Wordy Wednesday – My Body

This week’s installment of Wordy Wednesday is brought to you in 2 parts by My Body.

1. I’m still recovering from almost a week of vacation in Florida that involved somewhere around 20+ hours worth of being in the car. Two-and-a-half year olds make car travel…interesting. On top of that, My Body really didn’t like being mushed up in a car for hours upon hours at a time….I have 3 cricks in my neck and shoulders, my upper back feels like someone has it in a vise grip, and if my feet want to just go ahead and fall off, that’s OK – because they have been hurting and aching for weeks now that I’m not taking Meloxicam for my plantar fasciitis anymore.

But one of the highlights of my trip to Florida, that made all the aches & pains worth it, was getting to hang out in real time and in real space with Christel from theperfectd and her lovely daughter and father. Read her blog post linked there – I say “ditto” to all that. She is awesome, and we would most certainly be friends if we had met up in life outside of diabetes and the DOC. And our kids were so stinking cute together, even when they both defied nap-time.

Nom nom...cookies!

Cookies BEFORE lunch?
Why, yes, I believe you should!

2. This song by Young the Giant just fits. (Amazing how you listen to songs and suddenly they have diabetes-related messages to share?) Despite My Body telling me “no” over and over again, I will never quit in this struggle against diabetes. I most certainly want more.

Stop, the train is ridin down to the station
where you lived when we were school kids
Hey, the rails are caught now
And I am falling down fools in a spiral
Round this town of steam

My Body tells me no, but I won’t quit
Cause I want more, cause I want more
My Body tells me no, but I won’t quit
Cause I want more, cause I want more

Stop the train is riding down to the station where I lived
When I was a cool kid
Hey, is it my fault that the fallen embers burn down in a spiral
Round your crown of thieves

My Body tells me no, but I won’t quit
cause I want more, cause I want more
My Body tells me no, but I won’t quit
cause I want more, cause I want more
it rides out of town

Oh, it’s my road, it’s my road, it’s my road
It’s my road, it’s my road, it’s my road

And it’s my war, It’s my war, it’s my war
His eyes are open
His eyes are open

Oh, cause I want more, I want more
Want more
His eyes are open
His eyes are open

(Hey, hey, hey)

My body tells me no but I won’t quit
Cause I want more, cause I want more
My body tells me no but I wont quit
Cause I want more cause I want more
It rides out of town

~”My Body” lyrics by Young The Giant

Getting Rid of Plantar Fasciitis

I’m really sick of my feet hurting.

I recently stopped taking Meloxicam, which is an excellent NSAID that helped me get through walking in THREE 5k’s within a week of each other the beginning of September.  But I was having all sorts of weird gastro-intestinal issues, so I started phasing things out that weren’t needed in the hopes of getting my intestines and stomach back to reasonable performance. My gut has settled down quite a bit over the past couple of weeks, so maybe it was just a prescription drug cocktail problem (of my taking Meloxicam on top of Metformin everyday) and not the dreaded gluten allergy/celiacs issue. Jury is still out on that one, and I’ve done nothing yet to pursue testing that possibility.  One thing at a time, people.

Back to my current pains…last weekend, I was limping along after sitting down too long (joints get cold, stretch the inflamed fascia back out, pain ensues), and I mentioned my foot pain to a family member who’s in her 60s and has had foot problems as well. She said, “Oh, plantar fasciitis? Well, at least that will go away.”

I very quickly corrected her. I’ve had plantar fasciitis since 2005. Closing in on 9 years now. I’ve done a plethora of treatments – shoe orthotics, physical therapy, night splints, tens unit stimulation, cortisone shots, acupuncture, NSAIDs, pain creams, lost weight, never go barefoot, never wear shoes without arch support, and my wonderful husband gives me a foot massage almost every night. My. Feet. Still. Hurt. And hurt terribly 80-90% of the time. Even worse when I over-work them by walking a lot or being on my feet for too-long stretches.  I don’t think it’s going away anytime soon. Is it because they always stay inflamed because I have such crappy circulation in my feet and they can never seem to heal? Is this one of those “stupid diabetes” things?

The sad thing is, I want to exercise more, and my favorite forms of exercise involve walking and hiking. I’d love to someday actually *run* some 5k’s instead of walking them. Sure, I know I could do an exercise bike, or go swimming, but they are just not my favorite, and it’s tough to get motivated to do something you really don’t enjoy, when that will take valuable time away that you could spend with your family, your friends, or doing 8,000,000 other things that you’d like to do.Stupid feet.

I’m still up in the air about subjecting my feet (and blood supply) to the questionable PRP – Platelets Rich Plasma treatment that my podiatrist has mentioned. But really, I’ve sort of run out of options. Staying on NSAIDs indefinitely is NOT feasible, even though my feet felt the best they have in years for the 2 months I was taking Meloxicam. Granted, I still had *some* pain, but it was on a scale of 2 or 3 instead of 8 or 9.  Having pain every-single-day, on top of dealing with diabetes crap, really wears me down (despite the demeanor of happiness and positivism that I try to keep up as a good front for the people around me. I don’t want to be a Debbie downer.)

I’ve taken the stance that no matter what, I just have to keep on going. But I would love to hear from other diabetics that have had issues with plantar fasciitis – and even moreso, would love to hear from those who have suffered with it for years but then finally found relief. Please, someone, tell me the secret!

Just Go Walk!

I’ve added a new tool to my foot pain treatment regimen – Skechers Go Walk shoes. I have to admit, I was a bit skeptical when my friend Kelli suggested I try them out to help with my plantar fasciitis. But, considering how much foot pain I’ve had  for the past 8 years, I will happily pay around $45 for shoes that just might ease some of the pain.

My favorite exercise option has always been walking or hiking. I’m just not a big fan of sweating, especially in the 200% humidity summers of the southeast, but when walking or hiking somewhere scenic, I can forget about it for a time. I love nature trails, and love being outdoors, but my feet have been a limiting factor, since, it’s hard to say you “enjoy” a nice long walk when halfway through it, your heels are exploding in pain and you have to limp your way back home. And let’s not talk about the “morning after hobble” when you roll out of bed and almost crumble to the floor.Just Go Walk!

I’m still testing these shoes out, but so far (knock on wood) I would say I have about a 30-40% improvement, which is HUGE. Less pain at night after normal daytime walking, less hobbling, less cringing when my feet hit the floor in the mornings. I’m hoping to put these shoes to the TRUE test soon and actually walk or hike a couple of miles, and then we’ll see what happens. I’m so ready to just go walk!!!

Another Plantar Fasciitis Treatment Option?

One thing I forgot to mention in my post yesterday about my left foot…..Dr H. also mentioned one other course of treatment we haven’t tried yet called PRP – Platelets Rich Plasma.

As it was explained to me (or rather, how I am now explaining it in my own simplistic terms), for PRP they first take your own blood, extract platelets from it and suspend them in the plasma, then inject it all around your foot in the inflamed areas. Because the platelets are so rich in all the “good blood stuff,” it speeds up and aids in healing since it’s injected right there at the source of the pain and inflammation.

Blood platelets

Blood platelets (Photo credit: Wikipedia)

There appear to be several studies (and even a link to a YouTube video that I can’t convince myself to watch) that discuss PRP and note marked improvement in patients with chronic plantar fasciitis who have it done. I’m just not sure what I think about it? I’m still a little gun-shy about getting any sorts of shots in my feet again after I had that awful reaction to the cortisone shots. Just another thing to ponder if the NSAIDs don’t help calm things down. (And I’m also buying some Skechers GoWalk shoes at the recommendation of a pregnant d-friend who has foot pain as well….if these shoes work for her,  I’m willing to give them a try!)