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I'm having a bad day...

Posted by Carmel M on 8/11/01 at 15:38 (056341)

I don't even know where to start...I hate to complain because that seems to get me nowhere anyway. My heel pain is increasing as the cortisone shot I had in June is wearing off and the jade doesn't seem to be halting the pain from returning like I had hoped.

I've spent the last two days trying to get the house picked up. But my very active 1 year old girl just finds new stuff to drag around the house. I don't usually mind the mess, but lately just thinking about picking it up AGAIN practically has me in tears. Maybe it's cuz my foot is hurting again...or maybe it's because of a new and perplexing pain in the back of my knee when I bend down??!

I don't know who else to talk to. I don't want to worry my husband because he tries so hard to 'fix' all my problems. Then he just gets frustrated when we don't see results.

I guess I've gotten used to the idea of something hurting...I've had some sort of pain all my life...one fatefull day when I was 11 (I'm now 34) I injured my spinal cord (c6) in a gymnastics tumble...ever since then I haven't been the same. I guess I was lucky not to have been paralized from the neck down. It was shortly after that when I developed fibromyalgia syndrome, but of course I didn't know it then. I always thought the headaches were just stress related...and the muscle pain was just something I had to deal with because my body wasn't the same after the accident.

It's all a big circle of pain, isn't it? When the foot hurts, rest is required...then the back hurts from sitting all the time...then the shoulder muscles get tense from worry and sitting...then the headaches start...am I pitiful or what?!

Ok, I'm still on the verge of tears even though I've spilled my guts and vented...I just don't know what to do anymore. I need to see the Pod again because he said if the pain returns then he prescribe PT. Is that the answer...I don't know. Is it just another lame attempt on his part to 'fix' this once and for all? His wife had it, his brother-in-law had it...blah, blah, blah...They were healed in three years...does that mean I have one more to go?

I have these nagging questions and since my Pod was no help last time, maybe someone here can enlighten me. Here goes:
1. How can I go through a whole pregnancy with only a slight twinge of pain only to have it come back full force a few months after daughter was born?
2. I know I have a leg length difference (result of spinal injury) but Pod didn't say one word about it even after I asked about it. Is he afraid of opening a whole new can of worms?
3. I think I need to see someone else, but I live in a small town, should I drive elsewhere in hopes of finding a better doc? Another Pod, or other specialist?

Ok, I think I'm done...can't think of anything else at this time. Thanks so much for being here and thanks Scott for the woderful site.

Carmel M

Re: I'm having a bad day...

Julie on 8/11/01 at 16:02 (056344)

OUCH! I can feel your pain, Carmel.

How long have you been seeing this pod? Are cortisone injections the only treatment he has offered you? If not, can you say what else he and you have done? If so - yes, perhaps you do need to think about finding another.

If you post a message on the Ask the Foot Doctors board saying where you live, one of the doctors may be able to recommend someone. It would, I think, be worth a journey to establish a relationship with a doctor who can offer you more help.

It is certainly possible that your back and foot problems are related and whoever you see really should investigate that aspect.

Meanwhile - have you considered taping your foot/feet? It might give you enough relief to get around the house picking up after that little dynamo. There are instructions in part 2 of the heel pain book (which I assume you've studied?) but shout if you need help.

I hope tomorrow is a better day for you.

Re: I'm having a bad day...

Carmel M on 8/11/01 at 16:25 (056346)

Thanks for your response Julie. I've been seeing this Pod since shortly after we moved here, so maybe since November 2000. He took a cursory glance at my orthotics at the last appointment, and then recommended another cortisone shot. So yeah, that's basically all he's done. He had no response to my taping question and said to call his office if the pain continues. My husband came with me for the last appt. so that he could help me remeber what the Pod said. So I need to compare notes with him, but the only thing I remember clearly was him saying he'd prescribe PT if pain returns.

Do you mean tape the foot and wear my orthotics at the same time? I normally wear my sneakers with orthotis in all day. Thankfully, only the right foot hurts, so do I tape both or just the right. And yes I have studied the heel pain book, and I am familiar with the way you recommend taping. I have actually done it, but don't tape all the time. I figure the orthotics are providing support, but maybe they are not.

I'll post on the Ask the Foot Doctors board to see if they know anybody close.

Thanks again for responding.
Carmel

Re: Carmel - sorry for delay

Julie on 8/12/01 at 03:21 (056397)

Hi Carmel

I'm sorry - after I posted I went to bed (I'm in England and we're six hours ahead of heelspurs.com time). Now it's morning and I've just seen the message you sent a few minutes after mine.

If you've been reading Dr Ed Davis's posts recently, you'll know that he says that in treating PF what is needed is a comprehensive package of conservative treatments, delivered to the right person and in the right combination for the right length of time. This is not what you have had from your doctor. I do think you need to find another: one who has the knowledge and experience to identify the cause of your PF and treat it aggressively and correctly. It has been going on for too long for you to have had only cortisone shots and a vague promise of PT.

So I hope you will post on the other board and see if you can get some solid information and a good recommendation. I do feel that any doctor you see should take your spinal injury and subsequent problems, including the difference in leg length, into account.You probably need further tests, but I would rather one of the doctors commented on this aspect.

Did taping give you any relief when you tried it? If it did, I would certainly suggest you continue with it. If not, perhaps you should try another technique. I'm conversant only with the one I've used so successfully, but I'm sure they are all good. They all work on the principle of substituting the support for the arch that it has lost due to the injury to the fascia. So taping 'rests' the fascia, which contributes to healing as well as to pain relief.

I don't need to tape any more, but during the time that I did, I used tape as well as my orthotics, yes.

If your left foot doesn't hurt, I don't think there is any need to tape it.

Did your pod evaluate your gait for biomechanical faults that could be addressed with custom orthotics? (You say you have orthotics but are not sure they are helping. Are they custom or otc orthotics?)

Anyway - how are you today? Better, I hope! (Well, I know you're still asleep, but post again when you wake up.)

All the best, Julie

Re: I'm having a bad day...

Clara on 8/12/01 at 04:45 (056400)

Hi! I´m so sorry for you, Carmel. But it sounds like you got lots of strength inside, you have had plenty (TOO much - I think!!) to deal with in your life. I think it´s a good idea to ask the doctors, they certainly have something good to say. And do test the taping, like Julie says.
About this first question you have: I think perhaps our bodies have kind of some 'inner strenght' when we carry the kids, I´m sorry for you that the pain come back. It must be very painful for you. But it also sounds like you got a good husband, who cares about you, let him do so, I know how you feel, my husband is kind of tired of all this pain, too, and it comes back all the time.... but I feel a lot better now and will get back to work soon.

remember that you got the board - come back and tell us how you feel!
Don´t think about 'your complaining' - you have this board and all folks here know how it feels!!

Hugs and take care
/ from

Clara

Re: Thanks Julie and Clara

Carmel M on 8/12/01 at 14:41 (056473)

I am feeling better today, thanks. I decieded to take it easy yesterday, so the foot feels a little better today (so does my knee!)

I think my Pod's response to a gait analysis was 'That's not necessary' or something to that effect. Julie, I agree with you about seeing another doctor who will take into consideration all the complications I have that may be a factor in my PF not healing.

Yes, the orthotics I have are custom made.

Ok, I think I know what to do and what to ask the docs on the ask the foot doctors board.

Thank you both for your support :)

Carmel

Oh, I forgot something Julie, when I taped my foot the last time it felt pretty good except for a spot on the back of my heel. Is that where I should feel pain if I haven't done the taping right? Maybe I need to extend the tape further up the back of the heel. Or end it before reaching the back of the heel. I'll look at the pictures again while I wait for your response--Thanks

Re: Thanks Julie and Clara

Kathy G on 8/13/01 at 09:45 (056551)

Hi Carmel,

I am so sorry about your bad day! We all have them but we don't all have one-year-olds to care for, too! I'm glad you're now feeling better.

Re: having one leg shorter than the other. That was probably the first thing my Pod mentioned to me when I went to him. When he designed my orthotics, he took that into consideration and built one up. He also did the same with my custom Birks. Maybe your Pod noticed it but didn't say anything about it! If not, maybe a second opinion would be advised.

As to the knees, my knees have always been the one part of my body that seemed to work properly until I went for PT. Then they started to hurt - the backs, the fronts and my hamstrings were unbelievably sore. So, since the PT wasn't helping the PF, I just stopped PT. Possibly, the pain in your foot was so bad, that by compensating for it, you aggravated your knee. Hope that pain stays away since it sounds like you have your share of pain and don't need any new ones!

Hang in there. Don't hesitate to let your husband know about your pain. I tended to not tell mine if I had had a bad day because I didn't want him to be upset and worry but I discovered he felt very shut out when I didn't share it with him. (I slipped one time and mentioned to a friend that I'd had a painful day and I hadn't told him.) Yes, he gets frustrated because he can't make it go away but he seems to feel hurt if I pretend all is well! Now, if I've had a painful day, I tell him!

Good luck!

Re: Thanks Julie and Clara

Beverly on 8/13/01 at 15:23 (056600)

Carmen,

I'm sorry you've had a bad spell. Have you considered switching to an orthopedic surgeon who specializes in foot/ankle? I say that because if you have a spinal cord injury in your history, you might benefit from having a medical doctor rather than a pod. Also, the orthopedic docs I've seen are usually in practice with several other orthopedic docs all specializing in different parts of the body. I guess if you really got lucky, you'd find someone who specialized in both feet and backs. My own doc specialized in several other body parts besides the feet. I like having an orthopedic doctor because I know he was trained in the 'whole body' where as a pod is trained in feet/ankles.

Hope you have a better day,
Beverly

Re: Thanks Beverly

Carmel on 8/13/01 at 20:17 (056655)

I hadn't considered an orthopedic surgeon, but that sounds like a great idea. I think we even have one in this small town I live in!!

Re: I'm having a bad day...

Julie on 8/11/01 at 16:02 (056344)

OUCH! I can feel your pain, Carmel.

How long have you been seeing this pod? Are cortisone injections the only treatment he has offered you? If not, can you say what else he and you have done? If so - yes, perhaps you do need to think about finding another.

If you post a message on the Ask the Foot Doctors board saying where you live, one of the doctors may be able to recommend someone. It would, I think, be worth a journey to establish a relationship with a doctor who can offer you more help.

It is certainly possible that your back and foot problems are related and whoever you see really should investigate that aspect.

Meanwhile - have you considered taping your foot/feet? It might give you enough relief to get around the house picking up after that little dynamo. There are instructions in part 2 of the heel pain book (which I assume you've studied?) but shout if you need help.

I hope tomorrow is a better day for you.

Re: I'm having a bad day...

Carmel M on 8/11/01 at 16:25 (056346)

Thanks for your response Julie. I've been seeing this Pod since shortly after we moved here, so maybe since November 2000. He took a cursory glance at my orthotics at the last appointment, and then recommended another cortisone shot. So yeah, that's basically all he's done. He had no response to my taping question and said to call his office if the pain continues. My husband came with me for the last appt. so that he could help me remeber what the Pod said. So I need to compare notes with him, but the only thing I remember clearly was him saying he'd prescribe PT if pain returns.

Do you mean tape the foot and wear my orthotics at the same time? I normally wear my sneakers with orthotis in all day. Thankfully, only the right foot hurts, so do I tape both or just the right. And yes I have studied the heel pain book, and I am familiar with the way you recommend taping. I have actually done it, but don't tape all the time. I figure the orthotics are providing support, but maybe they are not.

I'll post on the Ask the Foot Doctors board to see if they know anybody close.

Thanks again for responding.
Carmel

Re: Carmel - sorry for delay

Julie on 8/12/01 at 03:21 (056397)

Hi Carmel

I'm sorry - after I posted I went to bed (I'm in England and we're six hours ahead of heelspurs.com time). Now it's morning and I've just seen the message you sent a few minutes after mine.

If you've been reading Dr Ed Davis's posts recently, you'll know that he says that in treating PF what is needed is a comprehensive package of conservative treatments, delivered to the right person and in the right combination for the right length of time. This is not what you have had from your doctor. I do think you need to find another: one who has the knowledge and experience to identify the cause of your PF and treat it aggressively and correctly. It has been going on for too long for you to have had only cortisone shots and a vague promise of PT.

So I hope you will post on the other board and see if you can get some solid information and a good recommendation. I do feel that any doctor you see should take your spinal injury and subsequent problems, including the difference in leg length, into account.You probably need further tests, but I would rather one of the doctors commented on this aspect.

Did taping give you any relief when you tried it? If it did, I would certainly suggest you continue with it. If not, perhaps you should try another technique. I'm conversant only with the one I've used so successfully, but I'm sure they are all good. They all work on the principle of substituting the support for the arch that it has lost due to the injury to the fascia. So taping 'rests' the fascia, which contributes to healing as well as to pain relief.

I don't need to tape any more, but during the time that I did, I used tape as well as my orthotics, yes.

If your left foot doesn't hurt, I don't think there is any need to tape it.

Did your pod evaluate your gait for biomechanical faults that could be addressed with custom orthotics? (You say you have orthotics but are not sure they are helping. Are they custom or otc orthotics?)

Anyway - how are you today? Better, I hope! (Well, I know you're still asleep, but post again when you wake up.)

All the best, Julie

Re: I'm having a bad day...

Clara on 8/12/01 at 04:45 (056400)

Hi! I´m so sorry for you, Carmel. But it sounds like you got lots of strength inside, you have had plenty (TOO much - I think!!) to deal with in your life. I think it´s a good idea to ask the doctors, they certainly have something good to say. And do test the taping, like Julie says.
About this first question you have: I think perhaps our bodies have kind of some 'inner strenght' when we carry the kids, I´m sorry for you that the pain come back. It must be very painful for you. But it also sounds like you got a good husband, who cares about you, let him do so, I know how you feel, my husband is kind of tired of all this pain, too, and it comes back all the time.... but I feel a lot better now and will get back to work soon.

remember that you got the board - come back and tell us how you feel!
Don´t think about 'your complaining' - you have this board and all folks here know how it feels!!

Hugs and take care
/ from

Clara

Re: Thanks Julie and Clara

Carmel M on 8/12/01 at 14:41 (056473)

I am feeling better today, thanks. I decieded to take it easy yesterday, so the foot feels a little better today (so does my knee!)

I think my Pod's response to a gait analysis was 'That's not necessary' or something to that effect. Julie, I agree with you about seeing another doctor who will take into consideration all the complications I have that may be a factor in my PF not healing.

Yes, the orthotics I have are custom made.

Ok, I think I know what to do and what to ask the docs on the ask the foot doctors board.

Thank you both for your support :)

Carmel

Oh, I forgot something Julie, when I taped my foot the last time it felt pretty good except for a spot on the back of my heel. Is that where I should feel pain if I haven't done the taping right? Maybe I need to extend the tape further up the back of the heel. Or end it before reaching the back of the heel. I'll look at the pictures again while I wait for your response--Thanks

Re: Thanks Julie and Clara

Kathy G on 8/13/01 at 09:45 (056551)

Hi Carmel,

I am so sorry about your bad day! We all have them but we don't all have one-year-olds to care for, too! I'm glad you're now feeling better.

Re: having one leg shorter than the other. That was probably the first thing my Pod mentioned to me when I went to him. When he designed my orthotics, he took that into consideration and built one up. He also did the same with my custom Birks. Maybe your Pod noticed it but didn't say anything about it! If not, maybe a second opinion would be advised.

As to the knees, my knees have always been the one part of my body that seemed to work properly until I went for PT. Then they started to hurt - the backs, the fronts and my hamstrings were unbelievably sore. So, since the PT wasn't helping the PF, I just stopped PT. Possibly, the pain in your foot was so bad, that by compensating for it, you aggravated your knee. Hope that pain stays away since it sounds like you have your share of pain and don't need any new ones!

Hang in there. Don't hesitate to let your husband know about your pain. I tended to not tell mine if I had had a bad day because I didn't want him to be upset and worry but I discovered he felt very shut out when I didn't share it with him. (I slipped one time and mentioned to a friend that I'd had a painful day and I hadn't told him.) Yes, he gets frustrated because he can't make it go away but he seems to feel hurt if I pretend all is well! Now, if I've had a painful day, I tell him!

Good luck!

Re: Thanks Julie and Clara

Beverly on 8/13/01 at 15:23 (056600)

Carmen,

I'm sorry you've had a bad spell. Have you considered switching to an orthopedic surgeon who specializes in foot/ankle? I say that because if you have a spinal cord injury in your history, you might benefit from having a medical doctor rather than a pod. Also, the orthopedic docs I've seen are usually in practice with several other orthopedic docs all specializing in different parts of the body. I guess if you really got lucky, you'd find someone who specialized in both feet and backs. My own doc specialized in several other body parts besides the feet. I like having an orthopedic doctor because I know he was trained in the 'whole body' where as a pod is trained in feet/ankles.

Hope you have a better day,
Beverly

Re: Thanks Beverly

Carmel on 8/13/01 at 20:17 (056655)

I hadn't considered an orthopedic surgeon, but that sounds like a great idea. I think we even have one in this small town I live in!!