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

16 months post op, NC doctor to get Ossotron

Posted by Dan on 7/01/01 at hrmin (052000)

Feb 23, 2000 I had bilateral partial release. Both feet done at same time (a mistake). Not endoscopic but rather a small semi-circle incision bottom of each heel. A partial release done on both feet 16 months ago. The first few weeks after surgery I THOUGHT I sensed improvement. But soon realized I was in even worse condition. Pain now at about a 9 in both feet. I can stand (not walk) for about 5 minutes but then MUST sit down due to increased & rather intense pain. I can walk no more than 2 to 3 minutes then the pain can bring tears. I must sit on a little plastic stool to shower as I can not stand up long enough.
NOW...............
I'm seeing a Dr Mark Easley (Ortho Surgeon) at Duke Medical Center in Durham, NC. (A different doctor-Podiatrist-did my surgery.) I've visited this MD at Duke only once so far. He is awaiting 'reports' from the P.T. clinic at Duke Medical and a Pain Management Clinic at Duke before he'll recommend a course of action. (I've ALREADY had all the post op PT, injections, orthotics, stretches, etc with no easing of pain and cramping.)
Dr. Easley said he has an Ossotron on the way and will soon be using it for treatment of PF. Do I want a doctor that is new to this equipment to use it on me???!!!!!
Is an MD REQUIRED to receive training on the Ossotron or can any MD just buy one and start using it??????? How can I find out if he has had or will have training on the Ossotron?
This same doctor also said my PF is so bad that if the Ossotron does not work he would likely want to try a FULL release since I've already had the bilateral partial release with poor results. But......THAT IS NOT AN OPTION FOR MY FEET!!! Full release=Fool release!!
INSURANCE????????? Is ANY insurance starting to pay for Ossotron treatments? I have Blue Cross Blue Shield.
Back to the Ossotron for this MD in NC. I mentioned to him that I had seen where some patients receive several treatments. He said for ME, he would want to try 'ONE GIANT BLAST' from the Ossotron in one foot at a time.
Anybody have any advice on all this PLEASE assist. I need advice.
Kindest regards,
Dan in South carolina

Re: Pain management

BrianG on 7/02/01 at hrmin (052057)

Hi Dan,

Bummer !!! I can't really answer any ESWT questions, as I'm still waiting myself. If you have any questions on pain management, I may be able to help. Drop me a line. Good luck

BCG

Re: About Ossotron

Jana on 7/03/01 at hrmin (052140)

I have not yet had surgery of any kind but have bilateral PF and bilateral TTS. I have met three podiatrists and one orthopedic (foot and ankle specialist). One podiatrists knew enough to mention ossatron, the other podiatrists did not even mention it, the orthopedic said she's getting the machine in eight weeks and I should postpone any surgery considerations until trying that at least once. I do not go to the insurance covers it, nor does she at this point. I also have Blue Cross. I'm writing to let you know that she told me also that I would know a difference in one treatment. I have read on this web site that the people who went to Canada had to try several treatments before they new and that the treatments were fairly painful. This orthopedic told me the same thing yours told you, that the first treatment will be very high-powered and that I would know based on the first treatment if it was going to have an effect. For whatever it's worth at least these two are saying one consistent thing.

I'm sorry your surgery didn't go well. This orthopedic's opinion about PF release was that I should absolutely not do it because that tissue so critical to your long-term function and that if it is fully released she could guarantee that I would have pain on the outside my foot for the rest of my life with no cure because the support the plantar fascia provides will no longer be there. Of all the podiatrists I have met, they all seem to be happy go lucky about me having the surgery minimizing any risks or long-term pain that may be a consequence of it. I'm more inclined to listen to the person who is conservative and honest about long-term risks. You may want to consider her perspective in considering your full release.

Brian G. (he replied previously to your post) has a lot of information on long-term pain management. It's definitely the end of our road when we are referred to pain management clinics because that means there's nothing left for us to do but managing it is better than doing nothing at all.

Best of luck to you...

Re: 16 months post op, NC doctor to get Ossotron

Kay S on 7/03/01 at 17:54 (052153)

My husband's union insurance is BC/BS and they are starting to pay for 'orthotripsy', which is ESWT as we all know it. I have not received any money yet, but expect to get something back on what I have already paid. Dr. Z. knows which insurances are covering and you could write to Denise at his office if you have questions about that, I think.
Don't give up hope. And at least with the ESWT, even if it doesn't cure you, it won't harm you. (or at least that has been my experience, and I've had it three times)
Wishing you the best.
Kay

Re: 16 months post op, NC doctor to get Ossotron

Dr. Marlene Reid on 7/11/01 at hrmin (052753)

YES!! Docs are REQUIRED to get training on the OssaTron (I can not speak for the Orbasone). The machine is monitored by the FDA and Healthtronics and you MUST meet certain requirments before it can be used on you. It is not just up to the treating doctor (this is only for the OssaTron). Its a pretty responsible thing for Healthtronics to monitor its machines' useage. I have used this as a rational when talking to insurance companies. BCBS of IL is not yet approving it. I think CA is. Each carrier is different.

Re: 16 months post op, NC doctor to get Ossotron

Dr. Zuckerman on 7/12/01 at 00:52 (052901)

Hi,

ESWT is very effective for chronic insertional pf even if you have had failed foot surgery. I have patients that have had failed foot surgery and had completely resolved the original heel pain. We have done over two hundred procedures many with failed foot surgery done first. We use the orbasone which is done in the office and in most cases without any type of local anesthesia. We have a group of ESWT physicians that use our machine . We have a coordinator for our entire program . She can answer any and all information that you may have. She can reached at prn@bee.net
We will be very happy to answer any and all questions that you may have.
I hope that I was helpful

Re: Pain management

BrianG on 7/02/01 at hrmin (052057)

Hi Dan,

Bummer !!! I can't really answer any ESWT questions, as I'm still waiting myself. If you have any questions on pain management, I may be able to help. Drop me a line. Good luck

BCG

Re: About Ossotron

Jana on 7/03/01 at hrmin (052140)

I have not yet had surgery of any kind but have bilateral PF and bilateral TTS. I have met three podiatrists and one orthopedic (foot and ankle specialist). One podiatrists knew enough to mention ossatron, the other podiatrists did not even mention it, the orthopedic said she's getting the machine in eight weeks and I should postpone any surgery considerations until trying that at least once. I do not go to the insurance covers it, nor does she at this point. I also have Blue Cross. I'm writing to let you know that she told me also that I would know a difference in one treatment. I have read on this web site that the people who went to Canada had to try several treatments before they new and that the treatments were fairly painful. This orthopedic told me the same thing yours told you, that the first treatment will be very high-powered and that I would know based on the first treatment if it was going to have an effect. For whatever it's worth at least these two are saying one consistent thing.

I'm sorry your surgery didn't go well. This orthopedic's opinion about PF release was that I should absolutely not do it because that tissue so critical to your long-term function and that if it is fully released she could guarantee that I would have pain on the outside my foot for the rest of my life with no cure because the support the plantar fascia provides will no longer be there. Of all the podiatrists I have met, they all seem to be happy go lucky about me having the surgery minimizing any risks or long-term pain that may be a consequence of it. I'm more inclined to listen to the person who is conservative and honest about long-term risks. You may want to consider her perspective in considering your full release.

Brian G. (he replied previously to your post) has a lot of information on long-term pain management. It's definitely the end of our road when we are referred to pain management clinics because that means there's nothing left for us to do but managing it is better than doing nothing at all.

Best of luck to you...

Re: 16 months post op, NC doctor to get Ossotron

Kay S on 7/03/01 at 17:54 (052153)

My husband's union insurance is BC/BS and they are starting to pay for 'orthotripsy', which is ESWT as we all know it. I have not received any money yet, but expect to get something back on what I have already paid. Dr. Z. knows which insurances are covering and you could write to Denise at his office if you have questions about that, I think.
Don't give up hope. And at least with the ESWT, even if it doesn't cure you, it won't harm you. (or at least that has been my experience, and I've had it three times)
Wishing you the best.
Kay

Re: 16 months post op, NC doctor to get Ossotron

Dr. Marlene Reid on 7/11/01 at hrmin (052753)

YES!! Docs are REQUIRED to get training on the OssaTron (I can not speak for the Orbasone). The machine is monitored by the FDA and Healthtronics and you MUST meet certain requirments before it can be used on you. It is not just up to the treating doctor (this is only for the OssaTron). Its a pretty responsible thing for Healthtronics to monitor its machines' useage. I have used this as a rational when talking to insurance companies. BCBS of IL is not yet approving it. I think CA is. Each carrier is different.

Re: 16 months post op, NC doctor to get Ossotron

Dr. Zuckerman on 7/12/01 at 00:52 (052901)

Hi,

ESWT is very effective for chronic insertional pf even if you have had failed foot surgery. I have patients that have had failed foot surgery and had completely resolved the original heel pain. We have done over two hundred procedures many with failed foot surgery done first. We use the orbasone which is done in the office and in most cases without any type of local anesthesia. We have a group of ESWT physicians that use our machine . We have a coordinator for our entire program . She can answer any and all information that you may have. She can reached at prn@bee.net
We will be very happy to answer any and all questions that you may have.
I hope that I was helpful