
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.

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!.