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

I was just diagnosed with Plantar Fasciitis.

Posted by Cheryl Gross on 12/02/00 at 03:03 (034029)

Dear Dr. Zuckerman,

On 10-24-00, I was diagnosed with Plantar Fasciitis. What can I do, I have missed a lot of school, because of not being able to step down on my foot. My doctor does not seem to worry about it. Please give me some insight. You can e-mail me at airsupplynut@hotmail.com

Thank You,

Cheryl Gross

Re: I was just diagnosed with Plantar Fasciitis.

Dr. Zuckerman on 12/02/00 at 03:52 (034030)

Have you read Scott Robert book on pf.? You may need to place your foot in a cast to rest the foot. REST REST is one of the most important but least though of treatment for pf. What other kinds of treatment have you done.? Proper shoes, stretching are also very important. If you can't place your foot down at any time during the day without day then a stress fracture will need to be evaluated.

Dr. Z

Re: removable casts

Scott R on 12/02/00 at 07:00 (034036)

Dr Z, our visitors are ranking hard cast near the bottom. 35% helped, 18% harmed. Removable casts are ranking much better. 48% helped, 6% harmed.

Re: removable casts

Dr. Zuckerman on 12/02/00 at 10:30 (034042)

Thanks Scott. I like the removable casts since they can be taken off for stretching and for additional physical therapy. So did we know what harmed means.??

I never like a hard cast except for a slipper cast that I use. This is fiberglass mimi cast used just for the heel ahd arch area. It must be below the ankle.

The problem witht any case is that it stops motion at any normal functioning joint and can cause atrophy due to disuse. There are other problems but this is a start. In addition the time of casting is very important The six to eight weeks isn't a very good method for helping heel pain without the risk of causing atrophy and pain in other areas of the body. I am also assuming that the treating doctor makes sure the the opposite foot is on the same level as the foot witht the cast. If you don't wear a shoe that is at the same level good bye hips and lower backs.

Re: removable casts

Scott R on 12/02/00 at 13:42 (034050)

Dr Z, we don't know what harmed means for any of the treatments in the survey. I assume for casts it means an increase in heel pain or possibly just a dislike of having to wear them without seeing any positive effect.

Re: removable casts

Chris on 12/03/00 at 09:49 (034079)

Dr. Z, How long do you recommend that your patients use the removeable cast? I was told three weeks, is that long enough? I have tried cortisone shots, with no help, so I am hopeful that the cast will help.

Re: removable casts

Dr. Zuckerman on 12/04/00 at 12:01 (034139)

Hi,

This a very individual treatment question. You must stretching and make sure that other joint and part of the loweer extremity are not effected. So I would try two weeks . Do an evaluation and then determine the next period of time to use a cast or add another treatment program. The cast is just one part of the treatment program. . I will try to take a picture of my hard cast slipper cast, when I get home.

Re: removable casts

Chris on 12/05/00 at 23:45 (034276)

Hi Dr Z! Just another question, is it necessary to wear the removeable cast to bed every night? I'm not sure if this is related to this or not, but, I have had cramps in the calf of my leg for the past two nights and I have to take off the cast for relief. I don't want to delay the healing process any longer than necessary! What, if anything am I doing to cause the cramps? Thank you! :)

Re: I was just diagnosed with Plantar Fasciitis.

Dave on 12/07/00 at 20:58 (034450)

First off I have had Plantar Fasciitis since February of this year. At first I was afraid to go to the doctor since I thought that maybe surgery would be needed. When I went to my family physician, he exrayed my foot and said I had heal spurs. I asked what could be done. He said one of three things, nothing, cortizone injections, surgery. I opted to do nothing. About 1 month ago, I then went to an orthopaedic surgeon who did some further xrays and he touched a few spots on my foot and said that I had Plantar Fasciitis. He gave me some brochures on some foot stretching excercises along with other helpful info. I would highly recommend that you read the section in the beginning of this web site it is very helpful. My doctor also did have me get custom made orthotics since I have flat feet. When I received the orthotics, my pain went away instantly....well not permanently but it was an incredible improvement. I would highly recommend orthotics if you need them (see a foot specialist), I recommend rest off of your feet, I recommend stretching the fascia at least 10 times a day and to stretch your foot before you get out of bed, I recommend both icing and heat, I also recommend that you NEVER walk without a shoe on, in other words no more barefoot walking. Your heel needs the extra support and cushion of a good soft heeled shoe. I went back to my orthopaedic surgeon after a month and he saw a lot of improvement in my flexibility and that my pain had definately lessened. I know it is very frustrating but it will probably take around a year for your foot to heal itself. Just have to be careful that you do not overstretch your fascia since you may inadvertantly re-injure it. You will just have to be careful in the future. Trust me, you will become aware of your limitations and this is just your foot telling you not to overdo it yet. It will be a long road but just learn to stretch, ice, soft shoes, custom orthotics if needed, and to always be aware of your limitations. Good luck, I know it hurts but hopefully you haven't injured it past self repair.

Re: I was just diagnosed with Plantar Fasciitis.

Dr. Zuckerman on 12/02/00 at 03:52 (034030)

Have you read Scott Robert book on pf.? You may need to place your foot in a cast to rest the foot. REST REST is one of the most important but least though of treatment for pf. What other kinds of treatment have you done.? Proper shoes, stretching are also very important. If you can't place your foot down at any time during the day without day then a stress fracture will need to be evaluated.

Dr. Z

Re: removable casts

Scott R on 12/02/00 at 07:00 (034036)

Dr Z, our visitors are ranking hard cast near the bottom. 35% helped, 18% harmed. Removable casts are ranking much better. 48% helped, 6% harmed.

Re: removable casts

Dr. Zuckerman on 12/02/00 at 10:30 (034042)

Thanks Scott. I like the removable casts since they can be taken off for stretching and for additional physical therapy. So did we know what harmed means.??

I never like a hard cast except for a slipper cast that I use. This is fiberglass mimi cast used just for the heel ahd arch area. It must be below the ankle.

The problem witht any case is that it stops motion at any normal functioning joint and can cause atrophy due to disuse. There are other problems but this is a start. In addition the time of casting is very important The six to eight weeks isn't a very good method for helping heel pain without the risk of causing atrophy and pain in other areas of the body. I am also assuming that the treating doctor makes sure the the opposite foot is on the same level as the foot witht the cast. If you don't wear a shoe that is at the same level good bye hips and lower backs.

Re: removable casts

Scott R on 12/02/00 at 13:42 (034050)

Dr Z, we don't know what harmed means for any of the treatments in the survey. I assume for casts it means an increase in heel pain or possibly just a dislike of having to wear them without seeing any positive effect.

Re: removable casts

Chris on 12/03/00 at 09:49 (034079)

Dr. Z, How long do you recommend that your patients use the removeable cast? I was told three weeks, is that long enough? I have tried cortisone shots, with no help, so I am hopeful that the cast will help.

Re: removable casts

Dr. Zuckerman on 12/04/00 at 12:01 (034139)

Hi,

This a very individual treatment question. You must stretching and make sure that other joint and part of the loweer extremity are not effected. So I would try two weeks . Do an evaluation and then determine the next period of time to use a cast or add another treatment program. The cast is just one part of the treatment program. . I will try to take a picture of my hard cast slipper cast, when I get home.

Re: removable casts

Chris on 12/05/00 at 23:45 (034276)

Hi Dr Z! Just another question, is it necessary to wear the removeable cast to bed every night? I'm not sure if this is related to this or not, but, I have had cramps in the calf of my leg for the past two nights and I have to take off the cast for relief. I don't want to delay the healing process any longer than necessary! What, if anything am I doing to cause the cramps? Thank you! :)

Re: I was just diagnosed with Plantar Fasciitis.

Dave on 12/07/00 at 20:58 (034450)

First off I have had Plantar Fasciitis since February of this year. At first I was afraid to go to the doctor since I thought that maybe surgery would be needed. When I went to my family physician, he exrayed my foot and said I had heal spurs. I asked what could be done. He said one of three things, nothing, cortizone injections, surgery. I opted to do nothing. About 1 month ago, I then went to an orthopaedic surgeon who did some further xrays and he touched a few spots on my foot and said that I had Plantar Fasciitis. He gave me some brochures on some foot stretching excercises along with other helpful info. I would highly recommend that you read the section in the beginning of this web site it is very helpful. My doctor also did have me get custom made orthotics since I have flat feet. When I received the orthotics, my pain went away instantly....well not permanently but it was an incredible improvement. I would highly recommend orthotics if you need them (see a foot specialist), I recommend rest off of your feet, I recommend stretching the fascia at least 10 times a day and to stretch your foot before you get out of bed, I recommend both icing and heat, I also recommend that you NEVER walk without a shoe on, in other words no more barefoot walking. Your heel needs the extra support and cushion of a good soft heeled shoe. I went back to my orthopaedic surgeon after a month and he saw a lot of improvement in my flexibility and that my pain had definately lessened. I know it is very frustrating but it will probably take around a year for your foot to heal itself. Just have to be careful that you do not overstretch your fascia since you may inadvertantly re-injure it. You will just have to be careful in the future. Trust me, you will become aware of your limitations and this is just your foot telling you not to overdo it yet. It will be a long road but just learn to stretch, ice, soft shoes, custom orthotics if needed, and to always be aware of your limitations. Good luck, I know it hurts but hopefully you haven't injured it past self repair.