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Monday, May 13, 2013

Plantar Fasciitis: A Review of Creams, Lotions, Treatments, Shoes, and "Cures"

It's no secret that I have suffered with a nasty bout of plantar fasciitis in both feet for over a year now. Basically, the main symptom is severe pain in the heel or bottom of the foot near the heel, especially upon getting out of bed in the morning or when getting up after sitting for a long time. It hurts so bad, like you have a sharp rock in your shoe or like someone is stabbing you in the heel. I am pretty sure I have tried every tip, trick, cure, and potion out there along with all kinds of therapies and medical treatments. I thought I'd give a review of the various things I have tried and whether they helped me or not. Be forewarned, mine is a bad case and has been very difficult to get any relief from. Remember, I still have it; none of these treatments has "cured" my plantar fasciitis. But some have helped more than others, so I do think that if you have a milder case, some of these things could be helpful.

This is a pretty comprehensive list of plantar fasciitis treatments and products. None of this should be considered medical advice; it is just my personal experience and opinions. Please consult your doctor.

Doctors and Specialists

First, I saw my family doctor. He is the one who diagnosed me with plantar fasciitis. I'd been taking advil or Aleve with no improvement. He had me start taking 800 mg of prescription ibuprofen and stay off my feet for 6 weeks; I also had knee bursitis and wore a knee brace for it. He also did basic blood work to make sure my general health is okay; it was fine. When the rest and ibuprofen did not help, he sent me to a podiatrist, who did x-rays of both feet and found heel spurs. He said the heel spurs were not the cause of the pain; the plantar fasciitis is. The podiatrist prescribed oral steroids for about a week, but that didn't help either. He said I could get cortisone shots in my feet but I may want to wait on that because the fat pads in my feet were deteriorating, and the shots could make it worse. He also sent me to physical therapy, which I will describe below. When none of that helped, I was referred to a rheumatologist who did further testing to rule out autoimmune disease such as lupus or rheumatoid arthritis. They found no cause for concern. He had me take a prescription called meloxicam for a month which was just wonderful and gave me my first pain-free days in months; however, when I stopped taking it, the pain was back, and it's not something I can take long-term. I then got a referral to an acupuncturist, who I saw for 5 weeks with some mild, but not permanent, improvement. You can read about my acupuncture experience here.

Stretches and Exercises

I started out with all the basic stretches that you can find online by Googling plantar fasciitis stretches. I did them before getting out of bed every morning and at various times throughout the day. When I began physical therapy, they told me to stand on a step and lower my heels gently to stretch out the muscles in the back of my legs. I also did the ones where you lean forward against a wall, as pictured here. None of this helped me much.

Massages and Soaks

I started rolling my arches on a frozen water bottle on the floor. This felt so good after a long day when my feet felt swollen. I liked this a lot but it didn't really provide more than temporary relief. But it's basically free, so it's worth a try.

Next I purchased a Foot Rubz Massage Ball for $5. This little ball has plastic nubs on it, which helps to break up little bits of scar tissue in the plantar fascia (according to my physical therapist). It feels really good to just sit on the couch and roll this ball under your arches. If you prefer a softer massage, a lot of people like this Thera-Band Foot Roller. I did not buy this even though it is highly recommended, because I had a section of styrofoam pool noodle that worked just as well. If you have an old pool noodle your kids aren't using, try cutting a section and rolling your foot over it.

My favorite massager for my feet was something I had purchased years ago: a HoMedics Foot Massager with Heat. At the end of the day it was pure heaven to sit with my feet on this thing for 15 minutes. I usually put one of the creams (below) on my feet first, then put socks on and turned on the massager with heat. It does feel great. Just don't put your sore heel directly on one of those metal balls!

As for foot soaks, my acupuncturist recommended that I soak my feet for 20 minutes every night in a simple Epsom Salts soak. You can buy Epsom Salts in a big bag at WalMart for 3 or 4 bucks and that works fine. I really like this Epsom Salt with Lavender (which is also super cheap) because it smells nice and is relaxing. I used one cup of salts in a plastic dishpan full of very warm water. He said to stretch before and after soaking, and then apply one of the creams listed below.

Therapies

My first physical therapist was trained in the Graston Technique. I went 6 times and the pain was getting worse, not better.

I then decided to switch to a new physical therapist trained in ASTYM. This is similar to Graston but has a lot more scientific backing. During the months of physical therapy, at the end of each session I also had ultrasound treatment on my heels, massage, e-stim with ice on both feet (hooking up little electrodes to the feet and turning them on). The therapist also taped my feet with support tape, pictured here along with a description of ASTYM. After ten visits with this PT, I was no longer improving and called it quits.

Shoes, Sandals, Splints, and Orthopdeic Inserts

After the first month of foot pain, I went to a special store that measures the pressure on each foot and its length and width and recommends specific shoes and inserts for your feet. I ended up with a pair of Brooks running shoes that I really like and still wear. They're very supportive and comfortable. I highly recommend finding a similar shoe store that does fittings, and I also highly recommend Brooks shoes. A fittings store can help you find the model that is best for your feet. I also bought some Oofos Sandals and I love these as well!  They are kind of like Crocs, but much more supportive. They are comfy and you can wear them in the water or in the shower. It is a very bad idea to wear flip flops or non-supportive sandals when you have plantar fasciitis, so they were wonderful for the summer. Crocs also work for some people, but they just made my foot pain worse.

Recently I have begun wearing Birkenstocks most of the time. In the winter I was wearing Birkenstock Boston Clogs with socks. They're super comfortable and warm; I had one pair for use in the house, and another for outside. When spring arrived, I switched to these cute Birkenstock Granada Sandals with a soft footbed, which is just heaven on sore feet. They come in lots of cute colors and feel great on my feet.

What didn't work? These Kuru shoes. They are supposed to be special shoes for plantar fasciitis, so I contacted the company and offered to do a review for them. *Disclaimer: Kuru gave me a $50 credit towards a pair of Kuru shoes in return for my honest review of their product.* I got the Mesh Chicanes and I am sorry, but I do not like them at all. My feet are perhaps a little *more* sore when I wear these shoes! So I almost never wear them anymore. I gave them several weeks and did not like the results. I may put them on again in the future just to be sure, and will update if anything changes. But as of right now, I wouldn't recommend them.

I also tried FitFlops brand clogs and Orthaheel slippers, but I hated them.

As for inserts, I found the Green Superfeet to be most effective. I tried a lot of other inserts, like Dr. Scholl's and other brands of gel inserts, heel cups, and arch supports, but nothing worked as well as the Superfeet.

Diet, Vitamins and Supplements

Early on, I went grain-free and sugar-free for months, because I had read that gluten and sugar can cause inflammation. I switched to a Primal/Paleo template and while I did feel better, it had no effect on my foot pain. I cut milk out completely for awhile, but that didn't help either. I continued to eat a relatively low carb diet (approx. 100g/day) for most of the time I have had this pain.

I have taken many supplements for general health, including:

fish oil and Turmeric Force for inflammation
Vegetarian Glucosamine, MSM, and chondroitin for arthritis
Especially in winter, I take Vitamin D-3 which helps Seasonal Affective Disorder and possibly bone/joint health as well

The acupuncturist recommended Zyflamend, but it didn't seem to do anything for me. I took it for a month.

Creams and Lotions

Finally, I have tried many different creams and lotions for pain and inflammation. My acupuncturist gave me something called Pain Terminator. It is an herbal cream and I hated it! I just could NOT get past the smell, which lingered on my hands for hours, even after several washings. It didn't seem to do anything for the pain, either. I also tried an ointment called Traumeel, which I liked much better (no strong odor and it did seem to help a little) and a roll-on pain reliever called Sub Zero, which I also liked. It helps about as much as the Traumeel but you don't have to get it on your hands. It dries quickly. But by far, my favorite lotion was one I was sent to review *Disclaimer: Grace Harbor Farms sent me a free bottle of MSM lotion to review on my blog.* This lotion is made from goat's milk with MSM added as well as a lot of healing herbs; you can read testimonials about the cream here and if you want to order some, you can do so here. The story of the owner's plantar fasciitis and how she developed the cream is fascinating; you can read it here. I absolutely LOVE this lotion. It feels warming to the skin and is the only one of the lotions I tried that gave me significant relief. It also just feels so good on the skin. I am going to purchase more of this for myself, both with and without the MSM. I highly recommend it.

So that's it, those are pretty much all the things I have done and tried for my plantar fasciitis. I hope these reviews have been helpful. If you have any exercises, therapies, or products you have tried for your heel pain, please leave me a comment and tell me how they worked for you... good and bad.

***UPDATE: AUGUST 2014: IT'S GONE!***

I wanted to give an update on what *finally* worked to heal my plantar fasciitis. It turns out I was hypothyroid and was diagnosed in July with Hashimoto's Thyroid, an autoimmune disease. This disease is diagnosed with a special blood test for TPO antibodies, which came back positive. I was put on Synthroid by my endocrinologist and within a month the pain was gone! I also started a special diet called the Autoimmune Protocol, but I have since been off that diet for months and the plantar fasciitis has stayed gone. So if nothing else works, get your thyroid checked! I've read studies that suggest that low thyroid hormones can cause inability to heal injured tendons, so I do think this is why my pain lasted more than two years. I wish you health and healing! It is SO GOOD to be pain free!



7 comments:

Anonymous said...

Try DMSO. It is prescribed for horse and you can get it at the feed store, but it has a LONG history (re: before big pharma) of providing anti inflammatory relief. Be forewarned though, there is a strong aftertaste of garlic as it moves through your skin.,

Lyn said...

Anonymous~

thanks for the suggestion! I have found relief, finally, at least for now. My doctor treated my plantar fasciitis with 1/3-dose cortisone shots in each heel and I have had no pain for about 2 months now. So far so good!

Anonymous said...

Thank you for your reviews. I have had PF chronic heel pain for two years now. Nothing I do seems to help. Cortizone injections helped a little but was temporary. I have to crawl to the bathroom in the morning. Sometimes I feel like I want to cut my feet off and go with prosthetics... Its that bad.

Grace Lukens said...

This is Grace from Grace Harbor Farms. I was directed to your blogspot this morning by one of your followers. Thank you so much for telling people about our MSM cream, it truly is amazing stuff. Almost without exception, every day, someone writes or calls us to tell us how the MSM cream has helped them. Thank you for passing the word along.

Lyn said...

Wanted to add here: above I commented that the pain was gone for 2 months after the cortisone shots. Sadly it came back not long after that, and was just as bad. I ended up having 3 separate sets of cortisone shots and the pain returned each time... except for the last time, not long before I started taking Synthroid for my thyroid. Then it went completely away and has not returned.

Irene Dietrich said...

I have had my heel spur for 15 (!) years now and spent a fortune so far.
Incidentally, I have come across your site as I have had a drawback due to a special physiotherapeutic fascia treatment (very very painful in itself)- the pain is really bad at the moment, so I googled again (being tired of it really inbetween) and so ordered 1 kg of MSM - and now I was just looking for these two words: plantar fasciitis and MSM. Here I am.

And I will have my thyroid gland checked (actually I had a routine blood test last week and asked to check on it as well, but still have to see my doctor for the results.)

MSM: I just got it yesterday and mixed it with a little water and soaked my feet in it: no pain relief so far, but weirdly warm feet since then. I have now mixed it with coconut-oil and will put this here and there, as well as on my heels.

By the way, for those without thyroid problems, I have found two things that help (no cure, though, sorry):

MBT-shoes (instability when walking included) are the only ones that make it possible to still go places, however close, and to still be able to work (I can sit a lot)
and Chung Shi Dux for home-usage (very, very soft, the softest things I have found) and
after 5 or so years of pain-killers (I could not have worked without them) I came across a laser [http://www.silberbauer.at/de/?c=produkte/von_silberbauer/compact_laser_mini] that has replaced my medication. It comes with a cost, though (about € 1700), but I do not take any pain-killers any more.

Anonymous said...

Hi Lyn,

Thank you for writing you're blog. I have had plantar faciitis for 7 years now and I have had enough. I had my 2nd cortisone shot a few weeks ago, but it still hurts. Today I bought MSM in the hope it will help. Interesting to hear that your case was down to a thyroid problem. I think I'll get mine checked out.

Good luck Sally


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