Plantar Fasciitis and Posterior Tibialis Diagnosis and Rehab with Gait Happens
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- čas přidán 2. 06. 2024
- Plantar fasciitis and posterior tibial tendinitis can be challenging diagnoses to treat. But not when Dr. Courtney Conley tells you everything you need to know about how to diagnose and treat these conditions!
Dr. Conley is the founder of Gait Happens and Total Health Solutions. She is an expert on all things foot and gait related. She is also an instructor for RockTape.
#plantarfasciitis #chiropractic #rehab
Fantastic, I’ve just learned I have Posterior Tibialis but have been exercising for Plantar Fasciitis so no wonder its not improving!
7:38 plantar fasciitis tx
9:30 posterior tibial tendonitis tx
Great exercises. I’m an MD and couldn’t have come up with these.
(The minute numbers for each exercise in the notes would be great )
Im so glad i found this video. Ive been learning about plantar fasciits due to having foot issues but I relate more with Posterior Tibialis, which I have never even heard of.
Great explanation! Thankyou Doctor.
Awesome explanation - I think I have both
Thank you very much..very detailed ,
Well, this was excellent and thorough
I got plantar fasciitis when I was deployed to Iraq. What helped me most was when I got home I worked out at home barefoot and I was barefoot as much as possible. Not sure why it helped me, but it did. I only workout at home now and only barefoot on my Zebra mats. And I walk around barefoot all the time.
Thank you for the detailed analysis. It was very helpful and I feel like I had an actual appointment with you.
Best video abt both of these issues. Thank you
Oh, my. I have both. Thank you for your explanation
I have beaten posterior tibial tendonitis in 9 months!
Read closely I am writing this because I would have died for someone to tell me this information when this first started when I though there was no way out. Now through all of these steps make sure to take Moringa, turmeric ,ginger and cocoa which are highly recommended for beating the inflammation (make sure to check with your doctor first to make sure these are safe for you to take 1st) and take collagen 1 and 3 preferably from green lakes or native path as well as tendoforte collagen from salt wrap or sparkling wellness which is a little cheaper. Now I was in agonzing pain with both ankles every time I would walk it literally felt like someone was shoving a staple through my tendon so it may depend on the amount of damage done with the time lapse needed on each step but I can only personally share my experience and if I would have done this the right way I probably could have healed a lot faster so here we go. Step 1. Relax your ankle for the first month to two always walk with a brace never unsupported as well as a shoe with a good orthotic always ( orthofeet reccomended) and ice to bring down infllammation I just shoved my foot in an ice bucket but any way is possible to help bring down the inflammation when walking supported gets noticeably easier its time for step 2.Step 2. once the inflammation stage starts to get better this is when stretching, rolling your legs and foot as well as taking longer walks comes into play but still always supported by an ankle brace or something just to keep you arch supported so the tendon can heal but take on a little pressure from the walking. Step 3. this should be at the 3 to 4th month time lapse once you are a professional at walking now comes strengthening a little bit more intensily with calf raises only off the ground I started with 5 the first day 10 the next until I finally made it to one hundred with out a problem from here you should be 65% improved if on any of these steps you do feel pain stop right away and go back to the earlier step you are not ready. Healing for me was a two feet ahead one step back process so be careful keep stretching and monitoring yourself. Step 4. Now when calf raises get easy start to use lotion and give your tendon a deep massage to tear up the tissue I would recommend watching a video on this first then as soon as soon as you are done walking or calf raises need to be done because the whole idea is that you are breaking up the scar tissue with the massage and realigning it with the exercise.Also start to motion your foot in a circle 5 times each way to improve mobility. By now you should be on month six and 85% better now its time for the final step. Step 5. Now at this point you should be more able to walk with out a cast unsupported not is when I started using the theraband I would point my calf down with the band on the ball of my foot and pull it in start with the weakest band start 5 then next day ten and until you can hit twenty then fifty by now you should be at almost 100%. Things to not do do not use n said cream I did this and luckily stopped and found out later it actually weakens the tendon long run. If your foot starts breaking down like all the tendons in my foot did stretch and stick in a bucket of ice every night eventually won't have to but from steps 2 to 4 this was a nightly ritual. Subliminal and mprphic fields may help speed up the process as well I definitely recommend sapien medicine for the fields. Like I said this can be done in a good amount of time if done right. Any question feel free to ask Good luck!
Thanks! I've delt with mine for so long! Do you have flat foot deformity too? Just wondering how that is going?
9:32 for PT treatments.
I bet I’ve got the worst case of foot tendinitis you’ve ever seen..
This video confirms that I have PF and PTT in both feet. Pretty sure I also have peroneal tendinitis in both feet. AND insertional Achilles tendonitis. I’ve researched these things endlessly over the last few years. Had to quit my job after the prolonged standing wrecked my feet. I just turned 37 and I feel handicapped. Praying these exercises can do something for me. Any other advice you might have I’d love to hear. You seem very knowledgeable. Thanks for sharing.
Buen video
Excellent
Dr Courtney, this has been the best video on the subject. Please post a list of exercises from treating to maintenance for posterior tibial tendinitis- I learned from your video that that is what I have in addition to plantar fasciitis
I also have both and sinus tarsi syndrome
I wish i could find someone with your experience around the northern Rivers area of NSW or the Gold Coast area of Queensland Australia.
Thankyou for your informative video.
love this. now to get people to do their home care!!!
This is my exact problem, although I went in thinking it was posterior tibial tendon and my doc thought it was plantar. My pain starts hours after being active.
Wish my Dr would of done such a good exam. Mine just barely touched my foot and had me walk about 5 steps. Mine hurts so much I can't balance on one foot or do a heel raise. Jyst gave me orthotics which did not work and told me to get new shoes
my doctor the same waste of time did you ever get any relief?
What if you can’t do a calf raise? Too weak & sore
Where can i find a clinic like this? i went to 4 podiatrists and spent the better part of 3 years unsuccessfully treating "plantar fasciitis" they all gave me the same B.S "just wear orthodics" didn't work. after watching this i'm thinking they may have all misdiagnosed me in the first place, definitely going to start doing some of these exercises.
I did same thing. After many doctors and driving all over to find the right orthotics and the other option is surgery. I found lucky feet $500 later with shoes orthotics and etc it did improve until 3’years later it’s back and nothing is helping it improve. 😢😅😮
I had a bad case of plantar fasciitis.
Made appointment with Orthopedic surgeon .
I mentioned this to my DC & he fixed it.
Doc said ,”it’s going to hurt & will be lil bruised.”
So laid on my belly & he used a tennis ball on my foot.
He broke up all that mess in foot.
I cursed so much, but problem solved. 🎉🎉🎉❤❤
this is the best and most scientific explanation about this that I found!!! I have an inflamed PTT. It started from running 18 months ago. I have tried everything from barefoot shoes, orthotics, etc.. I have a hollow foot (no flat feet) and the pain is not that bad but since im studying sport science I need full function and for daily sports activities. I have slight supination and now pronation. Do you think following reasons could be the case: 1) weak hips and limited dorsi mobility lead to pronation which is only noticeable while high impact activities? 2) my arch although hollow feet is still weak and is collapsing while high impact activities? I would appreciate your opinion a lot!!
brilliant
Excellent, I have both issues and currently seeing orthopedic doctor for treatment. I know tibial cause mechanical but makes me wonder whether being veteran road cyclist may have attributed to my posterior tibial tendinitis, any thoughts? Could cleat adjustment have anything to do with my condition… I am currently in CAM boot right foot but now feel stressing out left due to imbalance posture one foot elevated more than other with boot on.
What if you’ve done so much damage to the ankle that calf raises really hurt? I have tendinitis and tears in deltoid
very good information, when i went to foot clinic today they didnt check anything that u did, ist thing they suggested was orthotics, and apparently i have posterior tibial tendon, i learned alot more by watching u,,, now i need to get the right shoe, is Brooks shoes a good shoe what is ur recommendation
That was great illustration.
Doc looks great also
Am I the only one who sees this video and thinks that Dr. Conley is so charismatic?
serious educator
If I did a single legged calf raise on my bad foot, first of all, I'd only be able to get off the ground a half inch or so. And, I'd be in pain for the next month.
Posterior tendonitis is my problem, so what is the treatment?
Is this physical therapy or chripractor work?
I have developed both after a bunionectomy.. I'm in a worse place than I was before the surgery cos of the planta fascitis and posterior tibial tendonitis:( help!!
Can you have both of these? I feel like I have both of tbese
I have Patellar Tibial Tendonitis (multiple ankle sprains in the past years, over-training before fully healing, and maybe some postural/structural issues) and may have sustained some serious damage from a PRP injection. Do you think you could answer these questions based on general knowledge?
1. Is it possible for permanent nerve, tendon, or ligament damage to occur from a PRP injection in or around the tarsal tunnel?
2. Can BPC-157, TB-500, or HGH injections heal serious nerve damage?
3. What else can be done besides surgery, traditional PT, and RICE recommendations? I’m trying everything to get this back in shape because it could honestly be a life altering injury, given my career and dreams.
do you mind sharing how's the progress? I'm debating whether i should just decrease my mileage or completely stop running for 1-2 weeks
loved your thoroughness on the differences between plantar fasciitis and PTTD...of which i believe i've had both. i am now experiencing more symptoms of PTTD (burning pain inside ankle) i wish you had shown how to do heel raises for PTTD as i find on one foot i am unable to do a calf raise, the other foot does not go as high as it use to either. i will listen again for that discription--ball under heel? i am not a runner just retired woman in her 60s.
I've seen that exercise on other videos before, you place a small ball between both heels and you push into it to hold onto it as you rise up. Look for a video before trying it to avoid any further damage.
Are there progressive steps?
Like extremely modified version.
So I have an issue... My pain started when I started going barefoot more often. And this is coming from someone who has always gone barefoot at least at home. Your description of plantar fasciitis definitely fits.
How are you doing these days?
@@mumpygumboo8554 I had started doing better for several months and now another issue has started that I’m working on
@@sylvanstrength7520 I'm finding these stretches and exercises to be really good. I just started doing them but I already feel so much better for them. The root cause of plantar fasciitis and ankle impingement, etc, I believe is the prevalence of flat feet. We walk on surfaces that are perfectly flat, with arch supports in shoes all the time. A recipe for weak arches and all the muscles that support a proper gate and arch height.
czcams.com/video/YUnZNU99bAA/video.html
@@mumpygumboo8554 Thanks man, will check those out! I actually haven’t used arch support in over a year, but I’m beginning to wonder if perhaps my diet and my weight are playing a part in my current issue
Again, I find them very very good. Using some of our body weight to really challenge the muscles that support our feet and to stretch out what is super tight. This is all the recipe for alleviating fallen arches. It's not enough just to pick up towels or scrunch them with our toes, i.m.o. We need to build up the muscles that set our legs and feet right. BTW, these exercises feel great, too, like blood is now flowing to parts of my legs which never had this feeling for sooooo long. I carry extra lbs and have worked for years on concrete floors. I urge you to really listen to what the man in the vid says, in terms of the exact way to do these, or if you did like I did and got all excited and tried them with using too much of my body weight it did a bit of harm initially. Good luck and please let me know how it goes.
I don’t have pain but feel like the bottom of my feet are tight when trying to stretch. Is that normal?
Any vids concerning facet joints? I have a jammed facet joints L4 L5 area. I get cortisone shots just about every 18 to 24 months to calm down the inflammation. What else can be done? I very little cushion Left in this area. Thank you!
I'm not sure but I heard story about Dr. Brooke Goldner, who is having Systemic Lupus Erythematosus (SLE), a type of severe autoimmune disease. She just met her boyfriend (now he is her husband) and tried what her boyfriend ate and then her SLE somehow so oddly subsided itself. Since then she just stay with her new diet and ditch the old American classic diet and her SLE doctors couldn't believe that SLE is still remarkably in remission and has been a history for her
What do you do if you're diagnosed with both, like I have. Have also had a partially torn posterior tendon previously and a broken ankle. Any recommendations please.
Are you better now?
Can you have both?
I have heel pain for years when standing barefooted.My doctor said it's heel spur and I need to have an operation to get better. Is heel spur related to the content of this video?
Maybe get a second opinion. You could also ask a chiropractor who specializes in adjusting feet (where I live I only know of one chiro who adjusts feet!) or a physiotherapist who also has experience dealing with foot problems.
Today I found a good video on foot pain solutions. If you are interested, I'll send you the title.
i went to the foot doctor only offered orhotics they don't work my foot aches and feels tingling burning sensation
I have best results using a nubbed roller massager , wearing the ankle to toes boot with straps at ankle and toes and orthotic inserts.
Where are you located?
Mine is my left (edge on side of foot. Not heel or underneath. It's all down outside edge of my left foot. It's been hurting since June 2022 What is this called? It burns and hurts when walking. Please help me know what it could be.
10:32 a question: I'm suffering with PTT but I can't really prevent doing this as I was born with both feet flat. Any advice?
I've been dealing with severe pain for over 13 years now. Im going to try these and see what happens. Note: Ive been an Aggressive Inline Skater for 14yrs and maybe thats the cause of this.
Dr Courtney putting so much pressure on finger will lead to metatarsalgia.
... who do I see for a problem like this
podiatrist, or an orthopedic doc/surgeon that specializes in the foot.
@@tizben ...thank u
My podiatrist said he doesn't deal with anything above the ankle. 😮
So I saw a foot, ankle, lower leg orthopedic sports doctor surgeon.
In addition to being super smart and useful, she is also very cute!
Can I get an injection??? Lord , it’s Painful
Can you have both? My symptoms sound a lot like both on my right foot. I’m going on to a year struggling and no diagnosis. Before I couldn’t bear weight and do calf raises at all until recently, but it hurts and still feels weak. I still can’t fully put the amount of weight I used to, so, my left foot is still taking up most of my body weight. Physical therapy obviously is helping but I wonder why I still see swelling and have pain/weakness. My skin turns slightly red too. It’s all weird because I have never injured my ankle. It just happened shortly after I got the booster (Moderna) last year. I would also feel tingling and numbness and my foot felt like it was on fire or at times icy cold. Sometimes a combination of both which is extremely uncomfortable.
These exercises are way too advanced for someone with a real injury to the posterior tibial tendon. Where are the baby exercises to start out with?
I was dismissed from Physival therapy on session one after the the physical therapist got discouraged with me for not being able to do calf raises because of too much pain. I'm not overweight and always had very strong legs (cyclist, gym workouts and horseback riding my entire life)
This had been a life altering injury for me.
I agree.
These are way too aggressive.
I saw another Physical therapist [SPORTS INJURY PHYSIO] do baby exercises.
She basically says to build on eccentric exercises because most of her clients are way to injured or strained to attempt exercises.
I had my PT dig into the tendon with an acupressure Bar Massage ball pen when examining me. The next day the pain was excruciating.
Like at this point I'm thinking of just canceling all my future appointments. 💢😠
I saw another post of someone's journey here and honestly the 6-9 month healing journey is probably what I'm looking at.
I hope you're healing well. Just started mine 2 months in. Just mild pain but those flares are insane.
Hi Dear! I have pain where at 4:40 you have your thumb and on my greater trochanter what type is this please ?
If you had a slow onset of pain proximal to your big toe and you're over 50, it could be osteoarthritis. If it was more of a sudden onset, you may have gout.
Poster
A bit complicated terms
You are one extremely knowledgeable doctor on this subject. Regardless of your knowledge, you are drop dead geourgeous!!! How come I never meet someone like you?
Im sorry but do you think your talking to the general population or a Doctor?
The band round the ankles, did I miss something? Didn't explain anything. Useless video.