Plantar Fasciitis and heel pain

Help! I’ve got a really painful bone spur in my heel.

A year ago I had an ACL graft of the right knee so was unable to exercise until relatively recently but now I’m stepping up the rehab, the left foot is causing me more issues.  I have a problem with my left foot which appears to be a combination of a bone spur and plantar-fasciitis which started December 2016.

I’m hoping therefore something can be recommended.

Ouch! That all sounds nasty and actually quite typical …. and it’s right up my street (or footpath! 🙂

The bone spur you describe is just a symptom of your P.F. overload and overwork and tells me that this problem has been developing for ages (many years) and unfortunately will continue to do so unless we do something about it. Untreated, it can hang around for not just months but decades.

 

Most treatments are aimed solely (excuse the pun) at improving the symptoms of PF,  ie reduce pain/ increase function, but actually Plantarfasciitis is just a symptom in itself and continually treating its symptoms is a pretty pointless exercise as it will just keep coming back.

 

There are 2 agendas here:

Short term objective is to get you comfy and improve your gait with physio to help restore normal muscle function. (pretty straightforward stuff)

 

Long term objective is to start to address the cause and stop it coming back. That’s a bit more complicated!

 

Basically, it’s all about a gradual loss of balance balance and reducing bum strength.

 

Weak bum = poor core function and poor balance (we can test and prove this) = overworked legs = tough/powerful calves doing all the work (these are meant to be your shock absorbers and feel bouncy) = feet that feel like they have been kicked around the block a few times 🙁

 

The good news is that if we can identify and treat the cause we might even persuade your body to reabsorb the bone that has been deposited in your heel.  That’s called bone re-fashioning, same thing that happens when you break your arm. Your body removes unnecessary bone laid down during an emergency.

 

It’s not the easiest thing to walk back through time and change fairly major bad habits but it’s achievable if you are willing to do some work.  

To get you on the road to recovery speak to Martin Bell

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Martin is an internationally recognised clinical specialist in human gait and his passion is to improve the way we walk. He also works for the NHS musculo-skeletal assessment team (5 years) as an extended scope practitioner and expert in biomechanics treating a wide variety of walking, running and sports related injuries.

A keen drummer, pianist and an enthusiastic club badminton player he enjoys using his clinical skills to continually improve his speed and agility on the court. He is married to Sue, with 2 gorgeous girls Chloe and Emily who successfully manage to fill up the rest of his time.