Sore feet and hypo

[Chrsco]

I've recently been diagnosed with radiation induced hypo. Im at the stage where my dose is being worked out.Has anyone experienced foot soreness, tenderness from hypo I can sometimes hardly walk. Or maybe it's something else causing it.

[SlowDragon Administrator]

Yes it’s plantar fasciitis

Usually a mix of low vitamin D, inadequate dose levothyroxine and/or poor conversion of Ft4 (levothyroxine) to Ft3 (active hormone)

How much levothyroxine are you currently taking

How long on this dose

Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis.

Both are autoimmune and generally called Hashimoto’s.

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

[Chrsco in reply to SlowDragon]

Thanks for that.I'm only on 75mg ATM. Still getting dose sorted. Been taking this does for 2 weeks but was on lower dose for 8 weeks prior.

I feel sick...thick mucus and stomache not right plus really tender sore feet.

Noone told me about not taking the levothyroxine prior to blood test. I did do the test first thing in morning with no food as had a full blood work done.

At least I now know it could be thyroid induced the feet issue.

[SlowDragon Administrator in reply to Chrsco]

Posts that mention plantar fasciitis

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Request GP test vitamin D, folate, ferritin and B12 now

[Charlie-Farley]

I had plantar fasciitis on and off for 15 years like walking on daggers. All cleared up once optimal therapeutic dose of Levothyroxine and vitamins and minerals supplemented. So many issues fell away once properly medicated- even things I simply hadn’t recognised were connected with hypothyroidism. I kept a written record in real time as I noticed. If only doctors would encourage patients to do this- they could learn so much. 🙄

[helvella Administrator Thyroid UK]

I also had plantar fasciitis. Which also resolved with adequate levothyroxine.

However, in the beginning I used very soft "diabetic" insoles in my shoes. They helped a lot. If you can use them with your footwear, I highly recommend them.

Charlie-Farley

[Charlie-Farley in reply to helvella]

Hi helvella

I had custom made ones, being on my feet so much of the time for the business and they did help - absolutely clear as a bell now- just wear shoes as they come. Amazing!

Two and a half years clear 🥳

😉👍

[helvella Administrator Thyroid UK in reply to Charlie-Farley]

I had some custom ones made. And they made my feet something like a hundred times worse.

Might have numbers wrong but something like wore them for two hours and spent two weeks recovering.

I suspect the person who did them was incompetent with respect to my extremely unusual feet. Pes cavus and extreme width together with a splaying stance.

[Charlie-Farley in reply to helvella]

I had an offering from an NHS physio department first (total disaster) it was essentially an odour eater with chunks of foam on. They did me in! LOL! The travails of hypothyroidism- of course I didn’t know at the time. 🤣