Home The Book Dr Articles Products Message Boards Journal Articles Search Our Surveys Surgery ESWT Dr Messages Find Good Drs video

Diagnosis of PF: It just isn't enough

Posted by Gary Kiefer, ND on 8/13/99 at 13:28 (009715)

Ok so you have a diagnosis. Lets say PF for example. What does that mean.
Ok so lets say you have a collection of symptoms consistant with the ICD-9 (International Classification of Diseases 9th Revision). That says that the diagnostic code is 728.71 Plantar fascial fibromatosis which can be either a) contracture of plantar fascia or b) plantar fascitis (tramatic). The doc writes it on the insurance form, signs it and everyone is very happy. Well, almost everyone.
The problem is our system of diagnosis, or at least our application of it. The diagnosis is not nearly as important as what is CAUSING the diagnosis.
What is causing the plantar fascia to become inflammed? Is it one thing or a combination of factors? Do our eating habits have anything to do with it? And if they do, just how much are we willing to change that? Do the OTC and prescription drugs we take cause problems? What about our use of alcohol? Are we willing to expand our inquiry beyond the foot and look at the other 99% of the body? What is our immune system doing? What about our digestion? Our nervous system? How much toxic material do we have stored in our tissues?
A diagnosis of PF, like many other diseases, is really a half hearted effort. Hopefully we will not become too attached to the diagnosis to overlook the cause.

Re: Diagnosis of PF: It just isn't enough

CrabbyAss2 on 8/15/99 at 22:36 (009785)

Well. I suppose since we go to a Podiatrist because we have severe pain in our foot, we assume a specialist in the foot/feet field is going to give us the most up to date information, correct diagnosis and the correct treatment. Are You saying that these Podiatrist should expand their information base on Plantar Fasciitis to include diet, etoh abuse, etc.. as in your posting? I feel they do not have enough scientific basis for any type of proof of how or why we get PF, or the correct treatment for it because there is a lack of further studies for PF. It seems as though all is written is stone now and everyone just accepts it. Isn't it funny, how all the MD's and pharmaceutical co.'s laughed and critized the Physician who was treating stomach ulcers with anti-biotics??? It worked and He proved it did. Now we can buy all the tagamet and zantac we can devour at the local grocery store.

Re: Diagnosis of PF: It just isn't enough

Gary Kiefer, ND on 8/16/99 at 11:31 (009799)

You are right C. A. There was scientific evidence 35 years ago that a bacteria called Helicobacter pylori (Camplobacter pylori)was responsible for many cases of stomach ulcers. The truth is that Tagamet and Zantac cost consumers $70/month and if patients do not take it they get pain. The ulcer is not cured by these drugs.
Why is all this important to people with 'PF'? What do you think the immune system is doing when the body is infected with a micro-organism? Of course, it becomes activated and sends macrophages, killer T cells, WBCs of all descriptions and Circulating Immune Complexes. If these are tired, in an unhealthy malnurished body there is a chance that these may be trigger happy and shoot their host...... in the foot.

Re: Diagnosis of PF: It just isn't enough

CA2 on 8/17/99 at 10:20 (009821)

Gary, I've been experementing with the suggestions on this board, esp. the taking in of less carbohydrates in the diet. I have stopped using sugar in so much as in coffee, cereal, mostly the sugar added by myself. And also drinking milk. Not only have I lost 12 pounds in about 3 weeks, my foot feels betters and the rash I get from who knows where is all but gone. I'm going to continue this for another 3-4 weeks then revert back to using them again. Just to see for myself if the pain in the foot returns as well as the rash. I've found this to be very fascinating. Thanks CA2- Marie

Re: Diagnosis of PF: It just isn't enough

CrabbyAss2 on 8/15/99 at 22:36 (009785)

Well. I suppose since we go to a Podiatrist because we have severe pain in our foot, we assume a specialist in the foot/feet field is going to give us the most up to date information, correct diagnosis and the correct treatment. Are You saying that these Podiatrist should expand their information base on Plantar Fasciitis to include diet, etoh abuse, etc.. as in your posting? I feel they do not have enough scientific basis for any type of proof of how or why we get PF, or the correct treatment for it because there is a lack of further studies for PF. It seems as though all is written is stone now and everyone just accepts it. Isn't it funny, how all the MD's and pharmaceutical co.'s laughed and critized the Physician who was treating stomach ulcers with anti-biotics??? It worked and He proved it did. Now we can buy all the tagamet and zantac we can devour at the local grocery store.

Re: Diagnosis of PF: It just isn't enough

Gary Kiefer, ND on 8/16/99 at 11:31 (009799)

You are right C. A. There was scientific evidence 35 years ago that a bacteria called Helicobacter pylori (Camplobacter pylori)was responsible for many cases of stomach ulcers. The truth is that Tagamet and Zantac cost consumers $70/month and if patients do not take it they get pain. The ulcer is not cured by these drugs.
Why is all this important to people with 'PF'? What do you think the immune system is doing when the body is infected with a micro-organism? Of course, it becomes activated and sends macrophages, killer T cells, WBCs of all descriptions and Circulating Immune Complexes. If these are tired, in an unhealthy malnurished body there is a chance that these may be trigger happy and shoot their host...... in the foot.

Re: Diagnosis of PF: It just isn't enough

CA2 on 8/17/99 at 10:20 (009821)

Gary, I've been experementing with the suggestions on this board, esp. the taking in of less carbohydrates in the diet. I have stopped using sugar in so much as in coffee, cereal, mostly the sugar added by myself. And also drinking milk. Not only have I lost 12 pounds in about 3 weeks, my foot feels betters and the rash I get from who knows where is all but gone. I'm going to continue this for another 3-4 weeks then revert back to using them again. Just to see for myself if the pain in the foot returns as well as the rash. I've found this to be very fascinating. Thanks CA2- Marie