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9 Weeks Post-Ossatron

Posted by GinaC on 4/26/00 at 00:00 (019416)

Not much change to report this week; am still having pain that is less severe than before treatment. But with the current level of pain I would still need to limit my activities to make it through the day--not what I was hoping for. Am trying to be patient at the same time I feel time is 'running out.' Best wishes to all. Gina
posted to the eswt board . . . keyword: OssaTron

Re: 9 Weeks Post-Ossatron

Helen on 4/26/00 at 00:00 (019471)

I can share with Gina some frustration, although my situation seems to be worse in that for the past two weeks I have been feeling worse than before the treatment. I can't figure out why this has happened. I have switched to only orthotics and running shoes; no birkenstocks. I was much better before the treatment, and had more mobility. Now I feel quite restricted again. This is very, very distressing. I will see Dr. Galea tomorrow and ask some pointed questions.

I hope others are doing better.

Helen

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Re: 9 Weeks Post-Ossatron

Dr. Zuckerman on 4/26/00 at 00:00 (019472)

I would like to know what type of pain you had before the treatment and what kind you are having. Did you have the typical heel spur Syndrome afte sitting for any length of time and then when you got up you limped.,however you were able to improve your walking after being on your feet for some time. Is this the type of pain you had

Dr. Zuckerman

PS: I really would like to determine why alot of the ossatron patients are feeling this way or may be its just a few. I hope your are willing to discuss this with the board.
posted to the eswt board . . . keyword:


Re: 9 Weeks Post-Ossatron

Nicole V.R. on 4/26/00 at 00:00 (019473)

I am still without any improvement. I'd like to answer Dr. Zuckerman's question because I find it odd that while my pain is about the same level before treatment (meaning I have to restrict the same activities and rate the pain the same using a number scale), it is a different type of pain. I had typical PF and still experience the same symptoms (pain with the first step after sitting, etc.), but the pain Pre-Ossatron seemed more sharp and severe, now it's more constant and longer lasting. Before I could be sitting and feel sharp shooting pains in my heel occasionally, and the pain could be in any part of my heel. Now I have a dull ache on occasion while sitting, and the pain is fairly limited to the treatment area and just forward of it. Has anyone else noticed a difference in the type of pain you're experiencing?
Get well soon everyone! I'm still hopefull that the 12 week post-Ossatron posts will find us all doing better than before our treatments!
posted to the eswt board . . . keyword: OssaTron

Re: 9 Weeks Post-Ossatron

john h on 4/27/00 at 00:00 (019484)

i think many of you may be setting yourself up for disappointment by selecting 12 weeks as the mark when you expect your pain to be gone after ossatron. it may take 18 weeks or 6 months.
posted to the eswt board . . . keyword:

Re: scar tissue, nerve entrapment

alan k on 4/30/00 at 07:56 (019629)

I too am curious about the scar tissue- nerve entrapment suggestion, and would like to know more. I hope you do give the ART a try or ask Dr. Galea for more info on it. I wonder if I don't have such a nerve impingement problem.

Were you a classic pf person? Did you have classic symptoms right before ossatron or were they different? Were they different after?

thanks,

alan k
posted to the eswt board . . . keyword:


Re: scar tissue, nerve entrapment - my case anyone done EMG/nerve conduction test?

Helen on 4/30/00 at 19:41 (019673)

I don't think I was classic PF, not any more. In the early days - five or six years ago - with PF I had pain in the am. but now it is more likely to set in after I stand in the kitchen in the morning. Hard to say sometimes gets me when I first get up. As I mentioned earlier to the board, I had almost no inflammation show up when I had ultrasound over a year ago at Galea's office. I have heard this weekend via the board that I should get an EMG or nerve conduction test to determine if there is a nerve problem. Off to a specialist I guess. I am nervous about ART, as it can be very painful, and I am worried about my feet hurting afterwards. Post ossatron I had lots of ups and downs, and the past two weeks have been pretty bad. Yesterday and today I seem to be getting better again, but not back to my pre Ossatron self yet; Before the treatment I had 'stabilized' but could not run or wear anything on my back. Nor could I do much lifting. All the best.

Helen

posted to the eswt board . . . keyword:


Re: my pain and how it hits me

Helen on 4/30/00 at 19:44 (019674)

I have had so many types of pain with PF over the past six years. In the past year I would have to say that I notice after I have been walking for a while, at times the pain gets better. Today I went for a long walk and was in some pain for the first 45 minutes, but the second half of the walk the pain went away. I had no pain when I came home either. Pre Ossatron I had all different sorts of days; for weeks I would be fine, until I lifted something too heavy, or wore the 'wrong' shoes (with orthotics of course). Then I would get pain -- I think -- when I first tried to walk. Sometimes the pain wouldn't really hit me until after I had been standing in the kitchen doing things in the morning. It is the same now in that respect.

Helen

posted to the eswt board . . . keyword:


Re: scar tissue, nerve entrapment - my case anyone done EMG/nerve conduction test?

john h on 5/01/00 at 09:24 (019704)

most health professionals attribute PF symptons to inflamed fascia. There is however another school of medicine that attributes the pain of PF to the nerve that runs just under the fascia where it connects to the heel. Dr Baxter the well know orthopedic surgeon from Houston developed this theory and his treatment includes removing small wedge of fascia (1') over this nerve. at the same time he release a very small portion of the fascia. There are at least 2 doctors in my community who perform the Baxter procedure as opposed to conventional fascia release thearpy.
posted to the eswt board . . . keyword:

Re: scar tissue, nerve entrapment

john h on 5/01/00 at 09:32 (019706)

I have had EMG studies conducted by an M.D. Even if you test positive it does not mean nerve entrapment is the source of your pain. I do not think there is a gold standard for nerve entrapment short of the doctor opening up your foot and visually seeing an entrapped nerve. The test is subjective at best.
posted to the eswt board . . . keyword:

Re: scar tissue, nerve entrapment - my case anyone done EMG/nerve conduction test?

ChrisO on 5/01/00 at 18:34 (019732)

Yes, the ART can be painful the first few times but I have to say that I'm beginning to think it's worth it. There's no question in my mind that there's some slow progress for me.
posted to the eswt board . . . keyword:

Re: Thanks John - re nerve entrapment, have you tried ART therapy?

Helen on 5/01/00 at 19:15 (019739)

Thanks John. I will be cautious about doing EMG testing. What is the use of this test? Is it really showing anything? I wonder about doing Active Release Therapy - ie chiropractic deep tissue massage. Have you tried it or has anyone else and with what results? I am worried about getting a temporary increase in pain from such an aggressive treatment. I have been through that with Ossatron and don't want to see it happen again. All the best.

Helen

posted to the eswt board . . . keyword:


Re: Thanks John - re nerve entrapment, have you tried ART therapy?

ChrisO on 5/01/00 at 19:21 (019742)

re: ART - Helen, I've had five treatments so far. They don't cause MORE pain in the foot (at least not for me), rather, the treatment itself is painful the first 2 or 3 times, depending, I would suppose, on your level of problem. Now I look forward to going. The Chiro told me last week that he doesn't stop the treatments until he feels his 'athletes' can begin to minimally reintroduce their activities.
posted to the eswt board . . . keyword:

Re: Thanks John - re nerve entrapment, have you tried ART therapy?

wendyn on 5/01/00 at 20:16 (019743)

Hi Helen - I don't usually post to this board (I use the other board) but in response to your question about EMG testing...

I've had the test done, and I have to do it again at the end of May (on my hands and feet this time). The test will show if there is any problem affecting the nerve itself - and which nerve. It will not tell _why_ there is a problem.

Although the test is not a lot of fun (opinions vary from very painful to moderately uncomfortable) it can tell you a lot about what's happening in your foot.
posted to the eswt board . . . keyword:


Re: Thanks John - re nerve entrapment, have you tried ART therapy?

john h on 5/02/00 at 11:10 (019769)

the doctor who did the EMG test on me said that you should be very careful in allowing vigorous massage around the ankle area if you have nerve entrapment. he noted you could do some damage which seems to make sense to me. a couple of years ago i was doing rather well and went to a reflexologist who attacked my foot like a summo wrestler. she had me speak out the pain level she was inflecting by calling out the pain level number 1-10. I was really set back by that treatment and never again will try that. only thing i can figure is she hated men.
posted to the eswt board . . . keyword:

Re: More info on ART please? Question for Chris

Helen on 5/04/00 at 13:40 (019851)

Chris, can you please give me more information on ART? I am worried that I will feel a lot of pain after the treatment. I am concerned that I will have to not lift anything after the treatment which I can't do as I have to carry my 22 pound daughter which seems to keep me flaring up. How many treatments did it take for you to feel better? Thanks.

Helen
posted to the eswt board . . . keyword:


Re: Thanks John - now I am really confused

Helen on 5/04/00 at 13:46 (019852)

I don't know if I have nerve entrapment. Sounds like I must do a painful EMG test to find out. Maybe I should not do the ART therapy. I have booked in tomorrow for a treatment - out of desperation. But it could make me worse right?

Helen
posted to the eswt board . . . keyword:


Re: Thanks John - now I am really confused

john h on 5/05/00 at 12:55 (019906)

helen: i did not find the emg test painful. i have had one on both feet and both hands. less painful than accupuncture.
posted to the eswt board . . . keyword:

Re: 9 Weeks Post-Ossatron

Helen on 4/26/00 at 00:00 (019471)

I can share with Gina some frustration, although my situation seems to be worse in that for the past two weeks I have been feeling worse than before the treatment. I can't figure out why this has happened. I have switched to only orthotics and running shoes; no birkenstocks. I was much better before the treatment, and had more mobility. Now I feel quite restricted again. This is very, very distressing. I will see Dr. Galea tomorrow and ask some pointed questions.

I hope others are doing better.

Helen

posted to the eswt board . . . keyword:


Re: 9 Weeks Post-Ossatron

Dr. Zuckerman on 4/26/00 at 00:00 (019472)

I would like to know what type of pain you had before the treatment and what kind you are having. Did you have the typical heel spur Syndrome afte sitting for any length of time and then when you got up you limped.,however you were able to improve your walking after being on your feet for some time. Is this the type of pain you had

Dr. Zuckerman

PS: I really would like to determine why alot of the ossatron patients are feeling this way or may be its just a few. I hope your are willing to discuss this with the board.
posted to the eswt board . . . keyword:


Re: 9 Weeks Post-Ossatron

Nicole V.R. on 4/26/00 at 00:00 (019473)

I am still without any improvement. I'd like to answer Dr. Zuckerman's question because I find it odd that while my pain is about the same level before treatment (meaning I have to restrict the same activities and rate the pain the same using a number scale), it is a different type of pain. I had typical PF and still experience the same symptoms (pain with the first step after sitting, etc.), but the pain Pre-Ossatron seemed more sharp and severe, now it's more constant and longer lasting. Before I could be sitting and feel sharp shooting pains in my heel occasionally, and the pain could be in any part of my heel. Now I have a dull ache on occasion while sitting, and the pain is fairly limited to the treatment area and just forward of it. Has anyone else noticed a difference in the type of pain you're experiencing?
Get well soon everyone! I'm still hopefull that the 12 week post-Ossatron posts will find us all doing better than before our treatments!
posted to the eswt board . . . keyword: OssaTron

Re: 9 Weeks Post-Ossatron

john h on 4/27/00 at 00:00 (019484)

i think many of you may be setting yourself up for disappointment by selecting 12 weeks as the mark when you expect your pain to be gone after ossatron. it may take 18 weeks or 6 months.
posted to the eswt board . . . keyword:

Re: scar tissue, nerve entrapment

alan k on 4/30/00 at 07:56 (019629)

I too am curious about the scar tissue- nerve entrapment suggestion, and would like to know more. I hope you do give the ART a try or ask Dr. Galea for more info on it. I wonder if I don't have such a nerve impingement problem.

Were you a classic pf person? Did you have classic symptoms right before ossatron or were they different? Were they different after?

thanks,

alan k
posted to the eswt board . . . keyword:


Re: scar tissue, nerve entrapment - my case anyone done EMG/nerve conduction test?

Helen on 4/30/00 at 19:41 (019673)

I don't think I was classic PF, not any more. In the early days - five or six years ago - with PF I had pain in the am. but now it is more likely to set in after I stand in the kitchen in the morning. Hard to say sometimes gets me when I first get up. As I mentioned earlier to the board, I had almost no inflammation show up when I had ultrasound over a year ago at Galea's office. I have heard this weekend via the board that I should get an EMG or nerve conduction test to determine if there is a nerve problem. Off to a specialist I guess. I am nervous about ART, as it can be very painful, and I am worried about my feet hurting afterwards. Post ossatron I had lots of ups and downs, and the past two weeks have been pretty bad. Yesterday and today I seem to be getting better again, but not back to my pre Ossatron self yet; Before the treatment I had 'stabilized' but could not run or wear anything on my back. Nor could I do much lifting. All the best.

Helen

posted to the eswt board . . . keyword:


Re: my pain and how it hits me

Helen on 4/30/00 at 19:44 (019674)

I have had so many types of pain with PF over the past six years. In the past year I would have to say that I notice after I have been walking for a while, at times the pain gets better. Today I went for a long walk and was in some pain for the first 45 minutes, but the second half of the walk the pain went away. I had no pain when I came home either. Pre Ossatron I had all different sorts of days; for weeks I would be fine, until I lifted something too heavy, or wore the 'wrong' shoes (with orthotics of course). Then I would get pain -- I think -- when I first tried to walk. Sometimes the pain wouldn't really hit me until after I had been standing in the kitchen doing things in the morning. It is the same now in that respect.

Helen

posted to the eswt board . . . keyword:


Re: scar tissue, nerve entrapment - my case anyone done EMG/nerve conduction test?

john h on 5/01/00 at 09:24 (019704)

most health professionals attribute PF symptons to inflamed fascia. There is however another school of medicine that attributes the pain of PF to the nerve that runs just under the fascia where it connects to the heel. Dr Baxter the well know orthopedic surgeon from Houston developed this theory and his treatment includes removing small wedge of fascia (1') over this nerve. at the same time he release a very small portion of the fascia. There are at least 2 doctors in my community who perform the Baxter procedure as opposed to conventional fascia release thearpy.
posted to the eswt board . . . keyword:

Re: scar tissue, nerve entrapment

john h on 5/01/00 at 09:32 (019706)

I have had EMG studies conducted by an M.D. Even if you test positive it does not mean nerve entrapment is the source of your pain. I do not think there is a gold standard for nerve entrapment short of the doctor opening up your foot and visually seeing an entrapped nerve. The test is subjective at best.
posted to the eswt board . . . keyword:

Re: scar tissue, nerve entrapment - my case anyone done EMG/nerve conduction test?

ChrisO on 5/01/00 at 18:34 (019732)

Yes, the ART can be painful the first few times but I have to say that I'm beginning to think it's worth it. There's no question in my mind that there's some slow progress for me.
posted to the eswt board . . . keyword:

Re: Thanks John - re nerve entrapment, have you tried ART therapy?

Helen on 5/01/00 at 19:15 (019739)

Thanks John. I will be cautious about doing EMG testing. What is the use of this test? Is it really showing anything? I wonder about doing Active Release Therapy - ie chiropractic deep tissue massage. Have you tried it or has anyone else and with what results? I am worried about getting a temporary increase in pain from such an aggressive treatment. I have been through that with Ossatron and don't want to see it happen again. All the best.

Helen

posted to the eswt board . . . keyword:


Re: Thanks John - re nerve entrapment, have you tried ART therapy?

ChrisO on 5/01/00 at 19:21 (019742)

re: ART - Helen, I've had five treatments so far. They don't cause MORE pain in the foot (at least not for me), rather, the treatment itself is painful the first 2 or 3 times, depending, I would suppose, on your level of problem. Now I look forward to going. The Chiro told me last week that he doesn't stop the treatments until he feels his 'athletes' can begin to minimally reintroduce their activities.
posted to the eswt board . . . keyword:

Re: Thanks John - re nerve entrapment, have you tried ART therapy?

wendyn on 5/01/00 at 20:16 (019743)

Hi Helen - I don't usually post to this board (I use the other board) but in response to your question about EMG testing...

I've had the test done, and I have to do it again at the end of May (on my hands and feet this time). The test will show if there is any problem affecting the nerve itself - and which nerve. It will not tell _why_ there is a problem.

Although the test is not a lot of fun (opinions vary from very painful to moderately uncomfortable) it can tell you a lot about what's happening in your foot.
posted to the eswt board . . . keyword:


Re: Thanks John - re nerve entrapment, have you tried ART therapy?

john h on 5/02/00 at 11:10 (019769)

the doctor who did the EMG test on me said that you should be very careful in allowing vigorous massage around the ankle area if you have nerve entrapment. he noted you could do some damage which seems to make sense to me. a couple of years ago i was doing rather well and went to a reflexologist who attacked my foot like a summo wrestler. she had me speak out the pain level she was inflecting by calling out the pain level number 1-10. I was really set back by that treatment and never again will try that. only thing i can figure is she hated men.
posted to the eswt board . . . keyword:

Re: More info on ART please? Question for Chris

Helen on 5/04/00 at 13:40 (019851)

Chris, can you please give me more information on ART? I am worried that I will feel a lot of pain after the treatment. I am concerned that I will have to not lift anything after the treatment which I can't do as I have to carry my 22 pound daughter which seems to keep me flaring up. How many treatments did it take for you to feel better? Thanks.

Helen
posted to the eswt board . . . keyword:


Re: Thanks John - now I am really confused

Helen on 5/04/00 at 13:46 (019852)

I don't know if I have nerve entrapment. Sounds like I must do a painful EMG test to find out. Maybe I should not do the ART therapy. I have booked in tomorrow for a treatment - out of desperation. But it could make me worse right?

Helen
posted to the eswt board . . . keyword:


Re: Thanks John - now I am really confused

john h on 5/05/00 at 12:55 (019906)

helen: i did not find the emg test painful. i have had one on both feet and both hands. less painful than accupuncture.
posted to the eswt board . . . keyword: