Planter fasciitis and groin pain: who should I contact?

Good morning, I am writing to you, I think like all those who are here, because I am desperate. I state that I have been suffering from irritable bowel and anxiety for 7 years. I was able to keep him at bay enough by training every day but now due to injuries I can’t train and the problems are unbearable. In January 2013 I changed the type of training to prepare for a marathon and within 2 weeks I got fasciitis plantere. Until June I stayed still then slowly I started again. In September I changed running shoes, I did tests for running support and so on and after 2 workouts I developed a severe pain in the groin, disabling, I had 2 weeks of bed with cortisone and anti-inflammatory injections without no effect. I did ultrasound and x-rays (since it took me inside the thigh (a nerve or tendon felt very hard and protruding), visit to an orthopedist and physiotherapistbut for them everything is ok. I continue to have pain, I go to a “bone puller” for that nerve / tendon, it crushes it in me and 50% of the pain passes to me. Even now, after 4 and a half months if I do exercises like reverse abdominals or raise the knee to the chest my groin hurts a lot and there are kind of nodules that get bigger and they hurt me a lot to the touch. If I take the stairs, my right testicle (same as the groin) also hurts. I can’t do yoga either because 90% of the movements hurt me a lot … and the “fasciitis plantere” persists . What do you think it can be? Who could I go to and what could I do? Thank you

Health Answers

Hi, Mr. Tommaso, reading your request for help, I got a picture of the situation, which is very common in my office since I treat many patients who play sports even on a professional level. The anticipation that the diagnoses are made with the patient on the study couch, carrying out tissue and joint tests to understand the problem well; anamnesis cannot be enough. Anyway, she talked about a support check; I believe she was referring to a static and dynamic baropodometric examination that checks the body’s center of gravity and the presence of a pathological foot. Let me explain: plantar fasciitis can be caused by the presence of a cavus foot or by an overload on the same foot given by a displaced center of gravity. The same anomaly can cause in the long run, by leaning and running in an anomalous way, a adaptation on his pelvis by inflaming tendon areas (and not nerves) in the groin area. The latter pain can be caused by the tendon of the rectus femoris muscle or by the iliopsoas tendon or by the adductor tendon (groin pain), but I repeat they are potential hypotheses as it must be visited by a colleague Physiotherapist even better if also Osteopath who will visit it for good. Those in the groin are lymphatic nodules that have nothing to do with the problem. I recommend that you absolutely avoid reverse abdominal exercises if you want to heal. If it is not clear to you it is a postural problem that must be treated, if necessary, with insoles that redistribute the body load and with FKT to be evaluated in the study. I hope I was clear and exhaustive, however I remain available for any further clarification.

Hi Tommaso, as already anticipated by Dr. Manni, the evaluations take place on the bed and only after a careful analysis of the problem is the person directed towards a particular type of treatment. Having said that, I speak to you as an osteopath and I will try to list some possible causes of his disorder. 1: Certainly there is a nerve component and by nerve I mean irritation of one or more nerves of the lumbar tract, you must know that the nerves that give sensitivity and pain in the regions you have just mentioned (groin, testicle) come from from the lumbar region which appears to be one of the key regions to be examined for the eventual resolution of the problem. 2: The foot also plays an important role in the biomechanics of the body and problems of ” incorrect load) can affect up to the colon and generate these symptoms. 3: as an osteopath I would also consider the visceral component, consider that a recurrent inflammation of the colon predisposes to a contraction of some muscles that are just below it and therefore generate pain in the groin, the muscle in question is the psoas. 4: not least the emotional component that especially in athletes is essential to perform an athletic gesture in a serene manner. I hope I have been exhaustive at best. Giovanni Di Giannatale Osteopata DOROI the muscle in question is the psoas. 4: not least the emotional component that especially in athletes is essential to perform an athletic gesture in a serene manner. I hope I have been exhaustive at best. Giovanni Di Giannatale Osteopata DOROI the muscle in question is the psoas. 4: not least the emotional component that especially in athletes is essential to perform an athletic gesture in a serene manner. I hope I have been exhaustive at best. Giovanni Di Giannatale Osteopata DOROI