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Old 05-03-2010, 04:55 AM
Junior Member
Join Date: May 2010
Posts: 2
Default Is this Plantar Fasciitis?

Five weeks ago I started a labor-intensive project at work, outdoors in raining weather so I wore a pair of waterproof work boots that I don't normally ware. Saturday morning after that first week I noticed my heels felt like they were both stone bruised so I just wrote it off on the boots. The next week I wore my usual work boots with just a minor pain. When this second Saturday rolled around I woke up and couldn't put any weight at all on my heels so I laid around the entire weekend and iced my heels still thinking they were just bruised. By third week I was having a medium pain most of the day and waking up not being able to put any weight on my heels was normal. When Friday of this third week came I was in ALOT of pain trying to work. Most of the pain came when dragging items or walking down hills (when I couldn't just walk on my toes like I was getting used to doing) so I purchased a pair of gel heel inserts to try and help the pain with ****** success. Week four I decided I couldn't work in the field anymore and asked to but moved indoors where help was needed anyways. This work was less labor intensive but still required being on my feet all day. At the end of this week my heels started to feel better and my work project was done so I took a vacation to the beach. Towards the end of my vacation I was waking up with heel pains again. The biggest concern I have right now is this time I have swelling from the inside of my heels to my ankle joint and my Achilles. Is this Plantar Fasciitis?
Any help is much appreciated!
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Old 05-03-2010, 07:54 PM
Join Date: May 2007
Location: South Lake Tahoe, CA
Posts: 171
Default Possible Plantar Fasciitis

It's definitely possible that you have developed plantar fasciitis considering the classic symptoms of heel pain at the first step in the morning, which worsens with activity and is relieved by rest. It is also common for the condition to develop after starting a new job, changing a job or picking up a new activity. The combination of increased time on the feet, an uneven walking surface and poor quality shoes can easily lead to plantar fasciitis. Your boots may be a good quality boot, but if they are old, worn out they may be too flexible and lack support. Having some swelling from the bottom-inside of the heel to the Achilles is not that uncommon, Achilles tendonitis can develop in conjunction with plantar fasciitis. Swelling at the ankle is not common and this could represent another condition. If the ankle swelling persists, you should definitely see your doctor.

Rest, supportive shoes, stretching, icing will all be helpful during the initial stages of treatment. See our plantar fasciitis/heel pain page for detailed information and images on the diagnosis and treatment of plantar fasciitis. This condition can easily become a chronic problem and generally takes a number of weeks to resolve. If your symptoms do not improve or if your ankle swelling does not improve or worsens, make an appointment with your doctor.
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Old 05-03-2010, 09:29 PM
Junior Member
Join Date: May 2010
Posts: 2

Thank you. I have been trying not to go to the doctor but the swelling is worse today than ever so I am going to find a doctor and make an appointment tomorrow. I just think is weird that the swelling is on the inside on my ankle joint and around my Achilles but my ankles donít hurt at all and my Achilles is just a ****** sore but mostly just feels tight. My ankles are so swollen today that I can not even see the inside ball of my ankle joints. Thanks again.
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Old 05-03-2010, 10:37 PM
Join Date: May 2007
Location: South Lake Tahoe, CA
Posts: 171
Default Posterior Tibial Tendon Dysfunction

Swelling at the inside of the ankle with associated heel/arch pain and pain near the Achilles area, along with pain at the first step in the morning could be posterior tibial tendonitis, the inflammation of the tendon which courses down the back of the leg, along the inside of the ankle to the arch of the foot. The condition is generally associated with a flatfoot and called posterior tibial tendon dysfunction because the tendon becomes overworked, stretched and loses it's ability to function properly.

In the image below, the area circled in red is one of the common areas of pain and swelling.

More information on posterior tibial tendon dysfunction (adult acquired flatfoot). This condition requires treatment by a podiatrist or orthopedist. The earlier the initiation of treatment, the better the outcome.
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