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rupture of the plantar fascia, when does it "heel"?

Posted by Laura L on 3/17/01 at 12:36 (041717)

I was diagnosed with pf in Jan 2000. At that time I received a cortisone shot and shoe inserts. I got a 2nd and 3rd shot in March and July of 2000, respectively. Each shot lasted around three months. In Oct 2000, my foot was real bad and I had scheduled an appt with my ortho for another shot. Before I got into him, I stepped out of my jeep cherokee and felt pain beyond belief and a ripping sensation. The intense pain subsided, and instead of heel pain, I felt more of a cramping and pain of my arch. I went to my dr, got a shot and he shrugged off the cramping. In november of 2000 I went back with a big ball on the bottom of my foot on the heel end of my arch. He informed me that I ruptured my pf. Since the rupture I have been unable to wear my implants. They make my feet more uncomfortable. Had an MRI which was not clear due to muscle spasms and no contrast being used. Radiologist said pf was still attatched. Physical exam by my ortho and a fam practitioner reveal at least some major rupture. This is evidenced by not being able to feel that 'spring board' on the bottom of my left foot. Now it is March of 2001 and I still feel pain from a level of 3 to 10 depending on what I am doing. When can I expect some relief? I had one cortisone shot after the rupture and it did not even last 2 weeks. Often I walk on the side of my foot to make it better, but now it hurts really bad. Is there anything I can do? My husband had both ACL's replaced this last year and I still have to do all the grunt work. My life is very active and physical, where do I look for a second opinion or is it even worth it? Overall, my foot hurts much worse than when I just had pf and had no rupture. Since the first rip, I have experienced some minor rips. I know I have been wordy, but alot has gone on and I just wanted to let you know what all I have done already. The pain is bone pain from using other parts of my foot to pulling and cramping of the arch area. Once in a blue moon my heel will actually hurt again, I would almost give anything to go back to how it felt when I was first diagnosed. Please advise.

Re: stop with the injections Now!!

Dr. Zuckerman on 3/17/01 at 14:10 (041722)

This is one of the dangers of local steriod injections into the plantar fascis. There is an excellent article on this site about steriod injections and rupture of the plantar fascia. In some cases the plantar fascia won't heal after this and the damage is permenent.

Where do you live. I could then tell where to get expert advice and treatment at this stage. The healing of a ruptured Plantar fascia can take up to more then one year with treatment.

Stop with the injections they are only causing more damage to the foot!!!!

Re: stop with the injections Now!!

Pauline on 3/18/01 at 16:26 (041794)

How about a second opinion. Too many shots to my liking without much concern on his part. Spring is here----Time for a change.

Re: stop with the injections Now!!

Laura L on 3/19/01 at 09:47 (041844)

I live near Columbus OH. My office is downsizing, and I would love to get to an expert while I have insurance. Please advise.

Re: rupture of the plantar fascia, when does it "heel"?

Laura L on 3/23/01 at 21:37 (042313)

Yesterday I got a second opinion and am now in a walking cast. That will be on for 4 weeks, then we go to orthotics. I am feeling 90% pain free since the foot has been immobilized. I ended up at Ortho foot and ankle specialists in Columbus OH. The dr I am seeing is dr Berlet. So far I am impressed.

Re: stop with the injections Now!!

Dr. Zuckerman on 3/17/01 at 14:10 (041722)

This is one of the dangers of local steriod injections into the plantar fascis. There is an excellent article on this site about steriod injections and rupture of the plantar fascia. In some cases the plantar fascia won't heal after this and the damage is permenent.

Where do you live. I could then tell where to get expert advice and treatment at this stage. The healing of a ruptured Plantar fascia can take up to more then one year with treatment.

Stop with the injections they are only causing more damage to the foot!!!!

Re: stop with the injections Now!!

Pauline on 3/18/01 at 16:26 (041794)

How about a second opinion. Too many shots to my liking without much concern on his part. Spring is here----Time for a change.

Re: stop with the injections Now!!

Laura L on 3/19/01 at 09:47 (041844)

I live near Columbus OH. My office is downsizing, and I would love to get to an expert while I have insurance. Please advise.

Re: rupture of the plantar fascia, when does it "heel"?

Laura L on 3/23/01 at 21:37 (042313)

Yesterday I got a second opinion and am now in a walking cast. That will be on for 4 weeks, then we go to orthotics. I am feeling 90% pain free since the foot has been immobilized. I ended up at Ortho foot and ankle specialists in Columbus OH. The dr I am seeing is dr Berlet. So far I am impressed.