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Message Number 266391
A quick question about promotional link. View Thread
Posted by Catherine Walker on 7/23/10 at 05:24

Hello,

I'm interested in placing a promotional link on your page: http://heelspurs.com/diet.html



The link would be for a website about HCG Diet Weight Loss. I don't have the biggest budget, but hopefully there is a reasonable price we could arrange. Please let me know if you're interested, and if not thanks for your time.


Thanks

Catherine Walker

Result number: 1

Message Number 266388

chronic bilateral heel pain View Thread
Posted by caleb on 7/22/10 at 23:51

Any thought on a procedure called 'Graftjacket', where human growth tissue is surgically implanted in your heel. I have had bilateral heel pain for approx 6 years, and it is currently getting to the unbearable stage. I had ESWT done 3 years ago, and last year I had a partial plantar fascia release, tarsal tunnel release and achilles release on my left foot, with absolutely zero results, other than scar tissue. I have been seen by probably 10-12 doctors throughout the state of Ca., and no one can even tell me what condition I suffer from, let alone how to properly treat it,(and I have been referred to some top doctors, from what I've been told). The only clue that has stayed constant throughout the years, is the pain is much worse when standing still vs walking around. Currently the pain is constant, even when lying down. In laymens terms, it feels like I am beating on my heel bones with a sledge hammer all day , so even when I recline the heels feel extremely bruised. Sorry to run on, I'm desperate and grasping at straws. Any input is much appreciated.

Result number: 2

Message Number 266377

Fun For Today View Thread
Posted by John H on 7/22/10 at 16:41

Railroad tracks.
The US standard railroad gauge (distance between the rails) is 4 feet, 8.5 inches. That's an exceedingly odd number.

Why was that gauge used? Because that's the way they built them in England, and English expatriates designed the US railroads.

Why did the English build them like that? Because the first rail lines were built by the same people who built the pre-railroad tramways, and that's the gauge they used.

Why did 'they' use that gauge then? Because the people who built the tramways used the same jigs and tools that they had used for building wagons, which used that wheel spacing.

Why did the wagons have that particular odd wheel spacing? Well, if they tried to use any other spacing, the wagon wheels would break on some of the old, long distance roads in England, because that's the spacing of the wheel ruts.

So who built those old rutted roads? Imperial Rome built the first long distance roads inEurope (including England ) for their legions. Those roads have been used ever since.

And the ruts in the roads? Roman war chariots formed the initial ruts, which everyone else had to match for fear of destroying their wagon wheels.

Since the chariots were made for Imperial Rome, they were all alike in the matter of wheel spacing. Therefore the United Statesstandard railroad gauge of 4 feet, 8.5 inches is derived from the original specifications for an Imperial Roman war chariot. Bureaucracies live forever.

So the next time you are handed a specification/procedure/process and wonder 'What horse's__came up with this?' , you may be exactly right. Imperial Roman army chariots were made just wide enough to accommodate the rear ends of two war horses. (Two horses' asses.)

Now, the twist to the story:

When you see a Space Shuttle sitting on its launch pad, there are two big booster rockets attached to the sides of the main fuel tank. These are solid rocket boosters, or SRBs. The SRBs are made by Thiokol at their factory in Utah

The
engineers who designed the SRBs would have preferred to make them a bit fatter, but the SRBs had to be shipped by train from the factory to the launch site. The railroad line from the factory happens to run through a tunnel in the mountains, and the SRBs had to fit through that tunnel. The tunnel is slightly wider than the railroad track, and the railroad track, as you now know, is about as wide as two horses' behinds.

So, a major Space Shuttle design feature of what is arguably the world's most advanced transportation system was determined over two thousand years ago by the width of a horse's ass. And you thought being a horse's__wasn't important? Ancient horse's asses control almost everything... and CURRENT Horses Asses in Washington are controlling everything else






No virus found in this incoming message.

Result number: 3

Message Number 266373

Re: Dr. Wedemeyer View Thread
Posted by Nancy on 7/22/10 at 13:26

'Some posters may have a financial bias towards a particular product or treatment' from Heelspurs website.

I did want to point out that you cannot forget that we don't really know who you are either. For us, this is just another website too...

Thank you for all the help you have offered me - I know you had very good intentions.

Result number: 4

Message Number 266257

Re: After surgery of Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by King Joe on 7/16/10 at 11:26

I would say, based on my experiences, that most of what I read here...you guys (and girl-Lynette) are out of casts way earlier than I was for both mine. For my first, I was in hard, post surgery cast for just over 3 weeks...then no baring in a boot for 2+....and baring in the boot for 5 = 10 weeks in a cast. My second...hard, post surgery for just over a week...no weight baring in teh boot for 3...and boot for just over 3 for about 7+weeks.

My first (and also read both my posts here), was easy to start moving and I was 'ready' to go when the boot was allowed to stay off. My second...not so ready...sadly, still not doing great. i am probably pushing it because I want it NOW....but i do suffer for it. On a good note though, I do NOT feel the achilles on either...nor the spot the bone was chiselled off the heels. I feel the fascia...and a weird spot 'on top' of the heel behind the achilles...very much like a pulled ligament type of pain.

I 'know' it is getting better and my pushing it is not doing damage for there is no swelling, no discolouration...and the stiffness i feel, say in teh morning is short lived...always there, but lessens with use.

Just under 2 months to football starting....working the upper body now....and some legs sans achilles/calves....and the lungs are coming back (biking and swimming)....it will be a great day when I can run....then even greater day when I run down the quarterback after bull rushing through the offensive line for my first sack of the year!

Gool luck evanr

Result number: 5

Message Number 266256

Re: After surgery of Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by King Joe on 7/16/10 at 11:26

I would say, based on my experiences, that most of what I read here...you guys (and girl-Lynette) are out of casts way earlier than I was for both mine. For my first, I was in hard, post surgery cast for just over 3 weeks...then no baring in a boot for 2+....and baring in the boot for 5 = 10 weeks in a cast. My second...hard, post surgery for just over a week...no weight baring in teh boot for 3...and boot for just over 3 for about 7+weeks.

My first (and also read both my posts here), was easy to start moving and I was 'ready' to go when the boot was allowed to stay off. My second...not so ready...sadly, still not doing great. i am probably pushing it because I want it NOW....but i do suffer for it. On a good note though, I do NOT feel the achilles on either...nor the spot the bone was chiselled off the heels. I feel the fascia...and a weird spot 'on top' of the heel behind the achilles...very much like a pulled ligament type of pain.

I 'know' it is getting better and my pushing it is not doing damage for there is no swelling, no discolouration...and the stiffness i feel, say in teh morning is short lived...always there, but lessens with use.

Just under 2 months to football starting....working the upper body now....and some legs sans achilles/calves....and the lungs are coming back (biking and swimming)....it will be a great day when I can run....then even greater day when I run down the quarterback after bull rushing through the offensive line for my first sack of the year!

Gool luck evanr

Result number: 6

Message Number 266224

Re: Anybody tried platelet-rich plasma injections? View Thread
Posted by JT on 7/14/10 at 09:24

I have had this treatment and I have mixed feelings about it. For my first set of injections the doctor put me under and did not cast my feet. Also he injected the plasma in one spot in each foot. It caused burning and swelling around my heels. Then after a week or so the pain from the injection was 80% gone, but i still had alot of tightness. I didn't get much, if any pain relief from my first set of injections. Also, you cannot take anti-inflammatory drugs while recovering from this procedure. My second set of injections were done differently: No putting me under. Its not needed. The pain from the shot is not much different than cortisone. My left foot (my bad one) was injected first (6/18/10) and he injected the plasma in two spots on each side of my heel. Then he casted the foot and I was immobile for a week. On 6/25/10 he injected the other foot the same way and cast. Well, mostly at this point (7/13/10) almost a month later I am not happy YET, but I am having small improvements each day. Don't take ibuprofren: the plasma injection is supposed to bring on your body's natural antiinflammitory responses. I think the reason the first set of injections failed might have been that I started taking ibprofren too soon. This time i am not ouching the stuff for at least three months. It something you can try before surgery... Good luck!

Result number: 7

Message Number 266222

Heel Pain or Pin bone. View Thread
Posted by Ahmed on 7/14/10 at 03:57

Good morning, Dear

I am overweight and I start walking suddenly for one hour per day with a suitable shoes for one month on hard pavements. After that I start feeling pain on the plantar fasciitis. When I went to the doctor he made for me an x ray and he said, you have pin bone as per the attached photo. The doctor describe for me two medicines Arcoxia (60 mg tablets) and Relaxon (250 mg capsules). In addition he told me to massage my foot with hot and cold water. But till now there isnít any improvement for two months. So I need your support how can I get rid of this heelspurs pain?

Thanks for usual cooperation.

Ahmed.


Thank you.

Result number: 8

Message Number 266217

Re: itchy left Heel View Thread
Posted by Mam on 7/13/10 at 16:11

How funny to see all these people with itchy heels. My itchy heel started a few weeks ago and I just violently scratched it and hoped it would go away. I have just had the best laugh hearing about all the inventive ways people are scratching the itch! But have to laugh as it does tend to drive you mad and as many have said, it is worse at night. Will have to try the cold water treatment next time. Usually I have to go out into the garden at night and rake it across some rough concrete! Looks like I am doing some weird moonlite dance!!!

Result number: 9

Message Number 266209

Re: itchy left Heel View Thread
Posted by Shelley on 7/13/10 at 09:43

Arggggh! Any real luck out there with this itching problem? I'm 47 and both of my heels itch in the evenings. Drives me cazy. I also have the same issue on the heel of my right hand (the one I use on the computer mouse). Since that part of my hand is always resting on the mousepad, maybe the nerves are affected. This seems similar to the heel issue in that when there's pressure on them, they don't itch like they do when they're resting. Anyone else have luck with the B vitamins or any other medication? It's definitely not a skin issue as my heels are soft already from all the scrubbing and the scratching. Surely this can't be that hard of a problem to solve!

Result number: 10

Message Number 266189

SlimTech PowerStep View Thread
Posted by Rubyslipper on 7/12/10 at 16:20

I just learned I have heel spurs and am having much pain in one foot. I want to provide my feet with support to alleviate this problem and wear 2' heels most of the time. Can you tell me if the SlimTech PowerStep insert can be worn with heels and is there a way to secure them in an open back shoe? This is so new to me! I know I will have to make some shoe adjustments but if I can wear the open toe and back shoes with a good insert I should be fine.
Thank you.

Result number: 11

Message Number 266148

Looking for dress and casual shoes similar to SAS lace-ups and Brooks Beast View Thread
Posted by maxray on 7/10/10 at 15:02

Hello all,

Very helpful site here. I finally went to a podiatrist for significant heel pain. Through x-rays and other investigation, I have heel spurs on both the front and back of both heels. He recommended stretching (which I do), a night splint (which I use), and buying Brooks Beasts (which I did) and SAS shoes for work (which I did not do.) I did, however find some Ecco lace-ups that were fairly stiff in the sole towards the rear of the shoe - a critical component that my doctor recommended. I have been doing better, but I recently have been doing long hikes and been a little lazy about my footwear (going barefoot a lot, wearing sandals, crocs, etc.) this has resulted in a flare up and my question:

1. Are there shoes with similar features and capabilities as the SAS lace-ups he recommended, but with some styling that is a little, um, better?
2. The Brooks Beasts seem to work really well for me, so shoes near those characteristics would be great.
3. I am looking for casual and dressy to casual shoes for work.
4. I am considering Birkenstocks to be my 'easy to slip on around the house so I don't go barefoot shoes' - these seem to be well reviewed by people with my condition - any thoughts on these?

Thanks in advance.

Result number: 12

Message Number 266117

venting!!! View Thread
Posted by marti on 7/07/10 at 15:58

i had pf about 6 yrs ago really bad in both feet and i did the nite splints, rest ice and excerises and after months got over it!! well i dont think i really did 100%!!! now out of the blue its back!!! i cant believe it!!! i HATE this stuff!!!sorry but i have had several eye surgeries and my mother passed away a month ago and im ready to scream!!!!! venting!!! please tell me what stretches are safe and also my hairdresser told me she went to a dr who gave her vitimin shots in her heels! anyone heard of this??? again forgive me i just needed to vent!!! thanks for being here!!!
marti

Result number: 13

Message Number 266088

Re: Earth Shoes View Thread
Posted by Janet on 7/05/10 at 18:43

Hello. MBT's are awesome. I suffered from PF from 1997-1999. Somehow it went away. I began wearing the New Balance 712(Orange and Blue) shoe. It was THE BEST athletic shoe ever! The cushioning was superior, then NB discontinued them. I walk/rin 60-75 minutes 4-5 times per week and have begun experiencing lateral heel pain, slightly different from PF. I own 11 pair of Danskos and 6 pair of Birkenstocks, but the shoes that relieve my pain the best are my MBT walkers and my Crocs Athens flip flops. Yes, flip flops from Crocs. They are so cushiony. The morning pain and after-workout pain disappear. The MBTs keep my heels off the ground and allow my feet to roll. The are so comfy. Please don't hesitate to give the MBT's a try. Wear them 30 minutes at a time at first as they are heavy and can cause one to trip if not careful.

Result number: 14

Message Number 266053

Re: Pain in front of heel on outer edge of foot after running View Thread
Posted by AllisonM on 7/03/10 at 23:09

I went to my primary and explained my symptoms to her (pain in the lateral midfoot, beginning after running, increasing that day to the point where I couldn't heelstrike but had to toe-walk on that foot, best after icing and a night of rest and worsening with use, gradually decreasing with icing and rest over the next couple of days). She said it was something subtle and sent me to a sports medicine specialist. He x-rayed but didn't see anything obvious, said it was 'foot sprain - early stress fracture of the 5th metatarsal or a peroneal tendinosis' and recommended a second week of no running, then a very gradual return and buildup, and a consult with a physical therapist to review my biomechanics.

Result number: 15

Message Number 265979

Re: misinformation View Thread
Posted by King Joe on 6/29/10 at 09:26

I had written a explanatory comeback to both Docs but...remembered what we are 'here' for....and:

Stay on topic. Do not discuss the 'politics' of the message board.
Do not reply to posts that are not nice or on topic.

So with that...

Thanks for your comments both Dr. Ed and Dr Wedemyer. There was no denegration nor derogatory comments in my post. Like yours, they are opinion. And as opinion, I am perfectly in my place to say...'heal thyself' meaning of course, we all have a responsibility to look after our healing and should not depend on others for it. Research, understand, know to the best of your ability what is going on. If you don't like the opinion of a professional, question it.

I 'never have, nor never will' use either orthodics or chiro....and have TONS of positive experiences following the path I have chosen to work to correct problems with exercise and diet. THIS I will continue AND continue to expose the values in taking matters into your own hands and NOT leaving to others, where possible, for your/my well being. My surgical experiences (I have many, many more other than just my heels...tough and rugged life...hah) have pretty much all been positive and I have no issues, persay, with the medical community. I do feel that as a populace, we are too dependant on 'them' and this is propogated by the medical and drug community. Nuff said on that.

I will endeveour to maintain my accuracy of comment WHEN dealing with things that require accuracy. My opinion, my experiences...remain unfazed and unchanged by yours.

Sorry Lynette for highjacking your post with this. Won't happen again.

Result number: 16

Message Number 265943

Re: Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by King Joe on 6/28/10 at 10:41

Hi Lynette
IN both heels, I did not have pain in either arch. I do have very high arches and walk on the outside of my feet (hyper-pronation). With the flat boot with no arch support and casts, you would think maybe yes to pain...but none.

I am an absolute ANTI-orthodic. Do the research on them...propogation and maintenance of problems NOT correction. They deal with a/the symptoms and not the problem. In your research, you should/will also see a link between chiropracty and orthodics also...one propogates the other....in a negative way (though this may seem very 'conspiracy theory').

Like Danny alludes to in his post....EXERCISE is the key. Most simple for developing and maintaining good foot musculature...and invariably, body infrastructure....starts with a handful of pencils/pens and a pail of sand.

The pail of sand must be big enough for you to put your foot into. Simply sit and put a foot in the sand and 'grab' handfuls (footfuls) of sand with your toes. Work hard at feeling each toe work to extend and grab. Did you know...of course you know...that the toes have...can have as much manual dexterity as your fingers, albeit a shorter 'reach'? They can though in most people, the toes move as a unit.

With the pencils....throw them on ground in front of you. Try to keep your heel flat and locked at one place. Simply, like the sand game above, pick up a pencil from one side with your toes and turn your foot to put it to the other side. Move the whole stack (10 - 1/2 reps...10 pencils)...and move them back. That is one set of 10. Do this at least 3 times....3 sets of 10...with about 30-45 secs in between sets.

My wife calls me a monkey...first because I do have long toes evolved for grabbing tree branches, I guess (hah), but that i can move each toe individually like fingers...spreading flexing...anything...all because of the simple exercises I described above.

Next, there are a huge range of proto-receptor exercises that will also help...but walk...literally walk before you can run. And if you want more, I can give them to you.

Work to improve your foot/toe strength...fixes arch pain, back pain and the other sport and life benefits....accident prevention (slip on wet decks much?), agility, speed, take-off response.

So, short story-long. Never used an orthodic...never will. Never used a chiro...never will. 'physician, heal thy self'

Also, while I have never had the sleepy leg feeling you describe, I do get the odd burning sensation in my heels...similar to what I had with the big spurs ('I got spurs that jingle jangle jingle...' old country song). I attribute that to nerves still turning on. It is less frequent but still there now and then.

I did go through a short period of calf crampy feeling...but again, consider what we had done....i see this is the body waking up...going...'hey, I can move again'.

Will be doing an update on my other 2 progress reports later today or tomorrow....have a look for more.

Result number: 17

Message Number 265928

Re: 13 year old with heel pain since he was 9 View Thread
Posted by Jeremy L, C Ped on 6/27/10 at 17:54

Did anyone mention any modification of activity? Although most competitive sports can aggravate 'growing pains', some are far worse than others. As an example, impact loads for a skateboarder performing a simple rail slide can exceed 14X body weight. If your son have Severe's Disease, and is exceptionally active, it was certainly clinically appropriate to suggest prescription inserts and improved footwear. But your son may also have to give his heels a rest for a bit.

Result number: 18

Message Number 265921

13 year old with heel pain since he was 9 View Thread
Posted by Kathy on 6/27/10 at 11:27

Hi. I have a son with pain in both his heels, he is very active in competitive sports. His pain is on the bottem of his heel if you push on it, it is very painful. He has seen his GP regarding this at least 15 times who said it was growong pains, he has seen certified athletic specialists who have said he has tight calf musles, streach, and was given insoles for his cleats and told his everyday shoes were good. The Podiatrist he saw 3 weeks ago said it was his shoes and gave him more streaches to do, went out and bought very supportive shoes for him. This time it is one heel, he has been doing streaches daily and it has gotten worse, he is limping and cant walk properly. My son is very depressed and feels broken, i dont know what to do i am at my wits end as nothing seems to work. I am not a doctor but Growing Pains as i have heard for the last 5 years is getting old. Please give me some sort of direction

Result number: 19

Message Number 265891

Re: Plantar Fasciitis & Topaz View Thread
Posted by Penny on 6/24/10 at 22:28

Hello to all. I am reasearching treatments for PF tonight. I don't have any insurance, so it's mostly out of curiosity. I wanted to tell you all about Tonewalker Shoes which have a very negative heel. I recommend the clog style to everyone, keep them beside your bed and step into them first thing. They provide a good all day stretch for your feet and calves. If the negative heel on Tonewalker shoes is a little to extreme, I highly endorse the good ol' Kalso Earth Shoe. I have always relied on them, and they make walking and standing bearable. Either of these brands can be found online, and Ebay. They are much less expensive than the MBT. But if anyone here is like me and can't afford medical treatment, please remember NEGATIVE HEELS HELP!

Good luck to all...

Result number: 20

Message Number 265871

Water Shoes View Thread
Posted by tessmick on 6/24/10 at 10:10

I suffer from PF in my left foot; when I walk too much, my pain is in the center and on the inside of my heel. If I don't perform my stretches completely before getting out of bed, the pain is also bad. I'm a female, 54 y.o., 155 lbs., 5'5' tall, and I have an average arch.

But because of this forum, I've learned so much! I now know one of my feet is size 8, the other 8.5. I've been doing stretches and ice therapy as defined here , with great success. I donated all my other shoes to charity; I now live in my SAS sandals and my Nike Zoom Structure Triax+ 13 athletic shoes, both fitted by my pedorthist. I've adjusted my life so I'm not doing everything standing (busy wife/mother syndrome), when some of it can be done sitting. I've all but stopped walking for exercise(hopefully not for good), joined a gym (striving to lose 10 lbs.) and am making great use of the elliptical. I'm thinking more about how I can treat my feet well on a daily basis. All this came about by reading all these posts ... so 'thank you' :-))).

One problem left to solve is water shoes because I like to kayak. I also discovered Zappos on this forum, and ordered some Merrell water shoes (Waterpro Pandi). Due to others positive comments about them on Zappos, I ordered them in a 9. The fit was great, but just a little walking on my carpet at home told me the arch support was not adequate, and the bottom of my heels once again hurt, so I returned them.

Does anyone have a suggestion of a different one to try? Zappos seems to have way too many available. I need a more supportive arch than the Merrell's, and more support on the bottom of my feet.

Thanks again everyone!

Result number: 21

Message Number 265816

Re: exercising on the elliptical the balls of feet go numb View Thread
Posted by Endogenous_Monkey on 6/21/10 at 18:30

That happens to me all the time on the elipticals. Or did when I was able to go to the gym. Couldn't ever seem to be able to keep my heels planted.

Result number: 22

Message Number 265812

Re: Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by King Joe on 6/21/10 at 16:01

Great to hear you got the cast off and are into the boot. Didn't Danny and i tell you you would feel better?

Me....Been doing well...both heels. Still doing physio though last week was my last. I was mainly going for the US treatments to see if it had a bearing on my...well, bearing of weight and recovery. It did not seem to make the difference I wanted to see.

I am still doing the exercises and now with my pool open, I am full in the pool with both legs. With the bearing assistance of the water, i am jumping on my older surgery leg including side to side. the water feels good on both.....and this level of exertion is working for me also.

I go in this thursday to, hopefully, get my boot off for good! It has been/will be 7 weeks plus a day with since the surgery. I am really looking forward to Thursday.

In my older surgery heel, i do feel pain immediately above the heel. Not in the achilles or the fascia supporting the achilles...but right on 'top' of the heel bone itself. this is a bit confusing as i am not sure what was done there in the surgery to still hurt.

Mind you, overall I am still very happy with what I have done. Of course, i am not running or anythign like that nor will I likely be in a month...hoping to be...but not likely.

Glad to hear things are going good for both of you.

Result number: 23

Message Number 265779

Re: Stump Neuroma View Thread
Posted by Kim/AR on 6/17/10 at 07:28

Hi all. I am scheduled to have surgery on June 30, 2010 for neuromas in both feet at the same time (between 2nd and 3rd toes). The surgeon says he will tuck the severed nerve into muscle tissue to avoid later complications. After reading this and several other forum sites, I'm seriously reconsidering this procedure and just living with the pain I've suffered for the last 6-7 years; never wearing heels again, wearing wide-toe-box shoes and UGGs. I am a power walker who walks 5-6 miles a day and in training for a half marathon.

I am a real estate appraiser who is on her feet on uneven ground for several hours a day. My surgeon says I should be off my feet entirely for 3 days to avoid hematomas, then restrain from excessive activity for another 3 weeks before resuming my walking regimen. Is this realistic?

Result number: 24

Message Number 265722

Re: What could this heel pain be? View Thread
Posted by Joseph on 6/12/10 at 13:46

I understand, I will be going back to a new podiatrist once I get insurance back, but I just can't stand sitting around while my condition gets worse even though I'm doing everything I can that should make it get better. I mean a bruise heals, and it should heal much faster given ice and rest, but no...just getting worse.

Here is just some facts I'd like to put on the table.
~My feet feel best in the morning.

~My heels have a constant sensation of sensitivity as well as radiating throbbing stings that can appear almost anywhere, this has been a newer symptom since I started wearing shoes all day.

~Any pressure at all, even from soft squishy heel cushions aggravates it incredibly. The longer pressure is applied, the worse the pain will start to become.

~There is no fat pad displacement, its essentially all bone on the sides and back of my heel and only a thin amount of padding on the bottom.

~I've kept as much pressure off my heels as possible for over a year and it has only gotten worse.

~The pain is localized in two specific points in my heels, the middle left. It was only in my right heel at first, but has also developed in my left.

This is just hell and my podiatrist I have right now has assumed it the pain will go away in a number of weeks with shoes, but it has not.

Result number: 25

Message Number 265687

Re: drs who do ESWT--do ultrasound, too? View Thread
Posted by Dr. Wedemeyer on 6/11/10 at 00:33

'I have pain in heels, soreness through whole foot, backs of ankle very sore, sometimes feel pain in calfs too. Could it all be connected to PF inflammation?'

PF is rarely a bilateral phenomenon Cher. I've heard of it occurring but never once seen this in my office.

Cher I notice you have commented that you have this pain in both heels and calves, which is plural. Was this always the case? Just going off of what you have related here, I would not be thinking spinal but systemic illness. I noticed your comments regarding the B6 and D levels and barring any other findings I would guess that could possibly be the culprit.

Do you have a history of low back pain?
Do you have a history or family history of any auto-immune, inflammatory arthritis etc., connective tissue or thyroid disorder?
What states do you live in (think sun = vit. D)
Any other related symptoms, other illnesses or a strange rash at one time?
Do you run outdoors where you may have been exposed to a tick bite (I'm serious)?

Result number: 26

Message Number 265686

Re: drs who do ESWT--do ultrasound, too? View Thread
Posted by Dr. Wedemeyer on 6/11/10 at 00:29

'I have pain in heels, soreness through whole foot, backs of ankle very sore, sometimes feel pain in calfs too. Could it all be connected to PF inflammation?'

PF is rarely a bilateral phenomenon Cher. I've heard of it occurring but never once seen this in my office.

Cher I notice you have commented that you have this pain in both heels and calves, which is plural. Was this always the case? Just going off of what you have related here, I would not be thinking spinal but systemic illness. I noticed your comments regarding the B6 and D levels and barring any other findings I would guess that could possibly be the culprit.

Do you have a history of low back pain?
Do you have a history or family history of diabetes, any auto-immune, inflammatory arthritis etc., connective tissue or thyroid disorder?
What states do you live in (think sun = vit. D)
Any other related symptoms, other illnesses or a strange rash at one time?
Do you run outdoors where you may have been exposed to a tick bite?

Result number: 27

Message Number 265618

Re: Solved my PF View Thread
Posted by RickP on 6/09/10 at 10:00

I have been battling PF for about a year and a half. I have tried most of the solutions found on this site, i.e. the shoes, the orthotic insoles, the taping, Ibuprofen, etc. And while I am extremely grateful for heelspurs.com, and I haven't tried every possible solution, I must relate a recent experience that markedly improved my PF.

I have been dealing with a middle and inner ear inflammation for 8 to 10 years. 6 years ago, I had an ENT doc install a tube in my ear drum like they do for children. It worked OK for a while, but over the years I've had problems with the tube : it works its way out or becomes clogged; you can't allow water in your ear. The root cause of the ear problems is a congenitally misshapen Eustachian tube. A little over a month ago, I went back to my ENT and told him I was tired of dealing with the tube that I wanted to correct the problem once and for all. I expected him to remove the tube and suggest surgery on the Eustachian tube. I wanted to pursue the problem aggressively.

The ENT doc's idea of aggressive pursuit was a little different than mine. He wanted to use drugs. I already use a lot of antihistamines (we have cats), but was reluctant to use decongestants as they tend to keep me up at night. But I was willing to give his idea a try. He doubled my antihistamine intake and added a couple of decongestants, but he also prescribed a drug with an unexpected side benefit. He started me on a 4-week program of decreasing doses of prednisone. From day 1 my PF disappeared. And now that I have completed the course of drug therapy, it has yet to come back. It's been a week since I've discontinued the prednisone and I'm kind of 'waiting for the other shoe to drop'. But so far, no foot pain. I continue to wear only good athletic shoes with OTC orthotic insoles.

I'm sure this form of therapy may not work for everybody, and I would certainly not recommend corticosteroids as a first line of treatment, but right now I'm pain-free.

I'm a 60-yr old diabetic (diagnosed 23 years ago). The prednisone sent my blood sugar through the roof, but I expected that and monitored it closely, and adjusted my insulin intake accordingly. I had no other adverse side effects, but I did experience an abundance of energy for the 1st 2 weeks, plus my complexion cleared up and all aches and pains went away. I actually felt better than I have in years and would do this again in a heartbeat. The ear problems have returned with the removal of the drug, so maybe that ENT will recommend another round.

Result number: 28

Message Number 265572

Re: Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by King Joe on 6/07/10 at 09:19

Hi Lynette

I had my surgeries in Ontario, Canada.

From what you descrive, I think I had similar burning feeling the odd time as well as the odd pain twinge while i was still in teh hard, post surgery cast. I attributed that to 'old blood', scarring and (gross) scabs, the re-awakening of ravaged nerves and tissue and that type of thing. When i was out of the hard cast and into the air boot and allowed to take the boot off peridically and start cleaning the leg (not soaking, but wet cleaning), those pains stopped for me. I still had the odd throbbing sensation in the bone...but think about it, what did you (we) just go through? BUT, and as you said also, the pain I was going through DAILY (and for me, both heels), THIS little throbbing and twinges...were/are NOTHING in comparison.

For Physio...I am doing lowering of my body weight where-by I raise up using my boot leg and arms...then transfer my weight to my physio leg...and slowly lower. I am doing 3 sets of 10 with about 30 seconds in between. I also do seated stretches using a band...for me, I already have lots of flexibility in my achilles but the calf muscle and that supporting fascia behind the achilles is stiff. I also use a power band (big elastic band) and use it to do side pulls to both sides....3 sets of 15 with about 30 secs in between. Last week I also started seated calf raises using a dumbell held on my knee. Again, 3 sets of 15.

Really Lynette, I can raise my body on 'that' leg....and I am not small (6'4', 230#). I am a weight lifter and while my calf is about half of what it was, it is coming back very quickly. I do still have a bit of pain in the fascia...and if I walk too much, I do feel the heel bone itself. That said, i do think i could do more...but sort of like you, I call myself agressively cautious....I want to do more but also hesitate to jump (figuratively speaking) into the fray of it too fast.

Work wise....For me, I did not take any days off for either surgery apart from this: I had both my surgeries scheduled on a wednesday. I obviously took wednesday off and also the thursday and Friday. I did return to work on the following monday....crutches and cast and apart from taking a day off here and there for appointments, I had no need to.
Granted, my job is predominately sitting BUT, i am not a sitting guy. At home, in the exact same schedule of days off, on the following monday after surgery, i was back on the soccer pitch coaching soccer...and while not able to demonstrate everything, I was not sitting at any time.
You 'sound' active (and young)...which to me, says you have a great chance and are able to 'get to it' sooner than later. For me, reading the doom and gloom I was reading about our type or surgery did scare the crap out of me...so much so, that I almost chose to NOT do the surgeries and live with the pain....but then I slapped myself and woke up. I am young also (46), still very active and I have 2 young daughters and a very in shape and active wife. I am not OLD, in the dicrepid sense, and I am not ready to 'go gentle into that good night'.

Today, and every day post my surgeries, I take back my life...back from the 3+ years of debilittating pain and upteen years of on again, off again pain. I don't know if I will get it all back...but if even to walk normal, to sit with my legs up enjoying a beer on the deck, and to sleep on my back ALL WITHOUT PAIN, I am already ahead of where I was before. I KNOW I will run...and I will play sports...and I will lift weights seriously again....I know I will and the surgeries I had, are the vehicle I ride.

Result number: 29

Message Number 265551

Re: Itchy heel problem View Thread
Posted by drake on 6/05/10 at 17:55

I just started getting this itching sensation in my heels a couple weeks ago. at first i didnt pay it too much attention thinking it would go away soon but its still here and getting more itchy. i just started a new job 2 months ago and im on my feet an awful lot. i also just started drinking a lot of soda to help me make it through the days work.after reading what others are saying on here, i really feel that maybe the cola or being on my feet so much is causing this itch.im 43yrs of age and has never had this problem before.

Result number: 30

Message Number 265532

Re: Itchy heel problem View Thread
Posted by Mad Mary on 6/04/10 at 16:35

I have had itchy heels (both) since August of 2009 and also severe cracking that makes grooves in my heels, which becomes irritated by sock lint that gets in the grooves. One thing that I have noticed about this problem is I have a red spot (looks like a hot spot) that occasionally shows up on the side of my foot near the arch. I was wondering if anyone else has noticed a red spot?
Well, I have been to the dermatologist, who also checks for nerve damage. I have been diagnosed with eczema and am allergic to a component of rubber, which, I apologize because I don't have the name right in front of me, but it starts with an M and is very long.
My heels itch and then crack a lot and end up bleeding, mostly in dryer, hotter weather. Then the tips of my fingers split and bleed until I had to go in and get a steroid shot, which did finally relieve the problem; after three shots everything cleared up. But, after three months of relief, the heel itching has come back with a vengeance, along with the split fingertips. I believe that in my case they are related somehow. The doctor won't let you take steroid shots for longer that three months, His next suggestion was to take methotrexate, a cancer drug!!!!!!! (which is used to treat rheumatoid arthritis and psoriasis) I have opted not to go that route yet, but am seriously considering it if this itching doesn't go away.
The itch is so maddening at night I sit up and scratch my heels for many minutes on the bed rails or with a back scratcher. It is insane!! I also suffer from plantar fasciitis and heel spurs. My podiatrist tells me the itching is probably not due to any of these conditions. I think these doctor's may think it's in my head, or, of course it could be due to stress, age, gender, etc.....
My history: I am on my feet a lot with work, I do a lot of cardio, and I like to go out dancing, and I have also worn heels since I was a young teenager, which has been many years! I would think if these problems contributed to the itching I would have had the problem long before now. I also did gymnastics for many years. The only medications I take are protonix ; for acid reflux, calcium pills, and a multi-vitamin. I have had my gallbladder removed, which had been five years ago. Who knows, maybe that has something to do with it. I am not severely overweight, although I could stand to lose a few pounds, my cholesterol is alright (168) except I need to work on the good being a little higher. and the bad being a little lower. I am not Peri-menopausal or menopausal, I do not have high blood pressure, thyroid problems, nerve damage, or athlete's foot. I do get very hot (year round) as if I were going through menopause, and when I am extremely hot my face and neck turn really red, but I have had this problem all of my life, except for the redness in my face and neck; that has only been going on for a few months. (I know, that is probably not related and is a whole other problem that the doctors I've seen cannot figure out!-what a shock!). I just wanted to make a list of my problems to see if anyone has any similar symptoms that can be put together to find out what other problems we may have in common.
You would think there would be a doctor/specialist that could put things together and figure something out, I know for all of the training and schooling they take, you should not have to go to several doctor's and pay thousands of dollars just to get the I really don't know answer!!!!
I would like to add that I also saw an internist (recommended by my family doctor), whose specialty was to put all the problems together. I was there 10 minutes, found out her specialty was diabetes; and that was her focus-by the way. I am not diabetic. She told me, 'let's take one problem at a time'. This is why my doctor sent me to her so she could put everything together! I received my bill from the internist for $272.00 and was in shock. I am a medical biller and coder, so I know I was charged for a level 4 visit, which a one-hour thorough exam. I contacted my insurance, they investigated and my bill was reduced to a level 1 visit; $49.00.
I WOULD HATE TO THINK HOW MANY PHYSICIANS OUT THERE ARE ALL ABOUT THE MIGHTY DOLLAR AND FORGOT WHY THEY WENT TO MEDICAL SCHOOL IN THE FIRST PLACE-TO HEAL PEOPLE!!!! I am finishing up school for surgical technology, and am definitely not in it for the money I want to help protect the patient. So I do know quite a bit about the surgical field, but I guess not enough about family doctors and specialists. I AM JUST FRUSTRATED! Sorry about the venting.

Result number: 31

Message Number 265530

Re: Natural Oil Seepage Into Oceans View Thread
Posted by John H on 6/04/10 at 15:48

BP is a publicly traded stock world wide. Yesterday the stock was down around 35% from prior to the explosion. Much of the pension funds, in particular, from England are invested in BP. Obviously, these pension funds are in deep trouble and the people who expect to use them for their retirement are in deep trouble. There is no Mr. BP. It is a company owned by ordinary people just like me. Two weeks prior to the explosion I purchased stock in BP as it was a well placed company worldwide. The day of the explosion I sold all my BP stock and lost a moderate amount but nothing like if I had held on to it. So often people try and put a face on a company when things go bad. The face is that of all the tens of millions of stock holders. No one in BP wanted this to happen. What happened to them could have happened to any of the large oil companies. They all drill in deep waters . Some as deep as 12,000 feet of water and then a thousand of feet into the rock on the bottom. It is a dangerous undertaking just as is coal mining or commercial fishing in the Barren Sea. People are going to die doing these dangerous jobs and accidents are going to happen no matter what we do. Commercial aircraft are going to crash killing hundreds of people at a time but we are not going to stop flying.

There is a disaster on hand and we must deal with it and stop pulling out our hair and yelling at BP while they are trying to stop the flow of oil. Sure they are going to capture the oil if they can. I do not know if it will still be usable or not. If it is, of course they are going to sell it.. This disaster could bankrupt BP. Mr. BP who does not exist will lose nothing. The stockholders who include pension funds and regular folks all over the world will lose everything.

Every night we are forced to see on TV oil in the wetlands, oil on the birds, and on the sands. We get it! BP has promised to make people whole and said they might be in the area 10 years or more cleaning up. That is if the lawyers do not push them into bankruptcy. I believe I heard that the U.S. would not allow any further contracts with BP. That would drive them out of the Gulf waters entirely.
There are over 2500 wells operating in the Gulf who will continue to operate. If BP leaves you can be sure that China or others will quickly move in. Much or most of the oil in the water is now in deep water. The world still runs on oil. Alternative energy like solar or wind do not even amount to 2% of our needs. We have no replacement for oil. Probably not for a hundred years. Cars, trucks, aircraft, war machines, factories, power sources, etc run on oil. We cannot survive without it. Either we drill in deep water or buy from the Middle East and send all our money out of the country. We would be at the mercy of the Middle East if we did not drill for oil in deep water. No drilling in Anwar was and is a large mistake.

Have we quit mining coal because hundreds if not thousands of miners have died in tragedies? Have we quit flying because since commercial flying began there have been tens of thousands of people killed in flying accidents? Ironically, we quit building nuclear plants over 30 years when we had a nuclear accident at Three Mile Island that killed zero-none people. Had we continued with clean nuclear plants there might not have even been an oil spill? Who can say? Only recently did Obama give the OK to issue permits to build a few nuclear plants. In the meantime, China, France, India, etc are building nuclear plants by the hundreds. It is the major source of power in France with no accidents of consequence. If the Green People had their way we would have no economy at all within a decade. What is done is done in the Gulf. Let us get on with the cleanup and repair the oil leak and stop pulling our hair out as that will change nothing. The media already has the oil flowing up the east coast and then out into the middle of the Atlantic. Meanwhile the natural flow of oil into the oceans of the world will continue at a pace much larger than the current spill. Fortunately we have bacteria that will eat the oil. Politicians by the hundreds go to Louisiana to rant and rave. This helps nothing. None have a clue as to how to stop the oil. It does give them photo ops as they promise to keep our heels on the neck of BP. Come the next ice age what will they promise?

Result number: 32

Message Number 265521

Re: Can a Torn Plantar Fascia Heal? View Thread
Posted by Cristi S. on 6/04/10 at 04:59

i have had plantar fascia problems for two and a half years! The pain goes back and forth from minor to major depending on my activity level but is constant, and always when i wear sneakers or flat shoes, even with my orthotics! I discovered about 8 months ago that wearing high heel shoes without orthotics relieves much of my pain...though it is difficult at times to try and do EVERYTHING wearing 2-3 inch heels! This morning I was walking fast--in my heels--to get out of the rain and my foot slipped in my shoe. I heard/felt a popping sound right where the fascia attaches to the heel and now i cannot put my foot down without pain. I have been using some crutches I had in my closet...and still having to wear a high heel on the other foot, especially since that one foot is now bearing most of my weight...i am beginning to experience more pain in that foot now even with heels. Do you think i experienced a complete tear? Should i ask my doc for an MRI?

Result number: 33

Message Number 265452

Re: Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by King Joe on 6/01/10 at 11:35

Hi Lynette
Have a look at both my post streams below on this topic. I have had both my heels done for the same condition as yours. My first was on March 03 of this year followed by my second on May 05.

For me, after reading so much doom and gloom about recovery, it seemed as though I perhaps was unique in that my experience so far has been positive....for both though I am early in the physio-restrengthening phase for my first...and still in a non-baring/air boot phase for the second.

Still positive....so positive, Football for me in the fall is STILL my goal!

Where did you get done?

Joe

Result number: 34

Message Number 265425

Re: Posterior tibial tendon dysfunction View Thread
Posted by Amanda on 5/30/10 at 15:33

Do you wear custom orthodics or do you not need them anymore. I have surgery as well, and I am an athlete and dancer/actor, and need to know if I can do that again. I was given custom orthodics that one side has a higher arch than the other to help with stability, however, I don't want to live in these shoes. My job requires me to be out of shoes, in heels, or in other shoes.

Result number: 35

Message Number 265404

Re: Peroneal tendon surgery? View Thread
Posted by Dr. DSW on 5/28/10 at 07:00

I have several comments;

First of all, I have 'preached' for many, many years, why patients should never solicit the opinons of others that have undergone surgicial procedures for their opinions. Here is a link to a post from the 'library' on this site with my comments on this matter.

http://heelspurs.com/bbs/http://heel.server327.com/bbs/bbt.cgi?n=253585

Secondly, you write that you want to know the overall success rate of peroneal tendon surgery 'doesn't matter what kind'. It ABSOLUTELY matters 'what kind'. There are surgical procedures for simple small tears of the peroneal tendons, there are procedures for excising accessory bones from the peroneal tendons, there are procedures for complete ruptures, there are procedures for subluxing peroneal tendons, etc., and each procedure differs and has it's unique features.

Additionally, the success rate will differ depending upon the actual procedure performed, the condition of the tendon(s) pre-operatively, the physical condition of the patient, the healing potential of the patient, the post operative compliance of the patient, the skills of the surgeon, the post op regimen of the particular surgeon, whether or not there are any post op complications, etc.

There is no simple answer to your question, especially based on the little information you have provided.

As I always state on this site, the absolute best resource of information is your own surgeon. Ask him/her all these questions, since he/she knows your particular case and his/her success rate with this procedure.

Result number: 36

Message Number 265383

Re: The technological singularity and Ray Kurweil View Thread
Posted by Rick R on 5/26/10 at 16:28

The lady living behind us when I allegedly grew up, never drove a car. She figured it wasn't God's will or we have been born with wheels. Well at least they haven't been able to create life yet....oh crud wait!

It is good that we explore the bigger questions as technology advances.

Rick

Result number: 37

Message Number 265378

Re: Good Feet question View Thread
Posted by John B on 5/26/10 at 12:46

Any arch support will help your problem; some better than others. Usually the firmer the support, the more relief but also the longer it takes to get used to. Also the shape of the support (does it support 1,2,3 or 4 arches) and the proper size of the support are VERY important factors.

Most Good Feet Supports are 1/2 the price of most custom supports and have warranties . AND you can try them first so you know what you are getting and if it works for you. AND you can bring in your own shoes (dress, western, heels, sandals) to see if they fit. AND they have trained people to fit you (BTW-your feet are rolling out because (a) your shoes are broken out or to wide, or (b.) your Powerstep dosen't fit you properly or isn't firm enough to hold your outer longitudinal arch.) AND you have live support if you are having trouble. OH yeah, AND as you found out, It costs nothing to try them.

Also, for an on again off again PF problem, maybe it isn't worth it to you. The same support helps others with severe back pain and sciatica, knee pain, bunions, hammertoes, ankle pain. Many of these people have had joint replacements/surgeries and still have pain. You didn't get a song and dance...you got an explanation. Does your new car run well when the tires aren't balanced or aligned? How long does your new house stand if you don't build it on a firm, level foundation? Your body is no different. Time and gravity have been working on you (why your feet aren't growing but they are changing shape and size). ANY SUPPORT CAN HELP YOU BUT GOOD FEET ALLOWS YOU TO SEE FOR YOURSELF!

Result number: 38

Message Number 265364

Itchy Predictions Made View Thread
Posted by Relief on 5/25/10 at 23:23

AFter coming home with VERY painfully frost bitten feet, my mom shared with me that while she worked as a nurse in Europe during WWII, many veteran soldiers had itchy soles. She's believed that it was a result of some SKIN NERVE CELLS PERMANENTLY DESTROYED on their feet when frostbitten during the severe winters. I was 10 then and she told me to expect itchy feet in the future. I started having unbearably itchy heels by the time I was in high school. Only pumice stone followed by a warm bath gives relief until I am on my feet for a long period of time again.

Result number: 39

Message Number 265350

Insertional Achilles Calcific Tendonitis surgery post pain View Thread
Posted by King Joe on 5/25/10 at 09:24

(please see both my posts on Foot Surgery)

I recently underwent surgeries on both heels for the above (Mar 3 and May 5). While I am still in non-baring mode for my May 5 surgery, I am in physio for my Mar 3.

The achilles and insertion feels great...virtually no pain or stiffness...actually, more in my gastron- than anywhere (which I attribute to 10 weeks of no-using).

I do have, and the basis of my question...pain and tightness 'behind' my achilles closer to the bone. I envision this to be the fascia trying to reconnect to the recently debribed achilles and THAT is the pain I feel in using the foot.

What are your thoughts?

Similarly, is it realistic to think that I will be able to 'use' my feet by fall? I play football (season starts in the fall).

King Joe

Result number: 40

Message Number 265254

Fracture of 1st metatarsal View Thread
Posted by rhodeeho on 5/19/10 at 20:23

I am curious to know range of treatment possible for fracture of first metatarsal. I'm sorry I don't have a ton of info to provide. Only that the injury occurred from a fall in a parking lot. I was wearing heels, lost my balance and tumbled. I immediately felt discomfort (not major pain) when I stood up, but began feeling greater pain within 30 minutes of injury. The space above my big toe is swollen and ever-so-slightly bruised (happened 24 hours ago). Seen by doc at urgent care. Xrays were taken. The UC doc said it looks like the fracture is not new (odd to me) but that there is definitely a fracture (not displaced). They put me in cam walker until I follow up with Pod tomorrow. I'm curious about options and what you think my course of treatment may be. I'm 39YO female, fairly active, in good health otherwise. Thank you.

Result number: 41

Message Number 265220

Heel and Inner Ankle Spur View Thread
Posted by hockeyguy on 5/19/10 at 01:25

I have been playing hockey my whole life. Last year I bought Vapor XXXX skates and they jacked up my ankles really bad. First I developed heel spurs(bauer bump) which caused my foot to sit incorectly in the skate. It made my feet push into the inside of the skates which caused these golf ball type looking things to form on the insides of my ankles. In other words, my inner ankles and heels are messed up big time. I have absolutely no pain, but they make my skates fit incorectly and they look ugly. Question is, if I get surgery to remove all the spurs how long would I be off the ice for? And how long until I could run?

Result number: 42

Message Number 265209

Tearing sting in arch. View Thread
Posted by Joseph on 5/18/10 at 16:49

I developed fat pad atrophy a year ago and putting pressure on my heels is...unsettling to a physical and emotional level I can't handle. I had been wearing these birkenstock sandles that were really flexible and had minor support but it didn't give me much cushioning or rigidity. About a week ago I was walking and decided to do another ham string step stretch. After I did so, A few steps later I got this sharp, tearing sting in the arch of my foot.

The sting itself seems to be located on that really pronounced ligament in your arch you can see when you bend your big toe back. I actually can't single down the exact point because sometimes I just don't know if its directly on a certain spot or close to it or deeper. The pain is is a little over mid way up the arch closer to the big toe and has since gotten worse and even started in my other foot.

That same day I got new shoes, a rigid arch support, a gel cushion with arch support and memory foam cushions. I actually have all 3 in my shoes right now. I've tried them in all combination's but the pain isn't going away and I start to feel the sting out of nowhere even with my feet up off the ground.

I thought it could be a sign of plantar fasciitis even though the pain hasn't hit my heels (well, no more than the fat pad atrophy bruising) and I know of the foot over the knee stretch. I want to do that, I've even tried it, but that seems to put more tension on that spot and it starts to sting or what feels like a stinging pulling.

I'm desperate for help or comfort, I have so many health problems as it is and I emotionally can't handle it. Once I try to deal with one life destroying condition I develop a new one which can happen in as fast as a day.

Can you please talk to me about this?

Result number: 43

Message Number 265092

Insertional Achilles Calcific surgery Part 2 View Thread
Posted by King Joe on 5/10/10 at 11:18

4 days out of having my second surgery, this one on my right heel. Same surgery as before....cutting along the back of the achilles; debribing the achilles from the insertion; bone chiseling off the spurs from the calcific and haglunds as well as any bone that has formed in the achilles itself....the the reattachment of the achilles back to the heel with 1-3 bone screws/anchors (the last one used 2).

This surgery was strange. I woke with lots more pain...it was much later in the day meaning something took more time than the last....and I had a black eye. Yep, went for foot surgery and woke with a black eye.

Apparently, when I was on my chest, face down, I was not 'positioned' well and there was pressure on my eye...causing bruising. As I was trying to wake up...groggy from the aneasthetic, I had an eye doctor trying to do eye tests on me....hell, I couldn't even focus, let alone focus on his finger or try to read. Had to make an eye appointment for today to make sure things were fine.

Back to the foot. Lots more pain for sure...cast was not as good as the last one and maybe that is the reason for the persistant pain while at home this weekend. I used the oxycontin for the first 3 nights just before bed...and Aleve during the day while hobbling around on crutches (for those of you reading this, I am still also recovering from a first surgery of this type on my left foot done in March of this year...~10 weeks ago only).

In addition to the foot pain, my neck was wrecked! While the throat is sore from the breathing tube, my whole neck muscles were stiff...so stiff I could not hardly turn or lift my head. AND, my right side rib cage felt like it was bruised. I think they dropped me when they were moving me around while I was knocked out.

I am fine now....neck and eye-wise. My achilles still hurts though not always...and more in twinges.

That said, even with the twinges of pain...and recovering from the surgery on BOTH heels, THEY BOTH FEEL 100000 TIMES BETTER THAN BEFORE SURGERY!!!....I was in that much pain before.

This thursday, I get this cast off and get moved into the air boot (transfer from my left to my right actually...hah). I likely will not be 'allowed' to bear for a couple more weeks but will be able to take the boot off at home...

Contrary to my last surgery, I was just over 3 weeks in the cast before boot. This time, just one day over a week. The last one was because my surgeon went on holidays during the cast time...

Will update later on how things go with this one.

Bottom line...I CAN NOT WAIT TO START RUNNING AGAIN. And football season is right around the corner. MY hopes are high that I will make it back for season start in August.

Result number: 44

Message Number 265062

Re: Life after a subtalar fusion View Thread
Posted by Joanna.W. on 5/08/10 at 12:04

Having undergone 3 varying operations on my foot, I can sympathise with many of the problems & concerns that have been experienced by others.

It was only on my 2nd surgery that my consultant decided to fuse my subtalar joint, which developed into a non-union & required further intervention only 8wks ago. Only within the last week have I started to weight bear, with the aid of crutches,an air cast boot & a worrying amount of opiods.

The final result, of course, remains to be seen, although something you may like to ask your physician about is 'Exogen' - an ultra sound bone healing system - particlary if you have problems with bone healing or have suffered a non-union. The success rates are impressive & their website is worth browsing.

As for the big question- is a subtalar fusion worth it?
I would agree that there are many instances of both successful & non-successful fusions. And I understand the need to research, ask questions and seek suggestions. However, I also believe that, ultimately, you must have at least a degree of faith in the medical professional with whom your care has been entrusted. On a personal note, I feel fortunate to have a consultant who has nothing but my best interests at heart - always prepared to listen, discuss, talk through alternatives and investigate further on those instances where I've been adamant 'something isn't right' (Granted - the tears may have helped my cause!)

My treatment has been ongoing for years - and not without its fair share of problems. And despite the uncertain final result, I can confidently say that wouldn't change a thing. Quite simply, my foot was so unbearably painful beforehand that words will never do it justice. My sole objective is to eliminate the pain. If that means a limp, stiffness in my joint, never again being able to wear heels - then so be it!

I would be interested to hear from anyone in a similar situation. Please email joannaw198 at yahoo.co.uk

Result number: 45

Message Number 265039

Next.... View Thread
Posted by Mandy on 5/07/10 at 09:42

so I have had Shockwave therapy(March 2008) and then I had tarsal tunnel surgery on both of my feet (sept 2008 and Dec 2008) and then I just had a bi-lateral endoscopic plantar faciotomy in July 2009. I am still having heel pain. Actually I never had heel pain in the mornings when I first get up until after this last surgery, now I do. I still have the same pain as before when I walk and stand for awhile. Iíve had the orthodics( the custom $400 ones), heel cups etc. I was just at the doctor yesterday and he said he does not want to refer me to pain management but he is not sure if there is anything else he can do for me, but maybe make me better orthodics. I can not accept this. I am 29 years old and I refuse to give up my favorite things and going places with my friends because my heels hurt. I have decided to try the Cleveland Clinic for a third opinion. I am going there May 17. Anyone else have any advice or things I should ask the new doc about???

Result number: 46

Message Number 264979

Heel Pain View Thread
Posted by Toby Savoy on 5/03/10 at 20:38


I have been having sever pain in both heels for 10 years with no relief.
Ive tried and taken nearly every thing that is out there and nothing has helped until now. I thought my problem was PF but there was hardly ever morning pain. Today I had my Baxter nerve ( medial planter) injected with 4 % alcohol and novocaine and it turned my heel pain off.

Ive always said its hard to find a positive message - well here it is!

If you are experiencing heel pain when weight bearing that worsens through out the day reference Baxters nerve !!!

I'm not sure if the alcohol will end the pain but I do know what to focus on now.

Sincerely
T Savoy

Result number: 47

Message Number 264931

Re: Plantar Facsitis View Thread
Posted by 021 on 5/01/10 at 13:20

Pleas read Scott's book:

http://heelspurs.com/_intro.html

Result number: 48

Message Number 264895

Re: Itchy heel problem View Thread
Posted by Dreggit B on 4/29/10 at 23:37

Hi Angela R,
Did you ever get something positive as an answer. I've the same problem for many years and if ever it goes away it's not for a long time. Last year I developed a heel spur. Painful for a very long time. But the itching was gone. But it's back on both heels and indeed it drives me nuts.
dreggit

Result number: 49

Message Number 264836

Re: anyone... someone...this is my big reach out to the people at heelspurs.com View Thread
Posted by Joe on 4/26/10 at 01:02

Dr. Robert Locrastro is your man. I've seen him a few times for ingrone toenailes. The last time I went he gave me a shot of something to stop me from getting them, it worked and I haven't had any problems since. My brother sees him for his feet problems also. I would recommend him to every and anyone.

Result number: 50

Message Number 264795

Re: heels heart View Thread
Posted by john on 4/22/10 at 21:30

Thank you I will make appt.

Result number: 51

Message Number 264794

Re: heels heart View Thread
Posted by Dr. DSW on 4/22/10 at 21:27

If you read Scott's 'heel pain book' on this website, you will learn why 'heel spurs' rarely if ever cause pain. The actual heel spur if it exists, doesn't cause pain, it's the inflamed tissue that causes the pain.

However, in your daughther's case, if she is a healthy and active 9 year old, USUALLY the heel pain experienced in this age group is not at the bottom of the heel, but is at the lower portion of the back of the heel. If this area is 'squeezed' it usually reproduces the pain.

In this age group, the most common cause of heel pain is 'Sever's' disease also known as calcaneal apopyhsitis. It's simply the Achilles tendon pulling on the growth plate at the lower/back portion of the heel.

HOWEVER, I can not evaluate or diagnose your daughter or anyone over the internet. Therefore, you MUST make an appointment with a foot specialist as soon as possible and until that time you should limit her activity.

Result number: 52

Message Number 264793

heels heart View Thread
Posted by john on 4/22/10 at 21:14

I have a 9 year old girl and she has been complaining about her heel.She plays softball and runs a lot.Is she to young to have a heel spur.

Result number: 53

Message Number 264788

Re: Radiofrequency ablation for pain in arch of foot View Thread
Posted by JenC on 4/22/10 at 18:40

Wondering if she got any answer as I too often find my pain is really more over the entire arch and not the heel or both and I too wonder what treatments will work for the arch, how can she and I be so unique that everyone else just has the heels hurting? I'm baffled by this, you google ARCH pain and 99.9% of what you find is about HEEL pain, since when is the HEEL the same as the ARCH of the foot? Makes absotely no sense to me that people with arch problems would not have pain in the arch and only heel pain and whenever you go to a poditry website ALL THEY TALK ABOUT IS HEEL PAIN, ON AND ON AND ON AD NAUSEUM AND NEVER MENTION ARCH PAIN SO PLEASE CAN SOME DOCTOR PLEASE TAKE THE TIME TO ANSWER US??? VERY FRUSTRATING WHEN MOST OF YOUR FOOT HURTS AND NOBODY CARES.

Result number: 54

Message Number 264778

Bone spurs on back of heel View Thread
Posted by Stephanie P on 4/22/10 at 01:32

Hello
I had bone spurs on the backs of both heels as a teenager that had to be surgically corrected in order to wear shoes. Now I have a protrusion a little higher up (achilles area) that is sore to the touch. I also have pain when I am on tip toes. Does this sound like tendonitis? Is it related to the bone spurs from my teen age years?
It looks like the heel spurs did, just higher up.
THanks so much. You are always so helpful!

Result number: 55

Message Number 264777

Swollen Heel View Thread
Posted by Silly Man on 4/21/10 at 22:07

I recently was participating in parkour, where you purposely jump off tall buildings. I jumped off a 2 story building, but landed awkwardly. I landed straight on my heels then rolled.

Now, both of my heels are swollen and they are hard to the touch. I also have a blood blister on the ring toe.

What should I do and what is wrong with my heel?

Thanks

Result number: 56

Message Number 264773

Re: Haglund's Deformity View Thread
Posted by Brett W on 4/21/10 at 17:42

Brian, I also suffer from Haglundís Deformity (going on 1.5 years now). Two different doctors confirmed it Ö the MRI confirms it Ö and the pain tells the rest of the story. I am one of those people that DOES NOT want to have surgery to remedy this issue and is looking for an alternative approach. The thought of detaching the achilles from my ankle, cutting away bone, and stapling it all back together seems messy and unnecessary. In the past two months, I have made several changes to my lifestyle to combat the pain and avoid surgery; and it seems to be working quite well.

Iím almost 100% pain free and I can run again without too much discomfort. Each day seems to get better and better. I canít point to any one thing that Iíve done to bring about this change, but I can at least let you know what Iím doing. IíM NOT A DOCTOR, but maybe this information will help some of the people on this list that are contemplating surgery:

1 - I changed my diet by eliminating as much animal fat as possible.

2 Ė I added extra stretching and light weight training to my calves Ė my physical therapist has me doing this Ö especially before I start my run.

3 Ė I tossed my dress shoes in the trash and started wearing shoes less likely to rub my heels Ė this was a no-brainer.

4 Ė I started taking 2500 micograms (mcg) of vitamin B12 twice a day (the kind that dissolves under your tongue Ö sublingual Ė do not swallow the tablets whole). My pharmacist told me about the vitamin B12.

5 Ė I added Chia seeds to my diet Ė two tablespoons once a day. NOTE: Chia seeds are not for everyone. Do your research before adding these to your diet - http://www.methodsofhealing.com/what-are-chia-seeds-and-its-health-benefits/ .

The outcome, over the past two months, has been tremendous. Iíve gone from barely being able to walk after a run, to an almost 80% recovery. Iím running five miles at a time, 3 days a week. I truly believe that in another month my recover rate will be 90% or better. So I hope this helps.

Result number: 57

Message Number 264745

Re: Toyota View Thread
Posted by Sam83 on 4/19/10 at 18:46

There were several small problems that happened around the same time. First, the floor mat issue which has been solved. Second the sticky accelerator which they say has also been solved. Third, the Prius was said to have faulty braking software. All of these problems have now been solved by each new Toyota's brake override system. If the brakes and accelerator are pressed at the same time power will be cut from the wheels and the brakes will bring the car to a stop. This is a virtually immutable fail-safe. With this system it no longer matters if your accelerator gets stuck since as long as you hit the break you will stop accelerating.

And yes, you are right. If the previous drivers who suffered unintended acceleration had simply shut their car off or, even better, had shifted into neutral they would have been fine. I'm sure this is what most people would do but a select few simply panicked and did not think logically.

Result number: 58

Message Number 264720

Re: Cheilectomy View Thread
Posted by marsha on 4/18/10 at 16:28

I had one done this past tuesday- I am 46 and the lump was huge and I couldn't bend my toe at all. I want to wear a pair of heels on special days, Here was the time table--surgery swelling pain killers _-I was able to walk after surgery (wen to Ross with my mother), day two pain killers and some walking, day three pain killers and walking, day four no pain, day five no pain foot black and blue went to lover boy concert and danced until 1. I started bending my toe on day two. I should have done this a long time ago. I went to a foot and ankle doctor. I also saw a podiatrist but their training is not as extensive. I was glad I went with the doctor. Doesn't seem as bad as everyone said it would be.

Result number: 59

Message Number 264690

Re: Failed MTP Titanium Joint Replacement Surgery View Thread
Posted by Barbara L on 4/15/10 at 14:19

Hi Patty K.:

Last night, I was informed by a podiatrist that I was a candidate for a partial joint replacement.

After reading your statement, have concerns. I cannot take 4 months off from work. The doctor did not mention physical therapy (but I also failed to ask). He told me that I would be wearing a boot for about 2 weeks and then sneakers for another 4-6 weeks. He stated that it would take approximately 4-6 months for the post-surgical swelling to subside entirely.

I generally wear 1 inch heels, but occassionally, I do wear 2 inch heel shoes.

Whether I decide to have the joint replacement or the fusion, I'm considering having an orthopedic surgeon, rather than a podiatrist, perform the surgery.

Does your right big toe become swollen or painful at times?

Thanks very very much for your insight, I truly appreciate it.

Barbara

Result number: 60

Message Number 264610

Re: So, do you think I could be a candidate for ESWT? View Thread
Posted by Cher on 4/10/10 at 18:59

That is helpful to me, thank you.

I also have an appointment now set up to see a podiatrist that uses this procedure to get his thoughts on it.

I will keep your thoughts handy as well when I go for a real life examination.

I have a bilateral issue with tons of pain. But I don't know that it is the same kind that people with PF normally complain of. i.e. my 1st step of the day isn't bad, it's as I take 5-10 that I start noticing pain. At rest however, I feel throbbing in the area that PF tends to usually exist--after I've been walking.
In the evening when I try and walk on my feet, I feel like I would like to walk on my toes instead of my heels.
So I don't know if that's any indication.

Thank you for your response.

Much appreciate your time spent here helping us.

Cher

Result number: 61

Message Number 264597

Re: Failed MTP Titanium Joint Replacement Surgery View Thread
Posted by PattyK on 4/10/10 at 02:42

Hey Ken,

I am 57 years old. I am a music teacher (gr. K-8: band, choir and general music). This is my 35th year teaching and I taught on a cement floor for 34 years. I use creative movement and dance in my teaching the K-6 general music classes. Pretty aerobic, a class every 40 minutes...10 a day. I don't 'exercise' but have never been lacking for energy. I am very active in general but never have done any formal exercising. Never have had a weight problem. I am presently planning on joining a fitness club just to make sure I stay in shape. My FAST tempo that I walked prior to my surgeries isn't quite there, but improving every day. I was moved to a different room last year so I am no longer teaching on a cement floor.

The cement floor was pretty unforgiving on my big toe joints, I suffered a little pain in '08 and last spring '09 I started having limited motion in my right big toe. I do think my condition was a result of how my feet were not properly aligned combined with the cement floor and my high activity level.

I had a hemicap surgery on my right big toe in Nov. '09 And the left big toe hemicap surgery in Jan. '10. The original decision by my foot surgeon was to do a joint clean up on each big toe. That was changed after I went to my pre-op appointment. My foot doctor consulted other foot surgeons and made the decision the day before my surgery to change the procedure from a joint clean up to a hemicap patial joint replacement. Even though my left big toe had just a little pain and very good range of motion, he took new x-rays and decided the cartlidge was very damaged and thin and it would be best to do the exact same surgery with the hemicap partial joint replacement.

I am back to work and doing very well. Standing and still using lots of creative movement in my teaching. I don't sit at all, except for my 15 minute lunch. My left toe is still in the healing process but I can tell it will be fine. It's pretty sore and swollen by the end of the day but I ice it when I get home and it's fine in the morning.

I am trying to avoid harsh shifting activities like tennis. I do lose my balance when I make quick 'turning'. I am not much of runner, but I have joined a fitness club so I can exercise using equipment that doesn't involve bending my toes. The most recent surgery toe does feel like it has something 'stuck' between my toe bones at times, usually at the end of a long day of teaching.

My doctor said not to run and not to walk exclusively for exercising. I may be able to do more walking later on when I feel my feet are totally healed. He did say if I do my physical therapy I should have a decent range of motion in the end. I am still in physical therapy 2 times a week. He did advise me NOT wear heels more than 1 inch. I don't wear heels except for directing concerts.

My insurance covered all but $600 for both foot surgeries. The total bill for both surgeries including follow up appointments was around $24,000. My foot surgeon was in my insurance's network, but they told me he was also in their 'super' network. My physical therapy is a little less than $200 an hour. I have been going 2 times a week since Nov. I just pay a $10 co pay. I also missed about 4 months of work, but had enough sick time built up over 35 years to be able to stay home and keep my feet elevated above my heart most of the time. I still have sick time left. Did you have to return to work soon after your surgery? I think being able to rest and have my feet propped up helped my successful recovery.

I understand the hemicaps were perfected in 2003 and in 2008 the most insurance companies covered them in the USA. I was never told it was 'experimental'. I was told it was much better to be able to do a partial joint replacement versus a total joint replacement. But it was my foot surgeon's first hemicap surgery, the hospital's first hemicap surgery and the physical therapy facility's first hemicap client.

I wish you luck with your foot recovery. Hope my 'foot saga' gives people some encouragement.

Patty K

Result number: 62

Message Number 264593

So, do you think I could be a candidate for ESWT? View Thread
Posted by Cher on 4/09/10 at 20:42

Some months ago I was here for the TT board. Due to symptoms going that direction, positive nerve conductivity test, bilaterally. Had TTR surgery done on one side. 4.5 months later. No change. On 6 vicodin a day and wish it could be more! Not even sure now I had/have TT.

Brief history: Sept. 2009, running/working out as usual. Have heel pain. Think I'm not stretching out good enough. Tell my chiropractor about it. She thinks 'plantar fasciitis'. Get on an icing/stretching/ultrasound/massage/inserts schedule. No change. Gets worse. I'm a 35 year old, 130#, 5ft. 6, healthy otherwise.
Chiro. sends me directly to podiatrist. Tried taping me up, inserts, injections, nerve conductivity study along with my decreased to 'homebound/pain of level 10 all the time' offers he thinks TTRelease could help.
Nope. It didn't. VERY expensive custom orthotics worn for weeks. No help.
I have a hyperpronated subtalar joint, but he doesn't think significant enough to cause this pain. Did an MRI last month. All looks good except for he said I have inflammation on both sides which he said is plantar fasciitis. He mentioned perhaps releasing that might help. But because he is so bewildered that my TTR didn't take and it seemed obvious it should (I had an extra muscle and a venus network of blood vessels wrapped around a nerve)....he says 'something else' is going on here. Claims I don't fit the normal foot problem box.
I have pain in heels, soreness through whole foot, backs of ankle very sore, sometimes feel pain in calfs too. Could it all be connected to PF inflammation?
Before the TTR surgery I saw other podiatrists who thought dr. that did surgery was on the right track. So that's why I did it.
I did a few months of physical therapy in and out of the pool and no relief.
I stay at home except for small outings--church, hair salon, dr's appointment. I use a walker usually when I go out in case I have to stand very long. I cannot walk very far without my ankles/heels feeling so sore I feel I must sit. (remember I used to run for miles a day and be an active mom to my 4 kids).
If I could walk on my toes I think I might would be ok.
I've seen another neurologist and a few general practitioners. I've had a full workup of blood from all. Testing for all kinds of metals, weird neuropathies, diabetes, etc. Everyone is bewildered.
Only thing that came back bad was that I am Vitamin D deficient. Which may be my answer to some relief down the line. Neurologist says he's seen some pretty bad stuff from D deficiency.
But it's been 6 weeks on D therapy and no change yet. On 6 vicodin and 2 naproxen a day.

Alllllllll of that to say. I'm wondering what the risk would be in trying ESWT with plantar fasciitis and maybe achilles tendonitis in mind. And if you think it's even worth pursuing.
I'd really rather not risk an invasive procedure if I don't have to. And I cannot live like this for very much longer. I don't want to kill my liver by the time my feet are well.
By the way, dr. did injections on one foot in Dec. It didn't make things better so he suggested further injections wouldn't take either.
So, what does that give me as far as odds that ESWT could work?

Thank you for your thoughts!

Result number: 63

Message Number 264574

Re: Haglund's Deformity View Thread
Posted by Amy on 4/09/10 at 02:50

Hi everyone. I am a 29 year old female who has been having major pain in both heels for a couple years now. My right one is much worse than the left. My dad had surgery 3 years ago for Haglund's Deformity after spending almost 10 years in pain. My pain is the worst after I have been sitting for a long period of time and when I first get up in the morning I can hardly walk at all. I was drinking cherry consentrate twice a day for a few months and that actually helped with the pain but it got to be really expensive since each bottle is almost $20. The pain sometimes gets so bad I end up in tears sitting on my bed not wanting to get up. Any suggestions? Does it sound like I probably have Haglund's as well? Anyone know if it can be passed down in the family?

Result number: 64

Message Number 264551

Re: Itchy heel problem View Thread
Posted by Cristi on 4/08/10 at 03:36

No, you are not nuts! Stop medications! For me the culprit was Nasonex, Clarityne and Zirtec. All used for allergies. I tested myself by stopping all of these and only taking them if I really couldn't stand the symptoms. Well, low and behold, I would take one of the above in the morning and that night was a sleepless, heel-itching Hell! I did this repeatedly to be sure and I am. If I use any of the above drugs my heels get itchy.

I am happy to announce that my Homopathy treatment for my allergies....NO shots....NO drugs! Just immune boosting herbs and a dairy-free diet, and increased fruits and vegetables is working. I feel wonderful and NO ITCHY HEELS! GOOD LUCK!

Result number: 65

Message Number 264522

Re: Haglund's Deformity View Thread
Posted by Oscar F on 4/06/10 at 17:06

It's been 3 months now since I had the haglund's bump become inflamed on my right foot. I did see a podiatrist but he did not recommend surgery. So for the last three months I have used heel cups and work shoes that have softer heels. The combination of the Dr Scholl's heel cups and the shoes with softer heel counters has pretty much done the trick. Now I am back to wearing my dress shoes without any heel cups. I am still going easy though, and carefully watching my right foot to see if the bump gets bigger.

Right now the bump is almost completely recessed, and you can feel it, but it is not inflamed at all like it was for the first two months.

For anyone just starting out with this pain like me, I recommend these methods prior to surgery to see if they help. I also am an avid fitness fanatic, so I think that helps to stay in good shape, as this causes the achilles tendon to remain flexible and strong. I box every day in a boxing gym, and occasionally run or use an elliptical machine.

Result number: 66

Message Number 264467

Re: Richard Cped please Zcoils? a scam? View Thread
Posted by Sara W on 4/03/10 at 14:31

Try them on!! Some retail z-coil shops have test shoes. You put a deposit down and wear them for a few weeks. Try them before you buy them. You can see for your self if they are a scam, and don't rely on other peoples negative opinion who has never walked in them! I have been wearing z-coils for 11 years. They are not a high heels. The front part is built up so you are level. I have heel spurs and flat feet, Z-coils have kept me from injections and surgery for this long. I'm a nurse and on my feet walking 12 hours a day. I have tried the MBT shoes, just to get away from the ugly spring look, they unfortunately did not work for me but some people I work with love them. Good luck!

Result number: 67

Message Number 264400

Re: Haglund's Deformity View Thread
Posted by joann on 3/30/10 at 23:48

I was wondering if you could let me know how things have been with your daughters heels since the surgery. My son (a select soccer player) has Haglund's def. and has seen two doctors about it. The first said to try padding and difft. shoes first before considering surgery. The second ortho. suggested orthotics. I am currently leaning towards waiting and trying different shoes, stretching, and padding of the heels. It seems that surgery hasn't helped anyone much. please message me back if you can.

Result number: 68

Message Number 264396

Re: Anybody tried platelet-rich plasma injections? View Thread
Posted by SteveG on 3/30/10 at 20:50

http://heelspurs.com/cgi-bin/_search.cgi?keyword=platelet

Result number: 69

Message Number 264393

Re: itchy left Heel View Thread
Posted by Chris on 3/30/10 at 20:31

I have read yours and all the other similar scenarios about itchy heels. I have been dealing with this condition for approximally 7 years and nothing has worked. Last year I went to see a podiatrist, she did a biopsy on both heels which came back negative. She also prescribed me some ointment plus a cream she gave me as sample. So far, nothing has worked. I take care of my feet, however, this itch besides contributing to my imnsomnia problems, it is also making me insane!! I am making another appointment with my regular doctor to see what can she do. Hopefully there is something out there that can help.

I am desperate in Connecticut, Somebody Help please!

Result number: 70

Message Number 264356

Re: Haglund's Deformity: Surgery results View Thread
Posted by MelissaG on 3/29/10 at 14:12

I was just diagnosted with 2 heel spurs and haglund's deformity on the back of my heels and have been on inflammatory pills, icing and wearing the heel pads (soles) to put in my shoes, and nothing is working. I am still getting severe pain in both my heels. The doctor did take x-rays of both my feet and did find out that I do have heel spurs on the bottom of by heel and also the haglund's deformity on the back of my feet. I can not stand on my feet for more than 10-15 minutes at a time and if i sit for a while and get back up, it is very painful for me to walk. I have chosen to use a cane to help me walk now. I know that there are more solutions to do instead of the surgery, but am I crazy to want to do the surgery ASAP instead of waiting, so the pain can get worse???
Any advice would be greatly appreciated.

Thank you

Result number: 71

Message Number 264322

Please help me.. View Thread
Posted by AndrewUK on 3/27/10 at 12:55


I posted a while ago that I went to see a musculoskeletal specialist (private) and he did an ultrasound on my feet. He said the fascia is not thickened throughout the course on both feet.. (right 2.4mm and left 3.7mm last time he checked last Tuesday) But he found bursitis in both feet which he gave me a steroid injection to the bursitis. (not the fascia..) I felt the injection did not work because I still could not walk after 2 weeks of injection.

He suspected I might have reactive arthritis but except heel pain, I only had mild back and neck pain. (CRP ESR normal)

My heel pain is now 50% better and back and neck pain are gone. Still, I can't walk more than 100 yards... But my back pain and neck pain are 90% gone.

I went back to see him last Tuesday asking him about the shockwave therapy. He said I don't have plantar fasciitis because my fascia is not thickened through its course...

My question is, does the fascia always thickened for plantar fasciitis?

I also went to a specialist shoe store hoping to get a pair of good trainer. But the podiatrist said I've already had excellent trainers made by New Balance and Mizuno. Instead he wanted me to have a custom made orthotics. I had it done one week ago and it cost me 350 pounds... (about 500 dollars)

The thing is that I still cannot walk and I felt very upset, if not depressed, that both the specialist and the podiatrist hinted that I do not have pain and I should start walking... They based this on the fact that my heel is only mildly tender when pressed... But the truth is, when I walk, there are some pins and needles around my heel.. and the more I walk, the sore my feet get. The specialist said 'everyone has pins and needles when stretching' when I told him I have sharp electric sensation under the achilles tendon when I stretch.

I'm feeling really depressed and I don't feel they know what it is but then turn around and claim I don't have pain...

If I look back at my history from 2008, the pain started from the right foot then one year later, left foot. They were worst first step in the morning for a few weeks along the fascia and then it stopped but the heels have been very sore when I walk.

Over the past two days, I have sharp pain along the fascia again..

They also say I have some nerves damage (under the Achilles tendon).

My gut feelings tell me to rest more (I have rested at home for two months now) because I am about 50% better. (It was difficult to walk to the toilet)

But the two specialists say if the fascia is not thickened, it is not plantar fasciitis. And they seem to suggest I should walk more...

Any advice would be appreciated...

Andrew

Result number: 72

Message Number 264258

Re: Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by King Joe on 3/24/10 at 10:16

Just an FYI to those that do read this thread. This (so far) is a good news story. So much I have read in the respective threads are not so much good news but bad news...and scary for readers researching and thinking about undergoing similar procedures.

So far, for me, things are going great...still in a walking boot (which I can take off to clean or sleep or laze around...awesome...just not bear weight yet) and will be for a few more weeks...but my heel feels great and, I think, looks awesome (apart from the big cut/scar along the back of my Achilles).

Last night in bed, I was half sleeping and moving around...and accidently banged my heels together....which woke me completely up as I waited for surge of pain to come from my surgery heel. NONE....in actuality, my 'good' heel (surgery on that one scheduled for May 05/10) screamed in pain sending me through the roof.

Again, for readers...this is a good news story...and there is hope for any thinking about the procedure similar to what I have had done.

Result number: 73

Message Number 264221

haglund's deformity View Thread
Posted by MelissaG on 3/23/10 at 09:19

What happens when you were diagnosted with haglund's deformity and now both your heels are bruised everyday and you ice them and take inflammatory pills everyday and also wearing heel pads in my shoes nothing seems to work? Are they suppose to be getting bruised/discolored?? Is this someting that I have to worry about?
Please help me!!!!

Result number: 74

Message Number 264129

tarsal tunnel View Thread
Posted by nana on 3/18/10 at 22:19

I had surgery for Plantar F. last Nov.2009. In worse shape now than before surgery. Could you explain the pain you have from your tarsal tunnel. Pain pills don't work. The neur. did the test. Said the nerve should register a six he is getting zero. Told me it is her problem (the foot doctor.) The first thing she said she didn't cut a nerve. Went to another ortho. doctor. he did a bone scan. Said you don't need surgery. Asked the neurologist to send the test to two different doctors. They said they never got a request. Told me to get it from the doctor who did the test. I feel like I'm getting the run around. Both the surgeon and the neuro. are from the same hospital. The doctor I wanted to send them to are from a different hospital. Now the second foot doctor said go to a pain clinic. Get 3 sets of shot which will cost me 1200.00 dollars out of my pocket. I feel like screaming. The day before surgery i was at the zoo with grandson. Now I am in such pain I can't enjoy going to the zoo. The walking causes me such pain.I am now getting cramps in both my feet. I also have burning, my heels are numb. They do swell up. I'm a mess. I guess I need to vent.

Result number: 75

Message Number 264099

Re: Itchy heel problem View Thread
Posted by Salsagirl on 3/17/10 at 16:34

I too have had itchy heels at night for about 6 months! I have stopped having sweetnered in my tea and it has not helped!

I have recently come to a crazy conclusion.....I think Garlic is the culprit! I have cut out lots of foods and found that I get really bad itching only when I've had garlic! I used to occasionally get a sore throad when I ate garlic but it looks like I have developed a stronger allergy to it! Its crazy! I am italian and have garlic in everything, its like saying 'cut out oxygen' to me!

Anyone else tried cutting out garlic or doesnt eat garlic and it still itches????

Result number: 76

Message Number 264038

Re: Diagnosed with Heel Spurs and Haglund's Deformity View Thread
Posted by MelissaG on 3/15/10 at 09:06

Thank you for responding. When I went to the doctor's, I took 2 xrays and they both showed that I have heel spurs on the bottom of both my heels along with the Hadlund's Deformity on the back of my feet, where I have to wear heel pads, which are not working well and cowboy boots, so the pressure is off the back of my feet, but still have problems with the heel spurs, which I can feel more and more and I still ice the both of them after work and the doctor has precribed some inflammatory pills too that I have to take very day to see if the swelling goes down. I am also going on vacation in July and the doctor said that I should wait until after the vacation todo whatever surgery that needs to be done. Is that a good idea or not???

Result number: 77

Message Number 264037

Re: Itchy heel problem View Thread
Posted by Fayza on 3/15/10 at 01:22

I have exactly the same thing . I went to my darma and she told me
that I have larger blood vesils in the botom of my heels . She did give
me a medicine but I didnt take it ,I just found that cooling them really
helps . So try washing them with cold water or keep them uncoverd
while sleeping .

Result number: 78

Message Number 264027

Re: What do posters expect when they come to heelspurs.com View Thread
Posted by Dr. Z on 3/13/10 at 22:04

Hi Judy S.
I appreciae your comments and I too regard our heelspurs.com 'party' as something very special in both my professional and personal life.
What I have learned and have forgotten is that when ever you use an'e-mail forum ' it can be mis'understood.
Oh well it won't be the first time. . To tell you the truth the entire question flopped. I do think that we should have a section on this board that asked for feedback. It doesn't mean that all suggestions are to be taken and used but at least there should be a sounding board. hey I like this idea.

Dr. Wander what do you think about a section called Suggestions for heelspurs.com ?? The purpose would be to alow posters to express ideas and opinions about this board. The rule would be that no change is automatic.

Result number: 79

Message Number 264004

Diagnosed with Heel Spurs and Haglund's Deformity View Thread
Posted by MelissaG on 3/12/10 at 14:09

I was just diagnosed with heel spur in both feet and also Haglund's Deformity on both heels. I am just starting the necessary proceedures to avoid the surgery, like immflamation pills, icing and doctor gave me heel soles to put in my shoes and I am going back to my doctor for a followup in 3 weeks. I need to know, if the surgery is the last resort for me, since I needs heel spurs removed and haglund's deformity removed, how long will the surgery last and how long do you think the recovery will be?? Also do you think that I might need a cast and crutches and for how long???

Any advice would be wonderful!

Thanks

Result number: 80

Message Number 263982

Re: What do posters expect when they come to heelspurs.com View Thread
Posted by Jeremy L., C Ped on 3/11/10 at 12:05

I didn't chime in on the first string of posts because I felt all that needed to be said was shared by all involved. As a regularly participating contributor to this board I now feel it's important that I share my perceptions.

I'll agree with Judy on the surface regarding DR. Z's initial post. What he asked was a fairly simple, benign question. I also believe that anyone who was a past visitor to this site may view this without any animosity. There's also the possibility that those coming to this site regularly could see the initial request bearing something deeper.

The professionals who regularly contribute to this board often communicate with one another privately in order to improve visitors' experiences on this site. Dr. Z rarely participates in this open communication, and his general participation on this board is sporadic at best. Because of this, I can certainly recognize that some may view his question as something bordering on passive aggression. Or at the very least, have some personal agenda that did not include the professionals who are proven to be truly dedicated to those who come to this site seeking help.

It would be nice to have DR. Z's input again on a variety of topics. I, however, do not personally believe that this was the most positive way to go about such participation.

Result number: 81

Message Number 263981

Re: having a subtalar fusion View Thread
Posted by Jan S on 3/11/10 at 11:38

I was in a head on wreck 10-30-09. Shattered my heal. Had subtalar fusion 11-11-09. I was non weight bearing for 11 weeks. I rented a 'leg caddy' rather than use crutches. It was SO MUCH BETTER than crutches. I have 4 kids - very active and I got around pretty good on the leg caddy. You kneel on it and scoot around. Mine had front wheels that turned. I highly recommend it. I was able to grocery shop also using it. I came out of surgery with a cast. Once the stitches came out I was put in a boot. Once I was allowed to be weight bearing - it took a while to put full weight on it. It felt like the pins were coming out the back of the heel at first! The swelling is still bad, but if I stay off of it it goes down. As of 03-07-10 I was able to wear slip on shoes. Before that I wore slippers everywhere - one size was bigger than the other due to the swelling. I was thinking I should be walking without a limp by now - but the doctor assured me my brain has not connected with my foot on how to walk with a subtalar fusion. Good luck

Result number: 82

Message Number 263973

Re: What do posters expect when they come to heelspurs.com View Thread
Posted by JudyS on 3/10/10 at 22:06

Wow - I haven't looked at HS.com in several years and thought I'd take a quick peek.... only to find some disquieting words.

I read Dr. Z's original post and found nothing at all negative or challenging in it - just a simple request for feedback. It didn't seem inappropriate given that he was, indeed, the original physician advisor here.
I'm stunned at the responses from the other doctors - maybe there's a history I don't know about. I was so surprised that I read Dr. Z's original question a second time and still didn't find anything negative or insinuating. I think he asked the question 'what do you like or not like about the board'. I know I must have missed something.
I was one of the attendees of the original ESWT 'party' as was discribed by one of the replying physicians. Dr. Z was a great advocate and one of the original users of ESWT way back then and several of us at HS.com were extremely grateful to him for offering the treatment at hugely reduced, or even free, costs. Not only was his treatment and advise quite helpful, he also gave about six of us a venue in which to meet and enjoy eachother's company after having posted here for a year or two. It was a memorable experience and one I'll always be grateful for.
Last, we were also honored that Dr. Z allowed us to call him 'friend'. He and his wife were among the most caring hosts I've ever had the pleasure of knowing.

Result number: 83

Message Number 263970

Re: foot pain View Thread
Posted by Gita Patel on 3/10/10 at 20:44

I went to a foot dr today in gainesville Ga His name is ARmino.
He said I have 2 heels spurs in both feet and recommened that i have some insole for $484.00 He also gave a shot o reduce pain, I am not happy with his visit today, please could you advice me.

Result number: 84

Message Number 263956

Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by King Joe on 3/10/10 at 10:09

I am fresh out of having my left heel spurs removed....one week today. Still in the splint cast and will be for another week followed by air cast for 5 weeks, then therapy. I am also scheduled to have my right heel done on May 05...this one has the 'extra' feature of also having Haglund's.
I am incredibly optimistic as my left is virtually pain free. I have taken pain meds 3 times and it was more of a 'just in case' just before bed right after surgery.
I can 'feel' my heel for sure...but what I have now is NOTHING compared to what I lived with daily. At night, post surgery, my 'good' heel wakes me throbbing still.
While I am older...46...I am very active and still play football and am a weightlifter and runner. While the distance running has all but stopped over the last 2 years because of the heels, I still did the others right up to surgery...though I suffered immensly post game/workout.
I have read all the posts in this blog....and I am wondering...is it reasonable to think that I will be 'using' my Achilles by fall of this year? My Doc says 6 month rehab for one...but I seem to be a very fast healer.....but also don't want to wreck the rest of my life either.
Thoughts?

Result number: 85

Message Number 263861

Jogging Heals Plantar Fasciosis ? View Thread
Posted by Peter on 3/05/10 at 21:37

SO just had MRI of S-I Joints unfortunalty it was Normal Doc was looking for AS ankylosing spondylitis Im So depressed

I have Chronic Heel pain in both feet plantar fasciosis at this point as nothing helps. sucks cause at this point it makes me feel sick sometimes, which i don't know why. just So tired of this nagging pain

Did the ESWT in January and want to do Topaz Now, but they want me to wait 12 weeks to see if ESWT worked... 7 weeks in and no help and don't want to wait anymore, sick of the waiting and the pain. sick of the stretching and can't do anymore, have been stretching for several years.

Now Im thinking and I know it's crazy but what if I just start running again(a few times) to make it worse thats the purpose of alot these treatments, make it worse and tell it to start healing. Well running will hopefully make some micro tears then just give it time to heal.

both my heels are inflammed as it attaches to the bone. well now there degenerative i guess

Result number: 86

Message Number 263852

Re: Are posters treated with respect and understandings View Thread
Posted by Dr. Wedemeyer on 3/05/10 at 19:05

So neither Dr. DSW or myself was incorrect in how we read your post apparently. I am not a happy camper about your little foray into sensitivity training one little bit, whether you meant me or not.

Since you have decided to cross the line with respect to inter-professional communication I am going to post this here. You have in my opinion crossed the doctor/patient boundary numerous times in the past with the old ESWT parties at your office, giveaways etc and with posts like these on the social board where there is no clear delineation who is your patient and who is your buddy from heelspurs. A very troubling trend Dr. Zuckerman. I wont admonish you but just state my concern that this may one day land you in hot water.

I do not disrespect my patients nor the posters on this site; in fact I respect them enough not to divulge anything personal about them online or to anyone else not privelege to their concerns, Likewise I feel that any personal issues that you have with another provider should be addressed to that provider or the group.

You're actually trying to encourage dissent among the posters for the unceremonious job that Dr. DSW has taken responsibility for in maintaining the ethical due diligence of the web board and that i applaud and support him for.

Please take a step back and think about what I am saying to before responding.

Result number: 87

Message Number 263840

Re: Are posters treated with respect and understandings View Thread
Posted by Dr.DSW on 3/05/10 at 16:01

I am still wondering why you have a sudden interest in the well being of this website or 'what can happen' on heelspurs.com.

Is there something missing that YOU would like to see happen? Are you unhappy with what's happening on the website?

If you have a concern, why don't you simply express that concern rather than using others to view their opinions?

Result number: 88

Message Number 263830

Re: Are posters treated with respect and understandings View Thread
Posted by 36 on 3/05/10 at 08:05

Dr. Wander,
I didn't think the social board could be deleted so that is one of the reasons I picked this . It is always important to ask for feedback for improvment. I do it all the time in my practice and i though it would be good for this board.
I do want to hear from posters and that was the purpose of why I posted this question.
While i don't agree with Stan completely I always look at what people say this is the only way i can grow and it has been one method that has made me propser. This was what I am hoping and still hoping can happpen on heelspurs.com
It is always important to look at things thru the eyes of posters. They are afraid, sometimes not as bright in our area of expertise, and they are in pain. This can cause lots of angry, fear. Anyway the forum is open and where it goes no one knows.

Result number: 89

Message Number 263821

Re: What do posters expect when they come to heelspurs.com View Thread
Posted by Stan on 3/04/10 at 21:09

I've been following this site for a long time but don't post questions. But you asked a question so I hope you want an honest answer.

When I first visited this site you were really the only doctor and ther weren't all these meassage boards. You made friends with a lot of the patients but also probably made a decent amount of money since many of them traveled from all over the place to have you perform ESWT.

Then a few other docs came on board and a bunch of other message boards popped up. The best part was the expertise of different docs. Wnder gives great explanations, Jeremy knows more about shoes than anyone I ever met and Wedemeyer brings a great perspective adding spine and back expertise.

Davis always gave great explanations and answers but his presence is scarce.

These are the best qualities of the site. The ability to have all these docs share their expertise and not try to sell me something.

Naturally its also nice for some people to have the message boards to speak with one another and share stories. That's not my cup of tea but I know that makes a lot of people happy.

But to be brutally honest, you've lost credibility to me. Because the majority of the time someone asks a question, your answer involves some form of solicitation for some business your involved with at the time.

If its not your ESWt company its your new laser or something.
O
Your answers simply don't seem objective but seem self serving.

You wanted an honest answer and you just got one. Now we will see if DR DSW deletes it for 'not being nice' even though its not my intention.

Result number: 90

Message Number 263812

Foot pain and now a lump View Thread
Posted by BrendaJ on 3/04/10 at 15:34

Hello,
I have had years of foot pain. Went to a podiatrist and he said it was not plantar fasciatas and had no idea what it was. Big help needless to say. Went to a second podiatrist. He said it is achilles tendenitis. I went to a couple of months of therapeutic massages (which they massaged all the way my legs and it was excrutiating) and my feet. Did a lot of exercises and stretches they gave me for months. I still do some of the stretches but it never seemed to improve and I cannot afford to go to a therapist 3 times a week. The pain goes all the way up my legs when I sti for a while or get up in the morning as well as the bottom of my feet hurting. Not so much my heels though. Now all of a sudden yesterday while sitting down at my computer, I went to get up and it felt like there was a lump in the bottom of my foot just below the second and third toes. It is slightly painful and uncomfortable. Any advice would be appreciated.

Result number: 91

Message Number 263789

What do posters expect when they come to heelspurs.com View Thread
Posted by Dr. Z on 3/03/10 at 22:41

I have been thinking back about heelspurs.com and how it started and how it has grown today . For me it been over ten years. I started the ask the doctor section ten years ago and it expansion has been just amazing. So I ask the question what do posters expect and what are they looking for when they come to heelspurs.com. I leave this an open ended question
so that posters can express what they think of this section of the board. What they like about the board and what they don't like about this board . The purpose is to improve this section of the board. It is opinion for the most part this board is run well and posters receive excellent answers and help.... now it your turn what do you think . Thanks

Result number: 92

Message Number 263717

Re: Itchy heel problem View Thread
Posted by Adam on 2/26/10 at 23:19

I have had this problem since I was a teenager (33 now). It started with my left heel. I used to try cutting into my heel to make it stop to no avail. Now it has gone to both heels. I get maybe 3-4 hours of sleep a night. I would kill for a good eight hours of sleep. I have never seen a doctor about it, I have just delt with it. I am now at the breaking point. But with just reading this thread I do not have much hope. Although I will try the ice and B complex and hope for the best.

Result number: 93

Message Number 263710

Re: Complications from ESWT View Thread
Posted by dud on 2/26/10 at 20:24

I live in Oklahoma City, OK

I did have both feet treated. Right one in 06/2004 and left one in 09/2004. The right one is the one with all the complications I described in the original post. My left foot had the same pre-ESWT symptoms, and the ESWT seemed to work with it. I have basically no pain in my left foot today.

Prior to treatment, my limitation of activity basically involved not running. I could do most anything else, but not run. Very early in the process I would have 'first step' pain, which as I understand is classical PF symptoms. BUt after a few months, this went away. Then, each day as I remember was basically the same for several months. I would wake up in the morning with little to no pain, then as the day went on my heels would steadily 'burn' in a location about the size of a half dollar smack dab in the middle of my heel and I had the sensation of having no padding on my feet - if that makes sense? At the end of a day, it would feel as if I had walked 50 miles and I would have to ice my feet. The day would be just the same. So my pain got worse as the day progressed. In the morning, it was a 0/1 on a 10 scale, and at the end of the day it was maybe a 4. However, I didn't know what pain was then! This nerve pain I am having is a different type of pain and is much, much worse than anything prior to the ESWT.

A couple of concerns I have are:

1) If I had an entrapment syndrome, and not PF on my right foot, did the ESWT cause irreversible damage that no surgery will ever fix, so I might as well be content to hurt the rest of my life.

2) WOuld surgery be an option for me if the ESWT was performed incorrectly, or on a wrong condition?

3) How could I tell if I truly have an entrapment, or a more generalized 'neuropathy'. I have had 2 PSSD tests, and 2 EMG tests and all showed no nerve problems.

4) Is it worth seeking out the best professional in the USA to get another opinion.

Thanks for all help!

Result number: 94

Message Number 263550

Re: other pain after heel pain? View Thread
Posted by AndrewUK on 2/18/10 at 06:57


Dear Dr Wedemeyer,

Thank you for your reply.

Inflammation of the large joints - when I first had heel pain back in early 2008, I had some very mild knee pain for about a week. The pain was under the knee cap and it wasn't swollen. My doctor said I probably had Osgood-Schlatter disease (I was 29). Three days after I wore a pair of Crocs RX ,the heel pain disappeared. And the knee sharp pain disappeared as well. (I also told my doctor I started a new job which required standing. And I had had sedentary lifestyle before changing to a new job.

In 2008 I also had increased urination and all the blood tests were normal -- my doctor said I have a sensitive bladder.

I haven't had any of the above symptoms since mid 2008. (The only symptoms I have is sometimes I have sore eyes if I spend too much time at the computer. But it's very mild and all I have to do is not to use my PC for a couple of hours. It's never very red)

Admittedly, I am starting having soreness in the back of my heel. (the back of Calcaneus? under the achilles tendon) But it's very mild and I suspect that was from taping and excessive weight bearing stretching....

The exact words from the specialist is that 'plantar fasciitis isn't that painful as this. You may have Reactive Arthritis'

The pain I have is that I simply cannot walk much.. I can probably walk to the bathroom and kitchen for simple task. And I haven't been able to do any shopping.

This time the heel pain (both heels) appeared two weeks after I changed to another standing job in Oct 2009. In Jan 2010, I started to have sharp pain along the fascia whenever I walked after rest. The midsole pain gradually decreased but the heel pain gradually increased 4 weeks ago. As the pain in the heels increased, I also started to have soreness and discomfort around the joints of phalanges and metatarsal bones. (no discomfort around the toes and no sausage toes)

They did blood test in 2008 for liver and kidney function and blood glucose. All came back normal.

The tests they have done this time are
1) 27 Jan 2010 - X ray Calcanei: Report says 'Normal appearances in both calcanei. The suggestion of a small traction apophysis at the insertion of the achilles. No other abnormality has been seen'
2) Ultrasound 9th Feb 2010 - plantar calcaneal bursitis. Plantar fascia is 3.4mm. No bone spur. One ultrasound guided steroid injection at the right foot was done on Feb 9th but I haven't noticed any difference..

That's all. They haven't given me any blood test this time. This doctor (specialist) is a GP who has special interests in sport injury and musculoskeletal issues.

I am just curious if they are on the right tract... I am currently waiting for an appointment in a hospital and I don't know if they'll do any test.. I don't even know if I should see a podiatrist, orthopaedic doctor, sport injury specialist or a rheumatologist.

Many thanks for listening.

Best wishes,
Andrew

Result number: 95

Message Number 263440

Re: Itchy heel problem View Thread
Posted by Jazmine P on 2/13/10 at 00:08

I've had this same problem for about 6 months, and it happens usually at night, about once every few weeks. I finally found a solution. I used a foot scraper that I bought from the beauty supply store. It's small, u hold it in your hand, and it has a metal end that scrapes dead skin off the bottom of your heel. Chinese people often use it at the nail salon when you get a pedicure. I scraped the dead skin off my heels and I had relief for months. I think the dry dead skin caused it. Try it & good luck!

Result number: 96

Message Number 263405

Re: L5 Lumber View Thread
Posted by Michael on 2/11/10 at 17:38

Yes this is in both feet, heels only with Never any back pain and agree probably not from back.
I did have some nerve pain from hip going down leg last year, not into the feet though this was last April but that pain went away a week or two and never had since so don't thinks its associated.

MRI report of one heel - the worse one (right)

LIGAMENTS the antererior fbulotalar ligament is scarred but not torn. The Remainder of the Lateral ligaments are intact. The Medial ligamnet complexes are intact. The distal syndesmotic ligamnets are intact. There Is focal thickening of the plantar fascia at it's calcaneal insertion. It inserts on a developing enthesophyte, and there is some edema in the calcaneus enthesophyte at this site. There is also some edema primarily in the medial cord of the plantar fascia. With the Edema, I am concerned of some intrasubstance tearing with some reactive osseous edema in the calcaneus and the developing enthesophyte.

Ultrasound for both heels

Examination of the proximal plantar fasica origin demonstrates moderate thickening of the medial band bilaterally measuring 4.2mm thick on the left side at the distal medial calcaneal tubercle level versus 4.6mm on the right side

So I guess this says thickening of the plantar fascia right? and what does that mean?

had several doctors look at MRIs and ultrasound never saying too much just strecth strecth strecth and wear orthodics.

thanks for responding

Michael

Result number: 97

Message Number 263376

Re: 7 years and still no relief View Thread
Posted by hi on 2/10/10 at 20:48

Grets, you are right. HI is my initial. By the way this is the article that guide me through the whole process of filing for disability. Please take the time to read it. Very helpful.

Good Luck, hope you feel better.



Dr. Fenton, I am writing to inquire about plantar fasciitis and disability. I am on a newsgroup, www.heelspurs.com/bbs and many there cannot walk, etc. because of the foot pain. It is virtually impossible to find a doctor that will put us on permanent disability for this crippling disease. Most of us on the ng have seen more than one podiatrist, orth. surgeon, etc. and we are still in pain. Is there anything you can do to help facilitate many of us to get Permanent Disability? I live in San Francisco, and the others live all over. If you don't mind, I would like to post your response to the group.
Sincerely,
Shaira G


--------------------------------------------------------------------------------
Ms. G:
Disability Insurance coverage can be provided for in usually one of three ways: (1) through Workers' Compensation; (2) through Social Security Disability; or (3) through a private disability insurance plan (whether individually purchased or supplied by the employer). Each method has different requirements in order to qualify for disability. These will be discussed below.

What all of these methods share in common is that the patient's physician, whether a podiatrist, orthopedic surgeon, or other physician, must certify that the person is disabled. This is probably the most difficult hurdle for most people to overcome, and judging by your letter, it is the area that has given you the most frustration.

Unfortunately, most physicians do not consider a person with plantar fasciitis to be disabled. Most physicians view the condition as a treatable condition in which the patient can continue to walk.

The myriad of treatment options, many of which are delineated on www.heelspurs.com, demonstrates that there is no 'silver bullet' cure. Unfortunately, most physicians see the myriad of treatments as steps that a patient must go through in the treatment of the disease. The rationale being that as long as there is a treatment option available that has not yet been tried, then there is a possibility that the condition can be 'cured.'

Most physicians will not view a plantar fasciitis sufferer as being disabled until they have undergone surgery and have either received no benefit from the surgery or have actually gotten worse. It does not seem fair that a plantar fasciitis sufferer would have to undergo the risks of heel spur or plantar fascial (regular or through endoscopic plantar fasciotomy) surgery just to get a disability rating, but that is the unspoken view of most physicians.

Finding ONE physician to certify the disability is usually not adequate. Most claimants will have to submit to an Independent Medical Exam (IME) to verify the first physician's findings. The physician performing the IME is likely to deny that disability exists. Then the claimant must find a third independent physician to back up the opinion of the first physician certifying disability.

If a physician does certify the person as being disabled, then the legal process can begin.

1. WORKERS' COMPENSATION DISABILITY

In order to qualify for Workers' Compensation disability, the disabled person must show, among other items, that the condition 'arose from' the employment. Since there was no injury incident, this can be difficult to prove. Plantar fasciitis can 'arise from' employment in several ways. Some ways include standing on concrete floors (even carpeted concrete floors) and simply walking/standing for long hours.

In fact, since there usually is not an injury incident, then often the physician must certify that fact. Just as many physicians are not willing to say that the plantar fasciitis sufferer is disabled, many are not willing to say that the employment caused the fasciitis. This is especially true regarding the obese plantar fasciitis sufferer. Many physicians view that scenario as a life-style choice of the patient and not a work-related accident.

2. SOCIAL SECURITY ADMINISTRATION DISABILITY INSURANCE

The test for SSA DI is extremely tough. There are several 'tests' which must be met in order to qualify for SSA DI. The main test is 'whether the claimant is employed in a substantially gainful activity.' If the answer to that question is 'yes,' then SSA DI is unavailable for the claimant.

If the claimant is not currently gainfully employed, then basically, it must be shown that the claimant cannot perform 'past relevant work' (i.e., work that the claimant is suited to by training or experience). If the claimant cannot perform such past relative work, then if SSA can show that the claimant can perform other gainful employment, then benefits would be denied.

Under SSA DI it is very difficult for a plantar fasciitis sufferer to qualify. The reason being that most often the plantar fasciitis sufferer can be employed, through training or experience, in a position requiring minimal walking. A plantar fasciitis sufferer who has undergone surgery and had severe complication would probably qualify for SSA DI.

3. PRIVATE DISABILITY INSURANCE

Whether a plantar fasciitis sufferer qualifies for disability under a private insurance plan depends upon the particular policy and the policy's definition of 'disabled.' One of the first steps that an attorney takes is to request a copy of the disability policy and review its terms.

There are as many definitions of 'disabled' as there are insurance policies, but it essentially comes down to two classes: (A) OWN OCCUPATION definition and (B) ANY OCCUPATION definition.

Under an Own Occupation policy what needs to be shown is that the person is unable to person the duties of their occupation, even if they could work in another occupation. For example, a concert pianist who losses the function of a hand and therefore cannot perform the duties of that specific occupation is disabled and entitled to full benefits even if the pianist then finds employment as a skilled artisan. However, an Any Occupation policy is almost as difficult as SSA DI. The typical disability policy usually contains a YOUR OWN OCCUPATION definition for the initial year or so of permanent disability and thereafter reverts to an ANY OCCUPATION definition.

The attorneys of The Foot Law Group are available to assist clients in applying for disability coverage or working in an appellate role should the disability application be denied. Nonetheless, as can be seen from above, the outcome of any case depends upon (1) finding a physician to certify the disability and (2) overcoming the hurdles discussed above.

Charles F. Fenton III DPM JD

Result number: 98

Message Number 263314

Re: Itchy heel problem View Thread
Posted by Bethany L on 2/08/10 at 19:40

I have the same exact problem...my heels just kill me from itching at night. I just put up with it and hope that I fall asleep eventually. If I take a hot shower before I go to bed, sometimes that helps. Or if I use pumus on my heels that works, but not always. Some time during the night they'll start itching again unless I'm asleep. I work-out a decient amount, so my problem might be from athlete's foot.

Result number: 99

Message Number 263311

OK just for fun......... View Thread
Posted by marie:) on 2/08/10 at 17:16

cause we all need fun.

Check out this new invention and the pics that accompany it. It's perfect for all those heelspurs addicted folks.

http://www.amazon.com/Mobile-Office-WM-01-Laptop-Steering/dp/B000IZGIA8/ref=sr_1_1?ie=UTF8&s=automotive&qid=1265659622&sr=8-1

Result number: 100

Message Number 263304

For Peter and his Enthesis question for the Dr's in other thread View Thread
Posted by JillM on 2/08/10 at 14:44

Hi Peter~

I have Anklyosing Spond. and have the HLA-B27 gene as well. I do have back pain, PF and very bad Achilles problems that extend down to my heel, so it's hard for me too to figure out where the pain is coming from-the achilles or the heel or both. When my achilles and back of heels are screaming mad and I couldn't do a wall stretch, I would stretch my ham strings and I cannot tell you how much that has helped. I used to stretch my calves and feet, but never went much higher. I put one leg on the bed and really get a good ham string stretch or I lay down on my back and put a belt or something around the bottom of foot and gently try to pull my straight leg toward me. Let me know if this helps you at all. Good luck. Jill

Result number: 101

Message Number 263300

L5 Lumber View Thread
Posted by Michael on 2/08/10 at 12:31

Hello

I've Been suffering from heel pain for several years been to a chiro recently who said Heel pain could be coming from my back L5 lumber.

Ive never had back pain and dont have nerve pain, had EMG/Nerve tests done and they didnt show anything. Of course Chiro wants me to sign up to a plan for thousands of course.

he said maybe my lower leg mucles mite not be working together ive been doing strecthing, all the typical PF stretches for over a year. also the nerve maybe be entrapped in the L5 area but feel it in the feet could this be possible

have done ALL the typical treatment including low energy shockwave (3 treatments) finished them about 3 weeks ago, no help yet nite splints PT cortzone orthodics many anti flamm. MRI ultrasound xrays which shows inflammed heels

next maybe Graston

thanks for any commits

Michael

Result number: 102

Message Number 263246

Re: itchy left Heel View Thread
Posted by Karine Y on 2/05/10 at 06:56

Hi there,

I've had the same problem since I was very very young. I'm now 24 and still itch in both heels. It wakes me up sometimes, or prevents me from getting to sleep when I want to. It isn't so severe, but the itching is quite irritating. I have tried to figure out what causes it and also to cure it but nothing seems to work....

I am inclined to believe it might also be something hereditary, as my grandmother had it too.

Result number: 103

Message Number 263242

Re: Haglund's Deformity: Surgery results View Thread
Posted by LynnD on 2/04/10 at 20:07

Heel cups provided some relief but for me it just wasn't good enough. My surgeon said that my case was actually not as bad as other patients although in i eventually couldn't wear ANY shoes unless they was back-less, which was a big inconvenience (especially in winter!). I also had the odd pair of sport shoes that didn't hurt too much because they was very well cushioned. Before it got that bad i coped by buying larger size shoes with heels so at least my feet would tip forward and not press against the backs of the shoes...that method however started to put strain on other areas of my foot. I also had inflammation up my tendon that all shoes with backs seemed just cut into with every step. Looking back i think that one of the most frustrating things was the hunt for shoes that just didn't hurt.

I would imagine that if your wife found relief with heel cups, it may work for you too. i would think that heel cups were made for a reason and for someone people they could work. I guess it's also if you are prepared to be patient and give it a go (i gave it a go, but when my surgeon said that in his opinion only surgery would solve my problem, i gave up on all non-surgical methods). So finding a doctor who is very confident in his work and informative to you is also very important.

Hope this helps.

Result number: 104

Message Number 263228

Re: Haglund's Deformity: Surgery results View Thread
Posted by Oscar F on 2/04/10 at 10:33

Mickey and Lynn

Thank you for the informative discussion. I have only had one opinion and I may need to get another as suggested. I'm not sure how bad my haglund's is compared to yours but I do know this: my wife had the exact same condition, and you can still see the 'pump bump' on her heel. After 2-3 months of just avoiding the heels and ballet flats that gave her pain, she was back to normal shoe wearing, including boots, softer ballet flats, running shoes, and Uggs.

So I'm going to try the doc's advice and limit my footwear to those things that don't irritate the haglund. As of now, the only thing really keeping the irritation down on a daily basis is the heel cup, which elevates the heel just enough to prevent the rubbing against the haglund bump.

Did either of you have success with this method prior to surgery? Also, did it worsen to the point of not being able to wear ANY TYPE of shoe on the foot without pain??

Thanks!

Result number: 105

Message Number 263209

Re: Severe hypertrophic faciitis involving central band View Thread
Posted by Rick R on 2/03/10 at 14:20

Jeff,

I was 30 years old and considering the Chicago marathon when PF changed my plans. My normal route was 7 miles and I had begun to double up once a week. This was pre-internet. I believe that if I knew on 6 April 1987 what it took me a decade to learn, I would have been out of action less than one year and may have avoided surgery, and could have made the marathon. I did manage get back to running but after a lost decade.

I'm 53 now and still 'run', ok it's more of a slow jog, about 5 miles, but I'm old! I can go every day but have to budget my punishment. Shoveling snow for instance consumes as much 'capacity' as a 5 mile run. I can't do squat without taping. I tape to run, or even stand for a long time. I use a pre-wrap of sorts so no tape contacts my skin and I tape with 11mil duct tape. It maintains it's tension better than anything else I have tried and is strong enough to handle the tension I apply. The best way I can describe that tension is to say I occasionally break the tape by accident while taping up. I tape as you might do for a sprained ankle, not in the manner contained on this site. Care is taken not to compress the achilles, only going around my ankle to anchor the mess. I concentrate the force under the arch just in front of the heels. Deep massage and passive stretching may well have been parts of the answer.

I took every new anti-inflamitory magic pill, couldn't begin to recal them all. For me Ibuprofin taken at night worked the best. I would suggest that when you next attempt to run start with 1/2 of a mile late in the day when you can stay off of your feet when you are done, and take Ibuprofin in the highest dosage your doctor will support. If all goes well try a mile and so on. I no longer need the Ibuprofin unless I break my own rules which I do from time to time.

What worked for me may not be your answer, research on this site and elsewhere. I shared a bit of my story only as an example to offer encouragement, not to scare you into thinking it will be as lousy for you as it was for me. Again, If I knew then what I know now, I do think this would have involved a few months out of action and similar precautions to what I do now.

Your challenge will be to find what works for you, but you have tools at your disposal that didn't exist in my bad old days.

Best of luck,

Rick

Result number: 106

Message Number 263181

Re: Haglund's Deformity: Surgery results View Thread
Posted by Oscar F on 2/01/10 at 16:00

Mickey and Lynn,

I'm interested to see more of your comments as I too have this problem. I went to see the foot and ankle surgeon, and he told me that I'm not an ideal candidate for surgery. He recommended I use the heel pads and then a cortizone injection in a few weeks if the swelling does not stop. I'm also taking a naprosen pill each day to keep the inflammation down.

My wife had a similar problem with her heels and ballet flats, but her pain went away by just avoiding the shoes that gave her pain. Now her bump is still on the heel, but she is able to wear most shoes all day with no problem. She did not have surgery, and the doctor told me that I too should 'wait it out' and try to recuperate like my wife did.

So on one hand I'm worried that the recovery might be longer if I don't get the surgery now, but on the other hand I worry that the risk is high and possibly unnecessary to do surgery right now after the doc told me that I'm not an ideal surgical candidate.

The heels cups that I use now allow me to wear running shoes to exercise in, and I also wear them inside my work shoes, which helps to alleviate most pain, but I do still feel irritation now and then.

My fear is that the slight irritation that I feel on occasion is preventing a full recovery that my wife had, and that my problem is only going to get worse...

Result number: 107

Message Number 262993

Plantar Fasciitis & 4 heel spurs with neuromas-nothing has worked, what do I do now? View Thread
Posted by SherryR on 1/23/10 at 16:30

I was diagnosed with plantar fasciitis in both heels in 2004, given an in injection in both heels and orthotics for my shoes. Pain didn't go away completely but I got MUCH relief and was able to deal. By the end of 2007 I had gained weight up to 319lbs (overweight my whole life, thyroid removed when i was 24). Had lapband surery Jan 2008, started excercising on the elliptical immediatley after lap-band surgery, heels immediatle started getting worse. Went to a different podiatrist who said my orthotics did not fit and remade a new pair for me. Tried injections again for a few months with no results, switched excercise to swimming instead of elliptical, lost 100 lbs in a 1.5 yrs, still hurting and getting worse, finally had Ossatron procedure (Dr. decision-not procedure with holes b/c i get Keloid scars), heels got better after about 2 months. Started using elliptical again, went back to work as a real estate agent, on my feet most of the day. Still losing weight, around 219lbs now, 5'7. Heels hurting worse than ever but in different spots than before. Now the pain is on the inside of the back of my heel in 1 specific spot and radiates pain outward in circular area, not in my arches like before Ossatron procedure AND started having pain in balls of feet that Dr. said was a neuroma. Dr. started me on ultrasound therapy 3 times per week, and gave me a prescription for pain medication. Both give me relief but I still can't stand longer than 1 hour without severe pain that takes me completely off my feet, can't stand AT ALL without orthotics, stopped excercising, started using a shower chair since I can't stand without orthotics. Told Dr. the other day that i can't live like this, i hate not being able to hike with my husband shop with my Mom/friends, clean my house, work, everyday things and I wanted to move to the next treatment. His answer was to send me to a pain management clinic, which I don't know much about, and I asked him are we at the point of not 'correcting' the problem causing my heel pain and now we are just going to 'manage' my pain? he said pain mmanagemnt would be able to offer my injections and physical therapy. i have already done those thngs for years now. i asl started having cramps and twitches really bad in my feet and leg muscles (not like restless leg syndrome). I told im I needed to think and do some research first. i get the feeling I am being 'passed on' to another Dr. which makes me frustrated and helpless. I am only 33 year old, why can't anyone help me? Where do i go, what do i do now, i don't want to go to 'pain management' I don't want to take pain medication, it doesn't help anyway, PT nor injections help. Could I have something different than plantar fasciitis? I just want to solve the root of the problem not throw things at the symptoms.

Result number: 108

Message Number 262939

Re: Life after a subtalar fusion View Thread
Posted by RebeccaB on 1/21/10 at 18:14

My subtalar dome was shattered in a head-on collision 39 years ago this coming March; I was 16 years old. At that time I was advised I 'should probably' have surgery, but there was little encouragement that it would be increase mobility or stability in the joint, and that I would still have to live with the pain. My parents declined my having the surgery. I have since worked in the medical field for over thirty years, at one point managing an orthopedic practice. 'My' doc insisted on seeing my x-rays and declined to operate (I still have the shattered bone fragments clearly visible on x-ray). In my case the dome was 'shaved' straight across - no concavity or convexity left upon which the structure can rotate - and, as such, my foot is locked in a 45 degree angle on my ankle. I have been told the only way to change this would be to have a 'total' ankle, such as they do with total knee replacements, but I would still have no better mobility, stability or pain relief. As I am a woman I have adjusted to life always wearing at least 3' heels since I was 16 years old. People who have never seen me walk barefoot do not realize I have the injury. Do I have pain and swelling - yes, after a full day of walking, such as at a zoo, amusement park, etc. My sports are swimming, tubing, kayaking - you can see why. I married at 20, had four very active children whom I kept up with, have always worked, and I now live upstairs in a two story house as my mother-in-law lives in our master suite downstairs. As 'my' doc told me - surgery can only do so much; orthopods are not God. Some things are made worse by 'messing with them', as he said. Only you can decide if you can adjust and make the most of your life with your injury, as I have, or if the pain/inconvenience are more than you are willing to put up with.

Result number: 109

Message Number 262938

Re: Life after a subtalar fusion View Thread
Posted by RebeccaB on 1/21/10 at 17:41

My subtalar dome was shattered in a head-on collision 39 years ago this coming March; I was 16 years old. At that time I was advised I 'should probably' have surgery, but there was little encouragement that it would be increase mobility or stability in the joint, and that I would still have to live with the pain. My parents declined my having the surgery. I have since worked in the medical field for over thirty years, at one point managing an orthopedic practice. 'My' doc insisted on seeing my x-rays and declined to operate (I still have the shattered bone fragments clearly visible on x-ray). In my case the dome was 'shaved' straight across - no concavity or convexity left upon which the structure can rotate - and, as such, my foot is locked in a 45 degree angle on my ankle. I have been told the only way to change this would be to have a 'total' ankle, such as they do with total knee replacements, but I would still have no better mobility, stability or pain relief. As I am a woman I have adjusted to life always wearing at least 3' heels since I was 16 years old. People who have never seen me walk barefoot do not realize I have the injury. Do I have pain and swelling - yes, after a full day of walking, such as at a zoo, amusement park, etc. My sports are swimming, tubing, kayaking - you can see why. I married at 20, had four very active children whom I kept up with, have always worked, and I now live upstairs in a two story house as my mother-in-law lives in our master suite downstairs. As 'my' doc told me - surgery can only do so much; orthopods are not God. Some things are made worse by 'messing with them', as he said. Only you can decide if you can adjust and make the most of your life with your injury, as I have, or if the pain/inconvenience are more than you are willing to put up with.

Result number: 110

Message Number 262929

Re: rear heel symptom View Thread
Posted by Jen R on 1/21/10 at 07:20

Hi Dr. Wedemeyer,

None of my doctors have ever mentioned the term 'equinus' to me. I don't know my specific range of motion but I believe that I have good range of motion. I'm not sure about supination but I have an inverted left heel. Would the heel inversion automatically mean my foot is supinating??

The yoga stretch I was referring to was the one sitting with your feet on the floor...and sliding your foot backwards without picking up the ball of your foot. The simple ankle rotation and toe curl stretches don't seem to bother me. Additionally, I don't do a stair stretch anymore but I can recall a 'popping' feeling in the very back rim (just to the outside of center) of my foot as I'd drop down below the step. As I said, this toothache type pain in the back of my heels when laying on my back was something I noticed long before I had pain in my arch...and I always thought it must mean something.

And one more question...are there people who just cannot tolerate orthodics...or is it just a matter of matching the orthodic material, shape, etc. to the person's feet???

Thanks,

Jen

Result number: 111

Message Number 262899

Re: Itchy heel problem View Thread
Posted by nicole on 1/19/10 at 23:34

Wow... 4 years of posts... seems that it's all women that have this problem. Men only have it in one heel and it gets cured by vitamins, women go into treatment and several diagnoses and nothing. It's mostly all sports related or exercise related. By reading all the posts above I googled everything that was mentioned. Here are some helpful links as to what the condition is:

PLANTAR FASCIITIS AND HEEL SPUR SYNDROME
http://www.footpain.org/Heel-Spur.html

'Heel Spur Syndrome'
http://www.essortment.com/all/heelspurwhere_rqea.htm

Chronic Compartment Syndrome
http://www.mayoclinic.com/health/chronic-exertional-compartment-syndrome/DS00789

Result number: 112

Message Number 262879

rear heel symptom View Thread
Posted by Jen R on 1/19/10 at 07:41

As most of you doctors know, I was diagnosed with bi-lateral PF about 10 years ago. I do have morning pain now but did not have that pain up until the last few years. However, even before I was diagnosed I had (and still have) three distinct symptoms which I never tied together until perhaps it was too late to treat. One is the feeling after standing or running like I was standing on bones...with no padding. The second is a pressure feeling in my feet when I'd wear an athletic shoe with padding...especially a new shoe. When I'd remove the shoe there was instant relief.

The third symptom which I have not discussed very often and would like to address now is the pain around the back rim of my heels. When I lay on my back...whether it be on a glass tanning bed or my nice soft bed...the back rims of my heels ache like a toothache and gets progressively worse until I remove the pressure by turning over or getting up. My right foot has an incisional scar on the back rim of the heel from my osteotomy in 2001 but this pain exsisted before and still remains the same after all these years. Additionally, doing some of the foot yoga exercises where I'm really flexing my ankle and then my toes seems to tug and aggravate that area at times.
Is this a symptom that might indicate anything in particular???

Thanks,

Jen R

Result number: 113

Message Number 262774

ISMST Research Meeting Jan 22 View Thread
Posted by scott r on 1/13/10 at 13:44

Here is the upcoming meeting schedule:

http://heelspurs.com/eswt/ISMST-2010.pdf

Result number: 114

Message Number 262763

Re: Haglund's Deformity View Thread
Posted by Oscar Finch on 1/12/10 at 16:24

Hello. I just found out about this by Googling 'foot pain on side of heel' and found out that I have this Haglund's thing, because I have bumps on the sides/posterior heel of my feet (prominent in the right foot). I noticed it for the first time this past Christmas break. I went shopping all day with my wife, wearing new dress shoes made of a very still leather (horse leather called 'Shell Cordovan.')

So after two days of walking/shopping with my wife, I put on the same shoes to go out to a movie and noticed INTENSE pain in both heels and an inflamed bump on the heels. Since then, now all of my dress shoes bother me while at work, but only in the right heel. I can work out just fine and I have no pain at all when running or in my running shoes. I box every day and do intense workouts, but no pain at all unless I'm wearing the dress shoes at work.

So, will my pain eventually spread so that I cannot wear my running shoes either? I'm dreading that happening since I am so active. Currently I plan on finding a more comfortable shoe to wear to work and to see if the bumps go down after a month or so, then returning to work in a dress shoe. This is aggravating, especially considering it happened so suddenly!

Result number: 115

Message Number 262735

Re: Life after a subtalar fusion View Thread
Posted by KS on 1/11/10 at 16:56

Hi
I had an accident 2 years ago now and shattered my subtalar along with most of the other bones in my left foot!! At the time they didn't operate and decided to just put me in a cast for 12 weeks and hope they would fuse correctly themselves ...they didn't!! Since then I have had 3 further procedures including cleaning out the joint/removing scar tissue and also steriod injections into the joint. None of these have made any difference and my consultant has now recommended that I have a subtalar joint fusion with plates and screws. My main problem is that I can no longer walk flat on my foot ...sounds strange I know but I walk on the outside of my foot and it is impossible for me to put my foot flat on to the ground.This makes walking any distance very difficult and also is very difficult to find shoes that I can wear!! [no more heels!!] I am a teacher and a mum to 2 young very active boys, I manage on a day to day basis but am very limited to what I can do. My foot does still become very swollen and very stiff and if I have been sat for any length of time it is difficult to walk on again. I can manage however just very restricting and I am concerned about how it is going to affect me in later life, I am still only 33 and already developed arthiritis in this joint. After reading up about this op I am now concerned about how major it sounds ..I hadn't really thought about it before. How quickly have any of you been back on your feet after this op?? How active could you be after you recovered?? I used to run about 3 times a week before my accident ...any chance of ever running again?? Please there have got to be some good stories out there?? Is there any hope??Is it worth having it done??
Thanks KS

Result number: 116

Message Number 262732

Atypical sufferer figures out something helpful View Thread
Posted by cherold on 1/11/10 at 16:26

Hi, I'm one of those few people who gets a PF diagnosis but doesn't have the normal symptoms and isn't helped by the normal treatments. My pain got worse as the day progressed, being best in the morning rather than worse as in PF, the pain was not localized anyplace in particular and wrapping, physical therapy, orthotics, casts, steroid injections, stretching, acupuncture, birkenstocks, chiropracty and everything else I tried were ineffective (I did not try surgery; I believed if nothing else worked then clearly the doctors didn't understand what was really going on with my feet, and based on friends' experience, I'm glad I said no to that). The pain lessened just slightly year by year, but after a decade it was still very bad.

Recently, I had the most improvement I've had since the very early days, when three weeks of bed rest changed the pain from excruciating to terrible. I'm going to explain in detail, but basically I just changed the orientation of my feet, which stopped them from pronating, which lessened the pain markedly. What I did was very specific to my particular feet, but I am hoping the approach I used might help someone.

I'd got the idea after going to a chiropractor who did graston and active release techniques, both of which I'd seen recommended on this site by atypical PF sufferers. He worked on my calves, saying that loosening them should help, but it didn't. It did, however, vastly improve some knee pain I had developed, so he started just working to help my knees. He helped my knees so much, after a physical therapist helped so little, that I was very impressed. I didn't hold his failure to help my feet against him; no one had ever helped.

He explained my knees were rotating when I bent them because my inner thigh muscles were weak and my outer thigh muscles were tight. He gave me exercises and stretches to fix this.

He also had a couple of suggestions for my feet. One was to practice not wearing orthotics. I've had a lot of custom orthotics made (every podiatrist will look at the ones you're using and say, 'oh, no wonder your feet hurt; the ones I make you will be better and will fix it') and I wore them always, because while they didn't make the pain better, I felt they were keeping it from getting worse. But he said it might not be good to be so reliant on them. He suggested just trying to stand barefoot a few minutes a day. At first this was very uncomfortable, but it became better over time (I never wear orthotics in the house anymore).

I also talked to him about the basic problem of my feet positioning,which was duck footed (i.e. pointed outward) and pronated. I asked, couldn't I simply train myself to walk correctly. He said no, he said that was what orthotics did, but you couldn't just retrain your feet.

But I thought I'd try anyway. I do a lot of dancing, and in dance we talk a lot about 'muscle memory,' which means doing things to the point where it is automatic. Why couldn't I have 'feet memory?' As much as possible, I tried consciously to walk straight and, as I had been told once was normal, start at the heel, move the weight along the outside edge and then roll in through the ball of the feet and off the big toe (something like that). This as opposed to what I was doing, which was to simply plop my feet pretty much flat down (which resulted, as my ex-wife pointed out, in a very noisy tread).

I also thought, if I can change what my knees do through stretches and strengthening, why not do the same thing with my feet. I came up with two exercise. In one, I looped a theraband around my ankles and went from level to standing on the outside of my feet, hoping to strengthen and tighten the outer ankle muscles to hold my arches up (with hard soled shoes I didn't need the theraband; just going up on my feet edges worked the muscles). For the other exercise, I pointed my feet forward while pushing my knees inward to strengthen and tighten the inner thigh muscles.

After about a week or two of this, I realized something; if my feet were pointed forward, I did not pronate. I realized the ankle exercise wasn't even really necessary; it was all about keeping my feet more-or-less parallel.

And by tightening my thighs and being very conscious about my feet orientation, I fairly quickly changed my stance and stopped the pronation. And it helped a lot.

Notably, the pain stopped being so general. I had pain over the whole surface of the bottom of my feet, in spite of doctors' insistence that the problem was my heels. As the pain lessened, I found I actually just had certain areas that hurt - the worst was a point right behind the ball of my right foot where the big toe is and a tense area in the middle of my left foot that sometimes happened when I danced. The sore areas have been very slowly improving as well. Podiatrists would always press on a certain point where the heel meets the arch that was painful if pressed and that they said was where the PF was; now pressing there hurts not at all on my right foot and only slightly on my left.

In all the years I suffered from foot pain, in spite of a string of podiatrists I'd been seeing since childhood, no one every said, work on keeping your feet parallel (I don't keep them absolutely parallel; I don't know what is correct but I stared at a lot of people's feet and try to do what appears to be the typical stance). Yet, this was the best thing I ever did.

My feet still aren't perfect, but they're so much better. I'm tempted to find out what would happen without the orthotics, but when I go out I still wear them unless I'm wearing my Skechers shape-ups, which don't have traditional arch support, but which do press up on your arches as you walk (and are also super cushiony, something I always wished for during these years of pain). I think the left foot needs the support still (walking too long without orthotics gives me twinges in the arch) but the right one might make it. I'm not going to make any changes now; maybe I'll experiment in a year.

In short, if you are duck-footed or pigeon-toed, try figuring out how to align your feet, and move your feet, like most people do, and see if it helps. The way you align your feet is actually perfectly learnable, (I know an ex ballerina who after quitting ballet had to realign her feet from the rather duck-footed ballet stance). At this point if I stand duck footed it feels really wrong; I have achieved normalcy, or something close to it. Try it.

Result number: 117

Message Number 262549

Re: Enthesopathy View Thread
Posted by Peter on 12/31/09 at 16:21

I appreciate you writing back and have been treating it as PF I know it's hard to understand from just reading these postings also hard to explain everything. As for HLA B27 when I was tested postive, I was referred to a rheumatologist and he tried 4 different anti inflammatorys which had no affect
Naproxen 1000mg a day No Help
Meloxicam 15mg aday No Help
Celebrax 400mg a day No Help
Idomethacin 150mg a day No Help
Flector patch no help

he talked about next maybe a Disease modifying antirheumatic drugs (DMARDs)
but said they take 2-3 months to start working and have more side effects so wanted to wait to see what others said about MRI

I have no other problems only heel pain and know just having HLA B27 doesn't mean I have an arthrittis, father has arthrttis but he's 70 and brother had rheumatic fever as a kid which i don't know if that even matters, other then that nothing associated with arthrittis... Only Heel Pain

Ive had four different doctors look at MRI, Xrays, Ultrasounds and Nerve test 1 Podiatrists 2 Otherpeadic Surgeons and 1 Rheumatologist. and all I get is it's inflammed as it attaches the bone but they can't say if it's PF or Enthesopathy.

I wore a walking cast for 4-5 weeks and it didn't help at all which would make you think it's not from walking and stretching the fascia. I think it's just from putting weight on my heels and more time on them inflammes them more. This was really when I started thinking maybe not PF also have rested my feet alot over the last year and only gotten worse.

Ive researched PF for several years and understand ALL treatment and have done almost all treatments(night splints, custom orthoics, cortizone, PT, ice, Stretching, Taping, deximethazone and walking boot) have not tried ESWT PRP or Surgury, I was gonna do PRP but gonna maybe try ESWT instead.

So I' m just gonna keep up with the stretching minus wall stretches which really make it hurt more
also know I'm massaging and stretching before getting out of bed. I'm not even walking before I put shoes on in the morning, I crawl to get my shoes and put my clothes on. cause Ive treid everything else.

Thanks again for responding and Happy New Year

Result number: 118

Message Number 262530

Re: TTS Surgery - A Last Resort View Thread
Posted by kathyl on 12/30/09 at 21:21

I had this surgery April 2008. I had tried everything. Casts, injections, night splints, PT, orthotics, you name it. I went to several drs. No one could help me. I finally was introduced to a Dr. that had done this surgery. He asked many many questions. He told me that my only option was to TRY the surgery. He only gave me a 50% chance of fixing my problem. On the MRIs they didn't show what my problem was. Going by symptoms alone he decided 3 days later to attempt the surgery. When I came out of surgery I had been given a nerve block so I was in no pain. I felt great! I just knew it had worked. I was in a hard cast. The dr. came in and told me that I had 3 vericose veins that had wrapped around my tibial nerve. He released them and slightly shaved my plantar fascia so I might have more pain relief from that as well. I went home a few hours later with Percocet. Did fine with the pain. I had to stay off of my foot using a wheelchair and crutches. One week later I went back to dr. He said it was a little infected and put me in a soft cast to keep and eye on things. Sent me home with antibiotics. 3 weeks later I went back and cast was taken off and stitches removed. I was then put into a compression cast. I don't remember how long I was in that but it did help a bunch with the swelling. It still had not healed up enough to do PT. After it healed completely I did have 26 PT days. Those did help some but not enough. I was in a lot of pain off and on and unable to put pressure on it yet. It was so stiff and weak it was hard to get around still. Finally was able to walk with a shoe on with the compression cast. It took a while. I had new orthotics made hoping for some relief. No help there either. I was still having the heel pain but the shooting pains in my calf seem to have gotten a little better. After 4-5 months I went back with the same complaining of pain and the dr. said that there wasn't anything else to be done. He gave me injections into both heels but that didn't do a thing for the pain. Sometimes the pain is so bad I cannot walk. Getting up in the mornings from sleeping or from the chair after watching a little tv is so painful. Sometimes I want my crutches back to help relieve pressure of one foot. I do not sleep very well some night because the shooting pains are so painful.Nothing seemed to help. I have given up on being pain free. I gave up on my orthotics helping. I have up on drs helping. I did find some relief from a pair of shoes.....Birkenstocks! They are the only thing that I have found that has helped with the pain at all. I do wear them non stop. If I am up I have them on my feet. I get funny looks sometimes but I don't care. I know it is winter time but I just throw on a pair os socks and away I go. Good Luck.

Result number: 119

Message Number 262525

Re: cheilectomy recovery timetable? View Thread
Posted by Renee on 12/30/09 at 18:46

I just underwent my 2nd cheilectomy and osteotomy - had the R foot done about 10 months ago and now the left. I was lucky in that I had already gone through it so I knew what to expect in terms of recovery. While yes, the pain was intense the 1st 48 hours, I am now 7 days postop and hobbling around in my soft surgical shoe virtually without crutches. I will get a walking cast, as I did last time, for 6 weeks - as this is my doctor's preference for weight baring. What I want to share is that recovery is LONG and SLOW. This is normal. The foot heals this way because we cant avoid using it. It was 1 FULL year before I was able to comfortably wear a high heeled shoe after the last surgery and at least 6 month before I was able to run in a good sneaker. SO, dont' be fooled by what others or even your doctor tells you. I love and trust my doctor - but they do not tell you the reality of how long recovery is. I can tell you that my Right foot feels great - no pain, can wear 3 inch heels and stand on my tippy toes. I expect the same result with the left foot - but not until this time next year! Hope this helps.

Result number: 120

Message Number 262518

Enthesopathy View Thread
Posted by Peter on 12/30/09 at 12:47

will shockwave work for Enthesopathy

im down to it being PF or Enthesopathy my MRI showed inflammed as it attaches to the bone which is Enthesopathy but also PF MY orthopeadic surgeon who spesizles in foot and ankle says if i want to pursue it as PF then there the ones to deal with and if i want to pursue it as arthritis(Enthesopathy) then goto my rhemotoligist

Of course if I pursue it as PF they say just keep stretching which I have been for 8 months now and only getting worse. REST well ok been off work for over a year and worse too

IM HLA B27 Postive thats why thinking Enthesopathy but have no other sysytems associated with arthritis only both heels being painful

I do have morning pain typical with PF

wall stretches really make it hurt more for a while so should i keep doing them??

already tried many anti inflammatorys which don't help
done everything for PF including nite splints and walking boot w no help

thanks for any help

Peter

Result number: 121

Message Number 262512

Re: Itchy heel problem View Thread
Posted by STACY R on 12/29/09 at 22:29

I TOTALLY AGREE WITH THE HEAT POSSIBLY BEING THE CULPRIT FOR THE ITCHINESS IN THE BACK HEEL AREA, I STARTED TANNING LAST NIGHT FOR THE FIRST TIME IN A LONG TIME,GOT A LITTLE TO MUCH HEAT AND WHEN I GOT HOME AND WENT TO BED, THE BACK PART OF MY HEELS ITCHED SO BAD I COULD HARDLY STAND IT, SCRATCHED THEM SO MUCH THAT THEN THEY WERE VERY TENDER, WHEN I UNCOVERED, OR DIDNT HAVE MY HEELS DIRECTLY ON THE BED (LAYING ON MY BACK), IT SUBSIDED, I THINK IT COULD BE DUE TO NERVES!

Result number: 122

Message Number 262471

plantar faciitis and bunions View Thread
Posted by nancyr on 12/26/09 at 11:33

I have had a bunion and a tailor's bunion for a number of years that are gradually becoming worse. For the past 20 years or so I have lived in Birkenstock shoes. Last summer I began developing plantar faciitis. Now I have two problems to deal with - and finding shoes is a real problem. Birks so longer work - they hurt my heels and my big toe now have pushed over enough that it rides the ridge of birks and is uncomfortable. I have Dansko professionals that feel great for the pf, but aggravate the bunions. I have a pair of Birkenstock inserts that allow me to wear a pair of New Balance walking shoes and a pair of SAS shoes with relative comfort. How do these 2 foot problems relate to each other and what can I do to help my feet? Thanks.

Result number: 123

Message Number 262469

Re: Haglund's Deformity View Thread
Posted by Catherine on 12/26/09 at 00:41

I just want to say a little more clearly what I mean about flexible shoes. Firstly, with my flexible running shoes and my flexible backed steve maddens, I have no pain or irritation to my heels. Secondly, by flexible I mean that I can easily take the back of the shoe and bend it all the way down to the inside of the shoe. For me, it's fool-proof. Never has a shoe with a flexible back hurt my heels. Also, I still manage to have a chic shoe collection following this rule!

Result number: 124

Message Number 262468

Re: Haglund's Deformity View Thread
Posted by Catherine on 12/26/09 at 00:29

Hi all-

I'm 24 now, but I've had (self-diagnosed) Haglunds for ten or so years. The bumps on my heels bothered me for a long time, probably caused by my ridiculously high arches. At one point, during cold months, I had 7 or so pairs of shoes that I would rotate between because each irritated my feet a little differently. Then, when the heel swelling became too much, I'd wear flip flops (still winter time).

At this point in my life, I'M DEALING WITH MY HEELS AND MAKING THEM WORK. Here's what I did to get to this point. First, I stopped wearing shoes with backs for several months (spring-fall). I wanted the swelling to go down and to see if the bumps would still be there (they were, of course). Now, I only buy shoes with soft, flexible backs. I wear lots of light weight Steve Madden shoes with socks during the winter because some of their shoes have really bendable backs. For active shoes, I've found something that works! It used to be that my heels would be killing me just on my walk to the gym. Now I have some awesome New Balance light weight running shoes that have flexible backs! They're awesome! As long as I wear good socks that come up to my ankle (not those shorty socks), my heels are fine! Here's a link to them:
http://www.joesnewbalanceoutlet.com/detail.asp?style=WR790NR&s1=Froogle&s2=DF&s3=WR790NR
Or, you can search 'WR790NR.' These shoes have changed my active life. I used to hike in flip flops... not anymore!

In general, I'd say that finding the right shoes is what can make the difference. Let your heels heal. Then wear shoes with very flexible backs or no backs!

Result number: 125

Message Number 262428

Chronic heel pain View Thread
Posted by Peter on 12/21/09 at 18:46

Im suffering from severe heel pain had it for a few years but has been bad last 8 months can't be on my feet for more then a couple hours. Been to Many doctors podiatrists, orthopeadtrics surgeons and rhemotoligists all just push me to the next and don't care and cant get a diagnoises.

Recently had an MRI but they don't know, it shows inflammation but thats all they see i guess
what was the point to get one i knew it's inflammed.

Ive done almost everything Emg/Nerve test was ok ultrasounds both kinds in physical therapy and pictures of my feet but that was useless docs won't even look at that. Xrays as well

I tested positive for HLA B27 so arthrittis is an option but don't have any inflammation or pain elsewhere only in both heels but maybe Enthesopathy not sure

tried many anti inflammatorys none helped, wore walking boot for 5 weeks no help
strectching, orthodics, special shoes, nite splints

my pain is not arch pain just heel pain for being on my feet weight bearing

I do have morning pain and wear night splints, did cortizone 5-6 monthes ago maybe due again did phyiscal therapy no help

looking into platlet PRP but been a waiting game

still waiting for one of my doctors, an orthopeadtrics surgeon w Rush Medical who specializes in foot and ankle to look at my MRI but seems like he doesn't want too.

rhemotoligist says soon maybe just put me on a pian killer and let that take care it sounds like this is the only option the other docs don't even want me to make more appoinments im just at a loss.

would like to hear any other options

Result number: 126

Message Number 262304

painful heels View Thread
Posted by kkindle on 12/12/09 at 00:16

is it safe to ultrasound and what settings would you recommend

Result number: 127

Message Number 262201

PF Relief for me suprised to the root cause of it View Thread
Posted by russ h on 12/06/09 at 17:27

I use to be on this site several times a day and want to say thanks for all the great information here, great stuff and very helpful. I'm now only really on here a couple times a month.
ME.....

I'm a male 38 years old, 160lbs, and have dealt with pf/foot pain now for about 4 years.
I first started noticing about 4 years ago my feet were aching and tired more. My wife and I started buying better quality shoes like ascis, and new balance, somewhere in the 100 dollar range each. That helped a little but feet just still felt exhausted and achey. About 3 years ago my wife would get up either in the morning or middle of the night and if she got out of bed she hobbled like a 90 year old handicapped, it was just sad. She got with her chiropractor and started back/leg excercises, z coil shoes, plus changed her diet and lost a good 40 pounds. About 6 months later I started noticing my right foot hurting more and it was classic PF, if I sat for too long or first thing in the a.m. all I could do was hobble cause it hurt so bad.
I tried the back excercise my wife was doing for a couple months, z coil shoes and it helped but not real relief.
So I sought out a pod, he xrayed and said yep, you got pf. He shot me up with cortizone and had me back in 2 weeks. After swelling had gone down and foot felt fine he molded my feet for orthotics. Couple weeks later I got the orthotics in and just in time because my left foot now started to give me some problems. I wore the orthotics for a few months and noticed my right foot felt better but my left was getting worse. Saw Pod again and he hit both feet with injections (boy that laid me up a couple days). Both feet felt pretty good for a few weeks but the left came right back. Pod said no more injections he said he would have to do surgery if it didn't heal on it's own. I REFUSED to do surgery, not at my age, weight, and history of never having issues with this.
I then took on my own search for remedy.

I tried all of the following in no particular order.....

The Foot Trainer device..
Physical therapy (therapist had me do intrinsic, toe, calf,halmstring stretches and excercises..
Numerous books I bought and ordered over the internet for more stretches and excercises..
I overhauled my diet, first month, no red meat. No Help. Second month no white meat. No Help. then really got agressive, no food from Nightshade group. No Help. Upped my vitamin intake, made sure to meet and exceed daily water intake. No Help.
Now orthotics were creating more pressure on left foot and making it hurt more.
I saw a second POD and he took exrays of both, examined my heels and said my arch looked fantastic, he also didn't see alarming issues in my exrays but the sensative areas of feet resembled PF He suggested going without the orthotics and see how my feet felt. He gave me another shot in left foot which now had me at 2 in left and 2 in right. I refused to have any more in a 12 month period.
Everyday, excercises, lost about 15 pounds even though I was not really heavy for my bmi.
Tried this tart cherry juice I read about here...
Bought these pinnacle and powerstep orthotics, curbed my prescription orthotics. Slight help...
Bought a body toxin release apparatus that you soak your feet in, althought the water looked nasty, didn't really feet real relief except for a nice soak.
Rolled on ice bottles, golf balls, bought a e stim device. Nothing...
Tons and tons of shoes, from Drew, Newbalance, Asics, orthoheel and I know several others because my closet is full of em. Many gel inserts, foam inserts, etc. No help...

I can assure you if I really spent more time thinking about this I have left out other products. I know deep down I have spent thousands of dollars on products, doctors visits, etc, and up to this point the only thing I had to show for it was a dwindling bank account, barely able to make it through a ten hour shift at work, and I mean the last 3 hours was with my feet up and race home to get ice and electric stim on em. I could no longer walk with my wife who had beat her pf issues, and I had tried everything that I could find and read here and other places plus the physical therapy. At this point I was starting to see a fuzzy light, not pain mind you because my life and feet sucked but a better understanding. You see every time I would go to get a massage with my wife, the massuese would tell me, GAWD you have tight calves and hamstrings, and I said I know and I am stretching them every day, I don't know what else to do.
DING DING DING......
That is when the light went off, the last massuese told me, you need to get with a trigger point therapist and have them work on you.
I looked up trigger point therapy and read til my eyes were on fire. I also luckily found a trigger point therapist in my local area who has a buisness and wrote books, etc. I called her up told her my problems, she invited me up to her office. I was there the next week, she smashed and prodded and had me quivering on that table. Not pain mind you just tight muscles. She gave me instructions and I bought some of her instructions books and dvd, and thought what the heck, I have tried everything else I'll give it a go.
LET ME TELL YOU, with in about two weeks I had drastic improvement. But I was skeptical because I would have very small runs of less pain during my 4 years so I thought yea right we'll see what happens. I kept at it, my excercises in the books, and I started noticing less and less problems, more and more things I could do, like work a full shift with very little discomfort, walk with my wife a little.
I have now been doing this about 9 months and I feel it's time to report to you folks this story because this 9 months was far far better than any of the 4 years of hell I have been going through.

With that said, am cured yes/no, but I do know that I can go a few days without doing my excercises and I'm just fine, I can walk barefoot, I do NOT wear my orthotics, for the most part I just wear my tennis shoes and some ortho heel flip flops on occassion. If I go several days with out excercising then I will feel some tightness and very minor ache, but nothing remotely close to what I use to have.
So what's the secret, well many of you may not know what trigger point therapy is but basically it's when you have a muscle that is in spasms and it's real tight or stuck together, balled up. You go like me and do your calf stretches or hamstring stretches and you pull even harder on an allready tight balled up muscle and what do you think is going to happen. You pull harder and do more micro fiber damage to the tissue which gets inflamed and gets even tighter. I'm not trying to sell anything or be a doctor so please don't medical dictionary me with lawyer talk. But basically I have learned through this process I was doing a lot of right things but not all right and not in the right order. Instead of me just stretching my calves, pf, and hamstrings my protocal now has me start up higher in the trunk, back, pelvis, front and back, hamstrings, calves, and the big player for me on my left foot was the peronials and tibial anterior muscles, which doing calf stretches is going to do absolutely nothing to stretch or work out those muscles.
So the moral of my post is that I have found relief after spending thousands of dollars and I know several of you are like me but you have not found that light bulb yet. I'm not gonna say that a POD, PED guys/gals can't help or cure you because there are some great ones on here but, if you have exhausted all avenues and are still having the same problems, before you have surgery to release the pf from the tightness that is possibly being caused by muscles higher up the leg/back/trunk area, check into trigger point therapy and give it a go for a few weeks. If you still aren't grasping my terminology look up the nursery rhyme of something like the hip bones connected to the leg bone the leg bones connected to the shin bone, the, etc. your foot problems might be coming from higher up and repeatedly stretching em is not gonna fix ya.
Take care and hopefully somebody will get some relief with this....

Result number: 128

Message Number 262090

just a little down tonight View Thread
Posted by Julie P on 11/28/09 at 20:23

I posted a few days ago to the dr's message board about taking my orthotics out and feeling great. Well, that only lasted one day, then all the pain came back. I'm feeling very depressed with the 'damned if I do, damned if I don't' theory. The only thing I'm positive about anymore is that I'm driving my husband crazy about my feet. I eat the pain every day because I don't want to take the pain meds. My right heel is swollen every single night, then it goes down by morning. I go back to the doctor on wednesday and can ask all my questions then, but it seems like an eternity away. I still wake up every morning with absolutely no pain in either foot. I stay pain free until I put my shoes on, then it's a repeat of the day before. I walk like I'm 80 years old to make walking bearable. I'm very thankful to not be worse off then I am. I feel ashamed to whine about my painful heels after reading about those of you who are way worse off then I am. I'm just feeling down tonight, and figured I'd write on here rather then bother my husband any more tonight. I do hope you all have a good night, and that you had a wonderful Thanksgiving. I spent a wonderful Thanksgiving with our children and grandchildren.

Result number: 129

Message Number 262038

Re: Jeremy...shoe for metatarsalgia View Thread
Posted by kathrynr on 11/24/09 at 19:18

Hi Jeremy,

I guess what I most want to know is whether the Spira walker might be a good shoe to try, and if not, what you would recommend. Secondly, I guess in looking for a shoe, it would be important to understand why my feet have done so well in the SAS Freetime up until now. My hypothesis is based on what has not been working. Big althletic heels like in Nike throw me down into the forefoot and interfere with my gait. Soft cushioning like in saucony eventually feels like nothing. Highly structured controlling shoes cause arch and heel pain. Too much rise from cushioning under the metatarsal region causes pain along the outside of my foot.

Shoe wear under old SAS: In right shoe, hardly any under 1st meta, but a lot in the middle and increasing to the right of forefoot. Right bottom of heel; some in tip of big toe. Wet foot test: 3 1/2 forefoot; 1 1/4-1 1/2 arch; 2 in heel.

My profile is that I'm a walker, not a runner. I tend to walk briskly even when not exercising. I need a black shoe at least part of the time when I go to work. My problems in the metatarsals, particularly under the first, flare up occasionally over the last 20 years. Typically, it happens when I've had to be on my feet too long doing household tasks--we have stone tile. Otherwise, my feet have been good and look healthy. But I do weigh more than I used to (136, 15 lbs. more than during last 10 years), and i'm almost 50 now. Thank you.

Result number: 130

Message Number 261999

Re: Is podiatrist following right path? View Thread
Posted by Julie P on 11/22/09 at 20:40

Thank you for your response. The accessory bone that was removed was in the arch area of my left foot, I still have the one on the right foot in the same place.

I did the test I read about on here about squeezing the heel bone to see if it causes pain, it did not.

This morning I did my stretches (non weight bearing as always),I put my shoes on and bam, the pain is still there. It seriously feels like the custom insoles are way too high on the inside of my heels. The pain is unbearable, but I usually continue to wear them like I was told, all day every day. Today however, I took the insoles out and felt such relief! I wore the shoes all day with the original insoles that came in the shoes (brooks addiction) I felt wonderful! I was able to walk through the grocery store and stand to wash my dishes. My left foot had zero pain all day, the right one had one very small spot in the center of the heel that was maybe a 2 on the 0-10 scale. After the dishes were done I sat down and used my ice pack on both heels for 15 minutes (gel pack wrapped in ace bandage), I wrap my foot in this over a sock and elevate my foot while icing. As I sit here now at 8pm, I have no pain in left heel/foot, and maybe a 1 in the right heel (inner side near arch.)

I also did the wet paper test today and my foot print looks perfectly normal to me. The podiatrist said I have flat feet from looking at me standing on the floor. I'm wondering if possibly the shoes are all I need and maybe the custom insoles were made out of haste since my insurance would pay for them. I'm now second guessing whether or not one leg is actually longer then the other. This was determined by the podiatrist with a tape measure when he was measuring me for the orthotics. My right orthotic is built up a 1/4 inch higher then the left one, and it actually feels like things are ripping apart inside my inner heel & arch when I stand/walk. I do not have any back/hip/knee problems. I would think if there were a 1/4 inch leg length difference the rest of my body would know it. I've had a full body bone scan and also xrays from top of spine to bottom showing no problems except the fractured ribs.

Would the podiatrist arrange an MRI, or is that something I should ask my family dr about? The therapist did tell me the same thing in regard to pain during therapy and a stress fracture. My next appointment is Dec 2nd. I could get in sooner but I really wanted time to research everything first so I was better informed about things. I want to have faith in my podiatrist, but sometimes I think he goes too fast and doesn't really listen to me. I got the feeling that once he handed me the orthotics he thought my problems would magically go away.

Thank you for all the insight. I'm happy to have more ideas and suggestions on where/what to do next. I seriously had a wonderful day both physically and emotionally due to the lack of pain. I was finally able to be productive. I hope I didn't set myself back by doing this. At the moment I have no regrets.

Result number: 131

Message Number 261988

Re: Is podiatrist following right path? View Thread
Posted by Julie P on 11/22/09 at 01:14

In addition: he diagnosed me with heel spur syndrome. I'm assuming from all the posts on here and the pain in my heels that it is the same as PF?

Result number: 132

Message Number 261987

Is podiatrist following right path? View Thread
Posted by Julie P on 11/22/09 at 01:07

On August 27, 2009 I started a new job (retail) which required black shoes, mine were white athletic Ryka's. I bought black athletic Sketchers. They felt comfortable around the house, but from the first day on the job the pain set in. Not just pain in a certain spot, but every inch of both feet. I blamed it on the fact that I had been unemployed for 4 years and spent most of my time at my computer. I thought I would work into it, but it only got worse. After 2 weeks with the pain I got a note from my GP saying I needed to wear my white Ryka's for comfort since I had foot problems.

History: accessory bone in left foot removed in 1999 after I was kicked on it with a steel toed boot, flat feet, pronater, bilateral heels spurs. Surgery was uneventful, recover was fast and pain free. Podiatrist recommend custom orthotics, but I had no insurance so did not get them. Walked fine (pain free) until August 2009 when I got this particular job and had to be on my feet for 8 hours a day.

October 5, 2009:
Saw same podiatrist that did my surgery in 1999. I presented with heel pain, arch pain, and toe pain. Xrays came back fine except for the heels spurs which I already knew I had. Also had a bone scan done to rule out a stress fracture, which only showed the heel spurs and degenerative activity in the mid foot and ankle on both feet

Treatment thus far: anoprox (I don't take since I take motrin regularly for healing fractured ribs), cortisone shots (2 left heel, 3 right), got custom orthotics (when measured he found right leg 1/4 inch shorter then left leg.) He ordered 3 weeks of physical therapy. It was agreed between myself and therapist after 6 visits that it was not helping at all. Therapist did ultrasound therapy on left heel 3 times, that was too painful on right heel so I made her stop. Had iontophoresis on right heel 4 times. We also did calf stretches and icing.

My next podiatrist appt is on Dec 2nd. In the meantime, I am religiously doing the calf stretches and icing several times per day. The custom orthotics have done absolutely nothing to relieve my pain, in fact, they really hurt. I have absolutely no pain in the morning during first step. I can remain pain free until I put my shoes on. Once my shoes are on it's all down hill. I can not stand long enough to wash my dishes, driving hurts, and I can not walk long enough to buy grocery's.

The podiatrist released me to go back to work the day I got my orthotics, yet I could not even walk in them without severe pain. I do not understand why he would release me to go back to work with no restrictions on the same day he ordered 3 weeks of therapy.

My shoes are Brooks addiction (podiatrist recommended them) and I wear my orthotics in them. I wear my shoes most of the day regardless of the pain because he says going barefoot is bad for me, and I've been out of alignment for so long it will take time to adjust.

His next step would be a removable boot cast. I'm wondering if this is the next proper step. I'm not sure if it will help or hinder me. I'm sure he will be upset with me for stopping therapy, but it truly was only costing money with no results. If the boot doesn't help he said surgery. I said 'no surgery.'

I am confident the stretching and ice will be my cure, as I'm sure this is caused from over use after no use in years. If there is anything else I can do besides those thing please let me know. I just want to be able to walk again. Also, can I ride my stationary bike without causing more harm?

I am a 50 year old female who is overweight and is faithfully working on that problem. I know this is very long, but I wanted to put the whole story here hoping it would help you. Any advice would be greatly appreciated.

Result number: 133

Message Number 261954

Re: Welcome Back View Thread
Posted by wendyn on 11/19/09 at 23:21

John - I love your story of heelspurs withdrawal that drove you to buy a pair of orthotics!!!!

Result number: 134

Message Number 261947

Re: itchy left Heel View Thread
Posted by Harry on 11/19/09 at 18:21

This is bizarre. Clearly it has to be nerve related. Its interesting that it doesn't tend to affect people when standing. Mine is worst first thing in the morning in both heels. I've found the best scratch is the 'carpet back-drag', not very easy when at work!
Happy to donate my heels to science when I die if anyone's interested...

Result number: 135

Message Number 261899

Should I feel rushed View Thread
Posted by KFlowers on 11/12/09 at 13:29

Jeremy(?),

I've been parsing the site for awhile and finally feel I can ask a question concerning my doctor's treatment of my PF. According to my x-rays, I have plain old PF with no heelspurs, although I do have heel pain. I have always had flat feet, first off. My first podiatrist treatment was, anti-inflammatories, stretching, splints, an ankle brace, therapy, and Powerstep inserts. I was required to come back and see him every week. While custom orthotics were mentioned he spoke of them as a last resort due to the expense. But he pushed cortisone shots every visit after the first, though I personally didn't think my pain was bad enough to warrant them (besides the first time I came in). When his only answer after each visit was a cortisone shot, which I turned down each time, he offered the Bioskin ankle brace. I went to therapy a total of three times, but it became harder to schedule them due to my changing working hours. Fearing another suggestion of cortisone shots four months later and Powerstep Pros that had stopped working, I went to a new Podiatrist. His treatment suggestion is long term stretching (do it everyday for life), anti-inflammatories for four days, followed by a cortisone shot in each heel that should last up to 6 weeks, while custom orthotics are made. No mention of therapy. I'm worried that the doc is pushing the cortisone shots unnecessarily and that he may be making money off the orthotics which is why he's pushing those. (He offered to drop the price a little so that I can afford them) Does this line of treatment sound good, am I paranoid (after reading from many here that cortisone shots weren't worth it)? Or should I just listen to my doctor and stop looking a gift horse in the mouth? Thanks in advance for any advice you can give me.

Result number: 136

Message Number 261813

Re: Dr. Wedemeyer, my MRI results are in View Thread
Posted by myelverton on 11/07/09 at 17:30

Thanks for your thoughts. I'll pursue the orthopedic route and we'll see what comes of it.

My feet are feeling inflamed now (in the balls) as I've been on them a lot today, but I don't feel any heel pain. Nonetheless, I tried your test of slumping etc. and didn't feel any difference. I'll repeat it if I can get the heel pain to flare up, but I'm happy to say I rarely feel anything in my heels anymore.

I'll be back with an update when I have one.

Thanks again!

Result number: 137

Message Number 261548

Re: Valgus, Medial Foot Swelling, Tingling; Is that TTS? View Thread
Posted by Dr. Wedemeyer on 10/26/09 at 22:43

Alas we agree to disagree...I knew this day would come. Actually Dr. DSW if anyone else were to correct me I would take umbrage, but considering my deep respect for your clinical acumen (and our friendship) I decided to investigate further. Here are a couple of the studies that I found indicating heel varus in TTS:

http://www.foothyperbook.com/elective/tarsalTunnel/tarsalTunnelIntro.htm

Ciminoís review of the literature found foot deformities accounting for 19% (varus 11%, valgus 9%). Persons with planovalgus feet demonstrate abnormal electrophysiological indices; the clinical syndrome may be commoner in such persons. Bracilovic et al 2006 used MRI to measure mean tarsal tunnel volume and found that it is reduced in inversion and eversion compared with neutral positioning.

Cimino WR Tarsal Tunnel Syndrome: review of the Literature. Foot Ankle 1990 11(1):47-52.

This study actually bolsters your position, at least from a treatment perspective but it does show what I was taught, that heel varus is a large factor:

http://journals.lww.com/corr/Abstract/1983/12000/Tarsal_Tunnel_Syndrome.26.aspx

In 14 patients tarsal tunnel syndrome was associated with varus heels and pronated, splayed forefeet. Review of the literature and the author's experience suggest that these conditions may be a common cause of the tarsal tunnel syndrome. Treatment of fixed varus deformities of the heel by outer heel wedges has been shown to be ineffective. Although outer heel wedges provide symptomatic relief in patients with relatively flexible hindfeet, surgical release of the flexor retinaculum behind the medial malleolus is the treatment of choice in patients who have the tarsal tunnel syndrome with planovarus deformity and is successful in more than 90% of cases.

I shall investigate further but perhaps since I treat often from a more conservative fashion as a pedorthist I was taught somewhat differently (and don't take this the wrong way, I am well aware that you treat conservatively as well)? Most of the mechanical TTS that I treat is flexible with a compensated forefoot valgus/rearfoot varus.

We can discuss this over a Philly Cheese Steak on day when I am in town...

Result number: 138

Message Number 261493

Re: "Bauer bump" View Thread
Posted by Michael on 10/24/09 at 21:47

This question is 9 months old but the issue is extremely common and I think quite serious. Bauer heels are simply unhealthy for certain foot anatomy, I used the Vapor XXXX for a year and will probably pay the biggest price with heel surgery someday. If you start to get this problem switch to a skate with a heel cant that does not cause this, I went with Reebok 9K and was immediately relieved, even with the bone spur pretty well progressed.
Graf will do a custom fit for a reasonable fee, my favorite skate but with the bump it was too painful when I tried to switch to them before the 9K.

Result number: 139

Message Number 261485

Heel Pain View Thread
Posted by Luke on 10/24/09 at 01:51

Hi, about 4 months ago I jumped off a 7ft loft and hurt both of my feet. I have not been able to walk since then. Most of the pain is in my heels. I have been to the doctor once and he said it was scar tissue that was causing the pain and making it hard for me to walk.
The doctor that I went to said my feet should have been better by now, so not sure what I should do next.

Result number: 140

Message Number 261484

Heel Pain View Thread
Posted by Luke on 10/24/09 at 01:50

Hi, about 4 months ago I jumped off a 7ft loft and hurt both of my feet. I have not been able to walk since then. Most of the pain is in my heels. I have been to the doctor once and he said it was scar tissue that was causing the pain and making it hard for me to walk.
The doctor that I went to said my feet should have been better by now, so not sure what I should do next.

Result number: 141

Message Number 261399

Why do my feet burn so bad? View Thread
Posted by spin70 on 10/19/09 at 22:45

Hi,
I have had extreme pain in both of my feet in the heels and the balls of my feet but the pain is alot worse in my left foot. I am a type 1 Diabetic for 28 years and with that in mind I went to my diabetic specialist and was sent to get nerve testing in both of my feet and the results were negative. I don't have any other symptoms of diabetic neuropothy. My doctor told me he doesn't think its a diabetic issue either.I have gone to 2 different podiatrist and all they want to do is sell me insoles. I asked for a MRI so I am scheduled for one on the 26th. I would appriciate any opinions or incite.

Thanks Spencer

Result number: 142

Message Number 261336

My Doctors are lazy View Thread
Posted by Spin70 on 10/16/09 at 23:54

I am so happy that I finally found a sight like this one, I have had a burning feeling in both of my feet (In the heels and the balls of my feet)and after a short time of standing my heels start aching. I don't notice any pain when I am in bed but within 15 minutes of being out of bed my feet hurt like hell.I work 3 twelve hour shifts standing mostly on concrete and by the third day I am in the worst mood because of the pain.I am a type 1 diabetic. I was tested by a neurologist and he said that I had hardly any noticeable damage (Thank God, even though my feet hurt I want to keep them)I also spoke to my diabetic specialist and he didn't think my problem was caused by diabetes either. I have gone to 2 different podiatrist and the first one looked at me long enough to tell me he thought I had plantar fasciitis and I needed to buy his $400.00 insoles. So I went to another podiatrist and he didn't think that I had PF but I should still buy his $400.00 insoles. After talikng to him twice I told him that I wanted an MRI and he got pissed at me because I have an opinion, I told him about research I have been doing on TTS and he didnt like that at all.In short the Doctors I have seen this far have been lazy and unwilling to even X-ray or volunteer a MRI. This sight is great and I have learned that a few people in here have tried acupuncture with success so that is my next appt. I would appriciate any advice you would be willing to give..

Thanks Spin

Result number: 143

Message Number 261260

Re: from pf to a nascent bunion and hammertoe View Thread
Posted by cwk on 10/12/09 at 23:43

Thanks for the clear message. I have two questions. Is there a specific type of supportive shoe or set of characteristics which guards against bunion progression? Or does any shoe with ample toe room and reasonably supportive midsole fit the bill? - I infer ballet flats and spike heels are out.

Second ?- Are there any exercises I can do to strengthen the peroneus longus tendon? I have high arches which pronate slightly but do not flatten out when full weight bearing.

Thanks so much,
CWK

Result number: 144

Message Number 261145

Re: plantar fascia release surgery View Thread
Posted by jaf on 10/07/09 at 22:35

I just hope this will work for me, my feet hurt 24/7 it has nothing to do with when you first get up in the morning, they ache and burn all the time, I've had splints, orthotics, stretches,shock wave thearpy,shots,nothing helps and the more I walk the worse it gets almost unbearable, and its not my heels its the middle of my feet, so maybe it will work. Doctors say I have PF and Tendinitis.

Result number: 145

Message Number 261071

Re: Earth Shoes View Thread
Posted by andy l on 10/05/09 at 15:47

I've been wearing negative heel shoes for a month or so, and my PF is all but gone. Most people make the mistake of not wearing their inserts when they try new types of shoes, but I was sure to put my uber-supportive Birkenstock inserts in and man do they feel great! Whenever I wear shoes that elevate my heels the pain increases dramatically! I tried MBT's too and they were a good but not great. For what it's worth my negative heel shoes are not earths. Mine are made by Boost. As per my PT's advice, I've been exercising a lot (it is blood flow after all that heals injuries) stretching constantly, taking alleve before bed, wearing a stretch sock and losing weight. So far so good!

Result number: 146

Message Number 261068

Re: hallux rigidus View Thread
Posted by Karen on 10/05/09 at 14:14

Hi, Did you get a fusion? Has your gait changed. Are you walking the same way or are you dragging your foot or limping? I know high heels are out after surgery. Thanks.

Result number: 147

Message Number 261064

Re: New to orthotics, is pain normal? View Thread
Posted by JoG on 10/05/09 at 12:36

That is interesting. The pain relief from wearing fitflops was immense, I cannot tell you, from wearing them all summer. All my pain disappeared completely. They were lifesavers and enabled me to walk literally, I should imagine, hundreds of kilometres, as I walk about 2.5km per day. Now that I am back wearing my Camper shoes, the pain came back, and I am keen to prevent it from recurring as badly as it did last winter. I was lucky, and did have removable soles in my shoes, as suggested in the earlier post, and it has been better the past two days, but I still have pain at the back of my heel on the inside and also on both outer edges of my feet. I never wear high heels. My other shoes are Timberland Boots (not walking types, long boots with a low heel), flat Campers (which I know I cannot wear now for some time, sadly), and sturdy Camper walking shoes. I do have some North Face walking shoes - these gave me terrible pain last year also - as well as being deeply unfashionable(!), but I did wear them for months in a bid to make it all better.

The Fitflop clogs are great. I did consider, but have decided against, the MBTs. I know you say to throw them away but when faced with pain or no pain, that is a hard decision to make!

I live in a major city and there are really few good shoe shops here...

Result number: 148

Message Number 261057

Re: Another Cortisone question View Thread
Posted by Jen R on 10/05/09 at 07:08

Allen,

I had a similar experience with cortisone injections. However, as one of the scenarios that Dr. Wander mentioned, my doctor actually told me that he would hit the heel bone and then pull back to give the injection. Despite the fact he told me that I'd have to discomfort, both heels swelled and I had a tough time walking for several days. Needless to say...with all due respect to Dr. Wander...I would be extremely hesitant to get cortisone injected straight into the bottom of my heels again.

One obvious difference with mine was that the swelling and pain was immediate and subsided gradually only after icing and resting for several days.

Good luck,

Jen R

Result number: 149

Message Number 261031

Re: Another Cortisone question View Thread
Posted by AllenF on 10/04/09 at 07:23

William,

The rules of this particular message board 'ask the foot doctors' state that we must keep conversations between us on a different board so i'll repost on the pf board and we can talk there. Or if you want you can email me at fleck670 at hotmail.com. Just put something like heelspurs in the title so i know it is not junk mail. We may be able to learn from each other if our conditions are similar.

Allen

Result number: 150

Message Number 260962

heelspurs View Thread
Posted by rosalie s on 9/30/09 at 14:19

how can i get releif of pain without sugery

Result number: 151

Message Number 260918

Where to go from here??? View Thread
Posted by Mandy on 9/29/09 at 09:29

Ok so I have had Shockwave therapy(March 2008) and then I had tarsal tunnel surgery on both of my feet (sept 2008 and Dec 2008) and then I just had a bi-lateral endoscopic plantar faciotomy in July 2009. I am still having heel pain. Actually I never had heel pain in the mornings when I first get up until after this last surgery, now I do. I still have the same pain as before when I walk and stand for awhile. Iíve had the orthodics( the custom $400 ones), heel cups etc. I was just at the doctor yesterday and he said he does not want to refer me to pain management but he is not sure if there is anything else he can do for me, but maybe make me better orthodics. I can not accept this. I am 29 years old and I refuse to give up my favorite things and going places with my friends because my heels hurt. I am so frustrated. Does anyone have any suggestions or ideas?

Result number: 152

Message Number 260912

Re: Metarsalgia Capsulitis View Thread
Posted by L on 9/28/09 at 22:12

I had the same thing (pain in ball of left foot and second toe)caused by very tight toe boxes in my new work shoes. Pod said ice, rest and anti-inflammatories, but the BEST relief was in going to get orthodic insoles. Shane's Foot Comfort Center in Shoreline, WA knew just how to relieve the joint pressure. Lady there stretched my shoes (conditioned them too), and with no sales pressure at all had me try on some BioSole-Gel; self-forming orthodics. When I walked in them I felt instant (but not total- not yet) relief. She then fitted some arch supports too and cut the insoles to fit my foot. Wow. And she explained my injury better than the Pod.
GET ORHOTODIC INSOLES. DON'T WEAR HEELS OR SHOES TIGHT IN THE TOE BOX OR AROUND THE BALL OF THE FOOT. GET GOOD ARCH SUPPORT (the support she gave me isn't exactly in the arch of my foot- seems up higher which alleviated the pressure). Don't know exactly what she did but my feet are much happier.

Result number: 153

Message Number 260897

Re: Go, go Obama!!!!! Obama wins stricter stance on nuclear weapons at UN!!!! View Thread
Posted by Rick R on 9/28/09 at 15:17

Marie,

Is there an entity on our planet that you trust to disarm? Would you trust Bush to disarm if he was in charge of our country? If I could click my heels and make all WMD's go away I'd even wear the ruby slippers. I agree with Margret Thatcher's assertion that you cannot uninvent the technology.

Rick

Result number: 154

Message Number 260888

Re: TTS, post surgical pain View Thread
Posted by Dottie on 9/28/09 at 02:14

When I told my podiatrist that I was offered a wheelchair from American Airlines during a trip in August and I refused it because I was embarrassed, he just kinda shook his head. He pretty much said if you need it, you need it. I ended up sitting on the floor at a busy airport and it was more embarrassing than having someone push me in a wheelchair.

I can't speak for what is true for everybody but if the choice is staying home doing nothing and having the ability to be part of something fun that you enjoy -- yes, in a wheelchair -- then I would say get the chair and get out there to enjoy the festival. When I had my right foot operated on, I was still kinda down from the left foot surgery. I bought this contraption called a Rollator. It is a walker with a seat. It has wheels and a hand brake. I had a rented wheelchair for in the house but I needed a walker of some sort for my doctor visits. I bought both my regular walker and the Rollator from www.specialtymedicalsupply.com since they seemed to have pretty good prices.

Hope this helps!

Result number: 155

Message Number 260867

Re: TTS, post surgical pain View Thread
Posted by Dottie on 9/26/09 at 11:27

Wow, Vernie...sounds like you are suffering the curses of the damned! It sucks and I know exactly how you feel. That burning is the worst, isn't it? For a while after my surgeries, I did not have the burning but it came back as bad as ever. Actually, all the symptoms came back and the pain is progressing at a steady pace just like it was doing before my surgeries. Sometimes I wonder if just getting the damn things removed would be the only answer. But with my luck, I would get phantom pain syndrome. One of my grandfathers lost his arm in WWI and he had terrible pain in an arm that no longer existed. Nerves are tricky things, I guess.

After my first surgery (TTS and plantar fasciitis releases), I ended up with a mass of scar tissue in my arch. During the re-do of the left foot, the surgeon got all that scar tissue out. Still hurts.

I feel sometimes like an actor in a play. My role is to be cheerful, friendly and upbeat because nobody can see from my outside appearance that I am DYING inside from the pain. I sometimes want to scream and scream....then scream some more. But I don't. I smile and try to be the person I was ten years ago. The woman I was before the neuropathy made every waking moment torture. Heck, I dream that I am walking on glass or fire....I suppose because even in my sleep I am in pain.

I was reading your posts in the rocker shoe area. I bet all of us have a collection of 'failed shoes.' After I gave all my old work shoes to charity (all my pretty heels...sigh), I bought an assortment of 'Mary Janes' that I hoped would be suitable for work (I worked at a bank) or a night out with my fella. I never could get my orthotic to fit correctly in anything except my New Balance tennie, however.

I have been on this neuropathy roller coaster for almost ten years. As the pain progressed, I had to increase my meds. I used to be afraid and, well, even ashamed of being on pain meds. My primary care doctor always reassures me. I've been seeing him for nearly 20 years so he knows me totally. Pain medication was created to be used. If you are monitored regularly, are not taking more than what is prescribed, and not 'doctor shopping' to get more drugs, you are OK. There is a difference between getting a tolerance and being addicted. I read in one of the gossip rags that Nicole Richie took up to 50 Vicodin a day during her addiction. That tiny thing?!? Now THAT is addicted. That is having a dealer somewhere to hook you up with bags of the stuff. THAT IS NOT YOU AND ME. We are in pain and we are patients. My doc said 'if I can give you a needed medication that allows you to function, have some measure of relief and be able to take care of your daily activities, then I will do that for you.' I must see him every three months. After my terrible reactions to the various anti-depressants, I was left with a sleep disorder akin to narcolepsy. I became a person who couldn't sleep at night but would pass out suddenly in her soup! So all sedating medications became suspect. Doc tried to cut my Neurontin back to 1-600mg 3x a day. Over a period of several weeks my pain got to a point that I wanted to die. I am now back to 2-600mg Neurontin 3x a day...with the instruction that I can take more if necessary up to the max for me of nine pills during a 24 hour period. I take the pain pills up to four times a day. Rather than wait to be in misery, I just take the pain pill with the Neurontin at regular times every day. Yes, Neurontin makes you forgetful. But (here I go again) so does fibromyalgia. It is called 'fibro-fog.' The more I read your story, the more your story sounds like mine and the more I wonder if you possibly have fibromyalgia in addition to the rest.

This is the hand we were dealt and we don't have any choice but to make the best of it. Don't let anybody minimize how you feel. It is not just 'tired feet.' It is real and it is disabling. And anybody who says anything different does not have it like we do.

Hugs!!!!

Result number: 156

Message Number 260855

Heel pain with spasm in my foot View Thread
Posted by vicki p on 9/25/09 at 20:16

I have pain in both my heels and arches. my right foot has more pain and I walk with a limp. I have seen many doctors and had all conservative treatments. I also want to mention on my right foot when my pain is at it's worse my 2nd 3rd 4th and 5th toe go into a spasm. They bend over. I can bring them up but they just go down again. Also when my foot is in a spasm I feel tingling and numbness. I have had an emg and everything came back normal. I went to this physical Medicine doctor who does ultrasound with needle. He thinks I have 2 problems with my right foot. He thinks I have tarsal tunnel and plantar fascists. He wants me to have this procedure where he will inject lidicane with saline solution. Have you heard of this procedure. I would love to hear your opionion of this.

Result number: 157

Message Number 260854

Heel pain with spasm in my foot View Thread
Posted by vicki p on 9/25/09 at 20:16

I have pain in both my heels and arches. my right foot has more pain and I walk with a limp. I have seen many doctors and had all conservative treatments. I also want to mention on my right foot when my pain is at it's worse my 2nd 3rd 4th and 5th toe go into a spasm. They bend over. I can bring them up but they just go down again. Also when my foot is in a spasm I feel tingling and numbness. I have had an emg and everything came back normal. I went to this physical Medicine doctor who does ultrasound with needle. He thinks I have 2 problems with my right foot. He thinks I have tarsal tunnel and plantar fascists. He wants me to have this procedure where he will inject lidicane with saline solution. Have you heard of this procedure. I would love to hear your opionion of this.

Result number: 158

Message Number 260839

Completely new to plantar fasciitis and heel spurs. Need advice! View Thread
Posted by Lexi on 9/24/09 at 22:50

I have had unbearable heel pain (right foot) for a couple of months now. Prior to that as well as now, I have constant pain in my arches and heels. I went to a DPM yesterday and he determined I had a type of callus and he shaved it. He gave me inserts, exercises, told me to use ice, and said to take Medrol.
I have constant severe back pain in my lower and middle back and am wondering if it is related to my feet. I know they go hand in hand. I have somewhat flat arches.
Today he called in Ultram, so I am taking that along with all of the other above mentioned treatments. I am in HUGE pain and am just curious how long it will take until these things work together and allow me to have at least some relief? I'm only 36 years old and have 2 daughters to take care of so I can not be hurting this bad!! I do understand it will take time to heel my feet. But at what point should I be concerned or ask for additional help, treatment?
I hurt badly every day of my life and it is making me so irritable!!
I am completely open to any and all advice, suggestions, criticism, etc!!

Result number: 159

Message Number 260756

Dr. Scholls Machine in Walmart View Thread
Posted by donnan on 9/22/09 at 12:02

I have seen a couple of commercials on TV for the interactive Dr. Scholl's Kiosk that does foot mapping to help you find the best Dr. Scholl's orthotic insole for your problems.
So on Saturday I happen to run across one of these machines in Walmart.
My foot was killing me because I have had PF for at least 5 years now with very little relief so I pulled off my New Balance and custom orthotic and tried this machine out. I ran the test 3 times. Once with socks and twice without socks. Not sure why but with socks it suggested a slightly different insole but both barefoot test gave the same suggestion. When I looked at the insoles themselves they were very soft and smooth on the top side and appeared very cushiony. Not stiff at all. Since these insoles were $49.95 I had to do some thinking on the subject but the next day I returned and purchased a pair. I wore them all Sunday and they were very comfortable and my feet didn't hurt so I decided to try them out for a full day at work Monday. My feet didn't hurt!
Today is my second full day at work on these things and it is amazing that my feet aren't hurting. I am not sure what to think of this because they are more comfortable than any of my regular orthotics and been, they seem to be just high enough in my arch to support without being so high that they bruise. My heels are not killing me because they are especially cushioned in that area. I am a large lady and not light on my feet so I do have discomfort just because of pressure as well as my PF and heel spur but I have to say that if these feel this good in a week I am going back for a second pair for my other shoes.
I am enclosing a link so you can see what I am talking about in case you haven't heard of this and I am not saying this will be the cure but so far it has made my life more comfortable and that is a big thing in my book.

Result number: 160

Message Number 260602

Re: Haglund's Deformity View Thread
Posted by Nancy on 9/15/09 at 19:21

I would like information on ESWT, please. Have had three opinions to have the surgery from three major ortho firms here in Memphis. All want to perform the surgery and do not want me to do any rehab. Owner of my company has a friend and surgeon who left as a partner with one of these firms and got me in with him. We are using nitro glycerin patches on the heels of the feet for 12 hours at night and a gel cream twice a day. Started therapy this morning, nothing aggressive, once a day, but already after doing the rehab this morning, my day was far less pain free and was more mobile. About two days after beginning the nitro patches, the decrease of pain was incredible. If anyone needs this information, please use it and good luck. Would be happy to give my doctor's name.

Result number: 161

Message Number 260443

Re: Mephisto Sano vs. MBT View Thread
Posted by Jeremy L, C Ped on 9/08/09 at 20:33

From your description, it sounds like you need to be exceptionally choosy in your footwear. As you've already likely discovered, most mass produced shoes are not made for your foot mechanics. Those with excess dorsiflexion (above 25-degrees ROM) are among those who I vehemently urge to stay away from SACH-heeled products, like MBT's. The super soft heels actually cause foot of these individuals to aggressively dorsiflex at heel strike. No wonder you hurt from wearing them.

Mephisto's Sano is a well made shoe. I'm not sure I would make it my first suggestion for you, based on how firm the sole is.

Although I don't often recommend these shoes, the athletic models from Earth are worth consideration for you. The last shape should adequately mimic your foot, plus the 3.7-degree negative heel will help place your foot into a position where it can more effectively traverse a normal gait path. The Vapor and Glide are models to consider.

Result number: 162

Message Number 260432

Re: foot pain View Thread
Posted by Patty H on 9/08/09 at 14:41

I am having a lot of pain in the heels of my feet that radiates up the back of my foot. I am having a very difficult time being on my feet for a short period of time. Could this be heel spurs?

Result number: 163

Message Number 260419

Mephisto Sano vs. MBT View Thread
Posted by robertcarol on 9/08/09 at 10:30

My DPM suggested I try MBTs. I hit very hard on my heels and my gait cycle is too fast. I have bi-lat PF and narrow feet w/ average arch height. Unlike the 'typical' case of PF, I actually over-dorsiflex. DPM thought MBTs would also help strengthen my feet and relieve heel pressure. BUT the MBTs are causing me some knee pain and tenderness on the sides of my ankles and even some pain on the undersides of my heels. I have worn them 'gradually,' as suggested. Been wearing Merrill clogs during most of my PF bout -- tried other shoes to no avail. I saw that Mephisto has a rocker sole shoe -- Sano Escape. Might these be better for me? How do they differ from the MBTs? Thank you.

Result number: 164

Message Number 260326

Re: heelspur View Thread
Posted by Jeremy L, C Ped on 9/03/09 at 20:10

No, a heelspur will not cause knee problems. However, among certain biomechanical profiles, gait abnormalities can lead to heel and knee pain concurrently.

Result number: 165

Message Number 260324

heelspur View Thread
Posted by maria on 9/03/09 at 20:03

does heelspur also cost you to have knee problems

Result number: 166

Message Number 260264

Re: Most Calm Place On Earth View Thread
Posted by marie:) on 9/01/09 at 16:15

Sounds like a great spot for a heelspurs politico meet up. We'll all be so calm and cold we won't be discussing politics. Instead we'll be looking at the stars. :) Thanks for the interesting post.

Result number: 167

Message Number 260245

Foot is a train wreck View Thread
Posted by BobK on 9/01/09 at 06:21

I fell on my heels accidentally about a year ago, barefoot on a hard floor, but was able to wear soft gel cups in my running shoes and continue to run marathons. The right heel hurt a lot halfway through a marathon in March and so I decided to have it evaluated.
An orthopedic surgeon took an xray, which showed no fracture but a heel spur. He gave me a cortisone injection and fitted me for orthotics, which I wore. Ran a marathon, which he said I could, but the heel did not improve. Gave me a second cortisone injection into the heel, which helped for a week. Continued to run, thinking it was merely a bone bruise, but it didnít heal.

With all the icing, stretching, ultrasound, wheel massaging, the HTP heel inserts, and taping, the heel seems to be almost better. But I wanted a second opinion, so I visited a DPM last week and agreed to have an MRI, which I had on Saturday. He said I could run a few miles, after he put some foam inserts into my shoes.

The MRI results:
1. Severe plantar fascitis with a tear in it. 2. Infraction of the calcaneus without macro fracture. 3.
Heel spur. 4. Peroneus longus tendon tear, high grade, could rupture. 5.
Peroneus brevis tear ---- your foot in lay person's terms is a train wreck.
'Findings may predispose to
impringement of Baxter's nerve (lateral plantar nerve)'

In hindsight, I guess I should not have run at all after the March injury. The DPM wants to make me a new set of orthotics and formulate a game plan. I ran the past two days without pain, although the right heel feels different than the left one. I guess running a marathon in a month, which I have scheduled, is out.

Wondered if you can offer any comments about my injury and suggest any future treatment. I do want to get back into running marathons sooner or later.
Thanks,
Bob

Result number: 168

Message Number 260191

Re: I'm a little Irish View Thread
Posted by marie:) on 8/29/09 at 19:08

God Bless America! We may have different ideas but we all want the same thing..........a great America for our children. We just have different routes of getting there. Take care Heelspurs politicos! You are proof that we can enjoy disagreements and move our discussions forward!

I love my Irish heritage and am proud of our our leadership in this country.

Have a great week all!

Result number: 169

Message Number 260184

Re: Cortisone shots after two years View Thread
Posted by LindaM on 8/29/09 at 17:00

It's hard for me to measure my improvement since ESWT.

In general, my feet feel better, but there are some things that I was able to do pre-ESWT that I'm having trouble doing now. For example, I used to be able to work out on the stair master at the gym. I had gradually worked my way up to almost 45 minutes, and although my feet never felt terrific afterwards, they never seemed to get any worse either. Since ESWT, I have not been able to use any machines at the gym nor take walks without wearing airheels. I'm fortunate because I can still bike, but otherwise, I'm having trouble finding a way to enjoy the outdoors (or work out indoors properly in the bad weather).

I was hoping to find options that might not require a long recovery time. I had the ESWT done on January of this year and found that my recovery was very slow. This is why I have been exploring other alternatives.

If you think a 2nd ESWT treatment would produce good results, I may consider it again for this winter.

Thanks for your consideration, Dr. Z.

Result number: 170

Message Number 260107

Re: My feet hurt View Thread
Posted by Brenda F on 8/26/09 at 15:38

I could barely walk going in and my ankles had been swelling which I chalked up to total knee replacement and thought this was my destiny due to this and the 60lbs I had put on under 8 months(i had sought help with 2 doctors,which did not even follow protocol with this complaint,i feel like i'm walking on small pebbles).Just this first visit was almost unbelievable of my relief.I had no pain coming out from Dr.Chmielewski's(will be known as Dr C),he wrapped my foot in the middle at he pedal pulse arch with a simple wrap that looked like the clear gel for heel cushion and a light wrap that stuck together.A light wrap took the ligament up and took the pressure off the nerve and stretched the ligament enough for relief,.Dr.C did xray my feet and left foot had a small spur however surgery I avoid if possible and so does he,rare huh? Dr.C told me to keep this on feet in shoes,sitting,and elevate wearing them.I was told to ice on 20mins and off 20 as often as I could stand,and I did.Second visit I walked in normally but still had some pain and swelling.left heel stil having flair ups.Dr C wanted me to have some orthotic molded especially for me to wear.My sis had same thing and sister told me about WalkFit,could not find them anywhere.TV infomercial came on WalkFit(not to confuse with ComfortFit)for $19.95+s&h I got total relief,I wear them in shoes pretty much everything,when i can't wear them i use gel arch and now i can wear heels,not the silhouttes but the ones with some height in front to even out with the heel,so many out there that are fashionable,though I do love my sketchers and boots,I do my yard work in the soft scrubs you see the doc and nurses wear.The hosiery stockings(support)for below knee did nothing for swelling.A third doctor final gave me some water pills for the excess swelling and i take it 2x weekly.I just hope others could be as lucky to find get this doctor,word of mouth from sister and his expertise.Walkfit has lifetime warranty and 3 levels to see what you need at different times in your life.They look like hard inserts but far from it,they mold gently to your feet,just upto the arch area,enough to lift that ligament that called my condition Plantar facitis.I thought another insert not to work.Wrong.First couple of days tender but I did the stretches standing against the wall and taking step back and bending at knee to stretch the ligament.Walkfit and a good doctor,they even sent me a card afterwards to check on me,who does that personal touch anymore!!! I appreciate Dr C and his sensitive staff and outgoing positive attitude.The staff is close and informative,and they do not feel the need to pressure you into multiple expensive visits to f/up per say,for profit only,Dr C told me that up front that was to be seen,i called and gave them a good report.I hope you give Walkfit a chance they guarentee all your money back including s&h.I do hope you find a good MD if needed and good ole' healthy wisdom,products that do stand by their product and a doctor that diagnosis you so you can be an informed patient,person.Thanks for listening and informing a human in need.Walking,shopping,swimming,and exercising my body for future health and relaxation.If you get a doctor that doesn't listen to you and gaffs you off see one until you find the doctor that still communicates to you on any subject with ease.

Result number: 171

Message Number 260087

Re: To the Doctors and Pedorthists- which shoe brands do you feel offer the best design/support for the money? View Thread
Posted by Jeremy L, C Ped on 8/25/09 at 21:40

Ed, does that mean you'll be attending the grand Heelspurs gala at the conference?

Result number: 172

Message Number 260017

help for plantar fasciitis View Thread
Posted by RickP on 8/23/09 at 12:45

I have lurked for a few months on this board as I have suffered with PF. I found this place while Googling PF. There are some very good people here with a wealth of knowledge and experience. I'd still be in constant pain if it wasn't for this board.

From past experience with my podiatrist, I knew what he would tell me, 'good, stable, supportive shoes', so I went in search of them on my own without consulting him. A friendly shoe salesman turned me on to the Walk-Fit Phase IV arch support. It helped somewhat at first. Then I found this web site. Here I came across a recommendation for the Pinnacle Power Step insole. They also helped somewhat at first. I still wear the Pinnacle insole nearly every day and have a couple of pairs of them in different thicknesses. I still use the Walk-Fit every other day or so, especially in shoes that are not that supportive.

I started with New Balance shoes. The lower-numbered models and the higher-numbered models don't work for me as well as the 500, 600 and 700 series shoes. Every foot is different, every arch is different, every solution is unique. I have found Saucony to be the most comfortable shoe for me and Avia to be the most stable and supportive. I no longer wear good (and very expensive) dress shoes, only athletic shoes, and New Balance and Adidas hiking boots.

But the best advice I have found here is daily taping. I can't emphasize this enough. It took me a while to find the taping section here. And I didn't get it right the first few times I tried. I start with the basic 3 strips as described in the web pages on the subject. But I then add 4 more strips, 2 lengthwise on the plantar surface, and one across the arch and around the top of the foot and one across the heel and up either side. I tape first thing in the morning and leave it on until the next morning then re-tape after showering. I no longer wake up and dread that first step in the morning since I have been leaving the tape on overnight. I use athletic training tape and, unlike plastic or latex adhesive tape, it does not appear to irritate my sensitive skin like a normal bandage would.

I made these modifications after speaking with 3 friends who took their PF to 3 different podiatrists. There were all heavily taped, both on the plantar surfaces and around the arches and heels, and told to leave the tape on for at least a week. They all are now pain-free and one is running again. My Pilates instructor overcame PF several years ago . . . she was also taped heavily and instructed to leave it on.

I am a 60-yr old weekend warrior (hiking, biking, tennis, skiing, running, now walking), diagnosed 23 yrs ago with diabetes which is now under excellent control, recently lost 30 lbs (from 228 to 198).

Result number: 173
Searching file 25

Message Number 259805

MD or DPM for PF diagnosis? View Thread
Posted by BobK on 8/18/09 at 07:25

Dear Doctors,

Thanks very much for your information regarding stair stretching. The medical study quoted seems to offer non-biased results that show that passive stretching is better than stair stretching. I noted it was published in 2006. I am surprised that so many still recommend the stair stretch.

I have a question regarding your recommendation to see an orthopedic surgeon or a DPM. In March I visited a friend who is a sports medicine orthopedic surgeon. He took an x-ray, which showed a heel spur; watched me run; and recommended custom orthotics (which I purchased and which definitely reduced my overpronation). He thought I had a heel bruise and perhaps PF. He gave me a cortisone injection and told me that I could run in a few days and that I would not need to see him again. I began to run a few days later but the pain returned eventually. I called him and asked him if I could run in our local marathon (26 mi) in May. He said OK to that and that the worst outcome would be a severing of the fascia, which is what is done in surgery anyway and that would take care of my problem. I ran the marathon and then had a second cortisone injection from him, which worked for about a week. I resumed running with mild pain, which eventually got so bad that I stopped all running in the middle of June and began to research the problem. All this time I thought that my problem was merely a heel bruise from an accidental fall on my heels, which happened in July of 2008. However I eventually began to think that I might have PF.

In hindsight I regret having had those injections and having been told to commence running so soon. I hope that the injections did not damage the heel fat pad.

I have an appointment in September with the MD who made the video on stair stretching. However I spoke with a patient of his who has been stair stretching for six months without any improvement and has had PF now for two years. I also am thinking about seeing a DPM who is a runner.

At this point, I am looking for an accurate diagnosis, which may require an MRI or ultrasound. My condition seems to be improving weekly but I want to resume running and then return to running marathons. I do all the recommended therapies: roller wheel, taping, ultrasound, ice bath, nightsplint, passive hand stretching, and even gentle stair stretching. My perspective is that PF offers little income when compared to a knee or hip replacement and perhaps for that reason orthopedic surgeons donít want to be bothered with it.

After reading a lot of posts on the heelspurs site, I feel that perhaps a DPM might be able to make a more accurate diagnosis of my condition. I am wondering if you would recommend me seeing the DPM who is a runner or the orthopedic surgeon who is the big name in our town for dealing with PF. I don't mean to challenge the competence of any MD by this comment: it's merely the perspective of an outsider.

Thanks for your advice.
Bob

Result number: 174

Message Number 259719

plantar fascitis surgery and sciatica View Thread
Posted by Misty on 8/15/09 at 09:49

I have had plantar fascitis pain in both heels for 8 yrs. I have also had sciatica pain for the same length of time. Four days ago I had my right foot operated on and now I am pain free in my lower back. Does that make sense? Could my back pain be caused by my plantar fascitis?

Result number: 175

Message Number 259714

Re: Ice making PF pain worse? Anyone else have this? View Thread
Posted by Travis on 8/15/09 at 04:29

Thank you so much for that reply. Its 4:02 am and i cant sleep because of this pain. The best way i can describe the pain is the 'aftershock feeling' i would have if i was hit with a baseball bat across the bottom of the foot. Maily in the heels, but also across the entire fascia. When i had diagnostic ultrasound prior to Cryosurgery the doctor told me that he could see nerve entrapment and both fascia bands definately had scar tissue. If i remember right, it was something like 6mm. I have not had any MRI's or nerve conduction tests. He also did a local anesthetic and it numbed it for a while. I never had pain relief after the Cryosurgery though. It eventually got worse. I am a Military Police and in the past few years have been standing for over 12 hours at a time especially with the added weight of a guard belt. It wasnt until very recently i read on a website that PF is also referred to as, 'policeman's foot'. I do have the classic morning pain and pain after resting coming back on my feet. Its like they try to heal a little bit and then get ripped again when i stand up. The only thing is that this is not just morning pain. It is completely non-stop level 8 pain. One thing definately worth noting is that i have spasms in my foot all the time. I took video at one point with the camera aiming down the entire arch. You can see the skin jumping all along and when i straighten my foot all the way, toes pointing downward, i get a major cramp that sticks in the arch until i pull the toes back and massage it out. I have been on Percocet for over a year now and desperately need help. I am losing my career now as well. I am currently listening to 'solfeggio' sounds on youtube that supposedly heal pain and i have no life at all. Thank you for your input doctor. It means a lot. Travis

Result number: 176

Message Number 259691

Ice making PF pain worse? Anyone else have this? View Thread
Posted by Travis on 8/14/09 at 05:03

Well, I have tried several times going back onto ice but i kept feeling like i was in more pain the rest of the day after icing. I didnt know if it was coincidence, so i have done this enough times now to know for sure that for some strange reason when i ice my heels and arches they burn like crazy an hour afterward and for the next couple days after. Icing feels like the right thing at the moment when they are throbbing and aching very badly, but it ends up hurting me more. Can anyone explain why this is? Also does anyone else have this problem? I have had severe PF going on 3 years now. I have had one cryosurgery and now getting ESWT hopefully next month. PF has ruined my ENTIRE life and is way more than just some aching first steps in the morning. It really pisses me off that people see that i can walk ok, yet cant stand in one place for more than 2 minutes without my feet lighting up in pain. They dont understand that if i am in that much pain, how come i can walk just fine. Its irritating, to try to even explain it. When standing in one place i am in severe pain and crawl over my shopping cart just about while waiting in line somehwere, trying to let some weight off my feet. PF has made me suicidal a few times. ESWT is my last ditch effort. Anyway, I just wanted to speak about the ice and if other people have had this problem. Thanks

Result number: 177

Message Number 259662

Re: Cheilectomy & Osteotomy Recovery and possible future surgery View Thread
Posted by Geoff S. on 8/12/09 at 19:14

I had a dual (bi-lateral) Cheilectomy done 7 days ago, after having annoying and painful 'Hallux Limitus' for 25 years. Yes, those first few days.....! I could not sleep at all the first night home (same day as surgery). My doctor said to 'weight bear as tolerated' after the operation. I found it easier without crutches and put most weight on the sides of my feet and heels. Seems to work OK.
I took myself to night college on the bus last night, 6 days after surgery, after gingerly putting on my runners. I was walking very slowly and had discomfort and pain most of the night afterwards and more today. I was a bit foolish to do this but I don't feel that I've done too much harm. I'll just put my feet up for a while today.
If I have any advice to offer, it's that you go to a 'sports' based orthapedic surgeon. These guys are very familiar with Halux Limitus in athletes. I also had the choice of being a private patient ($5,000 fee) and having the operation immediately or being a public patient on standby ($0.00) In my country we can pay a medical component in our taxes or can join a commercial health fund. I went for the latter and had a 9 month wait and still had my own surgeon.
All the best with your ops if you decide to go ahead with them. remember, you will most likely have great toe flexibility and no more pain.

Cheers, G

Result number: 178

Message Number 259549

Re: what can I do for this excruiating pain in my heels View Thread
Posted by Dr. Wedemeyer on 8/10/09 at 00:16

I advise you to read Scott's Book and learn from him and the others here who have suffered from Plantar Fasciitis what the causes are and potential treatments. Become informed so you can ask your doctor questions and be involved. I believe that early treatments in combination such as ice, night splints, a quality prefabricated or custom orthoses, stretching (especially Julie's foot yoga) physical medicine and having your footwear assessed early can mediate nearly any PF complaint. Time is your ally along with appropriate treatment.

Result number: 179

Message Number 259548

what can I do for this excruiating pain in my heels View Thread
Posted by tonysgrlaz on 8/09/09 at 22:55

I've had pain in my heels for a while now. Finally went to the Dr., sent me for xrays, it showed plantar calcaneal spurs in both heels. I'm assuming that means heel spurs. Dr. doesn't tell me anything. I called him back complaining of pain and the office assist. told me what the xrays showed and told me their not 'bad enough' to do anything about. How can that be, I can't even walk. I can't even touch my feet or around the heel area without crying. How bad do they have to be without them doing something for me? I called back again requesting an appt. with a podiatrist..he said oh no, you'll have to make another appt, with the Dr. and he'll decide what to do from there. So it's wait, wait wait. Meantime I bought inserts and they don't even work, the pain is incredible. I keep getting cramps in my calf's from walking on my toes and muscle spasms in my feet. Please help, what can I do?

Result number: 180

Message Number 259541

Re: Question to your response Dr. Ed and other Doctors View Thread
Posted by BrianPK on 8/09/09 at 18:45

Dr Ed,

By definition when a nerve is cut a stump neuroma is created. If someone were to give ma a better than 95% chance of success I probably would take it. The published rates on neuratectomys were documented on a heelspurs thread. http://heel.server327.com/bbs/bbt.cgi?n=170374.

A failed removal would be a crushing experience resulting in a 'changed life' of pain & disability.

As I move forward I am looking for the 'right surgeon'. Anyone reading these posts please respond with names of surgeons that have tremendously high success rates. My pain is grating but I refuse to move in a path that could cause greater disability.

Thanks everyone for your opinions, they are important and respected.

Result number: 181

Message Number 259533

Re: Is it TSS? View Thread
Posted by V.B on 8/09/09 at 15:19

Well I have TSS in both feet and yours sounds like they hurt in just your heels.I have all kinds of shoe's and can't wear most any of them.and the shots did not help me at all. So I hope you don't.let us know good luck god bless you.bye for now V.B

Result number: 182

Message Number 259499

Re: Government Option in Health Care View Thread
Posted by marie:) on 8/08/09 at 13:19

It'll be similar to what they have in Congress. Stop with all the hysteria already. ;) Basically the goal is protect current benefits while offering people who are uninsured a choice for public options. Medicare is a government run option. If you don't like government run health care turn in your card and go it on your own. It's all going to be ok. It may not be perfect but it has to happen and I have no doubt that all the yelling has done is to cause Dems to dig their heels in. They only need 51 votes in the Senate for it to pass. They have it now. Republicans can work with them so they have a place at the table or they can shout them out of the room.....ending the discussion now. Either way....we'll have health care reform.

Result number: 183

Message Number 259402

Re: plantar fasciitis, heel spur, who knows View Thread
Posted by MBeck on 8/05/09 at 10:48

Guys as you explore the site you will find that the best advice is: whatever works for you. Everyone is kinda flying blind because of all the different forces that are exerted on the foot. Scotts book on pf will give you alot of potential therapies. The challenge is you have to discover for yourself which ones work for you. There is a good section in his book on how heelspurs are not necessarily the cause of the pain. BEST

Result number: 184

Message Number 259372

Arch Support View Thread
Posted by MBeck on 8/04/09 at 13:29

Come and gone from this highly informative site a few times. But it always 'pulls me back in', as Al Pacino would say. Does anyone have a suggestion for the best moldable orthotic. Was in a hard orthotic that supported my arch but seemed to screw up back etc.

I'm looking for the best over the counter moldable insert. I am currently wearing the heelspurs insoles but it's not quiet high enough.

I need support but not an entirely plastic contraption; that was too intense. I think something moldable would be the ticket.

Thanks for help.

Result number: 185

Message Number 259307

Re: stair stretching for PF View Thread
Posted by Julie on 8/02/09 at 02:17

It isn't a different stretch, but there is a difference of opinion regarding it. The Heel Pain Book does recommend the hanging-off-the-stair stretch, as follows:

'Standing with the balls of the feet on an edge like a step and lowering the heels is probably the best and easiest method....and you can see your flexibilty increase after a minute or two.'

This is the opinion of the author of the book. Dr DSW and Dr Wedemeyer have a different opinion and caution strongly against the stretch, as I do, for the reason that I gave: you are asking injured tissue to bear your entire body weight in a position that is extremely difficult to control. (My area of expertise is 20-odd years of teaching yoga and training yoga teachers.)

It would be a particularly dangerous exercise for you to attempt, Rebecca. As you already have a severe PF tear and have had several cortisone injections you would be risking complete rupture.
.

Result number: 186

Message Number 259305

heel discomfort View Thread
Posted by Kelli W on 8/01/09 at 22:36

I have discomfort in both of my heels, it's not what I would call painful but aching, numbness, and I can't tolerated any pressure on my heels. For example I can't sleep on my back unless I float my heels with pillows. I wake up multiple times in the night because of this discomfort and roll to my side or stomach so I can go back to sleep. I also have some kind of lump in the arch of both foot about the size of a pea. It feels like it's attached to the plantar facsia tendon. I don't have any pain from this and I have fairly high arches. Any ideas on what is causing my heel discomfort, it seems to be getting progressively worse??

Result number: 187

Message Number 259200

Re: stair stretching for PF View Thread
Posted by Julie on 7/28/09 at 09:51


Hello and thanks, Dr DSW. You are not wrong: I rarely post at heelspurs any more, but I do still look in, and if I can contribute usefully in my area of knowledge, I'm happy to. The stair stretch is a particular bete noir of mine as it is of yours (I started campaigning against it here ten years ago) so I lose no opportunity to say what I think about it.

It's a caution that I think needs constant repeating, since since new people are arriving at heelspurs all the time, and many will have been advised to do the stair exercise.

Result number: 188

Message Number 259142

Re: Hyperpronation surgery? View Thread
Posted by Dr. Wedemeyer on 7/26/09 at 17:46

Carla

I can commiserate your frustration, I was a patient once as well. Dr. DSW wrote something that everyone considering this surgery should be aware of:

http://heel.server327.com/bbs/bbv.cgi?n=259120

I trust and value his surgical opinion and have seen many patients with implants who still require orthoses and appropriate footwear. That said implants, like orthoses, ESWT, Topaz etc are all treatments and all treatments have successes and failures, cheers and jeers. They have limitations and should as Dr. DSW has stated 'The HyProCure implant can work very well in the correct patient'. I would bet the Dr. would agree to any surgery being subject to the same caveat.

You wrote 'You CAN'T wear sandals, heels, or any other nice shoe with them'. This is not true Carla and the type of shoe primarily being worn by the patient is an important part of the selection and design process for the orthoses that I dispense. SOME shoes and manufacturers are strictly not well designed for in-shoe devices. High heels are typically out yes, but some patients can wear them for short periods of time, it really depends. They are of course completely inappropriate for orthotics (and foot health in general...sorry)

There are myriad companies offering shoes, sandals, clogs etc. that either have the depth to accommodate custom orthoses, many sandal manufacturers (NAOT comes to mind have removable beds) and are stylish and not very expensive. The trick is in finding a Certified Pedorthist (CPed) who can help you with your selection choices. I also recommend you research the doctor prescribing your devices and if he/she does not place an emphasis on biomechanics, have them write a script that a CPed can fill (hopefully the one who helps you with your shoe selection).

Try the ABC website search for a CPed:

http://www.abcop.org

Good luck

Result number: 189

Message Number 259136

Re: Hyperpronation surgery? View Thread
Posted by Carla R on 7/26/09 at 16:07

I did absolutely everything there is in order to 'cure'my hyperpronation.
I used orthotics since I was 4 and guess what, I still have Hyperpronation.
It is very frustration to see that 22 years later there's still nothing that can actually fix it. Orthotics are not just expensive, they work only while you are wearing them. It drives me nuts when a MD indicates them, because it's out of the question as a solution especially for women. You CAN'T wear sandals, heels, or any other nice shoe with them. Also, when you are barefoot you feet will still look misshaped. Didn't anyone thought about the self stem aspect of it? How hard it can be for a girl to wear ugly shoes, or how uncomfortable it can be wearing closed shoes in a hot burning summer day ?
I personally wish medicine could focus on a treatment that could 'cure it'. Everything that is out there will not solve the problem.
I also would love to see an agreement between the doctors regarding the treatment. It's so hard to get a second opinion, you might need a third or fourth, and you'll still won't be completely sure. I had a MBA implant put on my feet last year. The surgery was fine, post op was OK. Six months after, I can't move my right feet side to side without any pain, I don't feel comfortable on my heels anymore, and my feet still look bad. I can't walk in the beach because it is not a flat surface,it hurts. The doctor I saw last Friday want to remove them and put me back on orthotics. Do I really want to spend 4 weeks recovering again, and now without any hope ? Where can I find a Doctor that is reliable ?

Result number: 190

Message Number 259091

Painful Feet View Thread
Posted by Ter on 7/24/09 at 18:32

I am experiencing chronic pain in my heels and have been diagnoised with PF. I am wondering if acupunture works or helps with this problem. Also, can people go on disability because of it? I am asking because my job requires me to be on my feet for part of the day and it has been extremely painful for me.
Thank you.

Result number: 191

Message Number 259090

Re: Time off after ESWT View Thread
Posted by Denise B on 7/24/09 at 18:29

As long as time she can get. I work on concrete too.
I had ESWT in 2005. I was out for 3 months, because that is all the time I was allowed without losing my job.
I still wrap my heels daily because I'm afraid the PF will come back.
Soon as I come home I put my feet on a heating pad and the little pain that I have disappears. My foot doctor told me I will not be 100% until I retire. I still have 15 more years.
I wish your wife luck. She needs to stay off her feet as much as possible after the ESWT.

Result number: 192

Message Number 258953

Re: itchy left Heel View Thread
Posted by Wendy on 7/20/09 at 04:13

Amy,
I'd love to know if your therapy is working or anything else!!
I have the exact problem as eveyone else, and here I am at 4-5 am searching to find out why my itchy heels are keeping me awake!!!
It is disturbing to see that no one has found a diagnosis or any relief.

Result number: 193

Message Number 258792

Re: Finn vs. Orthotic? View Thread
Posted by Jeremy L, C Ped on 7/12/09 at 08:18

Here are some things to consider:

1. Flip flops, even those that have credible construction to them, alter gait mechanics. This commonly includes everting the heel and additional force to the great toe. For some in combination, these can lead to the mechanical forces causing medial heel pain. Those with chronic heel pain should relegate this footwear type to occassional, rather than primary, wear.

2. There are certain biomechanical profiles who do not appropriately respond to simply adding material under the arch. Often, it's more appropriate to reduce excess heel motion at the point of contact. This requires either/both prescription contouring of the heel cup on an orthotic and a deeper heel seat. Even if this is done, wearing shoes with an open back does not fully allow this strategy to have its desired results.

3. Chaco and Finn Comfort are almost opposite sole configurations. Finns have a very broad midfoot characteristic, and often work well with flaqtter foot types. Chacos are highly aggressive in their lateral arch shape, and is one of the reasons their products often require a modest break-in schedule.

Here are some strategies you may want to employ:

a. If you HAVE to wear flip flips, wear them occassionally. Wear something more substantial, or at the very least with an enclosed heel, for primary footwear. There are plenty of sandal types that have enclosed heels and are orthotic friendly. The brand I most often turn to for patients is Kumfs, and all their sandal designs are orthotic friendly. They are also substantially less expensive than Finns, but offer very similar quality standards. If you choose one of their 'M' sandals (like Marina), be sure to also order the forepart inlay, that takes up the forefoot space not filled by your partial length orthotics.

b. Your Chacos, like all sport shoes/sandals, compress with time. Being admittedly overweight, it's reasonable that you've smooshed down a good portion of the open cell rubber that the Chaco footbed is made of. Replacing them will likely help.

c. Get over your athletic shoe bias. Sometimes, when conditions are acute, it's necessary to use the support and protection characteristics of athletic shoes to get a patient 'over the hump'. It's not that you will likely need to go to this type of footwear from now on, but you will very likely benefit from wearing an appropriately fit/constructed athletic model for a relatively short duration.

Best wishes for a full recovery.

Result number: 194

Message Number 258741

Re: question about heel spur surgery View Thread
Posted by Kavita on 7/08/09 at 20:05

Hello Dr.,

I was diagnised with heel spur in october 2007 and was given steroid injection and some pain killers. at the same time my podiatrist suggested me to use orthotics which I got customised as suggested by him. I use orthotics in my sneakers. But the problem is that I use sneakers when I go out wherein I am mostly at home.

Secondly, last year I was pregnant with twins and happen to put to weight during pregnancy and haven't been able to pull down so much. I am 5'5' and weigh 160 pounds, which is more for my height. I want to exercise but due to the severe pain in my heels I cannot exercise and as days are passing the pain is getting worst.

I am going for physical therapy too. so far I had 4 sessions of the therapy but it doesn't seem to be working.

I pain is so severe that now I want to get rid of it asap. Under this pressure I am thinking of going for surgery.

I would like to know if surgery will help. and thru surgery if i get my spur removed, what are possibilities that the spur won't grow again.

your suggestion on this is requested. I will appreciate if u can email me on katsp26 at hotmail.com
thanking you,
kavita

Result number: 195

Message Number 258699

Re: Marathon runner with plantar fasciitis View Thread
Posted by John K on 7/07/09 at 16:55

Take up swimming or the bike. If you keep bashing your heels and feet you are going to keep hurting. I have had PF for 20 years. Now I can just barely walk around the store.

Result number: 196

Message Number 258693

Re: 681 View Thread
Posted by Stacy on 7/07/09 at 13:34

How would the integrety be evaluated. I do not have drop foot or any muscle weakness. I am able to stand on my toes and heels. Is that what you mean?

Result number: 197

Message Number 258663

Re: long term heel pain View Thread
Posted by KATHY on 7/06/09 at 17:51

YOUR STORY SOUNDS LIKE MINE, ONLY I HAD SPURS TAKEN OUT OF MY HEELS 8 MONTHS AGO AND HAVE NEVER BEEN IN SO MUCH PAIN IN MY LIFE. THE DOCTOR NEVER OFFERED SHOCK TREATMENTS JUST JUMPED RIGHT INTO SURGERY, AND MY ADVICE TO YOU, DO NOT HAVE SURGERY. I HAD TO GO BACK TO WORK, IN A WAREHOUSE, ON LIGHT DUTY, DUE TO THE SEVER PAIN I AM STILL IN. I HAVE SEEN 2 DOCS AND HAVE THEM BOTH STUMPED ON WHY I STILL CAN'T WALK. ON MY WAY TO DOC NUMBER 3. TAKE MY ADVICE AND DO NOT HAVE SURGERY ON YOUR FEET.

Result number: 198

Message Number 258629

Painful front edge of three quarter length orthotics View Thread
Posted by christinek on 7/05/09 at 07:31

They have a poron extension of 3mm thickness, very slightly tapered. To fill in the rest of the sole, I cut out from an ordinary poron insole the remaining quarter, so that effectively I have a full length orthotic, otherwise it feels horrible.

Nevertheless, the front edge of the orthotics dig into my feet (which are sensitive), and the pain continues after removing the shoes; in fact, it's constant at the moment. It's how I imagine you would feel after wearing high heels for hours on end.

My podiatrist says it shouldn't be happening. I can't be the only person to experience this, though, so I wondered if there was something simple I could do to make the orthotics more comfortable.

Thanks for any ideas.

Result number: 199

Message Number 258624

Optical scanners View Thread
Posted by Dr. Ed on 7/04/09 at 16:29

I received a response from Dr. Huppin. As Dr. Wedemeyer aptly pointed out, the issue remains with the inability to adequately capture the heel contours:

'Yes, I had the TomCat in my office for a couple months. They were kind enough to let me evaluate it at no charge.

TomCat is a very good company with a not so great scanner. There are three big problems with the TomCat scanner:
1. Image does not capture the posterior heel
2. Ergonomically difficult to position the foot
3. Encourages weight-bearing of the foot on the plate

Kevin, the owner, is a very nice guy who has built a good company. He knows my concerns and tells me they are working on it. I would love to see Tomcat develop a better scanner because they have by far the best support infrastructure in the industry. Even more, I would love to see Tomcat purchase or partner with Veriscan or Sharp Shape. That would be a winning combination.

Hope all is well Eddie. Feel free to put this up on heelspurs.com if you wish.

Larry'

From Larry Huppin, DPM

Result number: 200

Message Number 258458

Re: horrible pain in my heels View Thread
Posted by Dr. DSW on 6/29/09 at 06:24

I would recommend a foot/ankle specialist

Result number: 201

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