these techniques are basically a way to readjust your fascia/muscles, quickly, and, yep, painfully. Anytime you do something quickly, you exchange saving time for pain. From what I understand both those techniques involve blunt blade-like objects that are then dragged across your fascia/muscles in order to force them to let go of their death grip. Effective? Yes. A permanent fix? Depends on the if the source of the problem can be detected and treated. Unfortunately the musculskeletal system is complex and the cause has an effect that usually triggers another cause and effect and another and another, etc. and finding the original source is often not possible, or a guess at best. The hope, is that, if you crush the fascia/muslcles into submission, simultaneously, they may quit playing cause and effect/chain reaction, with each other -and their muscle memory will be broken. Trigger point therapy also works, but if you have too many trigger points in one muscle, or muscle group, your muscle will lock up and yank the fascia out of place as well, and it all turns into a big rats nest. When I do trigger point therapy on people, I will occasionally encounter a "locked" muscle, or muscle group. And I can tell because I cannot locate isolated trigger point (knots in muscles), instead the entire muscle is rock hard -which indicates to me that there were so manny trigger points that the entire muscle just basically seized up and turned into a hard, angry, rock.
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Ya, that's what I've understood too. Hopefully I can get this figured out completely and then I can just move on with my life and get healthy all the way around. i know I really need to lose weight and stay on a healthy diet, but you know, veggies, ick! Lol! Anyhow, thanks for the in depth comment Jen.
 
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#14
No one has ever "thanked" me for an in-depth comment! What the HELL is going on? Lol!
 
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#15
jldeleon said:
No one has ever "thanked" me for an in-depth comment! What the HELL is going on? Lol!
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The world has started turning the opposite direction Jen. Also, no thanks for the song you posted in the whatcha listening to post. Wow... I couldn't make it past a minute or so. What, what, what, what, what, what, what, what, what, what. Errrrrggggggggggggg! :rage: (loving these new emoticons!)
 
#16
NickW said:
The world has started turning the opposite direction Jen. Also, no thanks for the song you posted in the whatcha listening to post. Wow... I couldn't make it past a minute or so. What, what, what, what, what, what, what, what, what, what. Errrrrggggggggggggg! :rage: (loving these new emoticons!)
Click to expand...

You poor thing. You need to get some "taste". ;)
 
#18
Just wanted to do a quick update on my heel/ankle. So the heel seems to be almost completely healed now, but I seem to have another problem that has decided to pop up. Now, when I walk or run when I put pressure on the front part of my foot it hurts just under that ankle bone on the outside edge of the ankle. Gonna have to figure this out and continue trying to get my hamstring fully healed but once these issues are I can't wait to get back to running. I've also noticed that when using a tennis ball on the floor and running the arch of my foot on it I don't have any pain but if I move the ball over closer to the outside edge (still on the bottom of the foot) it seems to cause this ankle pain.
 
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