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Gotta do something...

Posted by Pat M. on 6/17/00 at 09:10 (021952)

I went to the mall yesterday. 1 hour and a half. Spent most of that time sitting (eating, watching the kids in the toy store, etc.) still was ready to ask for help to get out. This is my first real experience with this much pain. I feel better this morning (emotionally). I cried on hubby's shoulder for a while. He has decided that there must really be something wrong with me. Turns out that there are two people at work going through the same thing. One didn't even realize what it was until my husband started talking about me at work. Now he is going to pod and trying to get help. I sent him this web site address. Hope he uses it.
In the mean time, I gotta do something. I don't want to get completely down. More rest is in order and I think I'll ask my PCP for a referral to an orthapedist (sp?) instead of the POD I am seeing now.
Thanks for all your info. and support. Heading off to breakfast now, and then some swimming pool action. Have a nice and pain free day everyone.
Pat M.

Re: Gotta do something...

Steve P on 6/17/00 at 18:15 (021969)

Pat --- I agree that it's time for an Orthopedist. I never liked the fact that your Pod gave you a shot right off the bat. Stick a fork in him......he's done.
Review your program with the Orthopedist. I believe that you're already using a nightsplint, but are you on an anti-inflammatory (NSAID), & have you been evaluated for orthotics? Are you doing regular home massages & ice treatments? Ask your Ortho about these things & also see if he'll prescribe a few weeks of physical therapy (typically ultrasound, electric stim & some exercises). None of these are magic, but the whole combination can be helpful.
From reading some of your previous posts, I feel that you don't have a comprehensive enough program going for you. If you're going to get rid of this --- or at least make major progress -- before school starts again, you've got to switch into higher gear. I also think an anti-depressant could help (ask your GP).
Steve

Re: Gotta do something...Steve

Pat M. on 6/17/00 at 19:39 (021977)

I have been trying some of the things at home that I have learned on this board. Most of these steps for helping have never been mentioned at the doctors office.
Yes, I have begun icing and gentle massage. I generally do this at night when I know that resting is not going to be interupted. The doc prescribed ibuprofen (600 mg 4 times a day), but it seemed to really upset my stomach. I still take it, but in a lower dosage. Twice a day. When I asked for something that might be a little easier on the stomach he said there was nothing else I could take. The icing and massage does help for a while. The splints not at all. I am still using them though. No barefooting for me either.
Thanks for the encouragement about the ortho. I just don't know if the pcp will go for it. You know with my insurance (HMO) I have to be referred. After what Dr. Z said about the constant pain in the heel, I feel that the facture might be something else to look into.
Now have pain on the top of my foot, too. Maybe I'm just falling apart at 42. They say life begins at 40, but........

Still wonder if a soft cast or walking boot might help? Any comments.

Thanks
Pat M.


Re: Gotta do something...

Stephanie S. on 6/17/00 at 21:35 (021987)

Might I just throw this out there?? I think you have every
right to 'demand' to see another specialist...whether it be
an ortho-surgeon or pod. Whichever you decide will be of best
help for you.
I do understand your frustration with the pcp thing. I had an
insurance change at the beginning of the year...therefore I could
not go back to the ortho-surgeon without seeing the pcp first.
So..I make this appt with the pcp...in my mind...a wasted appt...
just wanted my referral. Well, guess what? Out of all doc's he's
been the greatest. He said he didn't see any need to send me back..
he felt like he could treat me...go figure. This pcp could not
get over that I had been diagnosed by ' just pushing on the heel'.
Couldn't believe I had not been x-rayed ...or further test ordered.

He ..I must say...was much more concerned about my feet and what
was going on with them than the ortho-surgeon. I look at it this
way...maybe PF isn't a really big deal to these surgeons. They
see much worse stuff...I don't know. He just acted like...I would
be cured in less than 8 weeks. WRONG!!

Scott ..in case your reading this...I'm talking about 'Doogie
Howser'...you'll know who I'm referring to.

Pat...it's not in your head...if your feeling that much pain..
please get another opinion...like the others have said...there
could be more things going on than just the PF.

Wish you luck...Steph


Re: Gotta do something...

Pat M. on 6/18/00 at 08:04 (021990)

Thanks Stephanie,

I know that when I initially saw my PCP he seemed to think that I would get a lot more from the POD. He told me the things that the POD would/should do. Actually, he(the PD) hasn't done any of those things. Maybe PCP will be more understanding than the other. I hope someone is. I have heard of some of the great doctors you all have and am very envious. Of course I know that it took a while to find some of them. The problem is I don't have that luxury, because I have to stay within my network of physicians.

Has your PCP been able to help? I'm just curious.
Appreciate the advice
Pat M.


Re: Gotta do something...

mss on 6/18/00 at 13:48 (022000)

You might should get someone else to look at your feet, but it just needs to be someone good, could be pcp, ortho or podiatrist. For me it was a pod, the ortho I went to as a third opinion to make sure I was doing everything right, said 'Oh, you just have plain ole pf'. I was way past plain ole anything by the time I saw him. It just was not a real good visit when he spent 10 minutes telling me how bad the shots were, but he would go get his Harpoon if I wanted him to. The pod eventually gave me an injection, after much discussion, to see if it would help. It did not help me, but the shot was not to painful either. Your earlier question about the boot walking cast is something that did work for me. I have been out of the boot for six weeks and wearing othotics now, which has worked pretty good. I have been to central Florida theme parks for six days without much pain. I took a few days off from orthotics to mow the yard and go bowling when I got back from vacation and started having some pain. At my last appointment with pod on Thursday he reminded me that I needed to be careful and that this thing takes a while to heal. The boot got my foot well enough to try othotics and past the point where every step hurt so bad I was trying not to do any walking. Good luck with whatever you try, I bet you find something that helps!



Re: Gotta do something...

Stephanie S. on 6/18/00 at 22:10 (022026)

He did the 'Steriod shot' in the hip and ordered the bone
scan. The bone scan showed 'I have PF but showed no stress
fractures'. So that's good.

I have to say...I was going down again when I went to see
the pcp...remember only to get back to the ortho-surgeon.

Once I was given the steroid shot in the hip...it has really
..really..really helped...so much that ' I didn't feel that
I needed to see the ortho-surgeon again...not just yet'.

The PF has been tolerable ever since. Don't get me wrong...I
still have days where I over do it...but I seem to be able
to get it back under control....with the advice I read from
the board. Oh ..and the Vioxx...what a blessing it has been.

He said if I didn't get any relief from the shot to call him
back. I haven't called back...but I feel he would have been
willing to do more with me...maybe even the PT..who knows.

Change in shoes has also helped greatly. Wish you the best of
luck...I really do. Steph



Re: Encouragement

Pat M. on 6/18/00 at 23:08 (022027)

Stephanie,

This has been very encouraging. I do have a great PCP. He did seem to know more than POD. Who knows? Maybe I'll have some luck in that area. If not an ortho. Steroid shot in the hip? Was that horrible? I'm a real wimp.

Thanks and thanks,
I feel a little better after each of your posts this time.
Pat
P.S. I know the same thing doesn't always help everyone, but.....



Re: Encouragement

Stephanie S. on 6/19/00 at 10:08 (022050)

Ask the pcp about the steriod shot. Yes...I'm serious...I
took the shot in the hip...believe me it was bareable...and
it really helped me.

My pcp said it would do the same...just a different way to
travel down. I don't know...I did the cort.shot..it didn't
help but for a few days.

Your a wimp?? Wrong..I'm the wimp over here. When I took that
cort.shot in the heel..I kept saying 'I've given birth 4 times..
I can handle this'...ha ha. The doc and nurses got a real kick
out of that...but I was serious. That shot couldn't have been
quick enough for me. When he asked if I wanted the other heel
done..my answer was NO WAY!! So see..I'm the big wimp.

The shot in the hip...well...it just felt like any other shot.
Not bad at all. Promise..you can handle that one.

Ask the pcp about it. My ortho-surgeon never told me that was
another option verses the cort.shot in the heel. He acted as
if ' That was the next step'.

Let me know what happens....Stephanie S.


Re: Gotta do something...

Steve P on 6/17/00 at 18:15 (021969)

Pat --- I agree that it's time for an Orthopedist. I never liked the fact that your Pod gave you a shot right off the bat. Stick a fork in him......he's done.
Review your program with the Orthopedist. I believe that you're already using a nightsplint, but are you on an anti-inflammatory (NSAID), & have you been evaluated for orthotics? Are you doing regular home massages & ice treatments? Ask your Ortho about these things & also see if he'll prescribe a few weeks of physical therapy (typically ultrasound, electric stim & some exercises). None of these are magic, but the whole combination can be helpful.
From reading some of your previous posts, I feel that you don't have a comprehensive enough program going for you. If you're going to get rid of this --- or at least make major progress -- before school starts again, you've got to switch into higher gear. I also think an anti-depressant could help (ask your GP).
Steve

Re: Gotta do something...Steve

Pat M. on 6/17/00 at 19:39 (021977)

I have been trying some of the things at home that I have learned on this board. Most of these steps for helping have never been mentioned at the doctors office.
Yes, I have begun icing and gentle massage. I generally do this at night when I know that resting is not going to be interupted. The doc prescribed ibuprofen (600 mg 4 times a day), but it seemed to really upset my stomach. I still take it, but in a lower dosage. Twice a day. When I asked for something that might be a little easier on the stomach he said there was nothing else I could take. The icing and massage does help for a while. The splints not at all. I am still using them though. No barefooting for me either.
Thanks for the encouragement about the ortho. I just don't know if the pcp will go for it. You know with my insurance (HMO) I have to be referred. After what Dr. Z said about the constant pain in the heel, I feel that the facture might be something else to look into.
Now have pain on the top of my foot, too. Maybe I'm just falling apart at 42. They say life begins at 40, but........

Still wonder if a soft cast or walking boot might help? Any comments.

Thanks
Pat M.


Re: Gotta do something...

Stephanie S. on 6/17/00 at 21:35 (021987)

Might I just throw this out there?? I think you have every
right to 'demand' to see another specialist...whether it be
an ortho-surgeon or pod. Whichever you decide will be of best
help for you.
I do understand your frustration with the pcp thing. I had an
insurance change at the beginning of the year...therefore I could
not go back to the ortho-surgeon without seeing the pcp first.
So..I make this appt with the pcp...in my mind...a wasted appt...
just wanted my referral. Well, guess what? Out of all doc's he's
been the greatest. He said he didn't see any need to send me back..
he felt like he could treat me...go figure. This pcp could not
get over that I had been diagnosed by ' just pushing on the heel'.
Couldn't believe I had not been x-rayed ...or further test ordered.

He ..I must say...was much more concerned about my feet and what
was going on with them than the ortho-surgeon. I look at it this
way...maybe PF isn't a really big deal to these surgeons. They
see much worse stuff...I don't know. He just acted like...I would
be cured in less than 8 weeks. WRONG!!

Scott ..in case your reading this...I'm talking about 'Doogie
Howser'...you'll know who I'm referring to.

Pat...it's not in your head...if your feeling that much pain..
please get another opinion...like the others have said...there
could be more things going on than just the PF.

Wish you luck...Steph


Re: Gotta do something...

Pat M. on 6/18/00 at 08:04 (021990)

Thanks Stephanie,

I know that when I initially saw my PCP he seemed to think that I would get a lot more from the POD. He told me the things that the POD would/should do. Actually, he(the PD) hasn't done any of those things. Maybe PCP will be more understanding than the other. I hope someone is. I have heard of some of the great doctors you all have and am very envious. Of course I know that it took a while to find some of them. The problem is I don't have that luxury, because I have to stay within my network of physicians.

Has your PCP been able to help? I'm just curious.
Appreciate the advice
Pat M.


Re: Gotta do something...

mss on 6/18/00 at 13:48 (022000)

You might should get someone else to look at your feet, but it just needs to be someone good, could be pcp, ortho or podiatrist. For me it was a pod, the ortho I went to as a third opinion to make sure I was doing everything right, said 'Oh, you just have plain ole pf'. I was way past plain ole anything by the time I saw him. It just was not a real good visit when he spent 10 minutes telling me how bad the shots were, but he would go get his Harpoon if I wanted him to. The pod eventually gave me an injection, after much discussion, to see if it would help. It did not help me, but the shot was not to painful either. Your earlier question about the boot walking cast is something that did work for me. I have been out of the boot for six weeks and wearing othotics now, which has worked pretty good. I have been to central Florida theme parks for six days without much pain. I took a few days off from orthotics to mow the yard and go bowling when I got back from vacation and started having some pain. At my last appointment with pod on Thursday he reminded me that I needed to be careful and that this thing takes a while to heal. The boot got my foot well enough to try othotics and past the point where every step hurt so bad I was trying not to do any walking. Good luck with whatever you try, I bet you find something that helps!



Re: Gotta do something...

Stephanie S. on 6/18/00 at 22:10 (022026)

He did the 'Steriod shot' in the hip and ordered the bone
scan. The bone scan showed 'I have PF but showed no stress
fractures'. So that's good.

I have to say...I was going down again when I went to see
the pcp...remember only to get back to the ortho-surgeon.

Once I was given the steroid shot in the hip...it has really
..really..really helped...so much that ' I didn't feel that
I needed to see the ortho-surgeon again...not just yet'.

The PF has been tolerable ever since. Don't get me wrong...I
still have days where I over do it...but I seem to be able
to get it back under control....with the advice I read from
the board. Oh ..and the Vioxx...what a blessing it has been.

He said if I didn't get any relief from the shot to call him
back. I haven't called back...but I feel he would have been
willing to do more with me...maybe even the PT..who knows.

Change in shoes has also helped greatly. Wish you the best of
luck...I really do. Steph



Re: Encouragement

Pat M. on 6/18/00 at 23:08 (022027)

Stephanie,

This has been very encouraging. I do have a great PCP. He did seem to know more than POD. Who knows? Maybe I'll have some luck in that area. If not an ortho. Steroid shot in the hip? Was that horrible? I'm a real wimp.

Thanks and thanks,
I feel a little better after each of your posts this time.
Pat
P.S. I know the same thing doesn't always help everyone, but.....



Re: Encouragement

Stephanie S. on 6/19/00 at 10:08 (022050)

Ask the pcp about the steriod shot. Yes...I'm serious...I
took the shot in the hip...believe me it was bareable...and
it really helped me.

My pcp said it would do the same...just a different way to
travel down. I don't know...I did the cort.shot..it didn't
help but for a few days.

Your a wimp?? Wrong..I'm the wimp over here. When I took that
cort.shot in the heel..I kept saying 'I've given birth 4 times..
I can handle this'...ha ha. The doc and nurses got a real kick
out of that...but I was serious. That shot couldn't have been
quick enough for me. When he asked if I wanted the other heel
done..my answer was NO WAY!! So see..I'm the big wimp.

The shot in the hip...well...it just felt like any other shot.
Not bad at all. Promise..you can handle that one.

Ask the pcp about it. My ortho-surgeon never told me that was
another option verses the cort.shot in the heel. He acted as
if ' That was the next step'.

Let me know what happens....Stephanie S.