PF and new orthotics

Gaitway orthotic
The Plantar Fasciitis saga drags on and the more I discover about it, the less I like it (besides, I don’t have much else to post about at the moment!). Accounts vary wildly, ranging from those who recovered in a few weeks to those who have suffered for years without success and given it up as an intractable problem that they have to mitigate and live with.

I thought I’d garner an opinion from the doctor and I was taken aback by her appraisal of the condition: she seemed quite dismissive of the whole thing and quickly scotched any hope of a definite early solution, stating - more or less - that there is no scientific evidence that any of the available treatments are really effective. Her prognosis:- everyone is different but typically there is a good chance that it will clear up in about a year. Oh great!. Still, it does explain the inconsistencies.

I described the exercises I was doing and she agreed they were a good idea, if only to lessen the discomfort and possibly help it to mend slightly faster. They are a good idea anyway actually, I was previously not paying enough attention to suppleness and stretching .

She did say that it might be worth trying a course of Ibuprofen, which has been known to help some people at a dose of 400mg 3 times per day, and although I don’t like the idea of taking NSAIDs regularly, it’s worth an experiment for two weeks. Generic Ibuprofen is much cheaper than the branded ones and I bought them at Tesco, but I hit a problem at the checkout with my six boxes: they are not allowed to sell me more than two at a time. I’m nearing the end of the course now but I can’t yet say if the PF has actually improved:- Ibuprofen is of course a pain killer.

It already feels like an age since I was out backpacking and PF won’t stop me, but some of my ambitious fast-and-light long route ideas will have to be shelved for a while. Since the physio confirmed that my old rigid orthotics no longer fit accurately (and might be doing more harm than good), I bought an off-the-peg pair of Gaitways that are firm and supportive but well cushioned under the heel. They seemed very wide at first but felt great in my normal shoes on a walk around town. I’ll be evaluating them on the next backpack.

Patterdale & Kirkstone Fells 2-day backpack

View from Red ScreesA 2-day solo circuit of the fells around Patterdale and the Kirkstone Pass. The outward route via the Ullswater shore path enabled me to climb one of my two remaining Dewey 500m tops of the Lake District en route, continuing to Place Fell, Angle Tarn, High Street and Caudale Moor. The return via St. Raven’s Edge and the Kirkstone Pass was my first ascent of Red Screes from the eastern approach of Kilnshaw Chimney, continuing across the Scandale Pass to Hart Crag and descending the ridge of Hartsop above How.

The first day was typically autumnal, starting crisply cold and bright but clouding over to bring showers overnight, the second brought almost constant sunshine and clear views.

Full report & photos

This was the second backpack undertaken on my recovery from planar fasciitis in my right foot, and it was soon apparent that this condition would be very different from my previous injury/recovery scenarios: just when you think you have it licked it flares up again. This will probably take a lot longer to clear up, more research and consideration of options will be needed. Towards the end of the first day the walk became a real exercise in mental pain control when I suffered the most severe case of ‘rubbing’ I’ve ever known: since I discovered Bodyglide years ago this type of chafing problem became a distant memory, but on this trip for some reason it happened in new places around the base of my back in the hipbelt region. A rare use of the first aid kit in the tent fixed it perfectly for the second day.

Central Cairngorms #2 5-day backpack

Pitch above Loch EtchachanA return visit to the Central Cairngorms as a joint trip after my phenomenal solo circuit in May earlier this year. This is a shorter route covering some of the same ground,  traversing the Braeriach and Cairn Toul corries on the outward leg and ascending Ben Macdui directly from the Lairig Ghru, and following the shore of Loch Avon to the Saddle to climb Cairn Gorm for the return.

Four of the days were clear throughout and two of them had almost unbroken sunshine and excellent clarity giving superb views. Only one day - the fourth - was misted out, but offered much detail in the immediate landscape to maintain plenty of interest. A panoramic crystal clear view over a grand inversion from a deserted Cairn Gorm summit rounded off a highly memorable mountain backpack.

Full report & photos

My foot still hadn’t fully recovered from the Plantar Fasciitis and I expected this backpack to set my recovery back somewhat, and it may well have done, but the results were mixed and perplexing. Following the toughest day over Cairn Toul, which is testing terrain for foot control, my foot was aching by the end of the day which was not surprising, but the next morning I couldn’t feel a thing, just as if I never had the problem. So it remained for that day and the next day except for a very slight discomfort by the time we pitched, nothing worth mentioning. However on the last day following the easy climb up Cairn Gorm the pain returned. I really can’t figure that, but I’ll continue with the stretching exercises and hope for the best.

Recovery continues - but we’re off anyway

The old plantar fasciitis has improved considerably after a little remedial massage on my back at the physio, and she gave me a new exercise to add to the repertoire that is targetted at the old hamstrings. I must say that quite apart from any beneficial effect on my foot in the recovery phase, I’ve noticed on my short ventures to the local shops that my hips and legs seem to move more easily and naturally now, just gliding along compared to the rather laboured and creaky feeling I had in them before. She did say at the first session that my frame was out of whack, plainly I wasn’t paying enough attention to my stretches and posture. I’ll continue with a scaled down version of her exercise regime permanently in future.

Now then, the weather forecast:- it predicts a good settled spell from Thursday onwards. I’ve been lucky so far with the generally crap weather making my forced incarceration quite palatable, but we really can’t miss this. Ideally I would wait a while longer and get my foot totally ready before venturing out on a backpack, but Thursday, ready or not, we go!. We’ll keep the distances short and if it delays total recovery then so be it, I’ll settle the score with the man later.

Slow recovery and another ‘in my tent’ picture

The Plantar fasciitis is slowly improving as I strain my hip joints in interesting athletic poses and continue rolling my frozen can of tomatoes back and forth along the floor. Follow-up visits to the physio for further remedial massage are in progress, and comparing this with the knee and sprain injuries I incurred years ago, it confirms my suspicion that all these injuries follow the same recovery pattern: cold treatment, rest, prescribed exercise, massage and - worst of all - time. Bloody time.

Autumn is potentially one of the best times of year for backpacking and it’s practically upon us. Even now the heather is at its vibrant best and will soon begin to fade, while we hold out just a glimmer of hope of catching it before it reverts to a dull pinkish brown.

Being grounded is quite depressing, I have no excuse not to do those little jobs that pile up and are gleefully forgotten out in the hills!. One job that was worth doing was the creation of route files for almost all the remaining old walks on the main site that previously only had an outline map.

Meanwhile, having failed miserably to gain either scientific or spiritual insight from repeatedly observing the physics of tomatolocomotion, I thought I’d post my own picture of the inside of my tent - well half of it anyway, in response to Robin’s pictures. Sitting in the tent facing the door, the porch is bisected by the transverse tape:-

Half the LaserComp

Immediately right of the tape by the door are my Pro Rush Mids, ready to slip on for an exit. The rest of the right half contains my pack and all the stuff that isn’t needed until next morning.Immediately left of the tape - in the winter months only - I would have the stove, pan and beaker for a hot drink. For the rest of the year, as in this picture, it’s free space. Further left are the water bottles and a rubbish bag, while the pointy ends are again free space.

In the inner tent is the NeoAir, nothing either side of it except for one water bottle that will come inside for the night. The little triangle at the head end contains the used stuff: Petzl head torch, mp3 player, toiletry bag (a stoutish stuffsack) with all the little bits and pieces. That freezer bag contains my evening meal, so that is about to disappear.

Grounded temporarily - Plantar Fascia

Piriformis stretch
For some time now I’ve had a puzzling minor problem with my right heel, just a temporary internal pain that jarred when I put my weight on it first thing in the morning or after sitting for a while. It always disappeared quickly and I thought little of it, until the recent Pumlumon backpack: something happened on that walk that tipped the balance and aggravated it. I felt it as usual on getting out of the tent on the last day but this time it didn’t go away, and although it improved as I started walking it later flared up again and I walked the last few miles with the help of painkillers.

I suspected that the culprit was a variant of Plantar Fasciitis, and although the pain diminished considerably over the next few days it did persist. I booked an appointment at a sports physiotherapist, one I hadn’t tried before in Handforth located on the first floor of a fitness centre. There is a purpose built road leading to this complex, a gigantic place full of gym machines of every kind, hydrotherapy facilities, you name it (actually some joker did name it:- the road sign says ‘Fitness and Rehab Centre’ but a while ago someone had crossed out and rewritten two letters so that it read ‘Fatness and Kebab Centre’).

The physio confirmed my suspicions after poking around and applying pressure points on my foot. To probe further she made me do various walking, bending and posturing exercises to assess the problem from a more holistic viewpoint and concluded that overall my ‘frame’ was out of kilter, very probably the main contributory factor taking into account the many miles of backpacking I do. Years ago my previous physio was impressed that the muscles at the base of my back and bum were as hard as Sylvester Stallone’s from all that backpacking but, as he said, ‘your flexilblity in that area is pretty crap!”. This one agreed, and she printed off a sheet describing 4 stretching exercises to loosen up this region and gain some pliability.

She took me through them on the bench, almost constantly telling me to relax and loosen up, and I think they were designed by the Devil himself:- ‘…can you feel that stretch in the whatever…?’ to which I grunted ‘I sure can, but I can feel the hips a lot more, they’re about to crack!’. ‘Right’ she said, ‘do 3 repetitions (per leg) of all 4 exercises 3 times a day and I’ll see you next week for a follow up half-session - and no more yomping up hills for a few days at least’. I’m booked in for Monday.
Lower back & glute  stretch
For those interested, the stretches she prescribed were for:-

  • Lower back and glute stretch (illustrated right)
  • Piriformis stretch (illustrated above)
  • Gluteus Medius stretch
  • Hamstring Muscle stretch

Another exercise she prescribed was foot rolling: I had to freeze a tin of something in the freezer and roll my foot over it as hard as I could, giving it a good massage and ice treatment in one go. So I end up sitting in the kitchen with an old folded piece of underlay on the floor and rolling a frozen can of tomatoes backwards and forwards for a few minutes at a time, and it’s damned hard work after a while!.

She was very interested in my rigid custom orthotics, which I had taken along with my Berghaus Pro Rush Mids in anticipation of her questions about the footwear I use for backpacking. Apparently their podiatrist favours the other type which have the very important firm cupped heel but are flexible along their length. Her view was that the rigid ones are great provided your feet don’t change significantly, but my right foot was no longer a good fit and had a gap along one side, possibly another factor in the development of the problem.

The follow up is tomorrow, if my hips can move at all!. In the meantime, and by way of consolation, we’ve added to our repertoire of fine single malts with our first bottle of Isle of Jura to sample: mmmm, nice!.

Pumlumon North 3-day backpack

BugeilynAnother trek around virtually deserted backwaters of mid Wales to escape the summer masses, this time using a whole raft of Dewey 500m hills in the north of the Pumlumon region as a framework for a route. A total of 14 Dewey tops are visited along with a couple of lower hills on the outward ridge, giving miles of new territory to explore. The approach from Furnace on the Dyfi estuary is via the Foel Goch ridge and the return is along Cwm Einion (Artists Valley).

The walking is a mixture of pathless but straightforward terrain, easy tracks and a few short sections of hard rough terrain. The heartland near to Pumlumon has a real backpacking atmosphere about it, especially the Hyddgen and Hengwm valleys, vast and little trodden expanses with an air of wilderness and remoteness. Once the early mist had cleared in the mornings, the air was very clear and rendered superb skies.

Full report & photos

Summertime blues

First thing, I’ve collected my observations on the NeoAir into a review on the main site - nothing new added really, but encapsulating it all in one place might be useful to future readers thinking of lightening their loads. From now on it will definitely be my mattress of choice outside winter (speaking of which, sunset is already noticeably earlier…).

Martin at Summit and Valley posted about his frustrated ambitions for some good backpacking, me too but for a more obvious reason. The godawful weather has been making the headlines, with pictures of tents pitched in standing water and grimacing campers peeping out from their waterproof hoods and brollies.Meanwhile I half heartedly pan across the country in Memory Map and glumly ponder my portfolio of backpacks that I planned in the dark days of winter, so much to look forward to and so little good opportunity. True, there would have been a few superb photos in the brief sunshine between the dungeonesque spells, I’ve seen some magnificent skies at times from the window here in the last few weeks, but most of the walking would not have been at all pleasant. At the moment I’d settle for a decent 2-day slot. There is time yet but I foresee the backpack stats for this year plummeting to an all time low.Adding to the downers is a sense of internet paranoia that sets in at times - well sort of: perhaps people are pissed off with the weather or suffering from SAD, but I spend most of the time at this screen and the vibes can become quite strong. Of the many forum posts and comments I’ve made on other blogs recently, most have been ignored. No response whatever. I start thinking ‘well that was time well spent wasn’t it?’. Sod it, I’ve given up on some of them altogether, we need to get out!.

Edited 31 Jul 2009 09:37: minor rewording for clarity.

Site update

Site Stats box

I’ve now completed a gargantuan exercise on the main site to update all the trip reports before June 2007: these older ones previously had the photos on a separate page from the report, now they are included inline on the same page like the recent reports, giving a sitewide consistent format that is much better. I found that some of the old reports were sparsely represented by photos and I added a few more.

This was one part of an even bigger overhaul that included going through the whole walking photo collection and recropping them all to HD aspect ratio for display on the AV system, while making some improvements to many of them on the way and generating new better images for the website. The collection now stands at 5670 photos occupying over 52Gb of data, 2776 of which are on the site.

Moving backwards through the photo archive shows a striking difference in quality over the years, partly due to improving skills and partly due to the switch to DSLR from the 2MP Compact we bought in 2002. Many of the pictures from those early days look pretty bad by recent standards, perhaps it will give us incentive to revisit some of those old walks to shoot something better.

While the statistics of the exercise were a hot topic on my mind, it prompted me to generate a small Site-Stats box for the Home page: there are now 165 backpacking routes documented covering 5338 miles.

NeoAir update

NeoAir

A short while ago I posted on the field trials of our two new NeoAirs, in particular the matter of overnight deflation which has been reported recently by several bloggers. Our tests showed consistently that one of them performed well, with the slight deflation being well within expectation, but the other suffered badly with serious deflation and needing significant reinflation through the night. I returned the duff one to Bob and Rose at BackpackingLight and received a rapid replacement which I took on our Llantysilio Mountain & North Berwyn trip.

I’m pleased to report that this one was just fine, in fact its performance was quite the reverse of its predecessor:- it didn’t show any sign of deflation at all. After several hours it was still as tight as a drum and I actually had to let a little air out because it was feeling uncomfortably hard. I don’t think the temperature and barometric pressure were particularly favourable on that night, the other NeoAir behaved exactly as it did on the previous nights: just a little deflation, well within tolerance and quite welcome.

This is a new product for Thermarest and all manufacturing processes are subject to certain tolerances, and it appears that the NeoAirs in the first wave have very variable inflation performance, hopefully just a question of quality control.

I found it well worth perservering to get a good NeoAir more for the low volume than the low weight:- it has enabled me to take the LiteSpeed pack on most joint trips now (I carry most of the kit for both of us) where I previously needed the Quest, and I save around ¾kg on weight altogether.

Air beds are not universally popular, in fact overall I prefer the general feel of the Thermarest self-inflators like our old ProLite 4s, except for uneven pitches where the thicker NeoAirs are better able to ride out the lumps, but the advantages are impossible to resist.