Great insight both on Plantar fasciitis.The explanation brought my boring medical textbook alive. Gratias tibi ago. Bonam fortunam on future episodes Peter Attia, MD
I played hop scotch on the pavement in my bare feet and landed on my right heal and caused pain . A year later I played in a youth football game and my heal hurt so bad that I played on one leg . They took me out and put me in a ambulance and took me to hospital. I don't think they did much of anything and sent me home with a sore right heal . That pain lasted close to 50 years but after awhile I just got accustomed to it . Last 12:years I entered into extreme health concienouse and the pain just went away with many other pains . It's quite odd when you hurt all your life and then it goes away and you feel better than you have ever have and your old .
I limped to the bathroom every am for 9 months, tried every stretch, sock, shoe, wrap, cream, massage, you name it…started LDN, haven’t had it since. For me, I know it was inflammation. To the point of weakness, I read recently about auto immune and foot ankle weakness and I agree they can go together
I had Achilles tendonitis for years until I did a couple 3 day fasts and it has mostly disappeared since. Now that I have some kind of full blown inflammatory spondyloarthritis (thanks Covid!) , it has become abundantly clear how diet, particularly excess sugar and ultra processed foods can affect random joint pain anywhere in my body. I probably had this genetic immune proclivity for years at a low enough level, that I didn’t make the association, but the gut-micro biome-immune system interplay is probably a really underappreciated exacerbating factor for joint pain.
Correct me if I’m wrong: Flexion of the IP (1st digit) & the PIPs & DIPs (2-5th digit is) are the function of the FHL & FHL respectively, which you described as “hammering of the toes”. While, flexion of the lateral 4 MTP joints, while extension of the PIPs & and DIPs are the function of the lumbricals; flexion of the proximal phalanx of the great toe is the function of the FH-Brevis
A rolfer (they work with facia) fixed my plantar fasciitis in one session 15 years ago and it has never returned. And another rolfer told me while were dancing tango that it’s easy to fix by rolfing if it hasn’t been going on too long.
foot pain can cause headaches. The muscles in your legs try to relieve the stress on your feet , which locks up your spine, which locks up your neck and the neck pain can become head-pain
The pain in your head seems to affect the way you type, what you do is called anatomical possibilism and with such logic i could argue that anything could be the cause of everything. Thats why science exists and such links can’t be done by serious people in 2024
Cheap option to try & anecdotally has worked for several ppl i know personally...try castor oil packs at night. My sister had PF for 2 years...oil packed her feet nightly & within 2 weeks she was getting out of bed & working on her feet, pain free.
If all else fails (orthotics) -rest your foot for 5 days. It works (essential food prep,wash etc) but rest as much as ever possible. Try it and you are welcome
Falling happens at gait initiation but toe strength is definitely not the single metric to look at. Anyone with diabetes will have weaker intrinsic and extrinsic foot muscles given enough progression of their disease. Eccentric quadriceps strength is another big issue because patients stepping down (initiation of gait) don't have enough strength to hold themselves back....
Physicians have been paid over 12 billion dollars from the pharma industry over the last decade. So you'll forgive us for wanting to try some exercises or different shoes before going under the knife. Not to mention medical error being a leading cause of death.
Very very little evidence based medicine on this episode to be honest… she is making things complicated when in reality, shockwave therapy with ultrasound guidance fixes the problem 95% of the time, without adding all the extras around to make the therapist sound like a specialist… a bit disappointed by the lack of fact checking on this one!
Typical example of not getting to the root cause of something. Babble babble babble on about nothing. Professional athletes with the greatest physical training regimens in the world often get plantar fasciitis. Foot strength may be affected by the condition but it is certainly not the root cause. The root cause of plantar fasciitis is INFLAMMATION. Inflammation is due to a bad diet, at its core.
Diet is only a cause sometimes. Many things can increase a persons inflammatory state; poor sleep, mental stress, age, auto immune, viruses, elevated body fat, elevated uric acid, just to name a few..
My wife and I both happened to have PF6 years ago. I for about a year before we went whole food, low carb, she about 6 months. A few weeks into a ketogenic diet and it was gone for both of us. I hear this all the time in the keto community.
Wrong "full episode" link (in the video description: links to ep. 303, should be ep. 296). ;)
I learn something new and valuable with every episode. After this I was doing foot exercises in the gym today. 👍
Great insight both on Plantar fasciitis.The explanation brought my boring medical textbook alive. Gratias tibi ago. Bonam fortunam on future episodes Peter Attia, MD
I played hop scotch on the pavement in my bare feet and landed on my right heal and caused pain . A year later I played in a youth football game and my heal hurt so bad that I played on one leg . They took me out and put me in a ambulance and took me to hospital. I don't think they did much of anything and sent me home with a sore right heal . That pain lasted close to 50 years but after awhile I just got accustomed to it . Last 12:years I entered into extreme health concienouse and the pain just went away with many other pains . It's quite odd when you hurt all your life and then it goes away and you feel better than you have ever have and your old .
So where is the treatment portion
My plantar fasciitis that I had for 8 months went completely away after 2 weeks of keto.
I limped to the bathroom every am for 9 months, tried every stretch, sock, shoe, wrap, cream, massage, you name it…started LDN, haven’t had it since. For me, I know it was inflammation. To the point of weakness, I read recently about auto immune and foot ankle weakness and I agree they can go together
I had Achilles tendonitis for years until I did a couple 3 day fasts and it has mostly disappeared since. Now that I have some kind of full blown inflammatory spondyloarthritis (thanks Covid!) , it has become abundantly clear how diet, particularly excess sugar and ultra processed foods can affect random joint pain anywhere in my body. I probably had this genetic immune proclivity for years at a low enough level, that I didn’t make the association, but the gut-micro biome-immune system interplay is probably a really underappreciated exacerbating factor for joint pain.
Correct me if I’m wrong:
Flexion of the IP (1st digit) & the PIPs & DIPs (2-5th digit is) are the function of the FHL & FHL respectively, which you described as “hammering of the toes”. While, flexion of the lateral 4 MTP joints, while extension of the PIPs & and DIPs are the function of the lumbricals; flexion of the proximal phalanx of the great toe is the function of the FH-Brevis
“What doesn’t get measured doesn’t get managed” is my least favorite saying that people lean on. It’s faulty on so many levels.
A rolfer (they work with facia) fixed my plantar fasciitis in one session 15 years ago and it has never returned. And another rolfer told me while were dancing tango that it’s easy to fix by rolfing if it hasn’t been going on too long.
foot pain can cause headaches. The muscles in your legs try to relieve the stress on your feet , which locks up your spine, which locks up your neck and the neck pain can become head-pain
The pain in your head seems to affect the way you type, what you do is called anatomical possibilism and with such logic i could argue that anything could be the cause of everything. Thats why science exists and such links can’t be done by serious people in 2024
Been dealing with PF for almost a year. Fucking brutal.
Cheap option to try & anecdotally has worked for several ppl i know personally...try castor oil packs at night. My sister had PF for 2 years...oil packed her feet nightly & within 2 weeks she was getting out of bed & working on her feet, pain free.
If all else fails (orthotics) -rest your foot for 5 days. It works (essential food prep,wash etc) but rest as much as ever possible. Try it and you are welcome
Falling happens at gait initiation but toe strength is definitely not the single metric to look at. Anyone with diabetes will have weaker intrinsic and extrinsic foot muscles given enough progression of their disease. Eccentric quadriceps strength is another big issue because patients stepping down (initiation of gait) don't have enough strength to hold themselves back....
Is any of this evidence based? I'm an orthopedic surgeon and I believe it is not.
Physicians have been paid over 12 billion dollars from the pharma industry over the last decade. So you'll forgive us for wanting to try some exercises or different shoes before going under the knife. Not to mention medical error being a leading cause of death.
Very very little evidence based medicine on this episode to be honest… she is making things complicated when in reality, shockwave therapy with ultrasound guidance fixes the problem 95% of the time, without adding all the extras around to make the therapist sound like a specialist… a bit disappointed by the lack of fact checking on this one!
@@Theabtheabtheab if shockwave is the answer why is isn't it covered by insurance by literally any insurer.
Typical example of not getting to the root cause of something. Babble babble babble on about nothing.
Professional athletes with the greatest physical training regimens in the world often get plantar fasciitis. Foot strength may be affected by the condition but it is certainly not the root cause.
The root cause of plantar fasciitis is INFLAMMATION. Inflammation is due to a bad diet, at its core.
@@beedebawng2556 This is outdated information.
Diet is only a cause sometimes. Many things can increase a persons inflammatory state; poor sleep, mental stress, age, auto immune, viruses, elevated body fat, elevated uric acid, just to name a few..
My wife and I both happened to have PF6 years ago. I for about a year before we went whole food, low carb, she about 6 months. A few weeks into a ketogenic diet and it was gone for both of us. I hear this all the time in the keto community.
@@beedebawng2556 plantar faciitis isn't inflammation. This is outdated information.