heel problem

[william107]

hi

thanks for replying

my occupation is landscaping which means i,m on my feet all day .
I was off work for 3 months post op .

i,m actually from the scotland uk ,

i was actually a full time professional until i was 21
i have been semi pro since .

training 2 nights a week and obviously playing on a sat .

the physio at the club i,m currently at is taking care of me ,and not fully qualified as yet , although i thought by now there,d be improvement .

i actually said to the surgeon who done the op about 12 weeks post op , about this area of pain and he said it was tiny nerves servered in the op ,
that would heal given time .

the healing period time seemed to be around the 6 month timescale by all accounts , i had about 1/2 an inch of bone taken away .

i was waiting for the 6 to 8 months post op before i use my private health care as they will only pay a limitied amount for specialist treatment , i,e consultants fees ,scans ,injections etc ,and a qualified physio .

and you know what the nhs is like as long as you can walk they won,t give you much help in gettin back to playing sport .

I tend to agree that the fat pad is damadged i think i done most of that damage by carrying on playing when i should have stopped before i could,nt play anymore ,stupid i know, now it,s only one thumb sized area next to the scar that is constant and at times quite a dull pain thats why i was thinking this is nerve damage , i haven,t played since the op or even 6 months before it so thats about 1 year i haven,t played for .

Most of my stretching has been the usual hands on the wall leg back ones and the one on the stairs going up and down on my toes , 6 sets of ten daily if i can .

I can kick a ball no problem ,it,s not my kicking foot anyway , as i spend 20mins a day doing that now with no problems .
i was also using a rowing machine for 20 mins a day to keep my cardio up , with no pain at all , then i started to think mebbe this was holding me back so i stopped for a while , but soon as i tried to run or even jog this pain appears straight away , it,ll be sore that night ,by the next day it settles down again , but theres no way i could play .

I will be seeking out a professional physio in jan using my private health care and will be asking my dr to refer me to a private consultant , should i be looking to get an mri scan from the consultant or any kind of injection ?

p.s i had a cortisone injection in the pump bumb area before i had surgery and if anything this made the achilles area weaker .



thank you .

[wutti]

hi there!!
to be honest, if you would find a good, well experienced sportsphysio that could be enough. its hard to say anything more about your problem, because this area is such a complex region with lots of small muscles as well as muscle tendons from lower leg area. also a lot of nerv tissue around, fascia and aponeurosis etc. also it is really important to c u weight bearing because the arch of foot and tho whole biomechanics are so important and can cause hundred of problems. so my advice would be forget about mri and injection(would only reduce problems for a short period of time) and try to find a good sportsphysio how has the time to sort things out. if that doesnt work out you can still do the mri etc.
all the best!!

[alophysio]

Hi,

Thanks for the extra info.

I would certainly get in to see a good physio who is experienced with your problem. It is too hard to guess from 1/2 way around the world what is wrong with you! Also, a non-qualified physio is simply not good enough for your injury - a simple ankle sprain maybe but not this (no offence to the physio student in question of course!)

Maybe Physiobase has some good ideas about who you can see up there???

MRI either way doesn't matter but i you want to save the money, I'd wait.

Cortisone has a catabolic effect - that is, it eats tissue (which is good for scars you don't want but not for good tissue!) which is why you may have been worse after it!

Let us know how you get on...

[william107]

Hi,

Thanks for the extra info.

I would certainly get in to see a good physio who is experienced with your problem. It is too hard to guess from 1/2 way around the world what is wrong with you! Also, a non-qualified physio is simply not good enough for your injury - a simple ankle sprain maybe but not this (no offence to the physio student in question of course!)

Maybe Physiobase has some good ideas about who you can see up there???

MRI either way doesn't matter but i you want to save the money, I'd wait.

Cortisone has a catabolic effect - that is, it eats tissue (which is good for scars you don't want but not for good tissue!) which is why you may have been worse after it!

Let us know how you get on...

yeah it,s a hard one to pin down ,as it seems to be just the running thats giving me problems .

i,ll be getting reffered to a professional physio in jan , to see if he can sort out my problem through my private healthcare by my DOC , hopefully he can sort me out .

thanks for your help .

great forum for information anyway

[alophysio]

let us know how you get on!