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Thread: Anyone have issues with their heel bone? Reply to Thread
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01-22-2013 07:48 AM
kevano Thanks for all the help! I've been stretching the foot daily, not just when I go to the gym. I think that helped when I went to Loon this weekend. I felt pretty good after.

If it gets any worse I'll talk to my doctor. I was really just curious if anyone boards with this type of injury and how they've dealt with it. Using a ball as a stretch/massage is a great idea too. Thanks again.
01-18-2013 07:43 PM
MccBeth You should most definitely consult a doctor about what could be best... But for the time being, if you don't already... do calf raises like crazy, stretch you foot/heel before getting out of bed... I like to roll my foot over a ball after long days when it's starting to get iffy. Hurts like a bitch, but helps relieve pain afterwards. Point and flex your toes, towel stretch, achilles stretch... stretch the shit out of that area, it'll help. But definitely still see a doctor if it's that bad.
01-18-2013 06:52 PM
lonerider
Quote:
Originally Posted by Toecutter View Post
Shockwave therapy is for plantar fasciitis and other tendinopathies, but unfortunately subtalar joint arthritis is a different animal.

Just curious, did your health insurance cover your treatments?
You have a good point on that about arthritis... but I figure that one probably aggravates the other. If you ankle joint isn't smoothly and inline because there thick tissue around your tendons... then I figure that's only going to be make your arthritis worse.

Good point about the health insurance, too. Anthem covers me, but I think my sports therapists uses a particular code for it to get covered... so anyone researching this should definitely check to make sure before getting it.
01-18-2013 06:42 PM
Toecutter
Quote:
Originally Posted by lonerider View Post
I would recommend trying EPAT (Extracorporeal Pulse Activation Therapy).
Shockwave therapy is for plantar fasciitis and other tendinopathies, but unfortunately subtalar joint arthritis is a different animal.

Just curious, did your health insurance cover your treatments?
01-18-2013 04:48 PM
lonerider
Quote:
Originally Posted by kevano View Post
I broke my left heel (calcaneus) 11 years ago and have subtalar arthritis as a result. My ankle gets more and more sore as the day goes on to the point where it eventually feels like nothing is there.

I've started riding switch more to help (i'm regular footed), but am curious if anyone else on the board has gone through this? If so, how have you managed? Did you change your style at all?

At 33, I refuse to let this keep me from riding. But I had a major setback Sunday (couldn't walk after I pulled my boot off), so I feel like it may be time to try something different...other than not snowboarding of course
I would recommend trying EPAT (Extracorporeal Pulse Activation Therapy). I know that name sounds ridiculous (I think they made that up just so the acronym became EPAT), but it really works. I've tried most physical therapy treatments (electric simulation, ultrasound, cold laser, etc) and most of those didn't do much for me and I discard them without a second thought, but this one works well for me. It send shockwave pulses through your tissue, break tough/fibrous scar and connective tissue. I found really helps break up the tough stuff on the soles of your feet and around your ankle joint which prevent it from hinge-ing correctly. Check local podiatrists in your area as some of them might have gotten this machine.

I won't lie... it can sting a bit (like when a dentist zings a nerve in your tooth)... but the results are pretty noticeable, especially for people with flat feet and plantar faciitis.

This is what is looks like

01-18-2013 04:26 PM
kevano
Quote:
Originally Posted by jml22 View Post
Did the fracture go into the joint?.
Yeah, I cracked it at the top of the calcaneus at the joint. When it hurts the most it really stiffens up. So moving it around for the cartilage makes a lot of sense. I've always done the figure 8's, but never really forced it. Thanks for the idea.
01-18-2013 03:03 PM
jml22 Did the fracture go into the joint?

Joint fusion is like absolute last resort, because they don't work very often. And if they get rid of the local pain, they'll usually cause other problems like knee or hip pain.

Cartilage needs movement in order to get the nutrients it needs, so get your foot mobilized everyday. Put it in hot water and get someone to pull on your heel and do like figure 8s on the joint.
01-18-2013 02:20 PM
JeffreyCH
Quote:
Originally Posted by kevano View Post

That's an interesting idea. You'd think less support would make it hurt more.
In your case I'm not sure, in my case it worked, two different things really. The thing is, since my leg was snapped in half (compound fracture and all) there was extensive tendon and muscle damage, I guess having your lower leg swinging around by the meat does that

I think with the softer boots there is less resistance to flex that doesn't work my lower leg/ankle near as hard. Have you tried any inserts to cushion the impacts? They also make wedges designed to reduce heel lift, might give those a shot. Obviously I'm not a Dr. I'm a construction guy so the only "real" advise I can legally dispense is "Duct tape that bad boy up and git r done"

Other then that I'd say see a real Doc.
01-18-2013 09:20 AM
Toecutter
Quote:
Originally Posted by kevano View Post
They did mention this as a possible need after it happened. It seems like sort of a last-resort procedure though. Do you know anyone who has need it?
Yes, several people. Recovery is a bit long and arduous but once everything is all healed the pain from the joint is gone (because the joint is gone). Functional limitations include difficulty walking on uneven terrain since you lost the side-to-side motion from the ST joint. I would try the footwear changes first.
01-18-2013 09:11 AM
kevano
Quote:
Originally Posted by Toecutter View Post
If you already have subtalar joint arthritis you might want to consider having that joint surgically fused.
They did mention this as a possible need after it happened. It seems like sort of a last-resort procedure though. Do you know anyone who has need it?
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