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Old 3rd December 2013, 10:51   #46
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Default Re: Issue: Driver's foot (Accelerator foot) over a long drive

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Originally Posted by geeash View Post
As for an expert opinion since i am a orthopaedic surgeon, the pain in the foot other than fractures and ligament injuries (sprains) are commonly caused by below ( in no particular order) as far as i know
1. Plantar fasciitis
2. Calcaneal spur
3. Sesamoiditis
4. Gout
5. Hallux deformitis ( valgus or varus)
6. Bunion
7. Metatarsalgia
8. Retro calcaneal bursitis
9. Peroneal tendinitis
10. Accessory navicular bone
11. Bursitis
12. Corn/ callosities
13. Peripheral neuropathis and sciatica

As far as what little orthopaedics i know ( from my D.ORTHO, MS (ORTHO), M.Ch(Orth) (U.K)), any of the above mentioned condition can be aggravated by prolonged strain of foot ( namely driving). I guess you guys those who have this problem should consult a specialist nearby or visit me if you are in chennai ;-)

What joybhowmik is suffering looks like it is plantarfasciitis due to spur with or without retro calcaneal bursitis in simple terms
I hope your post was in jest.
Pain in the muscles and tendons (I guess muscles only, I am not a doc) can also be due to prolonged use (or maintaining a weird joint angle) causing fatigue.

I don't suppose people go to surgeons to take care of muscle sore/pains after exercise (or even a simple long walk/march) ... ?

The case of getting pain around the foot/ankle area (please excuse our usage of loose and non technical terms) because you are forced to keep your ankle up for extended period in order to keep the toe hovering above the accelerator pedals is something very simple and pain is expected.
If I ask someone to stand on their toes for 2 hours, they should not get any pain in their calves?

And the foot can feel numb because of reduced blood supply (seat pad cutting into the hamstring part of your leg) over a long period.
What is so incredulous about this thread?

Last edited by alpha1 : 3rd December 2013 at 11:11.
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Old 3rd December 2013, 12:46   #47
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Originally Posted by alpha1 View Post
I hope your post was in jest.
Pain in the muscles and tendons (I guess muscles only, I am not a doc) can also be due to prolonged use (or maintaining a weird joint angle) causing fatigue.

I don't suppose people go to surgeons to take care of muscle sore/pains after exercise (or even a simple long walk/march) ... ?

The case of getting pain around the foot/ankle area (please excuse our usage of loose and non technical terms) because you are forced to keep your ankle up for extended period in order to keep the toe hovering above the accelerator pedals is something very simple and pain is expected.
If I ask someone to stand on their toes for 2 hours, they should not get any pain in their calves?

And the foot can feel numb because of reduced blood supply (seat pad cutting into the hamstring part of your leg) over a long period.
What is so incredulous about this thread?
No i never jest around. I know everyone knows that there could be pain and numbness in legs due to prolonged use and taking rest would sove the problem. You always know what sort of pain and numbness it is and how it subsides when you get that pain. The pain is mostly in legs and thighs with numbness in foot. It is never a great deal of pain in foot and ankle. I mean to retirate that it is a transient or a fleeting pain and small adjustments in driving position and posture would solve the case.

But i thought if the pain was persistent enough for someone to hamper his adl ( activities od daily living) that somebody has come to create a thread here then it must be serious enough to get a expert opinion. Is it not?

So as an expert in this forum i am bound by my duty to guide you guys around

Last edited by geeash : 3rd December 2013 at 12:54.
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Old 3rd December 2013, 14:44   #48
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Default Re: Issue: Driver's foot (Accelerator foot) over a long drive

I completed a 8k kms cross country drive involving driving long distance and long hours consecutive days but never faced this issue of pain in the right foot. As for your case Bhowmik first I thought it might be a seating position wherein you are seated very far in front but you said its been in existence for long so it might be something internal. Did you get consultation from a specialist? If yes what was the diagnosis?
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Old 3rd December 2013, 14:57   #49
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Default Re: Issue: Driver's foot (Accelerator foot) over a long drive

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Originally Posted by geeash View Post
What joybhowmik is suffering looks like it is plantarfasciitis due to spur with or without retro calcaneal bursitis in simple terms
plantawhatever retrocalciumbrusitiswhatever in "Simple terms"

Hey joybhowmik,

It might be a simple case of tiredness due to prolonged use.

Do consider giving an oil massage to your legs and feet every evening and see if it helps.
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Old 3rd December 2013, 15:13   #50
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Default Re: Issue: Driver's foot (Accelerator foot) over a long drive

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Originally Posted by DCEite View Post
plantawhatever retrocalciumbrusitiswhatever in "Simple terms"
He's making a professional judgement to help out a fellow member- let's not get snarky, please

Quote:
It might be a simple case of tiredness due to prolonged use.

Do consider giving an oil massage to your legs and feet every evening and see if it helps.
This may well be the case. Or maybe you don't get enough exercise. Do some core muscle workouts to strengthen your legs and build some flexibility and you should be fine.
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Old 3rd December 2013, 21:58   #51
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Default Re: Issue: Driver's foot (Accelerator foot) over a long drive

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Originally Posted by anandjha View Post
Experienced the pain last year on my NH2 trip of around 1200 km. But it was more in the shin area. The pain, which after a while had become unbearable, had started the first day driving around 400-500 km on the first day.

Thinking over it I concluded that it was more due to high seating position of my Wagon R. Extending this logic it would also affect drivers of average height in any tallboy or SUV. In Ritz forum you can find similar issues.

The cause I think is that high seating position bends your ankle an awkward angle. Cars with low-slung seats are better ergonomically, since first; your ankle stays at relaxed angle. Second, the entire leg keeps almost straight and the force of pressing the accelerator travels in a straight line.
You've hit the nail on the head. I've got similar discomfort on my right shin after driving my WagonR on long journeys. I never got this pain on my M800, the Fiesta or the Figo. It is only on the WagonR that the position of the throttle is placed un-ergonomically, causing the driver to bend the foot upwards for long periods. There is some relief in pressing the throttle all the way down, but that is risky on our roads.

As a matter of fact, if I drive for more than half an hour, I start getting this pain. I don't generally drive the WagonR for longer than 30 minutes these days, so have not tried any of your suggestions. I'll give it a shot one of these days. Thanks for your suggestions.
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Old 3rd December 2013, 23:29   #52
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Default Re: Issue: Driver's foot (Accelerator foot) over a long drive

Quote:
Originally Posted by joybhowmik View Post
Remedies:

1) Walk around and flex foot and ankle at rest stops.
2) Take off the shoes and wash feet in cold water for a few minutes at rest stops
3) Wear comfortable shoes with cushioned heels - if that is not not possible use Dr. Scholls insoles which can cushion the heel.
4) And most importantly be aware of the condition of your feet at all times.

Quote:
Originally Posted by geeash View Post
What joybhowmik is suffering looks like it is plantarfasciitis due to spur with or without retro calcaneal bursitis in simple terms
Thanks for the remote diagnosis - I will try to get it confirmed by my local ortho, hopefully an X-Ray may show up the spur that you refer to.


Quote:
Originally Posted by geeash View Post
I know everyone knows that there could be pain and numbness in legs due to prolonged use and taking rest would sove the problem.
Quote:
Originally Posted by Wikipedia
The plantar fascia is a thick fibrous band of connective tissue originating on the bottom surface of the calcaneus (heel bone) and extending along the sole of the foot towards the toes.

Plantar fasciitis (PF), also known as Plantar Heel Pain (PHP) is a painful inflammatory process of the plantar fascia, the connective tissue or ligament on the sole (bottom surface) of the foot. It is often caused by overuse of the plantar fascia, increases in activities, weight or age. It is a very common condition and can be difficult to treat if not looked after properly.

The pain is usually felt on the underside of the heel and is often most intense with the first steps of the day.
Treatment options for plantar fasciitis include rest, Microcurrent electrical neuromuscular stimulator treatment, massage therapy, stretching, night splints, physical therapy, cold therapy, heat therapy, orthotics, anti-inflammatory medications, injection of corticosteroids and surgery in refractory cases.

Quote:
Originally Posted by geeash View Post
I am a orthopaedic surgeon.I haven't heard of such a disease till now.The pain in foot may come because of number of other reasons. What you have found out may me a medical miracle :-)
Expert views compared to OP:
cold therapy - I have found simply washing with cold water helps
orthotics - I have found using cushioned heels / good insoles with gel heels helps.
taking rest stops - yes , check.



Just for the record, I did not propose any treatment , and merely highlighted what worked for me.

It is good to know, that recommendations from learned experts such as yourself (and references quoted by Wikipedia) , have a remarkable similarity to the remedies suggested in the OP. Indeed, to a non-medical person such as I, this is nothing short of an endorsement.
If my supposition is not entirely accurate, I would be curious to know what the term 'medical miracle' meant in your original response.

Last edited by joybhowmik : 3rd December 2013 at 23:33.
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Old 10th January 2015, 22:15   #53
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Default Re: Issue: Driver's foot (Accelerator foot) over a long drive

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Originally Posted by audioholic View Post
I think your seating position is quite forward. I experienced this problem once, when I had forgot to adjust the seat after it was moved forward during service. Else, most of the times, the ankle, heel will be in a relaxed position. As you move closer to the front, the ankle joint gets compressed, ie, the toes move towards your knee. That stretches the muscles and hence I got a hint of pain that day. Apart from that, in both my cars I am seated in the most relaxed position. I think there is a thread where the ideal seating position is described. Given I am marginally taller at 6 feet, I need to push the seat all the way back to get a relaxed position.

My father faced the same problem when he started driving the sx4. In order to achieve goodf visiblity he used to push the seat forward and get pain in the ankle, thighs and back. He then got used to the judgement and also realised the cause of the pain and moved the seat backwards. No drivers foot or whatever it is called.
I too faced the same problem, i'm 5'11 and moved my seat quite forward thinking it would be ideal for emergency braking situations. But while driving in heavy bumper to bumper traffic, with repeated use of clutch and brake, my ankles began to hurt excruciatingly. I began to wonder if I had to bear with it while driving, finally I decided to move my seat further back as i could no longer deal with the pain while driving, I initially had some hiccups in getting used to the new driving position, but then i thought to myself that its better to spend to some time in getting used to the new driving position rather than deal with the immense pain and discomfort which hampers the entire driving experience.
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