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First I would like to give a little background about what I have experienced and tried so far. I started experiencing mild arch pain in October of 2012. At this time I was very active playing tennis and working out nearly every day ( I was 6ft male 29 and 175-180 lbs). I ignored the pain and over the next several months it stayed with no substantial change. I then began reading about plantar fasciitis and started stretching and bought some otc shoe inserts... this seemed to make stuff worse and I ended up with pain more at the front of my heel. By February 2013, the pain became much more severe and I began a long and ineffective process of trying to solve it. this consisted of buying z-coil shoes, getting two different sets of custom orthotics fabricated, buying various night splints, icing, nsaids, compression and padded socks, other shoes, going barefoot only, only wearing shoes, resting, standing a lot. None of these seemed to help. I recently tried ESWT; however, this only resulted in mor epain... it has become worse since this treatment. Now, I am tired of consulting orthos podiatrists, gps, physios... They do not seem to have more than a superficial interest or knowledge in getting this problem resolve (fair enough because they are just people too). I have scoured medical literature and begun to build my own treatment plan. I feel that I have a much better chance of fixig this problem myself and I suspect that is true for some of you as well so here is my plan:
Iontophoresis: a number of studies have indicated positive results with iontophoretic application of acetic acid (vinegar). This is probably because some instances of pain in pf arise from accumulation of Ca precipitates in the inflamed tissue (precursor of heel spurs). This may be dissolved and carried away by the blood stream if acetic acid is applied. I am going to use white vinegar as the medicine and self administer through iontophoresis using 2 or three 6v batteries (plenty of plans and videos describing how to make these for people who are trying to treat excessive sweating). I have not decided yet how long or how many times a day to perform this treatment... am thinking once per day and 20-30 minutes in undiluted vinegar.
Full rest: I am going to go to crutches and avoid all weight bearing on the affected foot for at least the next 2-3 months. I think this is a critical step in the treatment and probably the hardest to achieve.
I am going to use an EMS unit to stimulate muscle contraction in my feet to minimize atrophy while not weight bearing. I expect to do this 2 times per day every day for 60-90 minutes.
I while institute a stretching regime that will consist of moderate tension on the faciaa and full movement of my foot. Stretching will be at least two times per day.
Severe weight loss: I know lots of people (myself included) have a hard time with this but it is actually really simple. If you really want to stop your pain you have to be committed. Every time you feel hungry, you should feel happy that you are making progress. STOP eating all the time because there is nothing else to do. I will lose weight until I am down to 140-150 pounds. You guys can do it too.
Exercise: Let me say that I hate swimming. Everyday I am going swimming. EVERY day. This will help the weight loss, help the mind, and provide an environment to test partial weight bearing and water walking as my treatment progresses.
Additional: I am still contemplating getting a prp injection for this treatment regime as well. I would do this in 2-3 weeks. Am consulting the podiatrist about this right now.
So... anybody else have any suggestions for this treatment plan? Any questions regarding it? Any advice? Good luck to all of you people who are dealing with this miserable condition.
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