Hi,is hardening of the heel area is one of the symptoms of fat pad loss,I mean no elasticity in the heel area or tightness of the heel?😢

idk

Is it painful...😶?

Can u plz tell me how u deal with it?? I got someking of heal pain n its just not going away..its been 4 months

adhesive spray (helps it stick i think)

Hello. Pneumatic devices generate shock waves with a ballistic method. The air is determined by the bullet that hits the transmitter. These are radial type devices. Electric is focal devices. If we are not talking about the method of overclocking the bullet.

Hi again. Thanks for you answer. Yes , but does they work equally well / same ?

Hi again. Not really, all professional level devices run on compressed air. Electromagnetic ones are Chinese very weak devices.@@larsplovmann4280

@@larsplovmann4280 no, they do not work equally well, the electromagnetic method of accelerating a bullet is weak, so for treatment it is necessary to use a pneumatic device. I can help with this issue if needed

No, they don't work equally well. If you need to be treated, you need a good pneumatic device. If necessary I can help in this matter. @@larsplovmann4280

I did a quick search to see what Soft Wave was as I'm not familiar with the term. The type of shockwave that I was using is actually called "Radial Pressure Wave". The Soft Wave is a "focused shockwave" machine. Both are extracorporeal shockwave, one is radial shockwave and the other is focused shockwave

Hi,got any relief?

@@Batwam0 I know they are not the same thing, that's why im saying golfers elbow should be converted to tennis elbow. Get it?

It's called Dynamic Tape

Did any medical professionals tell you that you still had PF, even though the test proves you don't? Just curious. Thanks.

In my experience I have found that the athletes that I have performed this taping technique on feel a noticeable decrease in heel pain. I make sure that I test before and after applying the tape and if it made their heel pain worse I would take it off immediately (thankfully I haven't had to do that yet 😊) Would this technique help every child with Sever's Disease? Maybe, maybe not. But for the ones that I've used it on I've only had positive feedback.

Everything I've seen from multiple sources has this taping technique as the top way to help relieve the pain. It holds everything together so it's not pulling away and causing the pain.

Hi mate, I'm really sorry to hear what you are going through! I am going through it as well since Oct 2022. I can tell you from experience that it can settle down, especially at your age but can take 6 months to do it - and the only way for it to settle is for you to completely NOT bare weight on you heel. I've had it now 4 times in my left heel and for me it was "easy" to not weight bear as I just walked around on my tip toes on one foot... for 6 months. For you, it sounds like the recovery is going to suck even more - but unfortunately you are just going to have to do what you are going to have to do. I can also say from experience, that it doesn't feel 100% until you start using it again, and here lies a problem, how do you know when you can start using it again? Short answer is you don't. I recommend for you - go something like 2-3 months of completely no weight bearing and then try use them again. If the pain doesn't pretty much immediately resolve within a day or 2, then unfortunately its too early and you need more time off your feet (I've found that upon use again at the right point the pain resolves almost immediately) - go another 2 weeks to a month and try again - the worst thing you can do is keep using it as then it will never get better!! Personally, I wouldn't worry about things like ice and anti-inflammatories but any cardio exercise you can do - especially if it involves your legs (you may be able to ride for example) should help as it will get your blood pumping and help with the healing process. The number one thing you can do though is just not use them. For background - I'm an ex professional aggressive inline skater and mine was from impact from skating (except for my latest one which has happened 14 years after my last and is from carrying heavy weights in crossfit). I'm also a final year medical student - although none of this is medical advice of course - currently taking a break from studies... because I'm unable to walk properly! Hope you get better soon mate. PS: Oh I find compression socks are super helpful as well as they help with blood flow and clearing the excess inflammation.

Just an update on the compression socks I mentioned above. I've found out they they have to be fairly weak compression socks otherwise they squeeze too tightly and probably cause more problems. You want very gentle compression to aid with blood flow and help shift some of the inflammation but not so compressed that its squeezing the damaged area tight. I just bought some new compression socks for mine that looked really good but they were too tight unfortunately :( Anyways hope you are getting better :)

@@jameshandysam thanks for your clarity mate ... are u now pain free??

@@jameshandysam thanks for your clarity mate ... are u now pain free by following this??

@@AjithKumar-gw3pb I am now pain free and returned to uni. Since writing my first response I cooked my other fat pad from over use and was in your position of having 2 cooked fat pads - tip toeing everywhere on both feet and wearing 2 moonboots just to sit in a chair 🙄 Ps: I also worked out that nicotine is very very very bad for this. I don't know if you smoke/vape but if you do chances are it's not gonna get better unless you stop. That's because you have very tiny blood vessels going to the fat pad (which is one of the reasons they heal so slowly anyways) and then vasoconstriction from nicotine basically occluded these blood vessels and over time may even make them disappear (no point having a blood vessel thar doesn't do anything!). How is your recovery coming along?

I would definitely suggest booking an appointment with a podiatrist to see if they can build a custom orthotic to offload your calcaneus while you return to walking

Hi,how's ur feet now? Any relief?

What I usually recommend for my patients is to check if there are any modifications that they can make to their equipment - fresh overgrip, change strings and adjust the tension and possibly a racquet change if this issue keeps occurring. Technique is also important so if you've had a coach or tennis pro check your technique to rule out any major technique errors then you're on the right track. Return to play slowly, start off with a short session with a partner maybe 15-30 mins and then watch for any increased pain the following day. If there's no increase in pain then have another short session 1-2 days later. Repeat this for a week and then increase your hitting time each session, again watching for any increase in elbow pain. Rule of thumb is if there's no pain the day after a session then you know that you haven't over done it.

@@primehealthco_ i think technique has been a big part for me. When i was young i played at national level and now 10 years later i do not have the same technique and footwork i used to have but still want to generate all that power i used to have. With the wippy technique ive always used to generate spin i think i got myself into a golfers elbow injury. For now i have noticed that taking my racket up higher when preparing for a swing helps a great deal because i can generate the power with my rotation and body and not just the elbow/forearm pronation to generate the spin/swing ive always used when i was younger.

@@2NextLvLhi, i’m exactly in your situation, ex pro player, and now 15 years later I got back to the field and i’m dealing with this pain over and over, did you manage to solve it?

@@ovidiulungu4736 i mostly fixed mine, but it remains a weak spot. STRETCHING is the most important thing. Also i swapped from my blade to an aero (lower swingweight, higher stiffness/power frame) and it helped a lot. Also focusing on high intensity footwork instead of pulling my racket with strength

@@ovidiulungu4736 me too have this issue for a few months

Thank you!

We get the best results when shockwave is combined with a structured rehab program for tendon injuries. One of the main benefits is that it decreases tendon pain which allows our patients to progressively increase the weights/load that their tendons are exposed to

You're welcome!

It's all about the eccentric or negative part of the rep. Tendons respond well to slow negative reps. Try and aim for a 4 second negative rep with the bar

Great comment 😊 This technique definitely works and we sometimes prescribe it to help manage the pain. It can also be done with a frozen plastic water bottle if someone finds that they respond well to icing an injury - although not everyone will respond well to this. However, you still need to address the biomechanical issue that caused you to land up with plantar fasciitis in the first place. If there is a significant weakness of the foot flexor muscles (not able to produce a force equal or above 7-10% of body weight) then more load is being absorbed by the plantar fascia instead which can irritate the tissue.

I would start off easy with them, maybe 1 set of 15 slow reps on a day. Then see if you've experienced an increase in foot pain the following day. If not, repeat this again the following day. When dealing with tendons (plantar fascia( it's not uncommon or unexpected to see flare ups occasionally. We would just scale back our reps/sets accordingly

@@primehealthco_ nod, thank you.

I hope you're being guided by a practitioner who can rehabilitate low back / sciatic nerve issues. But yes sciatic nerve pain can refer down the back of the calf and could likely be the source of pain in your heel. You might also find that because you're unable to put weight on the balls of your foot or toe off due to the injury that more weight is being put on your heels and possibly irritating the calcaneal fat pad. Definitely get the sciatic nerve injury assessed because significant weakness of the calf should not be ignored

Standing in the shower barefoot is a huge flare up for PF, I have to use the bath it’s that bad so I totally get what you mean.

Thank you for sharing your story. It's so good to hear that your foot pain is now under control. Don't forget to do your foot strengthening exercises 🙃

2 years since you wrote this note, and I’ve come to see it. THANK YOU for posting! I’ve had plantar fasciitis in my arches before, but never in my heel. Doctor said PF, I thought it was fat pad atrophy. I’m going to treat as PF.

Update?

What shoes and inserts?