For the past few weeks I have had a tingling feeling in the region of my heel / calcaneous. A few months back, I injured my achilles (near the calf), it healed and I had a solid 2 months of training. A few weeks ago while cycling I felt it ‘tweak’ near the calf again, and ever since I’ve had that tingling sensation in the heel. Its not necessarily pain but it is uncomfortable, and seems to act up if I cycle or run for more than 30 minutes.
Its tolerable, but my training is subpar because of this problem. I have an IM in 6 weeks and I’m not sure exactly what to do at this point.
Where, exactly, in your heel? up where the calcaneus meets the achilles? on the tip of the heel? the rear-most portion of the arch, where it hits the calcaneus? the side?..?
Where, exactly, in your heel? up where the calcaneus meets the achilles? on the tip of the heel? the rear-most portion of the arch, where it hits the calcaneus? the side?..?
Thanks for replying doc,
Its in the very center back of the heel, right in the spot where the foot starts to go up. I would say right where or slightly below where it meets the achilles. Its in that general vicinity; there isn’t any tingling focused on a particular point, but around the area of the achilles to the very bottom rear of the calcaneous.
Ferret - tingling in the foot can be from a host of sources including those local like nerve compression from too tight bike shoes, all the way to your lumbar spine. Many of us experience similar feelings. If this is simply tingling, why has your training been subpar?
Ferret - tingling in the foot can be from a host of sources including those local like nerve compression from too tight bike shoes, all the way to your lumbar spine. Many of us experience similar feelings. If this is simply tingling, why has your training been subpar?
My training has been subpar only because I’m being very timid about pushing it; however it doesn’t affect my performance at all.
So in that area it’s probably not a stress fracture of the calcaneus and not plantar fasciitis.
I’m not an ortho or a DPM, but i would guess that the attachment of the achilles to the calcaneus is inflammed. You might want to PM Rod Roof (rroof), but you might want to see one of those guys with an IM so close. In the meantime, waterrun, put your cleat as far back on your shoe as possible. (you might need to adjust your saddle for this.) Some suggest lowering the saddle, especially if you have it relatively high, to decrease the strain on the achilles. My internist sent me to an accupuncturist a couple of months before Kona in '07 for my AT. It got better. Was that the reason??? WAterjogging definitely helped take the strain off while I gave it a chance to recover. I did some LONG aquaruns after my weekend swims (90-120 min) BORING!!!
With an IM in 6 weeks, I would see someone–preferably with sports experience.
So in that area it’s probably not a stress fracture of the calcaneus and not plantar fasciitis.
I’m not an ortho or a DPM, but i would guess that the attachment of the achilles to the calcaneus is inflammed. You might want to PM Rod Roof (rroof), but you might want to see one of those guys with an IM so close. In the meantime, waterrun, put your cleat as far back on your shoe as possible. (you might need to adjust your saddle for this.) Some suggest lowering the saddle, especially if you have it relatively high, to decrease the strain on the achilles. My internist sent me to an accupuncturist a couple of months before Kona in '07 for my AT. It got better. Was that the reason??? WAterjogging definitely helped take the strain off while I gave it a chance to recover. I did some LONG aquaruns after my weekend swims (90-120 min) BORING!!!
With an IM in 6 weeks, I would see someone–preferably with sports experience.
Thanks for the Advice.
I’m not sure I can see a doctor just yet as I’ve just started a job and my coverage isn’t quite set up yet. I know this sound idiotic and blasphemous but hopefully next month I’ll be able to get in. I did see a physician last year with my first bout with an Achilles tear (near the calf) and they helped tremendously. I will try to start aquajogging, and set the cleats back on my shoes to help me out.
This may be a bit of a stretch given you history with the Achellis, but the symptoms also inline with heel spur. This can be caused by movement of the heel inside the shoe - up/down or side to side. If your foot pronates in daily life or your knee tracks to the inside while on the bike (towards the frame) it maybe looking into. As others have said, a consult with a DPM or C Ped is in order. Something as simple as a supportive insole (not soft) such as Superfeet or Sole may take care of it. Get after it now so you can enjoy your IM. good luck
Heel spur is really a PF problem as that is where the PF attaches and where the greatest strain occurs. It is under the under side of the heel at the very rear of the arch at the frontmost end of the bottom of the calcaneus.