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to get the shot, or not, that is the question

Posted by Dawn F on 3/26/00 at 00:00 (017852)

Hi y'all!

It's been a while since I've written. Why? Because I was feeling great and thought I was on my way to a permanent recovery! I was wrong. I've had PF in my left foot since Sept. I was doing all the recommended stuff: resting foot, no more running or long walks, insers(which were the best therapy for me). Then, one beautuful day two weeks ago, I decided to walk the mile from one end of the university to the other and wound up standing for 45 minutes at a meeting. Now I've got PF in BOTH feet and feel like a wheelchair candidate. It's depressing. My whole life is almost at a standstill. I've seen a doctor (I am not a fan of the medical establishment, so for me to see a doctor is a sign of defeat). The doctor, who had it himself a few years back, was strongly recommending the cortisone shot. I said no, and went away with a perscription for naprosyn. I'm going to try this for 3-4 weeks. My question is, should I get the shot? It seems to be a temporary relief, from what I've heard and read. However, I'm feeling desperate.

Also, can I get a night splint at a medical supply store, or is that something I need to see a podiatrist for? I am in an HMO and the family doctor would not give me a referal to a podiatrist. Should I trust the family practice doctor to give me the shot, if I do decide to have it? It seems to me I should have been sent to a podiatrist, since I have had this since Sept.

I have read the runners web pages on this and they write like this is just a temporary injury that goes away with the right treatment. On the other hand, a lot of the posts here lead me to believe that this can be chronic. Does anyone know what percentage of us are 'cured' permanently? Does getting it once predispose us to getting it over and over again? I have promised my feet not to run or take long walks for a year if they stop bothering me. This is too depressing!!!!!

I'd appreciate any thought other have on these questions.

Dawn


Re: to get the shot, or not, that is the questionRe Dawn

Laurie R on 3/26/00 at 00:00 (017854)

Hi Dawn,
First of all I am so sorry to hear you had a set back.My self I would insist on going to a Podiatrist.On the cortisone shots I had two and they did not help me at all,but if I were you I would try to see if it will help you.The way I look at it you will never know unless you try.Why won't your family doctor let you go to a Podiatrist?Yes you can also get a night splint at a medical supply store also they have them on line ,I think one place is brown med.I saw them on line when I was at that web site.I hope you feel better soon my very best to you. Laurie R

Re: to get the shot, or not, that is the question

Nancy S. on 3/26/00 at 00:00 (017859)

Hi Dawn -- My condolences on the return of (and addition to) your PF. I know what a major disappointment this must be.
I can't recall anyone on this board who got major, lasting relief from a cortisone shot. Any benefit seems to be, at best, temporary. (If I've forgotten someone who had a better experience, please let Dawn know.) Based on my own experience with a podiatrist (just one), I'm not impressed. However, I would NEVER let a family doctor give me a shot in my foot! Even though the shot did me no good, and neither did the podiatrist, at least he knew something about the foot and where and how to give the shot. If you've had PF since September and you still have not been referred to a foot specialist, I think that is ridiculous 'treatment.' I would be yelling and screaming for that referral by now. Don't let him get away with it! He's trying to save a few bucks via the HMO. I would complain to higher-ups immediately. (If I had it to do over, I would try for an ortho doc. rather than podiatrist. But I don't have any doc. now -- HMO left my state.)
Think you should get night splints, rest as much as possible while your feet are this painful, and gradually begin some stretches and strengthening exercises (lots of info. about these on the board, especially in the last few months). What kind of shoes are you wearing? (Ignore this if you said in your post -- now I've forgotten.)
Try not to worry -- it sounds as if you needed a more gradual recovery and took a sudden leap too soon. You can get back -- just take it more slowly. I believe we can get back to normal life, as long as we always stay mindful of our feet and take better care of them than we used to. Good luck to you, Dawn. --Nancy S.

Re: to get the shot, or not, that is the question

PattyS on 3/26/00 at 00:00 (017864)

Dawn,
I had my first cortisone shot 7 weeks ago. I felt immediate relief and have felt pretty good since then. If I feel any soreness it is at the end of a day in which I did a lot of walking. I do think from reading this board that i seem to be not the norm. I had no pain or discomfort with the shot and literally felt like I could run out of the office, my foot felt so good. I have had PF for 6 months and have been seen by a pod. I go back in 2 weeks for a second shot, but if my feet keep feeling so good I think I will pass. Patty

Re: to get the shot, or not, that is the question

Becky R. on 3/27/00 at 00:00 (017866)

Dawn,
Forget the shot. It is only a temporary fix if at all. It doesn't address the real problem and could cause damage to your foot. Research this board for information. Conservative treatments such as proper foot support, rest, stretching, night splints may be your best option. I tried all of those, including the shots (before I did research) with no relief. I had surgery last Wednesday. All things going well so far. Good luck.

Re: to get the shot, or not, that is the question

Stephanie S. on 3/27/00 at 00:00 (017872)

Hi Dawn. The cort.shot seems to help for some and not for others.
In my case it was a temp.pain reliever.Because of an insurance change
at the beginning of the yr...I had to see pcp again first. He still
hasn't referred me back to the ortho-surgeon...so I know how you feel
on that end. I will say this ...the pcp gave me an alternative to the
cort.shot in the heel. He said I had the option of a steriod shot in
the hip. It worked much better...and was definetly less painful. The
shot in the heel was horrific for me. Ask him about it. As far as the
night splints go...see if he can prescribed them for you. Make sure you do it right...or you'll be stuck with the bill. You know how
HMO's work. I got mine when I was seeing the ortho-surgeon. I left the
office with them...and only had to pay my co-pay. The night splints have truely helped me...especially with the morning pain...and sometimes if it's a 'bad' day...I'll get in them for a few hours. I do
believe you must wear them faithfully. It'll take a little getting used to...only because their bulky...but they are worth it. Consider
the Strassburg Sock...I think some on this board wear's those instead. And if the insurance won't pay for the nightsplints...maybe
those...their not as expensive. When you get to feeling better..don't
forget that 'promise' you made to your feet. Take care...Steph

Re: to get the shot, or not, that is the questionRe Dawn

Laurie R on 3/26/00 at 00:00 (017854)

Hi Dawn,
First of all I am so sorry to hear you had a set back.My self I would insist on going to a Podiatrist.On the cortisone shots I had two and they did not help me at all,but if I were you I would try to see if it will help you.The way I look at it you will never know unless you try.Why won't your family doctor let you go to a Podiatrist?Yes you can also get a night splint at a medical supply store also they have them on line ,I think one place is brown med.I saw them on line when I was at that web site.I hope you feel better soon my very best to you. Laurie R

Re: to get the shot, or not, that is the question

Nancy S. on 3/26/00 at 00:00 (017859)

Hi Dawn -- My condolences on the return of (and addition to) your PF. I know what a major disappointment this must be.
I can't recall anyone on this board who got major, lasting relief from a cortisone shot. Any benefit seems to be, at best, temporary. (If I've forgotten someone who had a better experience, please let Dawn know.) Based on my own experience with a podiatrist (just one), I'm not impressed. However, I would NEVER let a family doctor give me a shot in my foot! Even though the shot did me no good, and neither did the podiatrist, at least he knew something about the foot and where and how to give the shot. If you've had PF since September and you still have not been referred to a foot specialist, I think that is ridiculous 'treatment.' I would be yelling and screaming for that referral by now. Don't let him get away with it! He's trying to save a few bucks via the HMO. I would complain to higher-ups immediately. (If I had it to do over, I would try for an ortho doc. rather than podiatrist. But I don't have any doc. now -- HMO left my state.)
Think you should get night splints, rest as much as possible while your feet are this painful, and gradually begin some stretches and strengthening exercises (lots of info. about these on the board, especially in the last few months). What kind of shoes are you wearing? (Ignore this if you said in your post -- now I've forgotten.)
Try not to worry -- it sounds as if you needed a more gradual recovery and took a sudden leap too soon. You can get back -- just take it more slowly. I believe we can get back to normal life, as long as we always stay mindful of our feet and take better care of them than we used to. Good luck to you, Dawn. --Nancy S.

Re: to get the shot, or not, that is the question

PattyS on 3/26/00 at 00:00 (017864)

Dawn,
I had my first cortisone shot 7 weeks ago. I felt immediate relief and have felt pretty good since then. If I feel any soreness it is at the end of a day in which I did a lot of walking. I do think from reading this board that i seem to be not the norm. I had no pain or discomfort with the shot and literally felt like I could run out of the office, my foot felt so good. I have had PF for 6 months and have been seen by a pod. I go back in 2 weeks for a second shot, but if my feet keep feeling so good I think I will pass. Patty

Re: to get the shot, or not, that is the question

Becky R. on 3/27/00 at 00:00 (017866)

Dawn,
Forget the shot. It is only a temporary fix if at all. It doesn't address the real problem and could cause damage to your foot. Research this board for information. Conservative treatments such as proper foot support, rest, stretching, night splints may be your best option. I tried all of those, including the shots (before I did research) with no relief. I had surgery last Wednesday. All things going well so far. Good luck.

Re: to get the shot, or not, that is the question

Stephanie S. on 3/27/00 at 00:00 (017872)

Hi Dawn. The cort.shot seems to help for some and not for others.
In my case it was a temp.pain reliever.Because of an insurance change
at the beginning of the yr...I had to see pcp again first. He still
hasn't referred me back to the ortho-surgeon...so I know how you feel
on that end. I will say this ...the pcp gave me an alternative to the
cort.shot in the heel. He said I had the option of a steriod shot in
the hip. It worked much better...and was definetly less painful. The
shot in the heel was horrific for me. Ask him about it. As far as the
night splints go...see if he can prescribed them for you. Make sure you do it right...or you'll be stuck with the bill. You know how
HMO's work. I got mine when I was seeing the ortho-surgeon. I left the
office with them...and only had to pay my co-pay. The night splints have truely helped me...especially with the morning pain...and sometimes if it's a 'bad' day...I'll get in them for a few hours. I do
believe you must wear them faithfully. It'll take a little getting used to...only because their bulky...but they are worth it. Consider
the Strassburg Sock...I think some on this board wear's those instead. And if the insurance won't pay for the nightsplints...maybe
those...their not as expensive. When you get to feeling better..don't
forget that 'promise' you made to your feet. Take care...Steph