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ESWT for PF in Forefoot?

Posted by Patsy C. on 1/23/01 at 23:46 (037181)

Hello, and thanks to you all for your helpful information and advice. I've had PF for six years, though for 3, neurologists were treating me for peripheral neuropathy which, apparently, I don't have. They were fooled partly because my PF pain has never been primarily in the heel area, and I don't have heel spurs. My pain is in the arch and the metatarsals, especially below the big toe and the fifth toe. Anyway, now I'm considering ESWT and I'm wondering about its benefit for non-heel-spur PF. Any thoughts?

Re: ESWT for PF in Forefoot?

Dr. Biehler on 1/24/01 at 08:11 (037196)

If your foot is not pronating correctly resulting in a varus forefoot with a compensating plantarflexed first metatsral you will be getting pain under your first and fith metatarsal heads and pain in your arch. If this is the case a complete biomechanical exam of your foot is called for. Dr. B.

Re: ESWT for PF in Forefoot?

Patsy C. on 1/24/01 at 20:12 (037268)

Thanks, Dr. Biehler, for the quick response. I was going to spare the board my long history; suffice it to say that I have already been fitted (twice) with orthotics, the second time by an orthopedic foot specialist who now has an air cast on my left foot, which is much worse than the right. I have been stretching/massaging/icing/resting for two years. I am off work this year, concentrating on healing, a privilege I know many PF sufferers don't have for which I feel very grateful. But the year's half gone, and I'm not getting much better, though the cast has, I think, made some difference. I take 2400 mg neurontin a day (600 mg 4x) for the ache and the shooting pain, but it doesn't help the sunburn/hot rocks sensations. The ortho also ordered a bone scan, which revealed plantar fascitis, but which also showed mild uptake in ALL the tissues of both feet, from the ankle down. So I'm working as hard as I can on the PF, hoping that whatever else is going on will heal too. So that's why I've been looking into ESWT. I'm just wondering--if it just dissolves heel spurs like kidney stones, that's not my problem. But if it really jump-starts the healing of injured tissues, it could help me.
Patsy C

Re: ESWT for PF in Forefoot?

Dr. Biehler on 1/24/01 at 08:11 (037196)

If your foot is not pronating correctly resulting in a varus forefoot with a compensating plantarflexed first metatsral you will be getting pain under your first and fith metatarsal heads and pain in your arch. If this is the case a complete biomechanical exam of your foot is called for. Dr. B.

Re: ESWT for PF in Forefoot?

Patsy C. on 1/24/01 at 20:12 (037268)

Thanks, Dr. Biehler, for the quick response. I was going to spare the board my long history; suffice it to say that I have already been fitted (twice) with orthotics, the second time by an orthopedic foot specialist who now has an air cast on my left foot, which is much worse than the right. I have been stretching/massaging/icing/resting for two years. I am off work this year, concentrating on healing, a privilege I know many PF sufferers don't have for which I feel very grateful. But the year's half gone, and I'm not getting much better, though the cast has, I think, made some difference. I take 2400 mg neurontin a day (600 mg 4x) for the ache and the shooting pain, but it doesn't help the sunburn/hot rocks sensations. The ortho also ordered a bone scan, which revealed plantar fascitis, but which also showed mild uptake in ALL the tissues of both feet, from the ankle down. So I'm working as hard as I can on the PF, hoping that whatever else is going on will heal too. So that's why I've been looking into ESWT. I'm just wondering--if it just dissolves heel spurs like kidney stones, that's not my problem. But if it really jump-starts the healing of injured tissues, it could help me.
Patsy C