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  1. P

    Shin Splints pre-Camino

    Shin splints generally are not bone stress fractures. They’re the result of weak / strained muscles, typically on the front and sides of the calf, that don’t get much specific strengthening, even from walking or hiking. While walking the Camino, I saw many pilgrims afflicted with them, myself...
  2. P

    Shin Splint Help Needed!

    Not trying to diagnose your condition from afar because there can be other causes for your pain, including a tibial stress fracture. However, I just finished a podcast discussing foot and leg injuries on Pilgrim Lost, and the show notes include a page of recommended exercises for calf muscles...
  3. P

    Help with blisters!

    Your blister pattern is not typical (you probably know that). Besides friction, I’d estimate that your skin is becoming weakened by excessive moisture. Suggest trying the following: Non-waterproof shoes that breathe as much as possible. Swab between toes with Povidone Iodine solution for...
  4. P

    Looking for a Podiatrist Who Has Walked the Camino

    I did in 2017. Walked from Moissac, France to Punta La Reina, and then finished by bike to SdC. 36 year career as podiatrist in Maine, USA.
  5. P

    Medication (Pain Killers).

    Whenever possible, I grabbed a 20-30 minute nap after showering and clothes washing. Amazingly restorative. Both NSAID’s (ibuprofen) and acetaminophen have safety issues that should discourage more than occasional use. Instead, I relied on sleep when I felt beaten down.
  6. P

    chondromalacia patellae

    Chondromalacia is softening of the cartilage on the deep side of the kneecap (patella). It's aggravated by repetitive motion (like a long day of walking or hiking) and when the patella doesn't track properly in the groove on the front of the thigh bone. It would help to get a diagnosis and...
  7. P

    Inter-Metatarsil Bursitis

    Respectfully, I don’t recollect ever using the diagnosis of intermetatarsal bursitis (36 years of a hospital podiatry practice + just retired). My thoughts below are not an attempt to diagnose you from afar, but rather broad treatment suggestions. Most instances of forefoot pain were either...
  8. P

    Orthotics for Morton's Neuroma

    Most orthotics end before the ball of the foot, and the neuroma lies just beyond the ball of the foot, so there’s not always a direct benefit from orthotics. An extra wide shoe (like Altra or Hoka One wide) plus double neoprene insoles (like Spenco Rx Comfort + Spenco Polysorb) take a lot of...
  9. P

    Has any one had Meralgia paresthetica (thigh numbness) and how can you prevent it from returning?

    The affected nerve (Lateral Femoral Cutaneous Nerve) has an exit point from deeper tissues where it passes through the fascial layer of the leg (think of the PF as an anatomical pantyhose). Compression forces on the exit point or anywhere along the LFC can cause paresthesias or numbness. The...
  10. P

    Medical help in Burgos please

    Based on similar experiences, may I suggest the following: - Write out your symptoms in Google Translate unless your Spanish is good enough to explain your symptoms. You can hand your phone to someone to explain (sometimes repeatedly) your problem. - Try the university hospital rather than a...
  11. P

    Medical Insurance for US peregrinos

    I also got Allianz insurance through AAA for a very reasonable price - something like $54 for 4 months, and that was upgraded coverage (I’m 67). I used a Spanish hospital for a leg injury and received a bill for €288 about 2 months later. I returned to the AAA agent who sold me the policy, and...

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