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Need advice

Posted by Ron G on 1/28/01 at 22:30 (037616)

I'm at the point with my PF that my Pod. is talking a scoped procedure to resolve my condition. My treatment to date has been very conventional. Cortizone shot resume normal activites, more cortizone + custom inserts tape for a week resume normal activites, cortizone anti- inflamitories + a hard cast, and PT after getting the cast off. Ater 7 weeks (4 with the cast) tried running and symtoms returned. All of this over the course of one year. I'm currently in PT. No one I have dealt with has had any knowledge of this Website. Until my first PT appt. no one had me doing any PF specific stretching. After using this website I'm reluctant to go go with surgery. My symtoms are typical and are not debilitiating as long as I stay very limited in my activities. What do you recommend? I'ld like to get on a plan that would get this resolved. I'm a committed basketball referee that is not refereeing. Thanks in advance for your help.

Re: Need advice

Bob G. on 1/29/01 at 00:27 (037624)

I was in great pain. It took me over a year of complete rest and nightsplint, then a regimen of gentle stretching. Now I am jogging without pain. Hope this helps. BG

Re: Need advice

Dr. Zuckerman on 1/29/01 at 12:01 (037649)

Yes rest is a major key for you.

If surgery is the only option that is next then take a look at ESWT. You can read about this on this site. There are many good video's and treatment site. We have been using ESWT for the past year with very effective results. After reading this site and if you want or need additonal information please don't hesitate to contact my office and speak with either Dawn or Jennifer. They can send you a packet with a video that talks about ESWT and how it can ends your pf misery.

Always here to try to answer and give you imput. This Wednesday I am visiting a physical Rehab Specialist who I think I can learn more about the role of strenght of the muscles in the foot leg and thigh.

So I will try to get more imput from people that are treating this pain on a daily routine.

Will keep you informed!!!

Re: Need advice

Ron G. on 1/29/01 at 23:08 (037710)

I have an appt. with my Pod. on Wednesday this week. In early Jan. I inquired about ESWT and he told me I probably know more about it than he does. He has never taken an x-ray or offered any other alternatives to treat my pf. I am tempted to add night splints and day taping in addition to my stretching, icing and limiting my activities. Do you have any additional recommendations on passive treatments. Also how should I approach my next appt. with my pod? I will go ahead and get the information from your office. Thanks for the quick response, Ron

Re: Need advice

Dr. Zuckerman on 1/29/01 at 23:18 (037712)

You treatment is a very good plan. You need to have an x-ray and or mri at this point. You need to tell the type of pain you are having and ask for his help.

Re: Need advice

Ron G. on 1/30/01 at 20:02 (037792)

I guess it boils down to one question. This is what I'm going to ask my Pod. tomorrow. What is my risk of going with the passive form of treatment I described in my earlier message and having PF rear up again in the fall when I resume officiating? I would appreciate your thoghts on this question as well. Second if I could get a referral and get ESWT what do you project as my odd's of being able to resume officating this fall?

Re: Need advice, update after consultation with Pod.

Ron G on 2/01/01 at 23:05 (038033)

Our agreed to or recommended plan with my Pod. is to continue 2 monthes with the passive plan including splint, tape and reduced or lighter stretching. If no improvement he is very willing to refer me to someone doing ESWT. If 2 monthes after ESWT there is no improvement he is recommending a scoped procedure that is done in same day surgery. I left my notes at work so bear with me. It's a two small incision on each side of the heel surgery that takes 30 minutes or less. The process removes a small v like section of the medial fascia for release. Recovery is 1-2 weeks at 50% weight bearing, followed with resuming normal weight walking and < 3 monthes to full recovery. If I remember correctly it was called Medial PF Endoscopic Release. What are your thoughts on this plan? Assuming that I will need ESWT and knowing that I reside in Wisconsin to who and where would you recommend I go for this procedure? I noticed a site in Illnois but there were no docmented patients using this location in the database. I'm not adverse to going some distance to get experienced care and could hopefully complete treatment in one visit. I have contacted your office for the tape and material on ESWT. Thanks in advance for your response.

Re: Looking for more advice ESWT here I come.

Ron G. on 2/06/01 at 23:39 (038328)

I'm more convinced than ever that I will be treated with ESWT. So, There are 6 sites in Illinois. All but one uses the HMT Ossetron the remaining site uses an Orbasone. These locations have been in operation from less than a month to one year. I know you use an Orbasone. What are your thoughts on the machine type effectiveness? The database somewhat indicates a higher patient satisfaction with the Orbasone. Do you have a Pod. and location that you would feel comfortable referring me to. New Jersy is more than a day trip for me but quality is my most important criteria.

Re: Need advice

Bob G. on 1/29/01 at 00:27 (037624)

I was in great pain. It took me over a year of complete rest and nightsplint, then a regimen of gentle stretching. Now I am jogging without pain. Hope this helps. BG

Re: Need advice

Dr. Zuckerman on 1/29/01 at 12:01 (037649)

Yes rest is a major key for you.

If surgery is the only option that is next then take a look at ESWT. You can read about this on this site. There are many good video's and treatment site. We have been using ESWT for the past year with very effective results. After reading this site and if you want or need additonal information please don't hesitate to contact my office and speak with either Dawn or Jennifer. They can send you a packet with a video that talks about ESWT and how it can ends your pf misery.

Always here to try to answer and give you imput. This Wednesday I am visiting a physical Rehab Specialist who I think I can learn more about the role of strenght of the muscles in the foot leg and thigh.

So I will try to get more imput from people that are treating this pain on a daily routine.

Will keep you informed!!!

Re: Need advice

Ron G. on 1/29/01 at 23:08 (037710)

I have an appt. with my Pod. on Wednesday this week. In early Jan. I inquired about ESWT and he told me I probably know more about it than he does. He has never taken an x-ray or offered any other alternatives to treat my pf. I am tempted to add night splints and day taping in addition to my stretching, icing and limiting my activities. Do you have any additional recommendations on passive treatments. Also how should I approach my next appt. with my pod? I will go ahead and get the information from your office. Thanks for the quick response, Ron

Re: Need advice

Dr. Zuckerman on 1/29/01 at 23:18 (037712)

You treatment is a very good plan. You need to have an x-ray and or mri at this point. You need to tell the type of pain you are having and ask for his help.

Re: Need advice

Ron G. on 1/30/01 at 20:02 (037792)

I guess it boils down to one question. This is what I'm going to ask my Pod. tomorrow. What is my risk of going with the passive form of treatment I described in my earlier message and having PF rear up again in the fall when I resume officiating? I would appreciate your thoghts on this question as well. Second if I could get a referral and get ESWT what do you project as my odd's of being able to resume officating this fall?

Re: Need advice, update after consultation with Pod.

Ron G on 2/01/01 at 23:05 (038033)

Our agreed to or recommended plan with my Pod. is to continue 2 monthes with the passive plan including splint, tape and reduced or lighter stretching. If no improvement he is very willing to refer me to someone doing ESWT. If 2 monthes after ESWT there is no improvement he is recommending a scoped procedure that is done in same day surgery. I left my notes at work so bear with me. It's a two small incision on each side of the heel surgery that takes 30 minutes or less. The process removes a small v like section of the medial fascia for release. Recovery is 1-2 weeks at 50% weight bearing, followed with resuming normal weight walking and < 3 monthes to full recovery. If I remember correctly it was called Medial PF Endoscopic Release. What are your thoughts on this plan? Assuming that I will need ESWT and knowing that I reside in Wisconsin to who and where would you recommend I go for this procedure? I noticed a site in Illnois but there were no docmented patients using this location in the database. I'm not adverse to going some distance to get experienced care and could hopefully complete treatment in one visit. I have contacted your office for the tape and material on ESWT. Thanks in advance for your response.

Re: Looking for more advice ESWT here I come.

Ron G. on 2/06/01 at 23:39 (038328)

I'm more convinced than ever that I will be treated with ESWT. So, There are 6 sites in Illinois. All but one uses the HMT Ossetron the remaining site uses an Orbasone. These locations have been in operation from less than a month to one year. I know you use an Orbasone. What are your thoughts on the machine type effectiveness? The database somewhat indicates a higher patient satisfaction with the Orbasone. Do you have a Pod. and location that you would feel comfortable referring me to. New Jersy is more than a day trip for me but quality is my most important criteria.