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What could it be?

Posted by Laurie H. on 4/07/01 at 01:01 (043889)

I wrote back on 3/12/01 describing the problems I am having with my feet. After working with my podiatrist and trying everything there is out there with no improvement, he performed EPF surgery on both feet. The left foot has had some success from the surgery, after suffering with severe plantar fasciitis for two years. My right foot though has been a nuisance, even after the surgery. I still suffer with pain in the arch but mostly in the heel/ankle portion of my foot. It kills me in the morning and during the day, even after resting for awhile. It also hurts when I'm not on it. By the time I get home and rest in the evening, they are quite often throbbing and very sore. I've had extensive physical therapy but with no success. I've seen an orthopedic specialist and he has ruled out a stress fracture. I've had a bone scan which came back with findings that show degenerative uptake within the ankles and also at the plantar surfaces of both heels, suggesting residual plantar fasciitis. One thing I've noticed since the surgery is that I have a lot of pain as well in the tendons coming from my ankles up my leg to my knees. It can be very sore and bothersome at times and if I touch it, I get very sharp pains. I just wanted to get your opinion as to what this might be.

Re: What could it be?

Dr. Zuckerman on 4/07/01 at 10:12 (043913)

Hi,

Sorry to hear you are in so much pain.

With any cutting of the plantar fascia especially both feet,it can hurt like $!!%%% for over six months. This is due to the compenation from the foot surgery. All of the tendons in your foot and ankle must work triple over time during the period that the pf can't function since it has been cut and is healing Must like driving a car on two wheels instead of four.

Rest, Physical therapy are some of the thing to help you. When was the surgery.

The more you are on your feet the longer it is going to take for this to get better. Some time the pain will just stop as soon as the plantar fascia is finally healed back to itself.

Re: What could it be?

Laurie H. on 4/08/01 at 01:32 (043952)

Thanks for your response. You asked me when my surgery was. The left foot was August 2000 and the right foot was Sept 2000. I've been through physical therapy for both feet but haven't had seen much improvement. Is it possible that the EPF did not work and I need to repeat it, especially in the right foot? That one seems to be worse. What is your opinion?

Re: What could it be?

Dr. Zuckerman on 4/08/01 at 12:40 (043983)

Hi,

It is possible that the fascia release didn't work. An examination needs to be performed which would be determined by pressing on the insertion and evaluating whether the pf medial band is still tight.

Re: What could it be?

Dr. Zuckerman on 4/07/01 at 10:12 (043913)

Hi,

Sorry to hear you are in so much pain.

With any cutting of the plantar fascia especially both feet,it can hurt like $!!%%% for over six months. This is due to the compenation from the foot surgery. All of the tendons in your foot and ankle must work triple over time during the period that the pf can't function since it has been cut and is healing Must like driving a car on two wheels instead of four.

Rest, Physical therapy are some of the thing to help you. When was the surgery.

The more you are on your feet the longer it is going to take for this to get better. Some time the pain will just stop as soon as the plantar fascia is finally healed back to itself.

Re: What could it be?

Laurie H. on 4/08/01 at 01:32 (043952)

Thanks for your response. You asked me when my surgery was. The left foot was August 2000 and the right foot was Sept 2000. I've been through physical therapy for both feet but haven't had seen much improvement. Is it possible that the EPF did not work and I need to repeat it, especially in the right foot? That one seems to be worse. What is your opinion?

Re: What could it be?

Dr. Zuckerman on 4/08/01 at 12:40 (043983)

Hi,

It is possible that the fascia release didn't work. An examination needs to be performed which would be determined by pressing on the insertion and evaluating whether the pf medial band is still tight.