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plantar facillitis

Posted by Renee A on 8/02/01 at hrmin (055187)

My podiatrist told me to stretch my calves, take advil, and get special foot pads. I wear steel toe shoes at work and am on my feet at least 6 out of an 8 hour work period on concrete. Nothing seems to help. Would you recommend surgery and how severe is it?

Re: plantar facillitis

Nancy N on 8/02/01 at 10:06 (055194)

Renee--

I am not a doctor, but I would recommend getting off your feet as much as possible. Standing is one of the worst things you can do with PF--and the longer you do it, the harder it's going to be for your foot to heal. I also recommend non weight-bearing stretches, which can just aggravate the problem. One of the simplest ways to stretch without being on your feet is to use a towel to pull your feet toward you, and hold that stretch.

I'm sure others will have recommendations, too, but those are the first that come to mind for me.

Re: plantar facillitis

Ed Davis, DPM on 8/02/01 at hrmin (055197)

Surgery is a last resort. Considering your occupation, you need a more intensive but conservative treatment plan. What do you mean by 'special pads?' Orthotics are generally a must for individuals with plantar fasciitis who work on asphalt/concrete all day. Are you getting physical therapy? Shoegear advice? Are steel toed work boots a requirement at your job?
Ed

Re: plantar facillitis

Dr. Zuckerman on 8/02/01 at 13:22 (055215)

You need more treatment. Special attention toward the proper shoes, take more the just advil, physical therapy, orthosis. and maybe ESWT if this is been going on for a very long time.

Re: plantar facillitis

Nancy N on 8/02/01 at 10:06 (055194)

Renee--

I am not a doctor, but I would recommend getting off your feet as much as possible. Standing is one of the worst things you can do with PF--and the longer you do it, the harder it's going to be for your foot to heal. I also recommend non weight-bearing stretches, which can just aggravate the problem. One of the simplest ways to stretch without being on your feet is to use a towel to pull your feet toward you, and hold that stretch.

I'm sure others will have recommendations, too, but those are the first that come to mind for me.

Re: plantar facillitis

Ed Davis, DPM on 8/02/01 at hrmin (055197)

Surgery is a last resort. Considering your occupation, you need a more intensive but conservative treatment plan. What do you mean by 'special pads?' Orthotics are generally a must for individuals with plantar fasciitis who work on asphalt/concrete all day. Are you getting physical therapy? Shoegear advice? Are steel toed work boots a requirement at your job?
Ed

Re: plantar facillitis

Dr. Zuckerman on 8/02/01 at 13:22 (055215)

You need more treatment. Special attention toward the proper shoes, take more the just advil, physical therapy, orthosis. and maybe ESWT if this is been going on for a very long time.