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Friday, January 29, 2021

Old Plantar Fascial Tear: Email Advice

Hi Dr Blake,
I have just experienced a severe pain in my left arch reminiscent to the tear in my plantar fascia from 8 or 9 years ago.  You treated the tear and I was in a boot for 90 days.  Since then I have worn the orthotics you designed...religiously.  No problems until yesterday.  The pain feels like the pain I had years ago just before it tore.
What should I be doing?  I don’t want to go through another torn plantar fascia?
Please respond and let me know next steps.  Your next appointment is not open until 2/8.
Thank you.

Dr. Blake’s comment: It is so important that you create the 0-2 pain level consistently as quickly as possible. If that means you have to be back in a boot until I see you, please do it. Remember to ice 3 times a day 10 minutes each for the next 4 days, than cut to twice a day. No achilles stretching or arch massage until we feel sure it is not a tear. See if anything you are doing really picks on it, and try to avoid for the next 2 weeks. Normally takes 4 to 14 days to either be obvious an injury, or just a small strain of the tissue. Hope this helps. Rich  

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.