Padres' Forsythe Hopes Resting Will Help Plantar Fasciitis

It's the first plantar fasciitis case of the brand new 2013 baseball season. 
The San Diego Padres' infielder Logan Forsythe is resting for several days because of plantar fasciitis.
"He's got a foot issue and we're going to stay away from it for three or four days. We're having it looked at," said Padres manager Bud Black, after Forsythe missed a second straight day.
Forsythe, 26, is in line to be a starter at either second or shortstop as well as a backup for Carlos Quentin in left, and is known to have a history of foot problems.
Last spring after suffering a stress fracture, he had the sesamoid bone in the ball of his left foot removed, a procedure he had done in 2007 on his right foot when he was at the University of Arkansas.
He spent the first two months of 2012 on the disabled list, which delayed his promotion to the Padres. After joining the Padres on June 3, he finished the season with an admirable .273 hitting average with six homers and 26 RBIs in 91 games. He started 73 of those games at second base. This season, rookie Jedd Gyorko is competing for the job and Forsythe has made two starts at shortstop. He had a slow start to this spring training season because of a sore right knee.
The Padres medical staff hopes the three to four days off and the cortisone injection will help settle the inflammation he's experiencing. He was seen Monday in a walking boot. We know however, that someone with persistent, nagging plantar fasciitis will need more than a few days rest and a shot. Since this is an ailment Forsythe seems to have frequently, he must have some foot structure issues. We would want him to switch shoes, and add orthotics to his treatment plan.
We'll keep an eye on him in the coming months.
Reference: UT San Diego.
If you are experiencing heel pain, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, follow my tweets on Twitter, and like our page on Facebook.

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• Rugby's Cameron Hitchcock Recovering from Plantar Fasciitis Surgery
• Lakers' Gasol Has Partial Tear In Plantar Fascia

Spurs' Neal Suffering From Plantar Fasciitis

San Antonio Spurs guard Gary Neal has had a rough time of it lately.
Neal, 28, has suffered a lacerated finger due to a suitcase zipper, a torn-up forehead after a run-in with his medicine cabinet, and a scar on his abdomen from an infected appendix. And this was all in the last 15 months.
But all of those things seem like a walk in the park compared to the pain Neal is now feeling from plantar fasciitis and Achilles tendonitis in his left foot.
Neal told the Express-News after Sunday's 11-75 victory over Detroit, "I just have to keep treating it and keep trying to push it out. Not making any excuses. If you're on the court, you're healthy enough to play."
Neal has been dealing with the pain all season and it's negatively affected his scoring numbers. He's averaging career-lows at 40.8 percent and 35.7 percent from the 3-point range. The third-year bench player could see his free-agency value go down at the end of this season because of it.
When Neal is feeling healthy, he is known as a lethal and quick-strike scorer. The team's official medical report has him listed with tightness in his left calf, which is only partially true.
Neal guesses it has been since late November that he's been playing in pain. It's been so long that he's forgotten what it feels like to play pain-free. Neal watched footage from the February 22nd loss against the Golden State Warriors and realized that overcoming injuries is not just mind over matter.
"I went for a layup and didn't even jump," Neal commented.
Neal has a history of being consistent: he averaged 9.8 points as a rookie and 9.9 points last season and shot 41.9 percent both seasons from the 3-point range. In the 14 games played in November, Neal shot 47.7 percent and averaged 11.6 points, tying for the highest month of his career. He hasn't been over 38.8 percent since.
Coach Gregg Popvich sidelined Neal for three games after the game against Golden State hoping his injuries would heal with rest. And like we've seen in the recent past with basketball players and plantar fasciitis, the time off just didn't cut it.
"It doesn't do much but make you lose your conditioning," said Neal.
Neal had originally planned on taking time off in December to rest his foot, but injuries to small forwards Kawhi Leonard and Stephen Jackson put him in the starting lineup. He felt "It was an opportunity for me to start and show what I was capable of. So I kind of just treated the injury and played through it. Before I knew it, I'm 45 games in with the injury bothering me."
Neal has consulted with team doctors and fellow teammates Tony Parker (who is currently out four weeks with an ankle sprain) and Tim Duncan, both of whom have plantar fasciitis in the past. Neal believes he will need a complete offseason to recover. He's done an orthotic in his left shoe, iced, and stretched with little relief thus far.
Neal is hoping to make it to the end of the season and be able to bargain for a new contract. More than that, he's hoping to be pain-free soon.
"Honestly, I'll be able to fight through this injury and stay on the court, and get to playing my basketball," he said.
Reference: My San Antonio.
If you are experiencing heel pain, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, follow my tweets on Twitter, and like our page on Facebook.

Related articles

• Joakim Noah To Return Tomorrow From Plantar Fasciitis
• Marcus Camby Out 2-4 With Plantar Fasciitis
• Nets' Johnson Latest Plantar Fasciitis Casualty
• Rugby's Cameron Hitchcock Recovering from Plantar Fasciitis Surgery
• Lakers' Gasol Has Partial Tear In Plantar Fascia

Nets' Johnson Latest Plantar Fasciitis Casualty

Basketball players are succumbing to plantar fasciitis faster than we can say "Stretch, rest, and ice!"
The latest casualty is Brooklyn Nets guard Joe Johnson, who sat out for the first time last Friday against the Houston Rockets because of plantar fasciitis in his left foot. He missed Sunday's game against the Memphis Grizzlies as well.
Interim coach P.J. Carlesimo said Johnson, 31, was in pain after Wednesday's victory over Milwaukee, when he scored just eight points. The night before Johnson had made the game-winning jumper to beat the Bucks.
C.J. Watson replaced Johnson, who plays a team high 38 minutes per game and is second in scoring, with 17 points per game.
Net general manager Billy King told ESPN New York's Mike Mazzeo Friday that Jonhson's plantar fasciitis doesn't seem like a long-term issue. "It's better than it was two days ago. They've got him on medication and I expect him to be better tomorrow, and we'll see how it is Sunday against the Memphis Grizzlies," King said.
"If it's still tender and sore, we may have to keep him out, because it's a marathon we're trying to finish, not a sprint. If it were a playoff game, he'd probably push it," King added.
Carlesimo said after the game Sunday that "Trainer Tim Walsh and Joe, I think, are both encouraged that it's gotten better, it's improving clearly. What's he gonna feel like tomorrow, whether he practices tomorrow, or how he feels Tuesday, I don't know. But again, we're gonna err on the side of caution. When he's ready to come back, we'll bring him back."
Our recommendation is to definitely err on the side of caution. If you've been following basketball this season, you've seen how many players have been sidelined with plantar fasciitis, and how long they've been out. Taking just a few days off isn't enough to stop this condition- you need to rest, stretch, ice, and rehabilitate this injury, unless you want to end up like Pau Gasol, with a plantar fascia tear.
If you are experiencing heel pain, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, follow my tweets on Twitter, and friend or like our page on Facebook.

Related articles

• Marcus Camby Out 2-4 With Plantar Fasciitis
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Lateral Plantar Nerve Entrapment

Lateral plantar nerve entrapment causes pain in the inner, lower heel, and inner ankle area. The lateral plantar nerve is a branch of the posterior tibial nerve which passes through the tarsal tunnel. This nerve provides the skin of the fifth toe and the lateral half of the fourth, as well as most of the deep muscles. It is also sometimes called Baxter's nerve, for Dr. Donald Baxter, a Houston orthopedist who described the condition in 1984. An entrapment may occur between the abductor hallucis muscles and the quadratus planus muscle. 
Lateral plantar nerve entrapment is often seen in athletes, as it is a repetitive stress injury. 
Symptoms include pain that radiates from the inner, lower heel to the inner ankle area. Numbness is not common in this condition. Baxter's nerve entrapment is often confused with plantar fasciitis. So how do you tell the difference? Plantar fasciitis is worst in the morning when you take that first step out of bed. Pain from a Baxter's nerve entrapment gets worse as you put weight on your foot throughout the day. You'll still feel pain when you're off your feet when you have an entrapment- with plantar fasciitis, the pain is relieved. 
Treatment includes rest, anti-inflammatory medications, supporting the arch of the foot with tape, orthotics to correct the overpronation, cortisone shot, and if those options fail, surgical release. 
If you are experiencing heel pain, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, follow my tweets on Twitter, and friend or like our page on Facebook.

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Botox Found To Help Plantar Fasciitis

A new Mexican study suggests that podiatrists should use Botox rather than steroids to relieve the pain their patients suffer from plantar fasciitis. The new research was published in the journal Foot and Ankle International.
Steroid treatment, for example cortisone shots, are often used in treating plantar fasciitis to reduce pain and swelling. It is estimated 2-6% of patients who receive steroid treatment as part of their conservative therapy will have their plantar fascia tear or rupture. Researchers from the Autonomous University of Nuevo Leon, Mexico came up with a clinical trial to compare steroid treatment with botox treatment, which works by blocking the neurotransmitter acetylcholine, weakening the muscles for several months.
In the trial, participants were treated with either steroids or Botox for their plantar fasciitis, and both groups were given the same series of stretching exercises to perform at home.
Initially, both groups were recovering at the same rate, but the Botox group took the lead with higher improved scores in foot pain, function, and alignment. Botox participants were the winners after six months, having better sustained and rapid improvement over their steroid counterparts.
The study's corresponding author, Dr. Carlos Acosta-Olivio says, "We found that a combination of BTX-A (Botox) applications into the gastroc-soleus complex and plantar fascia stretching exercises yielded better results for the treatment of plantar fasciitis than intralesional steroids." He added that the stretching exercises were an integral portion of successful treatment.
This was a small-scale study, with just 36 participants. The authors concluded by suggesting future trials include measures of body-mass index, as being overweight can be a risk factor for developing plantar fasciitis. When compared to steroid treatment, Botox treatment has fewer complications.
If you are experiencing heel pain, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, follow my tweets on Twitter, and friend or like our page on Facebook.

Lakers' Gasol Has Partial Tear In Plantar Fascia

Paul Gasol just can't seem to catch a break.
First he was dealing with plantar fasciitis in his foot, which seemed to clear up. In the meantime, he was out several games, and the games he played in, his performance was lackluster. Fans and sports writers alike were calling "Trade! Trade! Trade!" Now Gasol will be out six to eight weeks because he partially tore his plantar fascia.
Gasol heard a pop in his foot Tuesday evening in the game against Brooklyn when he attempted to contest a shot at the rim by the Nets' Brook Lopez. He stayed down on the court for several seconds and remained in the game after a 20 second timeout but started to limp after trying to run. He headed to the locker room with 3:52 left in the game and left Barclay Center on crutches.
After the game he said, "I'm worried about it. I never felt anything like I did tonight. It kind of felt OK a little bit putting my weight on it without walking or running. But once I started running, I was limping, I was really sore and even if I tried, I just couldn't go."
Kobe Bryant, a longtime friend and proponent of Gasol's said he was "very, very concerned it to say the least... We can't afford to lose Pau for a long stretch. We need to get him back. I don't think his spirits are going to sag. He and I talk quite a bit. He's determined. He's going to figure this thing out, what's wrong with his foot, with his fascia, and he's going to see what he can do. He's not going to be deterred."
Gasol, 32, reinjured the injury January 30th at Phoenix, where he worked with trainers for a long period after a 92-86 loss. He tweaked the injury again Tuesday night during the first half and the muscles finally gave out during the fourth quarter.
Gasol has several options: one is to rehab the injury, which would cause him to be out six to eight weeks, or have surgery to repair the tear, and be out 10-12 weeks. He had an MRI on his right foot Wednesday and flew back to Los Angeles yesterday for further examination by Lakers team doctor Steve Lombardo and foot specialist Dr. Kenneth Jung.
The injury is a blow to an already injury-stricken Lakers team, which will go from a small team to an invisible team. Dwight Howard has been dealing with a shoulder injury and Jordan Hill had season ending hip surgery last month.
Gasol has averaged 14.3 points and eight rebounds per game this season, coming off the bench six games. His strong play recently has helped the Lakers to their longest steak of the season, winning six of seven games. He has missed several games this season- eight because of tendinitis in his knees and five because of a concussion.
He tweeted Wednesday night, "I'm hoping to recover ASAP so I can be back with the team and keep fighting until the end of the season."

If you are experiencing heel pain, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, follow my tweets on Twitter, and friend or like our page on Facebook.

Related articles

• Lakers' Gasol Diagnosed With Plantar Fasciitis

Joakim Noah To Return Tomorrow From Plantar Fasciitis

Chicago Bulls center Joakim Noah has missed the last few games because of plantar fasciitis.
Nick Friedell of ESPN Chicago tweeted, "Noah has plantar fasciitis in his right foot. He had it in his left foot three years ago. He isn't sure when he'll return to the lineup."
Noah missed 18 games when his left foot was affected in 2009-10 and eventually had shockwave therapy to help him with the pain. "The one in 09-10, I just kept playing through it. I probably played with it for a month until I couldn't anymore. This time, I stopped a lot earlier. I probably played on it for five or six games. I just knew what direction it was going in. In 09-10, I just tried to act like it wasn't there and played through it. That was a mistake. With a couple more days of treatment I'm hoping to be OK," Noah said.
Noah was smart this time to stop soon after he started to feel pain. Too often this basketball season we've seen players be out just a few days, return to the game, then have to be out for several weeks because they didn't rest and rehabilitate properly.
Noah said on Monday that he was hoping to return by Thursday to play against the Denver Nuggets. "I'm moving in the right direction. Give it a couple more days and try to go on Thursday," Noah said.
The center said he got some shots on the Bulls' day off on Sunday but did no running or jumping. He is resting the injury and treating it with ice and laser treatments (stretching!). "You definitely learn from your experiences," Noah said. "I've been through this before. I know what to expect. I've gotten all these treatments before. I'm hoping with a couple more days rest I'll be back at 100 percent and I won't have to deal with this anymore."
Noah has missed just one game so far this season. He is averaging 12.1 points, 11.3 rebounds, 4.2 assists, 2.1 blocks, and 1.3 steals per game, all of which are career highs. He is also averaging 38 minutes per game, 10 minutes higher than last year, which could be a contributing factor to the heel pain. Noah was also selected as a reserve for the NBA All-Star game on February 17th.
However, his production since his injury has declined. Noah shot just 42 percent during the month of January and his scoring was down, even though his rebounding was up.

If you are experiencing heel pain, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, follow my tweets on Twitter, and friend or like our page on Facebook.

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