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managing IBS with plantar fasciitis
      #304276 - 04/08/07 06:54 AM
spoon

Reged: 04/08/07
Posts: 9
Loc: Kansas City, MO

I have just been diagnosed with plantar fasciitis. It's an overuse injury affecting the sole or flexor surface (plantar) of the foot. It is an inflamation of the tough, fibrous band of tissue (fascia) connecting your heel bone to the base of your toes caused from walking, running, and exercise (cannot exercise for a week! eeks!). The treatment is to keep the weight off of your feet until the inflamation goes away, and the use of nonsteroidal anti-inflammatory medication and pain medication. I have been prescribed naproxen 500 mg for the inflamation and tramadol 50 mg for the pain. Luckily it is the weekend and I am able to stay off my feet but will be returning to work tomorrow. I am an elementary teacher and do not sit during the day. : ) I have been on the medication for one day and can already tell that my gut is not liking it. Any suggestions for helping to control the medication and IBS would greatly be appreciated. The dr. knows I am an IBS suffer and said to be sure to take the medication with food as I did. Thank you!

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Re: managing IBS with plantar fasciitis new
      #304280 - 04/08/07 11:38 AM
Gracie

Reged: 11/25/05
Posts: 1967


Not sure about the tramodol, but I know naproxen is a strong pain killer type of med. Make sure you take it with food in your stomach. Is there any way you can take the week off work, or use crutches?


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Re: managing IBS with plantar fasciitis new
      #304281 - 04/08/07 12:28 PM
BL

Reged: 06/01/03
Posts: 3522


Spoon,

As a sufferer of PF for YEARS, I can feel your pain! I can make some suggestions. My best advice to you is to nip this in the bud as quickly as you can. The longer PF lingers, the more difficult (if not impossible) it is to get rid of. Since you cannot literally get off your feet long enough to get rid of it (especially if you work), you will have to learn to manage it. After attempts at wearing a night splint, a boot cast, a cortisone injection, pain relievers, ice packs, special shoes, custom orthodics, ultrasound (none of which helped), I had surgery for PF and tarsal tunnel syndrome in September. Mine was an extreme case. I was having constant pain from a compressed nerve. Most doctors won't attempt to do surgery on PF patients, unless it has lingered for years and all of the conservative measures (like those I listed above) have been tried---and have been unsuccessful.

The things that have helped me the most were:

1. using ice on the bottom of my feet at the end of the day (use a frozen bag of peas or roll a 16 oz. cold soft drink bottle back and forth.) This reduces the imflammation a lot.

2. NEVER, ever go barefoot! Wear supportive shoes at all times, even when lounging around the house or working out in the yard. Walking barefoot on tile, concrete or wood floors will make it so much worse. If I get up to go to the bathroom in the middle of the night, I put my athletic shoes on (I keept them next to my bed). And things like flip-flops and open-back shoes, even bed slippers, make it worse.

3. Physical therapy----a good therapist can teach you exercises to do that will help tremendously. I do my stretching exercises on the edge of my bed before I take my first steps in the morning. This has helped me more than any doctor I've been to (and believe me, I've been to many).

There is a new technique called electromagnetic shock wave therapy (ESWT) that is being used for PF. Some insurance companies will pay for it, and others (like mine) won't. It's very expensive, but has worked for many. It uses the same technique that's used to zap kidney stones. There is little to no pain involved and no recovery, like surgery. You might want to ask your doctor about this, if your problem continues.

I don't mean to be negative about this. Realize that my condition was, unlike most people's, severe, but I only caution you to take this seriously since many PF sufferers just laugh about it and continue wearing shoes that only make their condition worse. By the way, what type of shoes do you wear to work? You may be able to rid yourself of this problem by changing to a more appropriate shoe. Your doctor should be able to make a suggestion as to what is appropriate for you.

Good luck! I hope the medicine and rest helps you!







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Re: managing IBS with plantar fasciitis new
      #304285 - 04/08/07 02:27 PM
spoon

Reged: 04/08/07
Posts: 9
Loc: Kansas City, MO

Thank you so much for the information. This is a new thing for me so I appreciate the candid information. I have spent the weekend on the couch with my shoes on! Like you I keep my tennis shoes next to my bed and when I get up to use the bathroom I put them on! Only PF people can appreciate doing this at 1:30 in the morning. ha : ) When working I wear all types of shoes but after this weekend I think I will be wearing tennis shoes, so much fashion. I would rather have great feet than great shoes.
I just bought new shoes at Lady Foot Locker, New Balance 8505 and insoles. I have heard that New Balance is the best and to buy the highest numbered shoe made. This week is our state mandatory testing and I will have to be on my feet for about 3 1/2 hours out of the day, in 2 sections of the day, but plan on putting my feet up for the rest of the day. I have a student teacher right now so she can take over for the rest of the time. I do plan on nipping this in the bud NOW as I don't want to have to deal with this forever. I will be more careful about buying new tennis shoes when I really need them and not waiting. I do think that was part of the problem.
Thanks again for your help.


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Re: managing IBS with plantar fasciitis new
      #304286 - 04/08/07 02:32 PM
spoon

Reged: 04/08/07
Posts: 9
Loc: Kansas City, MO

Thanks Gracie. The tramadol is the pain medicine and the naproxen is the anti-inflamatory. Both medications are prone to cause constipation........

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Spoon, me again! new
      #304287 - 04/08/07 02:42 PM
BL

Reged: 06/01/03
Posts: 3522


It sounds like you are doing all the right things! I am so proud of you for wearing your tennis shoes, even when you get up at night. I thought I was the only one who did that! But I have wood floors/ceramic tile (no carpet) in my house, so I have to----or I really pay for it later.

And I was going to suggest that you get some New Balance shoes, but I didn't want to tell you what to do. That is the brand of shoe that my podiatrist, orthopedic surgeon, and foot specialist have all told me to wear. I have the NB 926. No, I'm not in fashion, but I have to wear them EVERYWHERE, or I can't walk without limping.

During the winter, when I was wearing black pants almost everyday, I had the New Balance store order my shoes in black. That way, I could wear them to Christmas parties/social events/church at night----and no one even noticed. (It doesn't look too cool when you have on black pants and white tennis shoes!)

Best of luck to you! I taught school for awhile, so I know it's hard for you to sit. But rest as much as you can....and use that frozen bag of peas! (The little girls next door think that is hilarious!)



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"Relief" by Crocs new
      #304288 - 04/08/07 03:24 PM
Shell Marr

Reged: 08/04/03
Posts: 14959
Loc: Seattle, WA USA

I also have PF, but only use over the counter pain meds for inflammation as needed. I have great quality shoes by Asics as well as "Relief" by Crocs... you can see them HERE I have these on whenever I'm not in my sneakers.... if you do get them... order a size larger then you would normally wear... they are not meant to be snug.

A lot of people who work in hospitals that are on their feet all day also wear these.

Quote:

"Relief" by Crocs
Podiatry Comfort Shoes
Shock absorbing sole relieves stress on feet, knees, hips and lower back; roomy fore foot provides comfortable fit with no pressure points, relieving bunions and other foot irregularities
anatomically designed sole provides comfortable relief from plantar fasciitis, heel bruises and other plantar injuries
side air portals keep feet cool and dry




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Re: managing IBS with plantar fasciitis new
      #304332 - 04/09/07 09:30 AM
stillnotpoochi

Reged: 08/23/06
Posts: 16


I found this item in a catalog...the reviews are good.
http://www.roadrunnersports.com/rrs/products/FOL001/?_requestid=32561


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Re: managing IBS with plantar fasciitis new
      #304438 - 04/09/07 06:16 PM
spoon

Reged: 04/08/07
Posts: 9
Loc: Kansas City, MO

Thank you so much. I think I have seen those at Dick's Sporting Goods store. I will check it out. Sandie

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Re: "Relief" by Crocs new
      #304439 - 04/09/07 06:20 PM
spoon

Reged: 04/08/07
Posts: 9
Loc: Kansas City, MO

Thanks Shell Marr!

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Re: Spoon, me again! new
      #304440 - 04/09/07 06:24 PM
spoon

Reged: 04/08/07
Posts: 9
Loc: Kansas City, MO

BL - You are too funny! Thanks for the help. Spoon

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Re: managing IBS with plantar fasciitis new
      #304515 - 04/10/07 02:40 PM
Julie E

Reged: 06/12/06
Posts: 323


My dad also has both PF & IBS. One of the most soothing things he found was to freeze water in an empty 20 oz plastic coke/water bottle. Be sure to fill the bottle only about 3/4 full and freeze with the lid off so there's room for it to expand as it freezes! Once it's frozen, put the lid back on and roll it under your foot like that little gadget. He said the ice and the rolling action was way more soothing than the gadget from the store.

My main advice would just be to take care of yourself with this sort of exercise (are you seeing a physical therapist yet?) and by getting very high quality shoes (dad has custom insoles made for his) so you don't have to take too many of the meds that can be so hard on your tummy. Also, know your limits... even when it starts to feel better, you still shouldn't try to do a marathon day where you're on your feet for hours and hours.

Hope that helps!

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Re: managing IBS with plantar fasciitis new
      #304529 - 04/10/07 04:21 PM
celestial7381

Reged: 07/01/04
Posts: 18
Loc: Everett, Washington

Im sorry the medication is hurting your tummy.I am a massage therapist and and I also have ibs and I work with people that have plantar fascitis all the time. When the inflamation does go down one good thing to do is use a tennis ball and roll it under your foot for 10 min and it will loosen the tight muscles and facsia under the foot and relieve some of the pain. Maybe do it every other day and soon it souldn't be so painfull. Good luck.

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Re: managing IBS with plantar fasciitis new
      #304538 - 04/10/07 06:00 PM
Shell Marr

Reged: 08/04/03
Posts: 14959
Loc: Seattle, WA USA

Tell your Dad that is a GREAT idea Julie!! I do have flat ice packs that I have in the freezer all the time....inside a big plastic bag marked...."FOR MY FEET" LOL

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Re: managing IBS with plantar fasciitis new
      #304541 - 04/10/07 07:17 PM
spoon

Reged: 04/08/07
Posts: 9
Loc: Kansas City, MO

Thank you. I will try that! spoon

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Re: managing IBS with plantar fasciitis new
      #304542 - 04/10/07 07:26 PM
spoon

Reged: 04/08/07
Posts: 9
Loc: Kansas City, MO

I didn't even think of going to a physical therapist for this. Thanks for the info. spoon

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