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

I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Posted by Nancy S. on 8/02/00 at 12:30 (024443)

Hi all,

Today I saw a sports med. dr. who was thorough, nice, and very knowledgeable -- and who has had PF, to boot! They spent an hour and a half with me.

QUESTIONS: I had 3 PT appts. left, but he says I need a lot more and wrote a whole new script. He says I need at least 6 more wks, 2 to 3 times a week. Do you any of you PT veterans out there know what is phonopheresis? And do you know what is cryotherapy? These are being added to the massage and iontophoresis. I have no idea what they are.
I could have asked but I forgot.

BLOODWORK: Had blood drawn and he is testing for all kinds of systemic stuff. Will get results when I see him next Friday.

X-RAYS: Had full sets of x-rays done on both feet and ankles, and HE WENT OVER THEM WITH ME! I couldn't believe it. He lighted them up and showed me that my bones (except for the heel spur) look fine, show no sign of arthritis. Showed me what they would look like if I had arthritis, and it appears the bones themselves are fine. (But he is doublechecking in the bloodwork.)

TENDONITIS: From visual and manual examination, he believes my problems are all tissue/tendons -- not only the achilles but the two tendons that surround it, which apparently accounts for the ankle swelling and pain. He said, 'You have a very bad case' but I didn't mind so much because of his belief that there is probably no systemic problem. Besides, I was almost relieved to have him say it -- it's been feeling very bad, but after all this time of foot problems you begin to wonder if you're imagining it or something.
He said the achilles and ankles pain is mostly due to tissue inflammation and scarring. I said, 'What? I have scar tissue??' I didn't know, I guess I thought I'd missed that -- Special Deal, no scar tissue for Nancy! -- probably because I wasn't sure what it felt like. He said, 'You sure do -- a lot of it.' He said the only way to deal with it is deep massage, but that I'm not ready for that yet -- have to do other PT things first.

CAST: He gave me a walking aircast, so now I've joined a new club. It's for my left (PF) foot, which is worse in all ways than the right one, but the right foot tendon problems are bad enough too that he wished he could give me two casts for them both. But one at a time seems like the only realistic way to go -- it's clumsy enough to be walking in just one. If I had two, I think I'd tip over flat on my face. I'm to wear the cast at all times, day and night, except for when I shower, exercise, or ice. This thing is going to take all day, I can just see it. On and off, doing all this stuff -- and most of it not what I WANT to be doing, which is working. He said try and fit in some working and doing stuff around the house, but no long-term time on my feet for now.

PF: This was the big disappointment. He pressed on The Spot and I still have PF pain. I really thought it had receded so much that I wouldn't feel that -- but it was definite. Darn, Darn. Or 'Dim,' as my mother used to say, because she didn't want to say 'Damn.'

So it looks like I still have a longish haul ahead of me, but I have to say, I feel so much better now being under a real doctor's care, a person who is truly interested in my case and doing everything he considered possibly helpful. It's a relief, psychologically, even though I have more to go through to try to get these feet healed. I see him again next Friday, did I say that?

I dread my husband coming home and seeing me in this new leg contraption! He's been just great, but I know it discourages him to have to be doing so much of what I used to do. He's working long, hard days renovating houses and is ready to collapse when he comes home -- but he can't. Well, I guess we'll just keep working on (1) taking it one day at a time, and (2) keeping the long view as well.

Have you ever had full sets of x-rays of your ankles? Boy, was I sorry I wore one of my 1940s dresses! You get twisted every which way, it's the most exercise I've had in months. Also, if you get prescribed a walking cast, be sure to take them up on it. It's a real beauty. I feel like Darth Vader.

Ok, best to all of you,
Nancy


Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Suzi D on 8/02/00 at 12:58 (024447)

Nancy, your doctor sounds wonderful. Good for you. They are few and far between! Good luck with all your new tools. you'll be able to open a PF Museum. We can all send you stuff.

pf'ly yours,
suzi d


Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Terry on 8/02/00 at 13:14 (024448)

Nancy - Do you remember that article that Barbara referenced back on 7/26/00? It is #24035. Reread it; it is about ART and explains scar tissue very well. I wonder if that is the reason that so many of us just are having such a time getting over this. Terry

Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Rock on 8/02/00 at 15:39 (024457)

Nancy S.,

Thanks for the write up. The details are great and could help some of us understand more about PF and AT.

You were lucky to find a good sports Doc to help you deal with the sypmtoms. But, does he have a plan to help you deal with the causes ?

Yes, I know exactly what you mean about having no PF pain while walking for a week or two until the doc/pt presses 'the spot' and surprise, the tears start to 'well up' because it hurts so bad ! I suppose that is where the term 'painful scar' comes from.

Rock.


Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Beverly on 8/02/00 at 16:36 (024463)

Nancy,

I am so glad you finally got in to see a specialist. A sports med doc is one of the best ways to go.

Yes, I have had a complete set of x-rays of feet and ankles. My sports med doctor's x-ray machine was very high tech. It made the pod's machine look like something from the 50's!

You must feel very relieved to know there is no systemic disease...

I don't know anything about those other PT modalities. I am very interested. When you find out, please clue us in.

I too am asking for my PT script to be extended. My PT is sending the request to my doctor.

On my end, I am still in the same pain level when walking around, but the PT says my feet are much less squishy when she massages, and I am less tender to the touch. So, I see this as a good sign.

Good luck with the cast. You probably know I hated mine so much I gave it up as soon as I found out I didn't have a fracture and was given an option of resting carefully minus the cast.

Beverly


Re: One day at a time

Steve P on 8/02/00 at 16:42 (024464)

Nancy -- Good for you. This sounds positive! Re taking one day at a time: I think it was Snoopy who said he is no longer taking one day at a time.....he's now down to HALF a day.

Good luck...........steve


Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Nancy S. on 8/02/00 at 20:29 (024477)

Rock, apparently the cause of these other, latter-stages-of-PF tendon problems is the tightening, atrophy, and lack of flexibility that developed when I couldn't walk during PF. It's gotten so bad that basically the doctor is starting me over -- rest, along with stretching and icing, and PT, to reduce inflammation and continue the work on loosening up everything that is so tight. When all this is more under control, the doctor as well as the physical therapist will help me work on strengthening and building back my calf muscles and flexibility in them and the tendons. Or are you referring to other mysterious causes? The point for me is to reduce pain, swelling, and inflammation; get more flexible so that I don't reinjure myself with strengthening exercises (which did happen over the weekend); and then get everything strong so I can get a life again. Oh yeah, deep massage will take place at some point to get rid of the scar tissue.
We spent an hour and a half today and have the most immediate goals set and in motion. There is still plenty more to talk about and plan, each step along the way.
--Nancy

Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

JudyS on 8/02/00 at 21:19 (024480)

Nancy, I too spent over an hour at PT today and you know what? It sounds as though we're headed down the very same treatment path. And it sounds as though maybe YOUR PT is in MY PT'S brain! The words 'atrophy', 'tendonitis', 'massage','strengthing' were all heard by me today too! BOY I hope this works!

Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Nancy S. on 8/03/00 at 11:35 (024502)

Thank you all. Terry, I'd missed that article, so thanks for directing me!
My husband's reaction to the cast wasn't at all what I expected. He walked in, saw it, and said, 'Cool! You look like the guys who walked on the moon!' The cast is not easy to feel affection for, as Beverly said. I hate feeling encased. Also, I have some practicing to do to figure out the balancing act. I've already tipped over backwards twice, and it wasn't pretty.
Also, I'm supposed to keep it on all night, but it's hard as a rock and knocks into the bad ankle on my other foot. I had to take it off last night. I'll try again tonight with a pillow or towels or something, I'll have a grand old time!
--Nancy

Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Suzi D on 8/02/00 at 12:58 (024447)

Nancy, your doctor sounds wonderful. Good for you. They are few and far between! Good luck with all your new tools. you'll be able to open a PF Museum. We can all send you stuff.

pf'ly yours,
suzi d


Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Terry on 8/02/00 at 13:14 (024448)

Nancy - Do you remember that article that Barbara referenced back on 7/26/00? It is #24035. Reread it; it is about ART and explains scar tissue very well. I wonder if that is the reason that so many of us just are having such a time getting over this. Terry

Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Rock on 8/02/00 at 15:39 (024457)

Nancy S.,

Thanks for the write up. The details are great and could help some of us understand more about PF and AT.

You were lucky to find a good sports Doc to help you deal with the sypmtoms. But, does he have a plan to help you deal with the causes ?

Yes, I know exactly what you mean about having no PF pain while walking for a week or two until the doc/pt presses 'the spot' and surprise, the tears start to 'well up' because it hurts so bad ! I suppose that is where the term 'painful scar' comes from.

Rock.


Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Beverly on 8/02/00 at 16:36 (024463)

Nancy,

I am so glad you finally got in to see a specialist. A sports med doc is one of the best ways to go.

Yes, I have had a complete set of x-rays of feet and ankles. My sports med doctor's x-ray machine was very high tech. It made the pod's machine look like something from the 50's!

You must feel very relieved to know there is no systemic disease...

I don't know anything about those other PT modalities. I am very interested. When you find out, please clue us in.

I too am asking for my PT script to be extended. My PT is sending the request to my doctor.

On my end, I am still in the same pain level when walking around, but the PT says my feet are much less squishy when she massages, and I am less tender to the touch. So, I see this as a good sign.

Good luck with the cast. You probably know I hated mine so much I gave it up as soon as I found out I didn't have a fracture and was given an option of resting carefully minus the cast.

Beverly


Re: One day at a time

Steve P on 8/02/00 at 16:42 (024464)

Nancy -- Good for you. This sounds positive! Re taking one day at a time: I think it was Snoopy who said he is no longer taking one day at a time.....he's now down to HALF a day.

Good luck...........steve


Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Nancy S. on 8/02/00 at 20:29 (024477)

Rock, apparently the cause of these other, latter-stages-of-PF tendon problems is the tightening, atrophy, and lack of flexibility that developed when I couldn't walk during PF. It's gotten so bad that basically the doctor is starting me over -- rest, along with stretching and icing, and PT, to reduce inflammation and continue the work on loosening up everything that is so tight. When all this is more under control, the doctor as well as the physical therapist will help me work on strengthening and building back my calf muscles and flexibility in them and the tendons. Or are you referring to other mysterious causes? The point for me is to reduce pain, swelling, and inflammation; get more flexible so that I don't reinjure myself with strengthening exercises (which did happen over the weekend); and then get everything strong so I can get a life again. Oh yeah, deep massage will take place at some point to get rid of the scar tissue.
We spent an hour and a half today and have the most immediate goals set and in motion. There is still plenty more to talk about and plan, each step along the way.
--Nancy

Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

JudyS on 8/02/00 at 21:19 (024480)

Nancy, I too spent over an hour at PT today and you know what? It sounds as though we're headed down the very same treatment path. And it sounds as though maybe YOUR PT is in MY PT'S brain! The words 'atrophy', 'tendonitis', 'massage','strengthing' were all heard by me today too! BOY I hope this works!

Re: I wonder why I thought I'd escaped scar tissue?? A sports-med.-dr. report, and some questions

Nancy S. on 8/03/00 at 11:35 (024502)

Thank you all. Terry, I'd missed that article, so thanks for directing me!
My husband's reaction to the cast wasn't at all what I expected. He walked in, saw it, and said, 'Cool! You look like the guys who walked on the moon!' The cast is not easy to feel affection for, as Beverly said. I hate feeling encased. Also, I have some practicing to do to figure out the balancing act. I've already tipped over backwards twice, and it wasn't pretty.
Also, I'm supposed to keep it on all night, but it's hard as a rock and knocks into the bad ankle on my other foot. I had to take it off last night. I'll try again tonight with a pillow or towels or something, I'll have a grand old time!
--Nancy