Even though I am at my lowest weight this year and 70 pounds down from my max, I am feeling fatter than ever this week! I guess it is because of the mobility issue, plus I did not keep track of my sodium this week and feel a little bloated. So perhaps I should start logging again. I was just trying to get used to the new plan and stick with it *without* logging (because I don't really need to) but I don't want to get too loose with the sodium and fat in my diet. Sometimes eyeballing is not enough and we have to track so those kinds of things don't go inching up.
I went to the new podiatrist today. He was highly recommended although a bit of a drive to see, and is primarily a foot surgeon. I made a list of the supplements, medications, therapies, and treatments I have tried and brought it to my appointment along with my foot-pain-related medical records and x-rays. I was *totally* prepared and went in there and said, "you gotta help me. This is messing up my life."
I have to say this guy really knows his stuff. When he was feeling my feet and talking to me about the structure and the pain, it was as if he could see right inside. I am sure all his surgeries allow him to visualize the inside of a foot and what is going on in there. He spent a good 45 minutes talking to me and doing the exam, and here is what he came up with:
I probably have both plantar fasciitis and Achilles tendinitis.
Some of the exercises given to me by well-meaning physical therapists are aggravating the tissue and making it less likely to heal. He told me to STOP ALL STRETCHES except for one: the one where I stand with my hands on a wall, one leg out behind me, knee *locked* (very important, he said) to stretch the calf muscle. That's it. No more of those foot stretches, plantar fascia stretches, or soleus stretches. Just the calves.
Stop the hot foot soaks the acupuncturist recommended and go back to gentle icing.
He looked at my shoes (Brooks Ariel), pulled out the insoles, glued in some heel lifts and put the insoles back. He said the heel lifts will take the pressure off the damaged fascia and let it heal. He said in a few days I should take those insoles back out, leave the heel lifts in and put Superfeet inserts on top of them and wear those.
We talked about shots and how to minimize possible risks and side effects while getting the benefits of cortisone as an anti-inflammatory agent to aid in healing. He recommended a 1/3 dose shot that is a mixture of 3 things (cortisone, a numbing agent, and something else) in ONE foot to see if it is beneficial. I agreed.
I laid back in the chair thinking, okay. This won't be so bad. It'll be like the acupuncture into my heel... just a teeny needle into the heel and it'll only last a second. Well, no. Actually, he went in from the *side* and put the shot needle all the way into the center of my heel. Yow. I almost passed out in the chair! But it was pretty fast and honestly not that bad. He said the numbing agent will wear off in 2 hours but the cortisone stays in the tissue for about 2 weeks. I have to stay off my feet for the rest of today and then I should be good to go tomorrow. Fingers crossed! I go back in 2 weeks to reassess, and if this doesn't help, he may order an MRI to see if there is tissue degeneration or other damage we need to address.
That's it, I am sitting in the recliner now and won't be getting up much until I have to go get my daughter from school. I really hope the less-aggressive stretching, icing, and shot works!
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