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do i need a second opinion

Posted by Nikki S on 11/12/00 at 15:51 (032614)

have been seeing my GP in the UK for what seems like forever now with a nagging pain in the bottom of my foot. have had steroid injections, strapping applied, prescriptions for drugs that would have been cheaper to buy over the counter (!), advice to wear flat shoes, shoes with bits of bath sponge in the bottom and to carry on as normal. apparently i have not got a stress fracture because my foot is not swollen and I have this plantar faschitis thing. that is about all i have been told - i am not quite sure what this thing is apart from what i have found out myself. after all this 'treatment' I am still in as much pain as before. is this simply something i have to learn to put up with?
thanks
Nikki

Re: do i need a second opinion

Dr. Zuckerman on 11/12/00 at 16:21 (032615)

A second opinion either by another doctor or start to read Scott's online book about pf and the various treatment. An MRI may be indicated at this point to evaluation the pf and heel, ankle and especially the posteriot tibial tendon which can and will cause pf

Re: do i need a second opinion

Julie F on 11/12/00 at 17:00 (032619)

Hi Nikki

I'm in the UK too, and my experience since I've had pf is that few people have heard of it, and that even those who have it don't know what to do or whom to see about it. I would guess that very few GPs know much about it or how to deal with it beyond the more aggressive treatments (steroid injections, surgery etc).

You do need a second opinion. May I suggest that you ask your GP to refer you to a podiatrist or an orthopaedic doctor who specializes in feet. If he won't (or if the NHS waiting list is too long) could you afford to go privately? What you need is (1) a proper evaluation and diagnosis by a specialist and (2) information about how to treat yourself. 'Carry on as normal' is poor advice - the injured fascia needs rest in order to heal - but it's pretty typical, I fear. I've just been speaking on the phone to a friend of a friend who has been suffering from what sounds like pf for three months and is now in constant pain. Her GP keeps telling her 'it will go away by itself'.

Follow Dr Z's counsel and read the PF book. You will also find there are many people on this board who know a lot about PF and can help you.

All good wishes for your healing. Where are you in the UK?

Julie

Re: do i need a second opinion

Nikki S on 11/12/00 at 17:18 (032621)

Thanks to both Dr Z and Julie for their advice. This pain is really getting to me now. My job involves a lot of walking about and racing from building to building and I really am getting fed up with having to wear trainers with my suit (most becoming!) - more seriously though, I am so constantly doped up on painkillers that don't really get to the root of the pain and when people ask me when I am limping, a 'sore heel' really sounds pathetic to people who don't understand just how sore it is!
By the way, I am in Leeds, UK.
THanks again
Nikki

Re: do i need a second opinion

Anna J on 11/12/00 at 17:42 (032625)

Hi Nikki
What a coincidence - I live in Leeds as well although I am originally from London. Any more PF sufferers in Leeds?
Anna

Re: do i need a second opinion

Dr. Zuckerman on 11/12/00 at 19:32 (032632)

This is neat . The British are coming . The British are coming. If they don't come due to pf we will either come to them or have to help them cure their pf. The key to Pf is early treatment and evaluation . This is and can be a very serious over use motion just like a baseball player using his throwing arm too much or too often .

So get to the foot and ankle specialists. Read Scott's Book. There has to be some good foot and ankle specialists in your beautiful country. I had the best time of my life during my 40th Birthday when my wife took me to England as a birthday present. All I can say is that it rained alot and i still had the one of the best times of my life.

Re: do i need a second opinion

Anna J on 11/13/00 at 02:35 (032638)

Well Dr Z - talking about rain, we have been severely flooded over the last couple of weeks so nothing much has changed since you were last here! Another suggestion from my wonderful doctor was that the rain might be causing foot pain! Can some of the PF specialists in the USA not consider moving over here!

Re: Podiatry info in the UK

Donna S. on 11/13/00 at 12:46 (032659)

Dear Nikki, Anna, Julie,

I am planning to move to London in one or two years. My husband is Bristish, and would like to move back home. I'm all for it, but I'm already looking ahead at what specialities I will need when I get there. Podiatrist, dentist, etc. Hopefully my PF will be gone by the time we move, but I think I'll always need some type of pod, because of this darn high arched feet.

I did a search on UK podiatrist, and came up with the Society of Chiropodist and Podiatrist. They have a website that's pretty comprehensive. They also have a SEARCH facility for podiatrist in your
area.
The address is http://www.feetforlife.org

At the bottom of the screen there is a spot that says 'find a chiropodist' and you plug in your area. Around 14 pods came up for Leeds. You may have to interview them via telephone to find out how much experience they have had in PF, biomechanics, etc. You can also call the society directly. Also, look at the 'site at a glance' section for more info on particular foot problems.

I also looked at the online yellow pages for the London area for example to get an idea of what podiatrist were around, and some had a web sites.

There is also a guy named Ray Anthony who owns an orthotic lab called RXL Laboratories in Wellington, Somerset. I don't know his phone number. You could call him. He's always writing in the UK podiatry mailbase, and deals with tons of pods in the UK, and may be able to give you a good
referral. The website for the mailbase is

http://www.mailbase.ac.uk/list/podiatry/

Pods from all over the world write in and discuss various topics. They also have a search facility, and maybe you can get some info from there.

Ideally someone will give you a good referral for a Pod, but if not you can use this as a start. Sports medicine clinics would probably be your best resourse, because they would have all the necessary specialist under one roof, and hopefully be more familiar with PF.

Most importantly find a pod who will give you a referral for PHYSICAL THERAPY immediately. I think it is critical, and can make all the difference between a short recovery, and a chronic condition. Ask them to do deep tissue massage on the foot, and calves if necessary (if you have pain in the back of the heels), ultra sound, electric stim, etc, in those areas too, including the calves. Also ask them to supervise your stretching. I just recently started PT again in these areas, and I am over 80% better, then when I just did the icing, taping, stretching on my own. I initially only went to PT for a couple of weeks, and didn't go 2 to 3 times a week like I am now with a more experienced PT. Also try to get someone who knows biomechanics, to see if you need a short term (SOFT) orthotic and/or wedging to help support the foot while you are healing.

When I move I'll be looking for a Pod in London. If someone knows of a great Pod, sports medicine clinic, etc. in the London area let me know. I don't know what area we will be living in London yet, and things may change by then.

Good Luck!

Re: Opps! Wrong email address for uk mailbase

Donna S. on 11/13/00 at 12:52 (032660)

Correction on the uk mailbase website address

http://www.mailbase.ac.uk/lists/podiatry

Hope I got it right this time.

Re: Don't forget Night splints.

Donna S. on 11/13/00 at 13:18 (032662)

Also, forgot to mention to try to get a hold of PF night splints. They are helping me tremendously. Look for ones that are adjustable, and are FIRM in the calf area. (hard plastic).

Also ice your feet until you get to a specialist. Use a frozen bag of peas, ice pack, or fill up a small plastic coke bottle with water and freeze it, and then roll your foot over it. Not more than 20 minutes at a time.

Re: UK private insurance?

Donna S. on 11/13/00 at 13:51 (032664)

Hi Amy,
Can you purchase private medical insurance in the UK easily? I would not like to wait to see a specialist when needed, and would like to get private insurance when we move. I don't care about cost.

Re: UK private insurance?

Julie F on 11/13/00 at 17:12 (032671)

Message Number 32672
Infra Red Lamp?? View Thread
Posted by Truffle on 11/13/00 at 17:13


Docs, Is there any evidence that an infra red lamp may help PF, or may it make it worse, or do you not know? Any suggestions please! Thanks, T.

Re: UK private insurance?

Julie F on 11/14/00 at 02:12 (032702)

Hi Donna

I got home late last night and posted a quick answer to your question, then realized this morning I hadn't thanked you for the good information you gave us. I will check out those websites: many thanks and all the best, Julie

Re: UK private insurance?

Donna S. on 11/14/00 at 09:01 (032714)

Hi Julie,

That's OK. We have a time zone difference of about 8 hours. I'm in California. Thanks for the insurance info. I found a BUPA website. I was trying to get a quote, to get an idea of the cost, but it didn't work yesterday. I'll try again later. We pay for our own health insurance in the US, because my husband is self employed, and probably will be in the UK too.

All the best to you too, Donna

Re: do i need a second opinion

Dr. Zuckerman on 11/12/00 at 16:21 (032615)

A second opinion either by another doctor or start to read Scott's online book about pf and the various treatment. An MRI may be indicated at this point to evaluation the pf and heel, ankle and especially the posteriot tibial tendon which can and will cause pf

Re: do i need a second opinion

Julie F on 11/12/00 at 17:00 (032619)

Hi Nikki

I'm in the UK too, and my experience since I've had pf is that few people have heard of it, and that even those who have it don't know what to do or whom to see about it. I would guess that very few GPs know much about it or how to deal with it beyond the more aggressive treatments (steroid injections, surgery etc).

You do need a second opinion. May I suggest that you ask your GP to refer you to a podiatrist or an orthopaedic doctor who specializes in feet. If he won't (or if the NHS waiting list is too long) could you afford to go privately? What you need is (1) a proper evaluation and diagnosis by a specialist and (2) information about how to treat yourself. 'Carry on as normal' is poor advice - the injured fascia needs rest in order to heal - but it's pretty typical, I fear. I've just been speaking on the phone to a friend of a friend who has been suffering from what sounds like pf for three months and is now in constant pain. Her GP keeps telling her 'it will go away by itself'.

Follow Dr Z's counsel and read the PF book. You will also find there are many people on this board who know a lot about PF and can help you.

All good wishes for your healing. Where are you in the UK?

Julie

Re: do i need a second opinion

Nikki S on 11/12/00 at 17:18 (032621)

Thanks to both Dr Z and Julie for their advice. This pain is really getting to me now. My job involves a lot of walking about and racing from building to building and I really am getting fed up with having to wear trainers with my suit (most becoming!) - more seriously though, I am so constantly doped up on painkillers that don't really get to the root of the pain and when people ask me when I am limping, a 'sore heel' really sounds pathetic to people who don't understand just how sore it is!
By the way, I am in Leeds, UK.
THanks again
Nikki

Re: do i need a second opinion

Anna J on 11/12/00 at 17:42 (032625)

Hi Nikki
What a coincidence - I live in Leeds as well although I am originally from London. Any more PF sufferers in Leeds?
Anna

Re: do i need a second opinion

Dr. Zuckerman on 11/12/00 at 19:32 (032632)

This is neat . The British are coming . The British are coming. If they don't come due to pf we will either come to them or have to help them cure their pf. The key to Pf is early treatment and evaluation . This is and can be a very serious over use motion just like a baseball player using his throwing arm too much or too often .

So get to the foot and ankle specialists. Read Scott's Book. There has to be some good foot and ankle specialists in your beautiful country. I had the best time of my life during my 40th Birthday when my wife took me to England as a birthday present. All I can say is that it rained alot and i still had the one of the best times of my life.

Re: do i need a second opinion

Anna J on 11/13/00 at 02:35 (032638)

Well Dr Z - talking about rain, we have been severely flooded over the last couple of weeks so nothing much has changed since you were last here! Another suggestion from my wonderful doctor was that the rain might be causing foot pain! Can some of the PF specialists in the USA not consider moving over here!

Re: Podiatry info in the UK

Donna S. on 11/13/00 at 12:46 (032659)

Dear Nikki, Anna, Julie,

I am planning to move to London in one or two years. My husband is Bristish, and would like to move back home. I'm all for it, but I'm already looking ahead at what specialities I will need when I get there. Podiatrist, dentist, etc. Hopefully my PF will be gone by the time we move, but I think I'll always need some type of pod, because of this darn high arched feet.

I did a search on UK podiatrist, and came up with the Society of Chiropodist and Podiatrist. They have a website that's pretty comprehensive. They also have a SEARCH facility for podiatrist in your
area.
The address is http://www.feetforlife.org

At the bottom of the screen there is a spot that says 'find a chiropodist' and you plug in your area. Around 14 pods came up for Leeds. You may have to interview them via telephone to find out how much experience they have had in PF, biomechanics, etc. You can also call the society directly. Also, look at the 'site at a glance' section for more info on particular foot problems.

I also looked at the online yellow pages for the London area for example to get an idea of what podiatrist were around, and some had a web sites.

There is also a guy named Ray Anthony who owns an orthotic lab called RXL Laboratories in Wellington, Somerset. I don't know his phone number. You could call him. He's always writing in the UK podiatry mailbase, and deals with tons of pods in the UK, and may be able to give you a good
referral. The website for the mailbase is

http://www.mailbase.ac.uk/list/podiatry/

Pods from all over the world write in and discuss various topics. They also have a search facility, and maybe you can get some info from there.

Ideally someone will give you a good referral for a Pod, but if not you can use this as a start. Sports medicine clinics would probably be your best resourse, because they would have all the necessary specialist under one roof, and hopefully be more familiar with PF.

Most importantly find a pod who will give you a referral for PHYSICAL THERAPY immediately. I think it is critical, and can make all the difference between a short recovery, and a chronic condition. Ask them to do deep tissue massage on the foot, and calves if necessary (if you have pain in the back of the heels), ultra sound, electric stim, etc, in those areas too, including the calves. Also ask them to supervise your stretching. I just recently started PT again in these areas, and I am over 80% better, then when I just did the icing, taping, stretching on my own. I initially only went to PT for a couple of weeks, and didn't go 2 to 3 times a week like I am now with a more experienced PT. Also try to get someone who knows biomechanics, to see if you need a short term (SOFT) orthotic and/or wedging to help support the foot while you are healing.

When I move I'll be looking for a Pod in London. If someone knows of a great Pod, sports medicine clinic, etc. in the London area let me know. I don't know what area we will be living in London yet, and things may change by then.

Good Luck!

Re: Opps! Wrong email address for uk mailbase

Donna S. on 11/13/00 at 12:52 (032660)

Correction on the uk mailbase website address

http://www.mailbase.ac.uk/lists/podiatry

Hope I got it right this time.

Re: Don't forget Night splints.

Donna S. on 11/13/00 at 13:18 (032662)

Also, forgot to mention to try to get a hold of PF night splints. They are helping me tremendously. Look for ones that are adjustable, and are FIRM in the calf area. (hard plastic).

Also ice your feet until you get to a specialist. Use a frozen bag of peas, ice pack, or fill up a small plastic coke bottle with water and freeze it, and then roll your foot over it. Not more than 20 minutes at a time.

Re: UK private insurance?

Donna S. on 11/13/00 at 13:51 (032664)

Hi Amy,
Can you purchase private medical insurance in the UK easily? I would not like to wait to see a specialist when needed, and would like to get private insurance when we move. I don't care about cost.

Re: UK private insurance?

Julie F on 11/13/00 at 17:12 (032671)

Message Number 32672
Infra Red Lamp?? View Thread
Posted by Truffle on 11/13/00 at 17:13


Docs, Is there any evidence that an infra red lamp may help PF, or may it make it worse, or do you not know? Any suggestions please! Thanks, T.

Re: UK private insurance?

Julie F on 11/14/00 at 02:12 (032702)

Hi Donna

I got home late last night and posted a quick answer to your question, then realized this morning I hadn't thanked you for the good information you gave us. I will check out those websites: many thanks and all the best, Julie

Re: UK private insurance?

Donna S. on 11/14/00 at 09:01 (032714)

Hi Julie,

That's OK. We have a time zone difference of about 8 hours. I'm in California. Thanks for the insurance info. I found a BUPA website. I was trying to get a quote, to get an idea of the cost, but it didn't work yesterday. I'll try again later. We pay for our own health insurance in the US, because my husband is self employed, and probably will be in the UK too.

All the best to you too, Donna