plantar fasciitis

Where’ve I Been

I’ve been around! Just taking a break. My parents came down to Portland to visit the weekend before Thanksgiving, which was really nice. Michael and I got to have a little time away and Logan got to spend some time with his grandparents.

We had a nice Thanksgiving with Michael’s family. His brother got the meal again from Zupan’s, which was delicious, and the smoked turkey from Podnah’s BBQ. It was SO GOOD! Smoked turkey is the best thing ever. πŸ™‚

Stevie is fitting in and settling in nicely. He’s found his favorite spot:

He gets along with Bella for the most part. He likes to sit with Bella and they cuddle/sleep/nap together and Stevie gives Bella kisses, which is super cute. Stevie is definitely still a kitten, though, and tries to play with Bella sometimes and Bella is like “WHAT IN THE HELL IS HAPPENING”. There have been a few times I’ve had to separate them to keep anything from happening. Nothing bad, just erring on the side of caution. Maya hasn’t quite adjusted to the new kitty yet, which I knew would take a long time (if ever).

Stevie is adorable and cute and cuddly. He wants to be with his people at all times. Which is sometimes annoying–especially when he trips us up because he’s under our feet. πŸ˜‰ Kittens!!

Now for me: A few months ago I had a CT scan on my sinuses because I’ve had so many sinus infections. I met with the ENT doctor/surgeon to go over the results. I may or may not be having sinus surgery. I haven’t decided yet.

Basically, I have a deviated septum:

Which is a birth defect. I don’t think I ever had a broken nose to cause it. In addition, I have an issue with my left sinus. This is not a photo of my CT scan, but I wanted to give you an idea:

So the sinus is the black open area where there is air. My right sinus is open and “black” like the above picture. The left sinus is completely gray. So if I do have sinus surgery it would be to fix the deviated septum and to open up the turbinate/sinus area. That would fix my sinus issues and I’d hopefully stop having sinus infections SO MUCH.

The idea of sinus surgery sounds scary and awful, so I’m not sure yet if I want to do it. The doctor claims the recovery isn’t THAT bad…about a week or two of being uncomfortable and not being able to breathe out of your nose and then I should be ok. 4 weeks of no heavy physical activity/swimming. I just don’t know. I mean my day to day life isn’t miserable. Not right now. I just hate that every cold I get turns into a sinus infection. Time will tell.

In other medical news: I have plantar fascitiis. I was having some Achilles and heel pain, that felt like a bruise, on and off for a few months and saw my doctor last week and got the diagnosis. It was a super bummer. I know that PF is a painful, chronic issue that is often hard to get rid of so I was kind of disappointed to hear that. She suggested inserts.

I got inserts for my shoes specifically for plantar fascitiis. I felt IMMEDIATE relief for my feet. It was like magic. Except, within a few days I started having back pain. What the hell?! Seriously, I felt like the Princess and the Pea. One tiny thing threw off my ENTIRE BODY.

I talked to my doctor and she said to ease into using the inserts, just a few hours a day to get used to them. Ok….So that is not fun right now. It really feels like my whole body is broken right now!

So that’s what’s going on right now.

QUESTION: Have you had sinus surgery? How did it go?

Safely Returning to Exercise?

Monday morning I had an appointment with the podiatrist. Thankfully the referral from last week was fast and I got in to see him without waiting weeks (which is typical).

I slept in a little bit (even though I didn’t sleep well Sunday night) and then went to the doctor.

The doctor was very nice. I liked him much better than Dr. Asshole from last week–plus he spent about 40 minutes with me.Β  Dr. Asshole diagnosed me in 3 seconds.

He did a full exam of my feet, ankles, calves. He checked stability, range of motion and other exams on the my left ankle. His conclusion?

I do not have Achilles Tendinitis.

After all the testing he did, he determined that I did not have Achilles problems. That my ankles are strong and not swollen, bruised or painful to the touch–all good things.

He thinks that I strained a muscle or maybe even the medial tendon–but not the Achilles. He was leaning more towards a strained muscle which is good news for me! He asked me about my activities. I explained that I’ve been doing swimming and upper body weight training.

He asked me ifΒ  I stand while lifting weights–I said no. He said good (for now). He said that I can stop wearing the boot tomorrow because it will cause more harm than good (back pain, hip pain, leg pain) when I don’t even have Achilles Tendinitis. Good news.

Now onto the other foot.

More good news: I do not have Plantar Fasciitis!

It was such a relief and I’m so glad I went to the podiatrist. He said that the area of my arch where I was having the weird twinge wasn’t plantar fasciitis. His recommendations:

  • Don’t go barefoot.
  • Wear shoes with good arch support.
  • Wear my good running shoes when I just walk around all day (I do that).
  • Wear my good running shoes (a new pair) when I run only (I do that).
  • Do calf stretches!!!!

The above photos is the calf stretch I now have to do every day for the rest of my life so that I do not develop plantar fasciitis.

His directives:

  1. Don’t be too far back from the wall.
  2. Hold it for 30 seconds minimum at a time.
  3. Release, repeat for a total of 3 times.
  4. Always do the calf stretch before physical activities.
  5. He recommends the calf stretch first thing in the morning.
  6. Skip the calf stretch on the stairs.

He also said that anything less than 30 seconds is detrimental. Holding the stretch for 15-20 seconds only means that the muscles and fibers just tighten up, shorten, and then eventually tear. Good to know.

What was my next question for the doc? When is it safe to return to exercising normally?

You canΒ safely return to your sport when you meet the following conditions:

  • You have your physician’s β€œokay.”
  • You are pain-free.
  • You have no swelling.
  • You have full range of motion (compared to the uninjured side).
  • You have full or close to full (90 percent) strength (again, compare with the uninjured side)
  • You can jog straight ahead without pain or limping.
  • You can sprint straight ahead without pain or limping.
  • You can jump on both legs without pain and you can jump on the injured leg without pain.

I’m cleared for exercise! He said that swimming is excellent (which I knew). He said to take it easy the rest of this week then try easy exercise on Saturday. For example the exercise bike at a low resistance. Yay!

I’m also supposed to continue the anti-inflammatory medication for a few more weeks then stop. It’s basically a one-a-day extra strong Motrin.

After some thought I’m wondering if I just strained something in my ankle on the elliptical machine last week. It was a machine I don’t normally use and maybe I wasn’t doing it properly (i.e. lifting my heel too much). Quite possible.

I’m happy with the doctor visit and I’m happy with the outcome. I hope he’s right! Thank you all for the well-wishes and positive thoughts!

QUESTION: Have you ever been mis-diagnosed?