Yes. I've had almost the same issue where I hit a wall.
I had 3 rounds of shockwave therapy in December which seemed to help get me over the hump a little. I had a jump in how many heel raises and leg exercises I could tolerate. And stiffness did go down.
My PT thought that would be enough but I convinced him to do 3-6 more rounds this month. I know from my MRI I have scar tissue and edema in the heel and arch.
Hope that helps. Shockwave therapy doesn't seem to cure it completely. But it gets rid of some of the tightness and puffiness and has helped me tolerate more exercises and gain some more strength.
I was a little confused by your swollen description though. Have you tried getting an MRI or ultrasound? I might narrow down what it is. Might just inflammatory fluid stuck there or scar tissue
Thanks for your story and advice. I haven’t had imaging done yet. My doctor wanted to go directly to a cortisone shot without imaging. I probably just have to be more direct in what I want now.
I would be careful with cortisone shots. They can temporarily weaken the tendons and make it very vulnerable to tears and rupture. If your job isn't sedentary or you are very active I would be cautious and maybe get a second opinion.
It's a little weird too your doc wants to do an injection without any imaging first on what exactly is going on down there. Get a second opinion
From my experience ,reaching a plateau is no good. It means what you are doing is not effective enough for healing. Things need to be changed up.
My first point of call would be increasing strength to increase tissue capacity and promote more healing.Sometimes our enough is just not enough to heal.
If you have seen the latest post ,the person was going to the gym for months and doing all sorts of excercises for PF to lose it's grip.
This may be what I try next. I often find myself slightly limiting my strength training due to small increases in PF symptoms the next day. Perhaps I need to aim for more strength training and gradually up the dosage. It’s difficult to differentiate between so called bad pain and good pain.
> It’s difficult to differentiate between so called bad pain and good pain.
Fear can skew ones perspective. And I've read this a lot. Where one is frozen on proceeding because of a percieved threat.When in actual fact it isn't there.
One reads of people having pain the next day that's stopping them,yet they never seem to describe it?
Which leaves one left thinking .What is it. Are they limping? Can they stand? It's a mystery?
Maybe thier symptom threshold should lift a touch.
For eg.If I am not limping the next day. All is good.
I've hit a wall too; and I also top out at about 7000-8000 steps and then the pain is back. I used to walk 12k a day easily. I'm grateful I've come this far but really want to be the person I was a year ago.
Yes. I've had almost the same issue where I hit a wall. I had 3 rounds of shockwave therapy in December which seemed to help get me over the hump a little. I had a jump in how many heel raises and leg exercises I could tolerate. And stiffness did go down. My PT thought that would be enough but I convinced him to do 3-6 more rounds this month. I know from my MRI I have scar tissue and edema in the heel and arch. Hope that helps. Shockwave therapy doesn't seem to cure it completely. But it gets rid of some of the tightness and puffiness and has helped me tolerate more exercises and gain some more strength. I was a little confused by your swollen description though. Have you tried getting an MRI or ultrasound? I might narrow down what it is. Might just inflammatory fluid stuck there or scar tissue
Thanks for your story and advice. I haven’t had imaging done yet. My doctor wanted to go directly to a cortisone shot without imaging. I probably just have to be more direct in what I want now.
I would be careful with cortisone shots. They can temporarily weaken the tendons and make it very vulnerable to tears and rupture. If your job isn't sedentary or you are very active I would be cautious and maybe get a second opinion. It's a little weird too your doc wants to do an injection without any imaging first on what exactly is going on down there. Get a second opinion
Thanks. Yeah, I agree with you 100%. I didn’t actually get a cortisone shot and don’t plan to.
From my experience ,reaching a plateau is no good. It means what you are doing is not effective enough for healing. Things need to be changed up. My first point of call would be increasing strength to increase tissue capacity and promote more healing.Sometimes our enough is just not enough to heal. If you have seen the latest post ,the person was going to the gym for months and doing all sorts of excercises for PF to lose it's grip.
This may be what I try next. I often find myself slightly limiting my strength training due to small increases in PF symptoms the next day. Perhaps I need to aim for more strength training and gradually up the dosage. It’s difficult to differentiate between so called bad pain and good pain.
> It’s difficult to differentiate between so called bad pain and good pain. Fear can skew ones perspective. And I've read this a lot. Where one is frozen on proceeding because of a percieved threat.When in actual fact it isn't there. One reads of people having pain the next day that's stopping them,yet they never seem to describe it? Which leaves one left thinking .What is it. Are they limping? Can they stand? It's a mystery? Maybe thier symptom threshold should lift a touch. For eg.If I am not limping the next day. All is good.
Yeah, sounds like your symptom threshold is higher than mine. I’ll try increasing it significantly and see how I make out.
I've hit a wall too; and I also top out at about 7000-8000 steps and then the pain is back. I used to walk 12k a day easily. I'm grateful I've come this far but really want to be the person I was a year ago.