Re: Psoriatic arthritis and Heel Spurs

[Guest guest]

--- beth_madron <bmadron@...> wrote:

> Does anyone suffer from this? I have them and just

> got custom inserts.

> I am going to try them before surgery. I bet I will

> still have to have

> surgery. I also suffer from pain due to weather (in

> Atlanta,GA). I take

> Enbrel and mobic and flexeril. I do not think mobic

> works so on bad

> days I end up taking a Lortab. I have had an ulcer

> so I can not take

> Feldene.

Hi Beth,

How long have you had pain from the bone spurs? I've

had problems with plantar fasciitis, and bone spurs in

my heels for several years now. The custom orthotics

helped as did physical therapy. I can now wear shoes

that have good arch support, without the custom

inserts. But, it's taken me several years to get

throught the foot pain battle, it may be best to be

patient, get some p.t. and give it time.

Many have lately been discussing how the weather or

barometric pressure affects their PA and pain levels,

which it may do to some extent. I don't think I have

so much fluctuation to deal with here, as more often

than not it's just darn cold. Currently, my biggest

battle is fatigue. Last week I fell asleep while

looking at my boss and talking to her...she freaked

out. I've explained the narcolepsy to them before, but

I guess they don't believe it until they see it. I

recently started flexeril, and have noticed a reduced

pain level, but it sure has made me sleepy!

Beth good luck with your attempts to ease the heel

pain, I've been there and its a pain in the....

warm blessings,

jane

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[Guest guest]

Hi Beth,

I have suffered from severe plantar fasciitis in the past. The

immediate treatment was steroid shots directly into my heels. Since

then, I have ensured that I do my foot exercises several times a day -

even while sitting at a desk. By keeping the tendons flexed through

proper foot exercise, I have been able to prevent a recurrence. It is

extremely painful - you have my sympathies - but it is generally

treatable through inserts and exercise without having to resort to

surgery so it is good that you are seeking alternatives. You can find

excellent plantar fasciitis foot exercise suggestions on the internet.

Kathy F.

>

> Does anyone suffer from this? I have them and just got custom

inserts.

> I am going to try them before surgery. I bet I will still have to

have

> surgery. I also suffer from pain due to weather (in Atlanta,GA). I

take

> Enbrel and mobic and flexeril. I do not think mobic works so on bad

> days I end up taking a Lortab. I have had an ulcer so I can not take

> Feldene.

>

[Guest guest]

>

> Does anyone suffer from this? I have them and just got custom

inserts.

> I am going to try them before surgery. I bet I will still have to

have surgery. I also suffer from pain due to weather (in Atlanta,GA).

I take Enbrel and mobic and flexeril. I do not think mobic works so

on bad days I end up taking a Lortab. I have had an ulcer so I can

not take Feldene.

>

Are you taking the Mobic everyday or just when you hurt? With any

anti-inflammatory you need to take it daily, regardless of how you

feel. I take Mobic 15 mg and it's great.

I started Mobic for plantar fasciitis (caused by heel spurs) and it

really did help...for awhile. I also needed a steroid injection, a

cast boot, orthotic inserts, night splints, stretching, ice therapy,

and physical therapy. You may want to see a podiatrist if you

haven't already.

When I saw the rheumy (1st time) last month, she said if you have

plantar fasciitis on both feet, then that's a sure sign of all-over

inflammation. My right foot is way worse than my left, but the left

will act up now and then. On ultrasound the left is twice as thick

as it should be, and the right is three times. On Xray, my bone

spurs are quite large and irritating the fascia.

I'm really trying to hold off on surgery as I have two young kids

(one multiply handicapped) and don't have much help during recovery.

I just can't be down that long. As long as I stay off my feet and

don't overdo it, I'm pretty good. I messed myself up this weekend by

being in charge of the cub scout banquet food - yikes!

The weather/pressure changes just do me in!

C.

[Guest guest]

Hi everybody,

Regarding plantar fascitis: It is extremely important to wear well padded

shoes as that will provide cushioning. Once you have plantar fascitis which is

not directly related to heel spurs(I am a physical therapist), it is

recommended to do gentle stretching to your heel and foot prior to getting out

of bed. Also, after stretching do a cross friction massage across the heel.

There are podiatrists who feel the orthotics are the quick fix. Not always

needed and these podiatrists do not look at the biomechanics of your gait(how

you walk) and they don't take into consideration what your knees and hips are

doing. I am not against podiatrists, but they need to look at the total posture

of the patient.

Sorry for being so winded on this subject.

Doris

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[Guest guest]

>

> Regarding plantar fascitis: It is extremely important to wear

well padded shoes as that will provide cushioning. Once you have

plantar fascitis which is not directly related to heel spurs(I am a

physical therapist), it is recommended to do gentle stretching to

your heel and foot prior to getting out of bed. Also, after

stretching do a cross friction massage across the heel. There are

podiatrists who feel the orthotics are the quick fix. Not always

needed and these podiatrists do not look at the biomechanics of

your gait(how you walk) and they don't take into consideration what

your knees and hips are doing. I am not against podiatrists, but

they need to look at the total posture of the patient.

> Sorry for being so winded on this subject.

I've had two podiatrists (due to a move) and the first did gait

testing/pressure on me to actually make my orthotics. I also wear

really good walking shoes - usually New Balance. I agree, orthotics

only (even custom) don't do it alone. Night splints are very helpful

for me.

My new podiatrist also sent me to PT after injections, stretching,

night splits, Mobic, and a cast boot didn't work. At PT I got

massage, ultrasound, and inopheresis. My PF was so bad I had to use

a cane for awhile. All of those treatments really helped it. It

cost me a ton, though ;-). The podiatrist is really trying to avoid

surgery on me.

I think I've had my orthotics long enough now to undo some of the

years of damage I did to my feet by pronating. I worked on my feet

from age 15 to 28 and that didn't help either.

I do stretching with Therabands and massage on ice-filled plastic

water bottles and tennis balls. I also constantly stretch when

sitting for long periods. I have a lot of effusion on my ankle joint

on the same foot that the PF is really bad, so some of the therapy I

do is also for the ankle - it all sort of runs together.

C.