Archive for justcycling.myfastforum.org Just Cycling
 


       justcycling.myfastforum.org Forum Index -> Dr.Fuentes Consulting Room
smarauder68

Feet problems

Anybody ever suffer from mysterious foot pain??

I have been battling foot pain, off and on for the past year....Sometimes, its concentrated in the achillies heal area, other times its more on the top of the foot to the outside edge....And once in a blue moon, I wake up with a swollen big toe...I don't remember stubbing it, but its swollen and feels like I broke it...

So much for my golf game today.....Sad
CapeRoadie

Get checked for gout. You may have a posterior heel spur or tight calf muscles (soleus, gastrocnemius). You may have plantar fasciitis. You may have more than one problem. Where is the pain concentrated lately?
MerlinGuy

My vote is on gout.

I suggest you lay off the Uric and Sea salt potato chips. Drop the meats and eat lots of fruits and vegetables.

If you're young and physically fit I suggest that you go to a doctor since gout can be a sign of something worse going on.
CapeRoadie

MerlinGuy wrote:
My vote is on gout.

I suggest you lay off the Uric and Sea salt potato chips. Drop the meats and eat lots of fruits and vegetables.

If you're young and physically fit I suggest that you go to a doctor since gout can be a sign of something worse going on.


+1

...and lay off the seafood
Slapshot

MerlinGuy wrote:
My vote is on gout.

I suggest you lay off the Uric and Sea salt potato chips. Drop the meats and eat lots of fruits and vegetables.

If you're young and physically fit I suggest that you go to a doctor since gout can be a sign of something worse going on.


+1
Bartali

Sounds nasty - can't be any harm in getting it checked out Sm!
smarauder68

thanks....I will try to get an appointment but by the time I get seen, I'm sure the pain will be gone.....I will still try.
cyclingtv

HMO problems.. SM.. in canada we go to any walk-in clinic.. they see us on the spot for free..
if an emergency.. we go straight to the hospital.. for free.. ambulance free too.. if needed..

do have idiots who abuse the system.. especially emergency depts..
like they go there for a cold.. idiots.. then there's even bigger idiot's..
heard of people who.. needing a ride from the country..
into the city.. they'll call an ambulance.. claiming to be ill..
once the group are taken to the hospiital.. they just walk off..
smarauder68

for me to get seen, I'll have to go to my GP(General Practicioner) and he'll have to refer me to a specialist which may take anywhere from 2 to 6 weeks....by then, the my mysterious pain will likley be gone....the other option is going to the emergency room and waiting it out with those who are there for colds, flus and minor ailments....that could take 8 hours.
bbnaz

hmmmm 8 hours or 2 to 6 weeks.

if the pain is an issue I would think that the choice would be obvious.
cardinal guzman

Hi SM,

assuming it's the one foot - have you ever injured it? Is there any arthritic disease in your family? Are your shoes well-fitting and comfortable? Do you wear any shoes that are tight fitting, elasticated or in any way restrictive especially across the top of the foot and especially whilst driving?
CapeRoadie

SM, if it's gout, they still may be able to find it even if you're not having pronounced symptoms. They will likely do a blood test and maybe aspirate the joint. It's pretty common for gout patients to have sharp symptoms that are short-lived that sometimes don't come back for weeks to months.

Limit these foods: beef, pork, lamb, seafood, yeast (in beer and bread), alcohol, especially beer and bacon. Then see what happens.
cyclingtv

so you're saying.. only one foot.. hmm.. maybe just..
foot in mouth desease Wink yea that sounds right
you do know.. how to fix that don't you.. but can you Smile

try stopping the friggin running.. goofus.. just walk using a treadmill.. set it at an incline..
so it gives you a good workout.. but without the pounding.. good luck.. brainiac..
cyclingtv

CapeRoadie wrote:
It's pretty common for gout patients to have sharp symptoms that
are short-lived that sometimes don't come back for weeks to months.
Limit these foods: beef, pork, lamb, seafood, yeast (in beer and
bread), alcohol, especially beer and bacon. Then see what happens.
CP the guy goes out on these thigh burning runs. Rolling Eyes
I say that's got something.. if no alot.. to do with it
while you at it.. better tell him what he can eat.. Wink
Dr.Wierd

Re: Feet problems

smarauder68 wrote:
Anybody ever suffer from mysterious foot pain??

I have been battling foot pain, off and on for the past year....Sometimes, its concentrated in the achillies heal area, other times its more on the top of the foot to the outside edge....And once in a blue moon, I wake up with a swollen big toe...I don't remember stubbing it, but its swollen and feels like I broke it...

So much for my golf game today.....Sad


That's what you get going to Thailand chasing ladyboys, causing a drunken disturbance and then getting caned in the feet as punishment.

Serves you right you dirty bugger!
smarauder68

CapeRoadie wrote:
SM, if it's gout, they still may be able to find it even if you're not having pronounced symptoms. They will likely do a blood test and maybe aspirate the joint. It's pretty common for gout patients to have sharp symptoms that are short-lived that sometimes don't come back for weeks to months.

Limit these foods: beef, pork, lamb, seafood, yeast (in beer and bread), alcohol, especially beer and bacon. Then see what happens.


Hmmmm....I found a good six pack of Hefeweizen last weekend and wound up drinking most of them on Tuesday....Smile Pain in my toe started on Wednesday and reached its worse point this morning....Hmmm???

I've had this big toe pain twice before in the past year.....but never this bad...I assumed I stubbed it in those cases, but in this case, I know that I didn't.....

I just finished reading up on Gout and one of the articles pin points the large joint at the base of the big toe....my pain is more at the middle joint but the whole toe is swollen, down to the base of the toe and a beyond....Meanwhile, my other foot has been sore in the heal and outter edge.....I need a frickin wheel chair! lol....hobbling on two bad wheels ain't much fun!
sheeponabike

sm - sound advice from these guys.
Go to the doctor. Simple as that.
bbnaz

sheeponabike wrote:
sm - sound advice from these guys.
Go to the doctor. Simple as that.


no pun intended there I am sure sheep. Laughing
smarauder68

Meanwhile, I was able to play 18 holes in the extreme heat and humidity today...90% pain free....the mysterious pain is all but gone....

Shot 74 too! Smile Funny how you can play well after not hitting a ball for 10 days....
MerlinGuy

Well, I suggest you knock off some Surf n Turf, a few beers, and a nice Chianti just as a test. If you wake up the next day with another swollen big toe then I would say you are prone to gout.

I love tests that include alcohol!
Bartali

MerlinGuy wrote:
Well, I suggest you knock off some Surf n Turf, a few beers, and a nice Chianti just as a test. If you wake up the next day with another swollen big toe then I would say you are prone to gout.

I love tests that include alcohol!


Laughing Laughing Laughing
smarauder68

The formal diagnosis has been made:

Swollen Right Big Toe: Gout...Caused by a uric acid imbalence....

Painful left foot: Plantar Fasciatis...Not really sure what causes it but the treatment plan calls for roids(prednosone)...and a new pair of running shoes.
headwind

smarauder68 wrote:
The formal diagnosis has been made:

Swollen Right Big Toe: Gout...Caused by a uric acid imbalence....

Painful left foot: Plantar Fasciatis...Not really sure what causes it but the treatment plan calls for roids(prednosone)...and a new pair of running shoes.


sorry on both counts. I have had PF in my right foot and did lots of extension exercises and only wear soft healed shoes...like running shoes cross trainers. Its gone away. As for the prednisone...I can share plenty of feelings and emotions. its a VERY serious drug. what dosage and how long?

hw
kellyrocheearly

My Dad gets Gout but he never blames the Guinness!
smarauder68

headwind wrote:
smarauder68 wrote:
The formal diagnosis has been made:

Swollen Right Big Toe: Gout...Caused by a uric acid imbalence....

Painful left foot: Plantar Fasciatis...Not really sure what causes it but the treatment plan calls for roids(prednisone)...and a new pair of running shoes.


sorry on both counts. I have had PF in my right foot and did lots of extension exercises and only wear soft healed shoes...like running shoes cross trainers. Its gone away. As for the prednisone...I can share plenty of feelings and emotions. its a VERY serious drug. what dosage and how long?

hw



Just 40mg for 10 days....What are the side effects?

I've also been refered to a foot specialist....podiatrist?
cyclingtv

smarauder68 wrote:
Swollen Right Big Toe: Gout...Caused by a uric acid imbalence
in other words.. it's just pissed Wink
CapeRoadie

smarauder68 wrote:
The formal diagnosis has been made:

Swollen Right Big Toe: Gout...Caused by a uric acid imbalence....

Painful left foot: Plantar Fasciatis...Not really sure what causes it but the treatment plan calls for roids(prednosone)...and a new pair of running shoes.


I called it. Watch your diet for gout. It's an easy fix. Plantar fasciitis can be persistent. Try holding the "short foot" position more often (even riding a bike), and don't walk barefoot in the morning for a while. Try a good pair of shoes or orthotics before you do any injections. The steroids will take the pain away but won't strengthen or stretch your plantar fascia or foot musculature, so it's just as likely to come back when the effects of the steroids wear off (if they even work in the first place).

Do toe curling exercises (grab towel with sole of foot and "scrunch" it up, or grab marbles with your toes repeatedly). Stretch the plantar fascia gently by pulling back on the toes (dorsiflexion--WHAT?--Google it, dude). The best, cheapest short-term measure for pain reduction is plantar fascia taping with moleskin. Any athletic trainer/team physician could explain it to you. The ATC could do it. I use it daily in practice. Moist heat in the a.m. to sole of foot; ice after activity to sole of foot. Therapeutic ultrasound (pulsed at first, then continuous) and e-stim (microcurrent therapy) and massage therapy work wonders too.

If you were my patient we'd be doing all this stuff from Day 1 and you'd be feeling better in a hurry! Almost forgot: you can get a pre-made or custom-made night splint for a really persistent case of PF. I use both of those as well.

Good luck!
headwind

I just went through it, with a bit higher dose...starting at 60 mg. Im certain it tapers off from 40 to 20 to 10 to...

I had it for 12 days, and after a week I was a fookin mess. Dont mean to scare you, but its a real drug. I was also prescribed ambien for sleep which I did need.

my side effects were varied and made me unhappy.

1. I had on again off again tachycardia. I woke from a dead sleep with my heart rate well over 120.

2. My face turned beet red and I felt very hot in the face such that I had the air conditoning on at 60 degrees and a fan blowing on me. that started very rapidly, and lasted for a couple weeks after stopping.

3. Anxiety and depression/mania. after a week I was a mess. I thought my skin was turning yellow so i put fluorescent bulbs all through the house.

4. I thought I saw a centipede run across the wall and disappear into ceiling vent.

5. I thought the world was turning reddish.

6. I broke down in tears a few times with rock bottom feelings of mortality.

7. I felt dizzy on occasion.

8. I had a hearing issue, and whether the subsequent ringing in the ears was that or from the drug I dont know.

9. some people gain weight and get acne, but both are more common for long term users.

10. I lost almost all appetite and lost 16 pounds in 4 weeks.

11. I thought I peed too much, then I thought I couldnt pee at all.


Im sure like me youve been given this for its anti inflammatory effects. Its also a strong immunosuppressant and infections are easy to get while taking this. Its given for organ transplants to stop rejection.

Be sure to take it exactly on schedule as the timing is critical. Shortly after taking a big dose like that the corticosteroid shuts down your adrenal glands (I think) and does all that work. DO NOT SUDDENLY STOP TAKING THIS DRUG AS YOU HAVE TO TAPER OFF IT. SUDDEN STOPPAGE CAN BE FATAL. I carried the pills with me at all time so if I was in an accident they would find them. I even labelled the days on the pill packet.

the side effects were really strong for me. Others dont get them nearly so bad, which I hope you fall into. They have all now abated, but it took a good three weeks after stopping the prescription.

Best of luck SM. I wont be easily in touch for counseling, but hoping to log in on occastion from the Pyrenees. I needed a lot of support from family and friends in terms of talking for sanity's sake.

Best, HW
smarauder68

headwind wrote:
I just went through it, with a bit higher dose...starting at 60 mg. Im certain it tapers off from 40 to 20 to 10 to...

I had it for 12 days, and after a week I was a fookin mess. Dont mean to scare you, but its a real drug. I was also prescribed ambien for sleep which I did need.

my side effects were varied and made me unhappy.

1. I had on again off again tachycardia. I woke from a dead sleep with my heart rate well over 120.

2. My face turned beet red and I felt very hot in the face such that I had the air conditoning on at 60 degrees and a fan blowing on me. that started very rapidly, and lasted for a couple weeks after stopping.

3. Anxiety and depression/mania. after a week I was a mess. I thought my skin was turning yellow so i put fluorescent bulbs all through the house.

4. I thought I saw a centipede run across the wall and disappear into ceiling vent.

5. I thought the world was turning reddish.

6. I broke down in tears a few times with rock bottom feelings of mortality.

7. I felt dizzy on occasion.

8. I had a hearing issue, and whether the subsequent ringing in the ears was that or from the drug I dont know.

9. some people gain weight and get acne, but both are more common for long term users.

10. I lost almost all appetite and lost 16 pounds in 4 weeks.

11. I thought I peed too much, then I thought I couldnt pee at all.


Im sure like me youve been given this for its anti inflammatory effects. Its also a strong immunosuppressant and infections are easy to get while taking this. Its given for organ transplants to stop rejection.

Be sure to take it exactly on schedule as the timing is critical. Shortly after taking a big dose like that the corticosteroid shuts down your adrenal glands (I think) and does all that work. DO NOT SUDDENLY STOP TAKING THIS DRUG AS YOU HAVE TO TAPER OFF IT. SUDDEN STOPPAGE CAN BE FATAL. I carried the pills with me at all time so if I was in an accident they would find them. I even labelled the days on the pill packet.

the side effects were really strong for me. Others dont get them nearly so bad, which I hope you fall into. They have all now abated, but it took a good three weeks after stopping the prescription.

Best of luck SM. I wont be easily in touch for counseling, but hoping to log in on occastion from the Pyrenees. I needed a lot of support from family and friends in terms of talking for sanity's sake.

Best, HW


You should do the voiceover part at the end of the commercial for this drug...the only part you left out was the part where you contact your doctor if you experience an "erection lasting longer than 4 hours" - lol...

Thanks for the words of warning...My doc was pretty low-key in prescribing them....no words of warning about side effects.
cyclingtv

so HW.. you 'd say it's your drug of choice then Wink does sound a bit like LSD..

SM.. a lot of good advice there and from the CR.. get better Smile but stay fearless..
headwind

oh yeah...and temporary impotence...
cyclingtv

HW.. so you felt the need to put 'temporary' in there..
just in case any of us.. might think any less of you..
back to normal then.. onward and upward,, Laughing
MerlinGuy

smarauder68 wrote:


Just 40mg for 10 days....What are the side effects?

I've also been refered to a foot specialist....podiatrist?




Enough said???
headwind

yeah...it was rather scary for a few days. as you said, onward and upward!
cyclingtv

SM posts.. over the next week.. become more scary than fearless Shocked
now there's a great new avatar for you SM.. no big change really Razz
sheeponabike

kellyrocheearly wrote:
My Dad gets Gout but he never blames the Guinness!
Laughing
behemoth

Wow, HW, that sounds rough.

My wife has MS, and has taken a course of prednisone (~10 days, I think) on a number of occasions when she was having a flare up. She has never had any of the side effects HW mentioned. So don't get too scared, SM!
Bartali

Sm - hope you are well soon.

HW - Don't know what to say. Just glad you are over it.
berck

Bartali wrote:
Sm - hope you are well soon.

HW - Don't know what to say. Just glad you are over it.


+1
smarauder68

Updating the this thread, I never suffered any side effects that hindered Headwind....The roids seem to have done their trick because I've been pain free for about the last week....knock on wood!
sheeponabike

Great news sm Very Happy
Now buy a bike and do some riding.
headwind

awesome sm that's great news. Fan-damn-tastic. Hw
CapeRoadie

smarauder68 wrote:
Updating the this thread, I never suffered any side effects that hindered Headwind....The roids seem to have done their trick because I've been pain free for about the last week....knock on wood!


You'll be fine. Do what your docs tell you.
redster73

Time to ressurect this one once more...

During the Etape Caledonia the last 10 miles were spent with excruciating pain in my left foot. I really upped the pace to get uder a time but then more so just to finish and get off the pedals.

Anyone know why? Happens every now and then could it be because i was really pushing down a big gear? Cleats and pedals set wrong - although I've been out for 50/60 milers and not had the problem? Also I was wearing overshoes so not cold as such...don't need it to happen when trying to get up Tourmalet in July!

Discuss?
Bartali

What sort of pain?  Where exactly - toes, sole above cleat etc?
redster73

Bartali wrote:
What sort of pain?  Where exactly - toes, sole above cleat etc?


It seemed it was that 'foot gone to sleep' type of pain which seemd to be all over but mainly around the toe area - althhough it didn't feel like lack of circulation from the straps...that makes no sense doesn't it?
cardinal guzman

Hi Red,

take your shoes to clarkes and get one of those trained ladies to look at them and put your feet on their slidey strappy device like when you were at school. They might be ok in length and width but not right over the arch?
chasm

redster73 wrote:
Bartali wrote:
What sort of pain?  Where exactly - toes, sole above cleat etc?


It seemed it was that 'foot gone to sleep' type of pain which seemd to be all over but mainly around the toe area - althhough it didn't feel like lack of circulation from the straps...that makes no sense doesn't it?


Straps? Does that mean you're using toeclips, or are you talking about the shoes?

MTB clipless pedals can do this - you're exerting pressure through too small an area on the sole of your foot. But if you're on the roadie clipless pedals that give a larger platform, I don't know what to suggest other than a chiropodist.
CapeRoadie

redster73 wrote:
Bartali wrote:
What sort of pain?  Where exactly - toes, sole above cleat etc?


It seemed it was that 'foot gone to sleep' type of pain which seemd to be all over but mainly around the toe area - althhough it didn't feel like lack of circulation from the straps...that makes no sense doesn't it?


If you did more riding than usually (guess so, eh?), then it sounds like you got a version of "hot foot" which is really nerve impingement and irritation from repetitive pushing down on the pedals.  You're probably not "pedaling circles", i.e., exerting force through the entire pedal stroke.

Cycling shoes are extremely rigid.  They are designed that way in order to transfer energy to the drivetrain efficiently.  But that comes at a price:  rigid soles means arch compression and sometimes inflammation of the foot, swelling and nerve impingement.  That can result in numbness, like you had, or paresthesiae and or pain (usually a burning pain, hence the name "hot foot").  Pouring water over the shoes will do nothing for you.  But, lifting up on the pedals for a while instead of mashing down will help a lot.  

A good habit would be to practice one-legged pedaling with each foot, one at a time or 5 minutes, until you start learning to pedal circles.  I f "hot foot" gets bad enough during a ride, a short break without shoes is sometimes necessary.  SHort of that, pulling up instead of pushing down during pedaling often relieves the symptoms somewhat.  If you put in enough miles, the problem usually takes care of itself (is "self-limiting").  

Try a pair of Specialized cycling shoe inserts (i.e., orthotics) in your cycling shoes and see if that helps.  I used to get hot foot on longer rides.  After I put in 6000 miles last year, I never had the problem again.  The arch of your foot MUST be strengthened.  Over time, cycling itself will do it.  To build strength in the short run, try grabbing marbles or a towel off the floor with your toes and holding them for a few seconds.  Then repeat.  Or hold your toes scrunched up inside your shoes and try walking like that.  Do that while you ride and see if that helps.  Ballet dancers call it holding the "short foot" position.  It all comes down to arch strength (foot plantar flexor muscle strength) in the end.

Good luck!
cadence

New shoes or same pair of shoes you've always worn?
redster73

Shoes I've had for a while now with now adverse problems use a Look Delta pedal and cleat.

I'm leaning towards Cape's 'hot foot' diagnosis although i generally thought I pedaled the full circle - maybe as I get tired I get lazy in that respect...

Could a loose cleat aggravate the problem? Riding home yesterday noticed a lot of movement with the left shoe and once off the bike noticed a bolt missing in the cleat!
CapeRoadie

redster73 wrote:
Shoes I've had for a while now with now adverse problems use a Look Delta pedal and cleat.

I'm leaning towards Cape's 'hot foot' diagnosis although i generally thought I pedaled the full circle - maybe as I get tired I get lazy in that respect...

Could a loose cleat aggravate the problem? Riding home yesterday noticed a lot of movement with the left shoe and once off the bike noticed a bolt missing in the cleat!


It could be that.  It could be the shoes, the shoe fit, too tight strapping over the arch, too tight shoes, wrong footbed...

It could be a lot of things causing nerve compression.  Start with the least expensive fix first, I say.

Let us know the final outcome, Red!
redster73

CapeRoadie wrote:
redster73 wrote:
Shoes I've had for a while now with now adverse problems use a Look Delta pedal and cleat.

I'm leaning towards Cape's 'hot foot' diagnosis although i generally thought I pedaled the full circle - maybe as I get tired I get lazy in that respect...

Could a loose cleat aggravate the problem? Riding home yesterday noticed a lot of movement with the left shoe and once off the bike noticed a bolt missing in the cleat!


It could be that.  It could be the shoes, the shoe fit, too tight strapping over the arch, too tight shoes, wrong footbed...

It could be a lot of things causing nerve compression.  Start with the least expensive fix first, I say.

Let us know the final outcome, Red!


Went out yesterday and I'm coming round to the idea that shitty old trainer socks could well be the problem. Gonna go out and buy some bike specific socks that should create a far more snug fit, especially with the arch of the foot and lessen the need to tighten the shoe straps and `bob's your uncle problem solved...
CapeRoadie

Aha!
redster73

New socks seem to help but now I'm thinking pedal/cleat set up and are my shoes too big? Ahhhh so many questions!

Need to dig out the definitive guide to pedals and cleats...
redster73

Last 2 long rides no problems with new socks, shoes (courtesy of the BMW driver) and slight adjustment of cleats.

New problem is aching left knee after a long ride?
CapeRoadie

redster73 wrote:
Last 2 long rides no problems with new socks, shoes (courtesy of the BMW driver) and slight adjustment of cleats.

New problem is aching left knee after a long ride?


Congrats on solving the foot probs.

Is it the back or the front of the left knee?
last km

Red,

Do your cleats allow any lateral movement, its the first thing I would suspect as you said you had changed them?
redster73

last km wrote:
Red,

Do your cleats allow any lateral movement, its the first thing I would suspect as you said you had changed them?


Just adjusted placement on sole. They're Look Delta fixed ones so the hope is there'd be as little movement as possible.

Pain seems to be on the front outside part of left knee Cape
CapeRoadie

Right next to the kneecap?  Maybe raise your saddle a little?  Maybe allow for more pedal float?
last km

Red

I think you are risking it having fixed cleats why not use the red Look ones as they allow for some lateral movement.
The early days of clipless pedals was full of people complaining with achy knees cos they had fixed cleats.
berck

I've been told that if you are properly fitted for the bike, the fixed cleat is best. If not, then you need some float. I use Look KeO pedals. I started with the red cleats and hated them. Way too much play (9 deg). They were causing some knee strain. I switched to the grey pedals (4.5 deg float). They were perfect.
CapeRoadie

berck wrote:
I've been told that if you are properly fitted for the bike, the fixed cleat is best. If not, then you need some float. I use Look KeO pedals. I started with the red cleats and hated them. Way too much play (9 deg). They were causing some knee strain. I switched to the grey pedals (4.5 deg float). They were perfect.


And I think float is best for everyone.  I use Speedplay Zeroes for that very reason.  As knees bend and extend, they also internally and externally (respectively) rotate.  These are natural, normal knee biomechanics.  Therefore, the tibia (shin bone) must rotate somewhat during the pedaling motion.  Those with fixed cleats will have more stresses placed on their shoe uppers, imho.  A fixed cleat with a very stiff cycling shoe (one with a stiff upper), could cause great stresses in the meniscal cartilages of the knee since the shoe upper will not twist.  I'd like to see a study on these theories of ours.
thunderthighs

try strap  on pedal.. the old style.. may work..  
is this pain always there..even spinning .. or only big ring grinds..

let me know.. curious...

ciao
redster73

At the Etape village I got sorted with some custom fitted insoles and some sort of sloping 'washers' to go between the cleat and shoe. Worked a treat 113 miles and now problems...but the knee ache keeps rearing it's head.
thunderthighs

REDSTER..KNEE ACHE MAY HAVE FIX.. GO BACK TO STRAP PEDALS.. IF PAIN GOES AWAY.. ITS TOE IN-OUT STUFF..
2ND..HAVE A COMPENT PERSON LOOK FROM THE BACK AS U RIDE..
DO U FLARE THE FEET.. CIAO.

       justcycling.myfastforum.org Forum Index -> Dr.Fuentes Consulting Room
Page 1 of 1
Create your own free forum | Buy a domain to use with your forum