Visit with the Podiatrist

So I posted a brief bit on Facebook about what the podiatrist had to say, but I have been crazy-busy so I wasn't able to get back here until today.

First, I expected one of two (From what I have read online) standard Podiatrist viewpoints toward the Vibram Five Fingers.

1)  These things are horrible. No one should ever wear them (or walk barefoot) as our feet should be in shoes that make them work properly.  They are just begging for injury because they don't let your foot work like it should.

2) They are ok, and there is nothing wrong with wearing them, but you don't want to over do it.  Longer runs should be done with proper padding and motion control in the shoes.  Its important to remember we live longer than people used to - so our bodies take more abuse.  Plus we are running on much harder materials than the dirt and grass our ancestors did - so it is further wear and tear on the body.

In either case I fully expected them to fit me with Orthotics (Because my understanding is that ll Podiatrists fit everyone with Orthotics.)

I had checked around with everyone I knew looking for a podiatrist that came recommended from Athletes and runners.  My old Tang-So Do instructor (old in the sense of when I used to go, she is still quite young) recommended one that was a black belt at the school, and also was somewhat of an athlete himself.  Seemed Perfect!  Perhaps he would be a #2 - or a super rare - liked the idea of strengthening feet!

I headed in, and while they nurse was x-raying my feet she let me know that she didn't think that Dr. Gennett liked them AT ALL, so I my expectation became standard podiatrist answer #1.     When he came in - it turned into answer #2!    I think they jammed me in to a slot that didn't exist, as my interactions with him were VERY brief.  (I had met him before, he helped me learn some of my one-steps for my orange belt.)  He did have them fit me for orthotics (That I don't really plan on getting or wearing) that I am supposed to wear in all my shoes for the rest of my life.   He did confirm that it was Plantar Faciitis, and said he could feel how tight it was.  He said your normal person can pull their foot back to about 15 degrees, he guestimated mine at about 5 degrees.  If you recall my issues with calf muscles and Achilles tendon from last year - it makes perfect sense as it is all combined!  (I wonder how bad it was  back when I had the issues!)

[caption id="attachment_1527" align="alignright" width="300"] Stretch for PF[/caption]

He gave me some great exercises/stretches to add-on to my list of what I am doing for the Plantar Faciitis as well.  The one in the picture to the right I am to do before getting out of bed, or sitting for any extended period of time.

He then gave me a shot of Cortisone into it, and I got to walk pain-free for the first time in three weeks. It was WONDERFUL!!!! (Unfortunately it was short-lived - 20 minutes  after I left it started hurting and spread through my entire arch.  That lasted about 24 hours and now it is hurting less.)   He had the nurse make an "arch support wrap" for me to wear for a week or two.  I asked him about the foot-log, and he thought it was fantastic to use.  The office also gave me a list of stability shoes such as the Asics 2170 and the Brooks Adreneline that he said I should be running in.

After the Podiatrist's office, I headed over to a local sports shop to try on a pair of these "Stability control shoes".  And I found out the all seem to cost AT LEAST 100-120 bucks, if not more.  Well, I suppose you are getting "more shoe" for your money...  I tried some on and found that the constricted toes are horrible.  (So are the color selections.  Apparently only older, more conservative people are supposed to get Plantar Faciitis.)  After trying several types on, I found one that had a decent toe box by switching from the shoes on the list - to an Asics that had the similar features designed for Triathlons.   It had the same foot lift of 10 -11 mm, the same arch support, the same thingy to stop it from flexing in the middle.  Plus it had the added bonus of being glow-in-the-dark!  It was the ASICS Tri Noosa-7, pictured to the right.    I tried them on, and like the others jogged around the store with them.

It felt weird.  Aside from my no longer being used to wearing conventional shoes, that heel raise had me concerned.  Granted I was just going up and down the aisle of a store - but it was difficult to NOT heel-strike in them.    I left without buying anything because I couldn't decide to get them or not.  I just have issues spending 120 bucks on shoes I won't wear after I heal (heel?) regardless of how awesome the color scheme is.

Based on a physical-trainer on my FB page, I did order a night splint to wear (it will be here tomorrow).  The handout I got from Dr. Gennett said it helps in 20% of the cases.  Since I can use my Healthcare Reimbursement account for it - I figure it is worth trying.

As for shoes - since this not running me is KILLING me, I did decide to order a new pair. I went over to Dicks Sporting Goods and tried on several pairs of stability control shoes - some made by Saucony, Brooks (Really tight toe box), ASICS, Nike.. And the heel rise on them all were forcing a heel strike.  I tried on some others that were NOT stability control and found that the New Balance Minimus was quite comfortable (although no more supportive than my VFFS.  The Saucony Kinerva 2 seemed to have some some protection and prevented a bend in the middle since it had padding, but only a 4mm heel to toe difference. It seemed a fair compromise for me that could give me some benefit via padding and support - while not being a short-term HIGH expense.
Plus I found it on-line for 60 bucks, compared to the $120 of the doctor recommended.  Plus it seemed like the sort of thing that I could still use for trail running when I am all-better.

So, my new nightly routine the wall-stretch we all know and love for my calf. Then i bend my back knee and put my weight on it to stretch out the achilles/plantar facia.  Then I use a stair to hang my heel off and stretch it out. Then I go up stairs and use my foot-log before I get into bed.  I am rolling my foot on an icy water bottle at least twice a day at work, and have been taking (faithfully now) my Naproxin 500 mg two times a day.  I also give my calf muscle a good rubbing with The Stick during the day.  It does seem to hurt less today than yesterday, so either the Cortisone is working, or my long list of things I am doing is..

Here is the thread from my Facebook page,  I am including it - just because this post doesn't seem quite long enough..:


I'm still not sure what the orthotics are supposed to help me with exactly..