Plantar Fasciitis or Fasciosis?
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- เผยแพร่เมื่อ 7 ต.ค. 2012
- www.correcttoes.com A century+ of ubiquitous footwear use behind us, we're beginning to understand the error of the Shoe Industry's well-intentioned ways. Features designed to change and support foot shape may be creating the very problems they are misguidedly intended to alleviate. Dr Ray McClanahan DPM, Natural Sports Podiatrist demonstrates clearly how shoe shape can cut off necessary blood supply to the Plantar Fascia restricting the ability for the tissues in your foot to regenerate. Read more here: www.correcttoes.com/foot-help...
Dr. Ray, this is fantastic. I am 100% convinced that you are correct in both the diagnosis and cause of plantar fasciosis. Thank you for this amazing explanation of such a common ailment.
I went to a podiatrist in FL recently and he is not up to date on this information. Dr Ray McClanahan, you saved my feet! I can’t thank you enough. I am also a runner and lover of hiking, walking so this PF has crushed my heart. Im on the right track because of you & Dr Lamont. Thank you for your pursuit in truly helping us!
This is the scary thing abt going to a foot doctor. Some of them are teaching outdated practices that know for sure are not effective. Like WTF it’s better to just come to TH-cam and see what’s working. Why do I even need to pay a doctor for his expertise when his expertise don’t work??
Best explanation in everything I've read online so far. I joined a plantar fasciitus group and everyday all day long people are doing the same thing they are told to do like you said conventional treatment is not working including mine . Tons of money being spent on shoes, shots, orthotics, inserts , stretches , splints that worsen the problem. This makes sense. Thanks for sharing.
So glad that you enjoyed the video and that we could help. Here's hoping you find lasting relief. Feel free to call our office at 503-243-2699 if you have any questions moving forward.
Are you doing better now?
Thanks! We are happy to hear that you are benefiting from the videos and techniques!
Thank you so much for showing what actually happens when the big toe is push inward and up! I have ran for years with such shoes, along with foot orthotics,which sometimes give more pain. I now have a good view of how to treat my condition. Thank you for sharing with us!
Omg. This explains so much! I have been cursed with large feet (size 10 women's), and I've got arthritis. I've discovered that wearing shoes that fit my feet (size 10) squish my toes together and cause excruciating pain throughout my feet, which I assume is caused by all the bone spurs on the bones of my feet rubbing together. To avoid the "toe squish" I have to go looking for size 11 shoes... but that means the shoe flops all over the place. In the USA, they sell "wide" or "narrow" shoes, which means that you can have large wide feet, and still get the right fit. Unfortunately here in Australia, we'r not that advanced...
I was crippled with heel spur pain for over 6 months, and tried all the exercises without any relief. I ended up stopping wearing shoes at all. Went everywhere barefoot (and endured the looks of disgust from people while doing it!) and after about 4 - 6 months, the pain was gone. The arthritis has gotten worse, so there's pain when I walk, but it's tolerable... until I put shoes on again. We need to stop thinking that feet are shaped with pointy toes, and make shoes that don't malform the feet. If not, we might as well just go back to foot binding.
I've been researching into plantar foot and discovered a fantastic website at Natural Foot Wizard (google it if you are interested)
Meznuraie Hiya, I know your post is ancient but on the odd chance you ever see this, how are your feet now and have you done anything else to reduce your pain? I have the same issue as you.. I’m also in Australia, female and I have giant feet! Mine are size 11, wide across the toes with really long second toes, and that’s the largest size most places stock (if any) and nowhere does women’s half sizes over a size 9. I’ve resorted to wear men’s size 9.5 but I’d love to actually wear some stylish feminine shoes again! Would love some advice from a fellow big footed sistah, lol
Thanks a lot, Dr. Ray. Keep up the great work!
This information really needs to be acquired by more Doctors. 😊
We definitely agree!
It's so funny when Dr. Ray said wable wable wable, pain everywhere. Lol. Good ending for the best foot education video ever!!! Great work!!!
We're glad you liked the video!
Dr. Ray is the best!
than you so much for this information,this is the same shoes i wearing since my pain started.
Wow! Working in physical therapy for over 7 years, I saw my fair share of folks suffering from plantar fasciitis. I too have also suffered! This must be why I love flip flops! Flip flops do not push the big/great toe over, it lets it be free. Very informative video!
Very good work. We must always trace backwards and examine neurovascular bundles to help explain chronic pain and dysfunction. Isolated muscles and other structures is just the starting point. Everything works together
Thanks for you question Malcom! Correct Toes will place your foot into your natural, anatomical position. This is the ideal positioning that will allow blood to circulate into the areas on your feet where dead tissue is present. Better circulation means that your body will be able to carry out the old, dead tissue and start to replace and rebuild new, living tissue.
We love both Lems and Altra. Vivobarefoot also have some great options that are flat, wide, and flexible with leather tops.
This video changed my life. 6 years ago I made a decision to wear crocs 100% of the time. Within the first 10 months my plantar fasciitis slowly diminished and fully dissipated.
Thank you for sharing this and all your videos.
Do you wear them outdoors as well?
@@paristonhill2752 Yes I do. I have indoor and outdoor pairs.
Yes, you can run in crocs. However there are quite a few more running shoe options on the market now that will fit with Correct Toes. We recommend both Lems and Altra.
Just to make you aware. There is another company that uses the name of CORRECT TOES. So make sure you order the right ones!
I also had pain like that and found out that when i walked with less tention in my foot it went away and that is actually the way you mention. I spread my toes more to the ground.
Hi Nicholas- We have a list of medical providers who carry Correct Toes and understand Dr. McClanahan's philosophy on natural foot health. We have a lot of partners in the Portland area so maybe you can pick a few that are close to you and see if your insurance would cover a visit to them. Once you get to our website just click on the Resources tab at the top. There is an article menu on the left hand tab-- click on Healthcare Providers and it will take to you to the list!
I used to get shin splints when running with heel strike running. After googling I felt worthwhile to change to forefoot strike running. But I feel like that caused hallux rigidis in big toe. So now trying back to heel. I just got my spreaders and will see if my toe pain reduces
I am a massage therapist and an amateur runner. I experience a bit of plantar fasciosis myself. I also treat quick a few clients with the condition. I personally always feel better when I've been massaging, stretching the soft tissues of the plantar and walking barefoot. Clients always feel better after massage but their podiatrists' advice is contradictory. The symptom is treated but causes and real solutions are not explored. I can't wait to show them your video. Thank you so much for this!
How do I fix it this is definitely what I'm suffering from please help
Dr. Ray,
Just received correct toes today. You are describing me to a tee in this video. I was diagnosed about 10 years ago (I'm only 34 now) and had 2 surgeries on each foot. I have boxes of hundreds custom orthotics and insoles. Had the shots, the therapy.. every traditional treatment and every alternative treatment. 2 questions: Should i be wearing a metatarsal pad now in conjunction with the CTs? And it feels like the CTs are being pushed and folded under my toes. Is that normal? Thanks!
Large toe in my both left and right foot go under the next toe bc of bunion. I dont see difference beteeen both large toes when i streach or walk. Yet, right food has plantar pain, left none
Thank you! i actually already emailed pictures to the contact on the website and I got help with modifications. As far as the met pads go does it matter what kind specifically I use? Should I order directly from your site?
does the dead tissue come back to life with correct toes?!
Can you recommend shoe brands that are gentler to the feet and don't push the toes up?
Are you familiar with accupressure pads? Do you think this would help improve blood supply and ease symptoms of plantar fasciosis?
I can say these did get rid of my fasciitis or osis. But I transitioned too fast to zero drop shoes from your typical 12mm drop shoes. Now I have Achilles tendonitis for the past year and half. It will not go away so I wondering if I need to go back to a higher drop shoe. Should I go to a 4mm, 6mm, 8mm or 12 until it is gone is the question
So i shoul use flat shoes that doesnt lift my big toe?
can i run in crocs then?
Hey Dr. Ray ! I am thankful everyday for finding you and being exposed to your videos. I just had a question to ask. I have recently switched to Lem shoes and they feel great ! I was just wondering. I am a chronic ankle sprainer which I feel has led to me experiencing planter fasciosis symptoms. The muscles have gotten quite weak in my foot. I have been working on strengthening my foot (using your methods) as well as doing some calf stretches. I intent to start using your correct toes too. Becuase of my weak intrinsic ankle muscles my ankle pronates quite a bit. Is switching to Lems minimalist shoes a good idea ? Or should I first try and build up my ankle muscles ?
+imran esmail We appreciate your feedback. Switching to a shoe like Lems promotes muscle strengthening, so your approach to building muscle doesn't have to be one at a time. They can be done together, however, it's important to have a slow transition when doing so. You don't want to rush the process and you want to allow your feet time to improve at their own pace. Be mindful of that and have it be a steady increase when strengthening or stretching.
Why does it usually happen in only one foot?
Hey Dr. Ray. I live in Portland, and I'm in need of a podiatrist with an understanding of the theories covered in these lecture videos - I believe that much of this information applies to me and my difficulties/injuries with footwear, running & cycling. You are out of network, however, and I've learned that it would cost me 150-250 dollars per visit to see you AFTER insurance. This is far from affordable with my current finances, but I need help. Do I have any affordable options? Please help!
ive had severe flat feet since as long as i can remember, im 21 now and just had surgery on my right nevicular bone because i had a hole in it. I currently cannot walk without pain could it be that i have weak muscles or plantar fasciosis? or both because my leg has lost a lot of muscle too.
This is very interesting. Do you find more Plantar Fasciosis in people with Accessory Naviculars?
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*Great informative video. Thanks for sharing!*
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So, if I follow his logic, a more flat shoe-- with perhaps a bigger toe box--- would be a less problematic shoe, and would perhaps help one's foot issues.
I didn't find in your website the actual study you mention around the 2 minute mark. Would you write the reference so I could read it?
Also, something universally studied and considered in regards to PF is fascia thickness which I noticed you didn't reference. That thickness is negatively associated with severity of symptoms and diminishing thickness is positively associated with a betterment of the condition. How does that fit in your/Dr. Lamont's (sp?) hypothesis?
Did Dr. Lamont (after his initial findings) study hypothesis? Where were the findings published?
If Dr Lamont's hypothesis is correct, wouldn't the natural Windlass Mechanism achieve the same effect with each step with the contraction of the same muscle?
To finish, can you quote the studies that have looked into this treatment modality (and the accessories you sell) and the positive results claimed here?
If you'd like to check out some of the primary sources, you can find a lot of the articles (including Dr. Lemont's) here: www.correcttoes.com/foot-help/articles-studies/ You can also find a presentation on the efficacy of Correct Toes here: th-cam.com/video/HP5MMMvKpng/w-d-xo.html Thanks for checking out the video. If you still have questions, feel free to reach out to us directly at
info@correcttoes.com and we'd love to help as much as we can. Happy Holidays!
We generally recommend the T-form met pads because of their longevity. They are waterproof and generally last the lifetime of the shoe that you place them in. You can certainly order from our website if that is convenient for you!
ditto to all of this!
Is there anywhere I can watch the whole video?
Hi there! Unfortunately, I wasn't able to track it down to share with you. So sorry about that!
Here is an article written by Glenn Ingram and one of our own, Dr. Ray McClanahan on the topic:
www.correcttoes.com/foot-help/wp-content/uploads/2018/09/Treatment-of-Plantar-Fasciosis_Dr-McClanahan-and-Ingram.pdf
Please let us know if you have any questions!
What socks and shoes do you recommend for running? Will it make a difference if you have high arches?
Injinji socks. Altra running shoes. Make sure to transition slowly and thoughtfully.
Hi doc. If pulling up the toes is bad for the blood circulation of the plantar tendon, then a night sock would also be counterproductive. I wore them overnight for a long time and over time I got pain in the Abductor Hallucis.
Greetings from Germany , Thomas .
Yes, this is correct. Certain instances call for them but overall or generally it is not healthy to keep toes in this position.
For the life of me ,I'm trying to find a steel toe capped workboot.Can you suggest any?As I believe thats where my main problem lies.I have transitioned to minimalistic footwear easily.I just can't seem to find a good enough steel toe cap shoe for work.And it's making me anxious
Hi, thanks for the question! Unfortunately, there are no steel toed boot options out there that fit the description of being naturally foot healthy... most safety shoes have that narrow toe box feature, significant heel elevation, and toe spring, as you have probably discovered. Feel free to take a look at the following suggestions to see if there is a way to find or create a shoe that meets all of your work and personal requirements:
1) Add a steel toe cap to any of your current shoes. I don't know a whole lot about this subject, but in my brief internet research and vague familiarity with shoe cobblers, I think it is possible to get crafty/creative and add a steel-toe cap to any shoe with a wide toe box (like Lems Boulder Boots):
-- Looks like you can purchase something like this and adhere them to a shoe: www.amazon.com/Boot-Saver-Guards-Boots-Protector/dp/B00B6RTYI0
--Or buy a unit that goes over the entire shoe:
www.amazon.com/Impacto-TTUL-Turbotoe-Steel-Black/dp/B00BOK565Y
These last two are rugged non-steel toe transition boot options:
2) otzshoes.com/collections/boots-men/products/mens-conody-boot
3) www.correcttoes.com/men-s-vivobarefoot-tracker-fg-u-s-shipping-only.html
@@correcttoes Thanks for that.In the end I had to wear boots my firm was prepared to buy from it's supplier.So what I did is the Rathleff protocol to strengthen while transitioning to minimalistic footwear outside of work.I also wore your correct toes around home.Strong legs and feet support themselves regardless of footwear.Though I am not arguing against the negative effects of our "modern day" shoes. Did you know, Correct toes make a fantastic alternative to wearing a night splint . Anyway, I have been pain free for over a year . Thank you for your education and how you go about fixing PF.It definitely is a more sustainable way
awesome
so for the ones that orthotics and other standard treatments work for, would those likely be actual fasciitis and not fasciosis then?
Not necessarily. Orthotics are supportive and don't allow your foot to strengthen on it's own, it's not that wearing them or not wearing them causes fasciosis or itis. It can contribute to the healing process. It would need to be diagnosed with an assessment.
@@correcttoes Been told have flat feet and need to wear ortho's but been doing barefoot exercises and grounding, wearing minimal like ultra and no pain ad built up some arch.
Also, if what this doctor is saying is true----why is it that most (thought not all) people get what would appear to be Plantar Fasciitis on only one foot? If the real issue at hand is the big toe being pushed inward and up-- resulting in a loss of blood flow and eventual necrosis of the tissue, why would it not appear more regularly in both feet, given both the left and the right foot are both housed in the exact same constraining shoe? Clearly, this cannot be the only issue at play with this kind of pain.
Functional leg differences and the resulting differences in loading, I guess.
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+hammill444 If the issue is what Dr. Emily says, a degeneration because of impact and daily walking and not necrosis, your question should be directed at her too since both feet take a pounding in running. I have moved to shoes with the wider toe box and zero drop. I've also stopped treating my condition as plantar fasciitis and started treating it as fasciosis and got an immediate drop in amount of pain. I agree that the shoes are not the only issues "afoot" (sorry) but is something that contributes to the pain and also something that has contributed to my relief of pain.
Hi Todd,
If you would like, you can email us a picture of your feet and we can help you with modifications to avoid the CT being pushed and folded under your toes. We do suggest to wear met pads in conjunction with the CT as they will help to extend the tops of your feet and bring your toes down, as well as bring the fat pad back under your metatarsal heads for protection.
Nice feet Doc!
There are several components to plantar foot treatment. One resource I found which succeeds in merging these is the Natural Foot Wizard (google it if you're interested) without a doubt the most helpful treatment i've seen.Check out all the super info .