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How soon should you know

Posted by tammie on 8/20/01 at 14:22 (057286)

After getting a cortisone shot how soon should you know it has worked or it has failed? Is there a kinda time limit that you should be able to know.Recieved second injection last wed morning, with painful results,yesterday and today I would say I am back down to the point of pain I was pre shot. Still having enough pain to have me use a 1/2 pain pill every 4 to maybe 6 hrs if I am feeling brave and stubborn.I am just wondering as I wonder what will happen next?He had said he will do no more cortisone after this one.Wonder if maybe a reaction, as I had dizzyness nausea and felt tho was going to pass out, he seemed to think was more the result of the shot the extream pain and nervousness said can take a few days to eleviate well has now calmed down but still kinda curious to my questions. What do u think?

Re: How soon should you know

Ed Davis, DPM on 8/20/01 at 15:23 (057302)

You generally should be able to determine if cortisone, when used for inflammatory conditions is 'successful' in about one week. About 2-3 weeks when used to reduce scar tissue.
Ed

Re: How soon should you know

Pauline on 8/20/01 at 16:49 (057310)

Hi Tammie,
Sorry your experiencing so much pain and trouble. Maybe you are truely
having an allergic reaction to the cortisone. I know anxiety build up
to having the injection can cause similar reactions, but yours could well be an allergic reaction.

I have had cortisone injections in the bottom of both feet over my several bouts with P.F. I have no explaination but I have never had a great deal of pain with any of them. By far the last ones I received where the most comfortable. No topical was used just 2 different shringes completely filled with medication and injected one right after the other same location, same foot. The first one I'm sure contained both a long acting and short acting anesthetic the second one filled to the top with the steroid.

He said he could go deeper this way and it seemed to work. My foot slept
from 4:00 P.M. to about 10:00 A.M the next morning. When it woke up no pain, no bruising. By far the best injection experience I have had and the one that seemed to work the best. I had relief by the next morning and it has continued since.

You know you can't base your results on what happens in other people , but since you had this reaction before I'd definately consider allergy to cortisone. I don't think you can rule the anesthetic out either.

After all you have been through I truely wish you no more bouts with steriods, a speedy recovery and some TLC.

Re: How soon should you know

tammie on 8/20/01 at 18:19 (057328)

Thanks for the information.I am waiting patiently, lol.Well not sure what cause all the symtoms but they ocurred within about 2 hours of the injection, the physical nausia, dizzy, lightheaded feelings went away by evening. But the pain elevated and continued thru Sunday and started tapering off. I was instructed to ice and elevate and use the pain medication and I could double it if was unbearable. Which I did the first night and tapered a bit after that . I am a baby about taking meds I hate them and do not like anything that makes me not have my full mind. But I bowed to the master of pain and took them with thankfulness! So hope this is over and now try to get back to the paraying this does some good.Thanks again!

Re: How soon should you know

Ed Davis, DPM on 8/20/01 at 19:19 (057336)

Tammie:
I think we are talking about a couple of different things here.

The first thing is the short term reaction to cortisone. Allergic reactions are unlikely but two things are fairly common:
A. A short term inflammatory reaction to the 'crystals' of the steroid which the body thinks are bacteria. White blood cells attack the crystals of steroid. This is often termed a 'steroid flare' and can cause redness and swelling at the injection site and can last for a couple of days. Ice applied to the area is the best treatment.

B. The pressure of the fluid (steroid and anesthetic), once the numbness has worn off makes the area hurt more before the steroid actually has a chance to act. Ice and rest also helps here.

Once the short term effects or side effects of the injection are gone, we need to look at the important thing--how well did the injection work to stop the pain or get rid of scar tissue in the area.
Ed

Re: Re:Dr,

Tammie on 8/20/01 at 20:23 (057347)

I had no swelling and no redness. What i did have was enough pain to make me cry,which I am a pretty strong person or was. I felt sick to my stomache, I felt dizzy I felt like I was going to pass out and that was not during injection, it was after in I would say about 2 hours after. It hurt so bad I could not handle it, my hubby called the dr. as we did not know what to do, or what was happening( our thought was a reaction to the medicine) When he returned the call he felt that the pain was a normal type reaction to the nerve or nerve area being injected and that it could take a few days to let up, to elevate ice and take the pain meds he prescribed. Now I can tell u this much, the pain was bad enough for me one who hates meds of any type especially pain ones to bow down and forget my thoughts and beg for something anything to take the pain away. This continued till Sat with me using all I could take, Sat I started cutting back and continued thru sun. and today been going 1/2 a pill,stretching for as long as I can possibly tolerate. I can tell you from my heart that I could not have done without a medication or something ,the pain was that great. Today I feel as tho I am close to wear it was before the injection but still more uncomfortable.Tho I did have Pt today. He felt sure of his dx of the tts., and stated that there would be no more shots, the next would be we need to seriously discuss surgery. This is a concern for me as I have already had the pf release in april and still here and unable to return to my work. I am hoping for this cortisone to do the job with the pt, but if it does not what is left for me? I do not know anything about this it is all new to me. As for the injection helping to rid the pain , no way did it do that yet! NO way. I do not know about the scar tissue tho.I do know the pt cannot touch the sensitive areas without causing allot of pain,and see that she is worried. Does this tell u any more ? I am only wanting to do the right thing, I really am trying to please everyone by getting better and I keep letting everyone down,I try very hard to be optimistic, but I still worry,everyone has answers for me but noone really knows but the people who are in this themselves or the people who treat thease sorts of problems! I like my dr. I think I trust him, lol sounds bad but u know so many put down dr.s when they dont see the results fast enough to suit them it kinda rubs on u, do u understand? I felt better before I read this post now I wonder again what all this means. Thank u for taking the time to respond to me. I am wondering if I should relax and wait the next week when I see him or should I call him to talk with him about all of this again?

Re: Tammie

Julie on 8/21/01 at 03:05 (057392)

My dear Tammie

I can't offer you any advice about cortisone or about your doctor or about what you should do. But I wonder whether - well, really, I'm pretty sure - you would start feeling better in yourself, better emotionally and mentally, I mean, if you could stop trying to please everyone. Of course you want to get better, and of course it will please everyone when you do get better, but - letting everyone down? How could you possibly think you are letting anyone down by being in pain? I'm sure your husband doesn't feel let down. Or your children. If they're young, may sometimes feel annoyed that you can't do everything for them like you used to, but that's just children.

If you really want to do the right thing, this is what I think you should do. Please just be your own good, sweet self, and accept the help your family and your friends at home and here give you without feeling you owe them something in return. I do understand that feeling: it's pretty typical of women. But it's no help to you, so for your own good health, please try to get over it.

Everyone loves you for who you are, and and nobody feels let down because you're still in pain, and everyone wants you to be better and will be glad when you are. It is not something you owe your friends, just something that will be wonderful when it happens. I hope it will be soon.

Love to you

Julie

Re: Re:Dr,

BrianG on 8/21/01 at 11:29 (057426)

Hi Tammy,

I really hate to mention this, because I know of your love for doctors, hahahaa, but have you thought about getting a 2nd opinion? I'd definatly do that before getting cut again. Don't believe Julie, I WANT you to please me, I want to see you healed :*)

BCG

Re: frustration? Or will it be labeled piety hmmmmmmmm

tammie on 8/21/01 at 12:44 (057434)

How funny you are Brian, yeah I want to please u to and keep running into those hurdles gosh sometimes they seem so darn high, I want to help myself and I want to do the right things and the best but anymore or I should laugh as I say that cause I never new what was right or wrong cause u see I donot know what the problem is, it has been a nightmare the whole thing, something that was said to be a simple little cut we will have you on your feet in no time, then the endless healing time, and then still troubles that were there in the begining.So many so much telling me how or what i should be feeling and how i should be doing this or that and I cant help it Iam getting tired again,plain and simple is this I hurt I am not better I have done what I have been told I try and listen to my Dr. who is seemingly following the treatment courses,I have a boss hounding me, a coworker driving me to tears of frustration, a hubby and familiy who pull me and tell me and ask me to death, and a mind that works overtime trying to sort and figure out who or what or when to please all and to deal with my own overload of questions thoughts and feelings of the pain. I just am fryed finally feeling emotionally as unstable as can be. As soon as I get up I feel as tho I been knocked down a good high feeling will not stay long enough to heal my mind. I feel as tho I am ready to forget this all one way or another. I wish I could not hear, then maybe I could find my peace, but that would be selfish of me as I am blessed with hearing I would miss to much not, I am sorry I said this. I am having a moment and it is a downer.I have had a overload of ( so called helpful people interfering with my job and life) I need time to deal with this blow.I am truly sorry but the cry feels good as well as the pouring out the heart what a healing effect it has. Thanks for letting me once again. I need a vacation from worry anyone want to come with me? I am not saying anyone in this board or any person here on this board has made me feel anything but glad that I have found such a wonderful place this is what gives me the courage to keep going and the knowledge to keep up the fight for the right to heal and find the proper treatments for myself and you help me get myself together when I fall down u dust my pants off and send me on my way, Thank you for this I would be in a much worse way without all of you! My piety party will end now and willstart to think positive once again got to take a few first. thease bumps are starting to get to this ole butt thank fully it is not my face that I fall on. Hugs to you all and thanks for the advice.

Re: frustration? Or will it be labeled piety hmmmmmmmm

ellen w on 8/21/01 at 13:19 (057439)

Tammie,
If you want to come to NY for vacation, you can sleep on my couch! Just be prepared to climb over my laundry piles.
ellen

Re: Oh the desparation in your voice hurts my heart!

Carmen H on 8/21/01 at 14:48 (057446)

Tammie~

You poor thing. I understand. All I can say is that I understand. My mind feels much the same way. 'Carmen you haven't complained about your feet today are you BETTER?' NO EVERYONE I am NOT better! I am so tired of talking about it!!! Please don't ask and maybe it will leave me alone!
So yes...I feel your pain as many of the people on this board do. I KNOW there is a reason...I just wish it was revealed a lot FASTER to me then it is. I certainly wish I could help make you feel better...but all we can all do is tell you we're right next to you no matter how far away everybody is. We understand.
One question. Do you read?

Re: Oh the desparation in your voice hurts my heart!

Tammie on 8/21/01 at 15:42 (057450)

Carmen u did u made me feel better u do understand and I totaly relate! Yes I do read! When I make the time. Thank u for understanding! Really thnk u! Just kick me in the pants and put me back on the high road! I dont want piety I want what u have offered understanding! Thank u!Cyber huggs to u!!!!!

Re: frustration? Or will it be labeled piety hmmmmmmmm

Tammie on 8/21/01 at 15:45 (057451)

Thanks, but runnig really wont help me now , LOL I have laundry to but that is my solance I like doing things and I can do that! Got to get up and start again but maybe tomorrow will be the fresh start once again. The ladder moves up one rung back one up 2 back 3 but someday got to make it to the top!Hugs to u! Thanks for caring and understanding really!

Re: Re:Dr,

Julie on 8/22/01 at 02:19 (057503)

Tammie, do get healed, and please Brian, and me, and everyone. Just try and remember that you're not letting anyone down if it doesn't happen tomorrow morning.

I agree with what Brian said. I know you trust your doctor, and that's good, but a second opinion wouldn't come amiss. I know you live in Ohio - which of the cities are you near? Maybe one of the doctors can suggest someone you could see.

If you take Ellen up on her offer of her couch, you could get to New Jersey and see Dr Z. How about that?

Re: Hugs right back at ya!

Carmen H on 8/22/01 at 07:23 (057519)

Tammie~

Look into a book called 'Wisdom of the Ages' by Wayne Dyer. When I was going through a lot of physical and mental 'trying' times I read a section of this book every day and it just changed my way of thinking on a lot of things. Wayne Dyer is a wonderful writer...he really puts things in perspective for me. There's a section called 'Hope' in there that I really enjoy reading...especially right now.
Don't let those BAD moments bring the whole day down. Recognize them as what they are...just moments. As my mom likes to say in good times or in bad 'This too shall Pass'. Which to me means....yes there are good times, but they won't last forever. Yes there are bad times, but they won't last forever either.
Chin up.....Keep in touch!

Re: Re:Dr,If I need new doc who or where?

Tammie on 8/22/01 at 09:53 (057537)

I live in or near Ashtabula.And honestly thoughts have had me consider going to see Dr. Z but where do I draw the line on Docs, what if my pod is one of the good guys, how do I know he is not the right doc? Because he wants to talk about a surgery? Are you thinking it is to soon for that? He seems to believe there is scar tissue causing the nerve to do this? What should I ask him , He has tryed 2 cortisone shots and the pt I am still getting and massive different anti inflams. We tryed the taping, I have orthodics which have been checked and even the pt people looked at them to, I have iced to I am iced to death,I have tryed heat, alternating,wonder what else we could try? Can not touch the area near the old incision without causing a great deal of pain tho the lump that was there seems to have ceased, the area is extreamly sensitive causing jolts and the tingling sensations the bottom of foot in arch area feels as tho I stood on a step and bruised the area do u understand that discript? The pain always gets worse as day goes on and heightens in pain at night at rest when I try to sleep, I hate to give up and start from scratch with a new doc but if it means curing this or getting under control so I may continue my life I am open to that. listening for advice once again. I do not think pt is doing much help she cannot even get in the darn area that hurts without sending me off she tryed one of those electrodes in close area I about ripped it off as it really heated up the activity, she tryes getting them in the calf area which has had some pain and trys above the ankle.She would like to try under foot but cannot get my foot to agree to it. I have had enough added pain and she does not want to start a new round if not nec. she is starting to think how the Dr. is and feels there is much going on there, tho she says some we can help there may be a point I need to listen to him about a surgery. That not all are as bad as people say, if there is something as obvious as this showing, now u know this is french to me as I hear surgery and start to get jumpy as I have read plenty of horror stories and everyone has encouraged me not to seek this type of treatment. Now will listen for advice.If u think time for another Doc will see about it and if so who or where is my best bet?Ohio, Ashtabula area, Warren area I have certain areas I can go with insurance but any help can check into.

Re: Re:Dr,If I need new doc who or where?

Ed Davis, DPM on 8/22/01 at 16:05 (057581)

How far are you from Cleveland?
Ed

Re: Re:Dr,If I need new doc who or where?

tammie on 8/22/01 at 16:09 (057583)

About a hour and half But insurance is funny they like you to be within a 50 mile radius to cover all. It is a teamster ins. Unless I am refered to a specail hospital and of course that has to be like the clev clinic not univerisity they get a bit picky.I see somone in Warren ohio now.And one off there aproved list, Thanks for helping continuing listening.

Re: Re:Dr,If I need new doc who or where?

Ed Davis, DPM on 8/22/01 at 23:47 (057643)

I am not too familiar with your area. A place that I often start looking is http://www.acfas.org
ed

Re: Re:Dr,If I need new doc who or where?

Tammie on 8/23/01 at 17:31 (057718)

Guess what i looked on that site and my dr. is listed there, do u still think I need a new doc? His partner is also listed there.

Re: Re:Dr,If I need new doc who or where?

eileenc on 8/24/01 at 07:33 (057784)

Hi fellow Buckeye! I live near Akron so am very familiar with Ashtabula.

Be careful if you do go to the Cleveland Clinic. I went there in September of 1998 and was told by the head of the orthopedic foot specialists that he did not belive in Tarsal tunnel syndrome.

I was given things to do which further hurt me and when I tried to get a new appointment because I was in so much pain that I could not work,(my next appointment was scheduled for 10 weeks later) they didn't even have the courtesy to call me back after saying that they would try ' try to get me in sooner'.

I wish I had a name to give you, but the best I can do is Dr. Christoper Klonk of the Crystal clinic, Phone; 330-688-4040. he is an orthopedic surgeon who specilizes in the foot and is recognized as the best in the area.

I went to him before the Cleveland clinic. He is the only one who got the correct diagnosis ( of several doctors I saw), but I found him a difficult person to deal with. My new family docotor is trying to talk me into returning to him.

Re: Re:Dr,If I need new doc who or where?

Dr. Zuckerman on 8/24/01 at 09:11 (057791)

Hi,

There is also a great podiatry school in Cleveland called the Ohio College of Podiatric Medicine. I went there is the 1970's. It is associated with the Cleveland Clinic but it is strictly Podiatry.

So give them a call. One of my teacher Dr. Myron Brodner is an excellent clinician and I would ask to see him

Re: Eileenec & those who care and who have helped me

Tammie on 8/24/01 at 09:12 (057793)

Hi I wrote a note to u, but dont know where it went to ? That is weird well will wait a bit and see if it shows up as I had not finished it but oh well I am not the brightest crayon in the box,I must have messed it up hehehe. Thanks for the help, as I wrote before wherever it is ,I am not to keen on ortho dr. the ones I have seen or know either come out with the knife or say sorry but not much more can do for you then done and keep working on it it will get better with time, pain really well yes I suppose would be but it will go away dont worry , Actually that is why I went to a pod, I have found quite a different approach and understanding and no he did not have the knife out when he looked at the xrays, he started with taping and ice and shot of cortisone and the pt and well u get the idea, I am happy with the pf release and the spur gone I am as I could not walk on heel at all before surgery and really that problem was just one of 2 I guess. And we did not jump into surgery it was a long process of trying many other things first tho for me it was like is it ever going to end cause things were just not right, my gut feeling was something is more going on, he seemed to agree from start but did not want to do a extra surgery when we thought we could work with this to and maybe the one would help the other somewhat. Unfortuantly at this point it has not and only has gotton progresivly worse and I am frankly tired of all this pain, dont get me wrong I have and can deal with some pain, I really can, but this is getting unreal and I refuse to live my life on pain pills without giving all other options a fair shake. Not that I wont if necc. but first I will try all else offered. At this point I will be seeing him today and will sit with him and try to open my ears to what he is trying to tell me and take along the hubby so as he can hear, I think he listens to more of the whole picture, and together we will decide where we will go now. I may be a wimp and may be making wrong decisions but at this point I cannot sleep or live a normal day without a pain medicine to take the edge off and i cannot work , or do anything that makes me happy without a consequence attached to it and I am not going to live this way without seeing whatelse is there for me. This is not just a 3 week decision I have been going thru this for some time, the pf surgery was in april and it was going on long long before that. I know in my heart that It is time to take care of this,so wish me luck with my options and keep me in your heart weather i make the right decisions or not I care about each and every one of you and thatnk you all for the help and support you have given me! When u hurt u will do ANYTHING to give it a try to relieve it after a while.I miss life, I miss doing simple things without crying in pain and frustration so I am going to give it my best shot to find a way to fix it. hugs to u and anyone else who reads this!

Re: Re:Dr,If I need new doc who or where?

Dr. Zuckerman on 8/24/01 at 09:21 (057796)

Hi,

There is also a great podiatry school in Cleveland called the Ohio College of Podiatric Medicine. I went there is the 1970's. It is associated with the Cleveland Clinic but it is strictly Podiatry.

So give them a call. One of my teacher Dr. Myron Brodner is an excellent clinician and I would ask to see him

Re: Re:DrZ

Tammie on 8/24/01 at 09:23 (057797)

Thanks for the help but you know , my dr. went there to, I wonder if he is not the good guy and is getting a bum rap? I am going to see him today and we are going to sit down and we are going to see what else there is yet to fix this so at least I can get some pain relief. My hubby will come as he heres all of the picture while I tend to hear what I want to and especially if it is going to be a quick fix. I am tired of pain and not living and sleeping a half way of decent life. I dont expect perfection just some relief. As my pt and my doc has sugeested i will try to listen and hear what he needs to tell me . Even if I dont like it. So thanks again, and I am really sorry I have been such a pain in the butt to you! I just cant seem to deal with this and hate pain and no sleep and do not want pills as a fix I want to be able to function with a clear head not fuzzy and sleepy. Thanks! I wonder maybe u know my doc lol wouldnt that be funny? I dont think he is really bad I think he has a difficult patient and one who er is not helpful at listening and maybe thinks more of what is said is better, and maybe has caused more of this herself do to not listening. I am working on being a better girl but think I have lots to go on it as I am just a impatient person! And darn it I want to work and be useful . And go shopping again and do simple things with my familiy like going to the fair and just walking to the darn football field without dying or medicating self to lesson pain but then feeling to fuzzy to care when I get there. I know patience and I am learning. Hugs to u and all others for giving me guidence.

Re: How soon should you know

Ed Davis, DPM on 8/20/01 at 15:23 (057302)

You generally should be able to determine if cortisone, when used for inflammatory conditions is 'successful' in about one week. About 2-3 weeks when used to reduce scar tissue.
Ed

Re: How soon should you know

Pauline on 8/20/01 at 16:49 (057310)

Hi Tammie,
Sorry your experiencing so much pain and trouble. Maybe you are truely
having an allergic reaction to the cortisone. I know anxiety build up
to having the injection can cause similar reactions, but yours could well be an allergic reaction.

I have had cortisone injections in the bottom of both feet over my several bouts with P.F. I have no explaination but I have never had a great deal of pain with any of them. By far the last ones I received where the most comfortable. No topical was used just 2 different shringes completely filled with medication and injected one right after the other same location, same foot. The first one I'm sure contained both a long acting and short acting anesthetic the second one filled to the top with the steroid.

He said he could go deeper this way and it seemed to work. My foot slept
from 4:00 P.M. to about 10:00 A.M the next morning. When it woke up no pain, no bruising. By far the best injection experience I have had and the one that seemed to work the best. I had relief by the next morning and it has continued since.

You know you can't base your results on what happens in other people , but since you had this reaction before I'd definately consider allergy to cortisone. I don't think you can rule the anesthetic out either.

After all you have been through I truely wish you no more bouts with steriods, a speedy recovery and some TLC.

Re: How soon should you know

tammie on 8/20/01 at 18:19 (057328)

Thanks for the information.I am waiting patiently, lol.Well not sure what cause all the symtoms but they ocurred within about 2 hours of the injection, the physical nausia, dizzy, lightheaded feelings went away by evening. But the pain elevated and continued thru Sunday and started tapering off. I was instructed to ice and elevate and use the pain medication and I could double it if was unbearable. Which I did the first night and tapered a bit after that . I am a baby about taking meds I hate them and do not like anything that makes me not have my full mind. But I bowed to the master of pain and took them with thankfulness! So hope this is over and now try to get back to the paraying this does some good.Thanks again!

Re: How soon should you know

Ed Davis, DPM on 8/20/01 at 19:19 (057336)

Tammie:
I think we are talking about a couple of different things here.

The first thing is the short term reaction to cortisone. Allergic reactions are unlikely but two things are fairly common:
A. A short term inflammatory reaction to the 'crystals' of the steroid which the body thinks are bacteria. White blood cells attack the crystals of steroid. This is often termed a 'steroid flare' and can cause redness and swelling at the injection site and can last for a couple of days. Ice applied to the area is the best treatment.

B. The pressure of the fluid (steroid and anesthetic), once the numbness has worn off makes the area hurt more before the steroid actually has a chance to act. Ice and rest also helps here.

Once the short term effects or side effects of the injection are gone, we need to look at the important thing--how well did the injection work to stop the pain or get rid of scar tissue in the area.
Ed

Re: Re:Dr,

Tammie on 8/20/01 at 20:23 (057347)

I had no swelling and no redness. What i did have was enough pain to make me cry,which I am a pretty strong person or was. I felt sick to my stomache, I felt dizzy I felt like I was going to pass out and that was not during injection, it was after in I would say about 2 hours after. It hurt so bad I could not handle it, my hubby called the dr. as we did not know what to do, or what was happening( our thought was a reaction to the medicine) When he returned the call he felt that the pain was a normal type reaction to the nerve or nerve area being injected and that it could take a few days to let up, to elevate ice and take the pain meds he prescribed. Now I can tell u this much, the pain was bad enough for me one who hates meds of any type especially pain ones to bow down and forget my thoughts and beg for something anything to take the pain away. This continued till Sat with me using all I could take, Sat I started cutting back and continued thru sun. and today been going 1/2 a pill,stretching for as long as I can possibly tolerate. I can tell you from my heart that I could not have done without a medication or something ,the pain was that great. Today I feel as tho I am close to wear it was before the injection but still more uncomfortable.Tho I did have Pt today. He felt sure of his dx of the tts., and stated that there would be no more shots, the next would be we need to seriously discuss surgery. This is a concern for me as I have already had the pf release in april and still here and unable to return to my work. I am hoping for this cortisone to do the job with the pt, but if it does not what is left for me? I do not know anything about this it is all new to me. As for the injection helping to rid the pain , no way did it do that yet! NO way. I do not know about the scar tissue tho.I do know the pt cannot touch the sensitive areas without causing allot of pain,and see that she is worried. Does this tell u any more ? I am only wanting to do the right thing, I really am trying to please everyone by getting better and I keep letting everyone down,I try very hard to be optimistic, but I still worry,everyone has answers for me but noone really knows but the people who are in this themselves or the people who treat thease sorts of problems! I like my dr. I think I trust him, lol sounds bad but u know so many put down dr.s when they dont see the results fast enough to suit them it kinda rubs on u, do u understand? I felt better before I read this post now I wonder again what all this means. Thank u for taking the time to respond to me. I am wondering if I should relax and wait the next week when I see him or should I call him to talk with him about all of this again?

Re: Tammie

Julie on 8/21/01 at 03:05 (057392)

My dear Tammie

I can't offer you any advice about cortisone or about your doctor or about what you should do. But I wonder whether - well, really, I'm pretty sure - you would start feeling better in yourself, better emotionally and mentally, I mean, if you could stop trying to please everyone. Of course you want to get better, and of course it will please everyone when you do get better, but - letting everyone down? How could you possibly think you are letting anyone down by being in pain? I'm sure your husband doesn't feel let down. Or your children. If they're young, may sometimes feel annoyed that you can't do everything for them like you used to, but that's just children.

If you really want to do the right thing, this is what I think you should do. Please just be your own good, sweet self, and accept the help your family and your friends at home and here give you without feeling you owe them something in return. I do understand that feeling: it's pretty typical of women. But it's no help to you, so for your own good health, please try to get over it.

Everyone loves you for who you are, and and nobody feels let down because you're still in pain, and everyone wants you to be better and will be glad when you are. It is not something you owe your friends, just something that will be wonderful when it happens. I hope it will be soon.

Love to you

Julie

Re: Re:Dr,

BrianG on 8/21/01 at 11:29 (057426)

Hi Tammy,

I really hate to mention this, because I know of your love for doctors, hahahaa, but have you thought about getting a 2nd opinion? I'd definatly do that before getting cut again. Don't believe Julie, I WANT you to please me, I want to see you healed :*)

BCG

Re: frustration? Or will it be labeled piety hmmmmmmmm

tammie on 8/21/01 at 12:44 (057434)

How funny you are Brian, yeah I want to please u to and keep running into those hurdles gosh sometimes they seem so darn high, I want to help myself and I want to do the right things and the best but anymore or I should laugh as I say that cause I never new what was right or wrong cause u see I donot know what the problem is, it has been a nightmare the whole thing, something that was said to be a simple little cut we will have you on your feet in no time, then the endless healing time, and then still troubles that were there in the begining.So many so much telling me how or what i should be feeling and how i should be doing this or that and I cant help it Iam getting tired again,plain and simple is this I hurt I am not better I have done what I have been told I try and listen to my Dr. who is seemingly following the treatment courses,I have a boss hounding me, a coworker driving me to tears of frustration, a hubby and familiy who pull me and tell me and ask me to death, and a mind that works overtime trying to sort and figure out who or what or when to please all and to deal with my own overload of questions thoughts and feelings of the pain. I just am fryed finally feeling emotionally as unstable as can be. As soon as I get up I feel as tho I been knocked down a good high feeling will not stay long enough to heal my mind. I feel as tho I am ready to forget this all one way or another. I wish I could not hear, then maybe I could find my peace, but that would be selfish of me as I am blessed with hearing I would miss to much not, I am sorry I said this. I am having a moment and it is a downer.I have had a overload of ( so called helpful people interfering with my job and life) I need time to deal with this blow.I am truly sorry but the cry feels good as well as the pouring out the heart what a healing effect it has. Thanks for letting me once again. I need a vacation from worry anyone want to come with me? I am not saying anyone in this board or any person here on this board has made me feel anything but glad that I have found such a wonderful place this is what gives me the courage to keep going and the knowledge to keep up the fight for the right to heal and find the proper treatments for myself and you help me get myself together when I fall down u dust my pants off and send me on my way, Thank you for this I would be in a much worse way without all of you! My piety party will end now and willstart to think positive once again got to take a few first. thease bumps are starting to get to this ole butt thank fully it is not my face that I fall on. Hugs to you all and thanks for the advice.

Re: frustration? Or will it be labeled piety hmmmmmmmm

ellen w on 8/21/01 at 13:19 (057439)

Tammie,
If you want to come to NY for vacation, you can sleep on my couch! Just be prepared to climb over my laundry piles.
ellen

Re: Oh the desparation in your voice hurts my heart!

Carmen H on 8/21/01 at 14:48 (057446)

Tammie~

You poor thing. I understand. All I can say is that I understand. My mind feels much the same way. 'Carmen you haven't complained about your feet today are you BETTER?' NO EVERYONE I am NOT better! I am so tired of talking about it!!! Please don't ask and maybe it will leave me alone!
So yes...I feel your pain as many of the people on this board do. I KNOW there is a reason...I just wish it was revealed a lot FASTER to me then it is. I certainly wish I could help make you feel better...but all we can all do is tell you we're right next to you no matter how far away everybody is. We understand.
One question. Do you read?

Re: Oh the desparation in your voice hurts my heart!

Tammie on 8/21/01 at 15:42 (057450)

Carmen u did u made me feel better u do understand and I totaly relate! Yes I do read! When I make the time. Thank u for understanding! Really thnk u! Just kick me in the pants and put me back on the high road! I dont want piety I want what u have offered understanding! Thank u!Cyber huggs to u!!!!!

Re: frustration? Or will it be labeled piety hmmmmmmmm

Tammie on 8/21/01 at 15:45 (057451)

Thanks, but runnig really wont help me now , LOL I have laundry to but that is my solance I like doing things and I can do that! Got to get up and start again but maybe tomorrow will be the fresh start once again. The ladder moves up one rung back one up 2 back 3 but someday got to make it to the top!Hugs to u! Thanks for caring and understanding really!

Re: Re:Dr,

Julie on 8/22/01 at 02:19 (057503)

Tammie, do get healed, and please Brian, and me, and everyone. Just try and remember that you're not letting anyone down if it doesn't happen tomorrow morning.

I agree with what Brian said. I know you trust your doctor, and that's good, but a second opinion wouldn't come amiss. I know you live in Ohio - which of the cities are you near? Maybe one of the doctors can suggest someone you could see.

If you take Ellen up on her offer of her couch, you could get to New Jersey and see Dr Z. How about that?

Re: Hugs right back at ya!

Carmen H on 8/22/01 at 07:23 (057519)

Tammie~

Look into a book called 'Wisdom of the Ages' by Wayne Dyer. When I was going through a lot of physical and mental 'trying' times I read a section of this book every day and it just changed my way of thinking on a lot of things. Wayne Dyer is a wonderful writer...he really puts things in perspective for me. There's a section called 'Hope' in there that I really enjoy reading...especially right now.
Don't let those BAD moments bring the whole day down. Recognize them as what they are...just moments. As my mom likes to say in good times or in bad 'This too shall Pass'. Which to me means....yes there are good times, but they won't last forever. Yes there are bad times, but they won't last forever either.
Chin up.....Keep in touch!

Re: Re:Dr,If I need new doc who or where?

Tammie on 8/22/01 at 09:53 (057537)

I live in or near Ashtabula.And honestly thoughts have had me consider going to see Dr. Z but where do I draw the line on Docs, what if my pod is one of the good guys, how do I know he is not the right doc? Because he wants to talk about a surgery? Are you thinking it is to soon for that? He seems to believe there is scar tissue causing the nerve to do this? What should I ask him , He has tryed 2 cortisone shots and the pt I am still getting and massive different anti inflams. We tryed the taping, I have orthodics which have been checked and even the pt people looked at them to, I have iced to I am iced to death,I have tryed heat, alternating,wonder what else we could try? Can not touch the area near the old incision without causing a great deal of pain tho the lump that was there seems to have ceased, the area is extreamly sensitive causing jolts and the tingling sensations the bottom of foot in arch area feels as tho I stood on a step and bruised the area do u understand that discript? The pain always gets worse as day goes on and heightens in pain at night at rest when I try to sleep, I hate to give up and start from scratch with a new doc but if it means curing this or getting under control so I may continue my life I am open to that. listening for advice once again. I do not think pt is doing much help she cannot even get in the darn area that hurts without sending me off she tryed one of those electrodes in close area I about ripped it off as it really heated up the activity, she tryes getting them in the calf area which has had some pain and trys above the ankle.She would like to try under foot but cannot get my foot to agree to it. I have had enough added pain and she does not want to start a new round if not nec. she is starting to think how the Dr. is and feels there is much going on there, tho she says some we can help there may be a point I need to listen to him about a surgery. That not all are as bad as people say, if there is something as obvious as this showing, now u know this is french to me as I hear surgery and start to get jumpy as I have read plenty of horror stories and everyone has encouraged me not to seek this type of treatment. Now will listen for advice.If u think time for another Doc will see about it and if so who or where is my best bet?Ohio, Ashtabula area, Warren area I have certain areas I can go with insurance but any help can check into.

Re: Re:Dr,If I need new doc who or where?

Ed Davis, DPM on 8/22/01 at 16:05 (057581)

How far are you from Cleveland?
Ed

Re: Re:Dr,If I need new doc who or where?

tammie on 8/22/01 at 16:09 (057583)

About a hour and half But insurance is funny they like you to be within a 50 mile radius to cover all. It is a teamster ins. Unless I am refered to a specail hospital and of course that has to be like the clev clinic not univerisity they get a bit picky.I see somone in Warren ohio now.And one off there aproved list, Thanks for helping continuing listening.

Re: Re:Dr,If I need new doc who or where?

Ed Davis, DPM on 8/22/01 at 23:47 (057643)

I am not too familiar with your area. A place that I often start looking is http://www.acfas.org
ed

Re: Re:Dr,If I need new doc who or where?

Tammie on 8/23/01 at 17:31 (057718)

Guess what i looked on that site and my dr. is listed there, do u still think I need a new doc? His partner is also listed there.

Re: Re:Dr,If I need new doc who or where?

eileenc on 8/24/01 at 07:33 (057784)

Hi fellow Buckeye! I live near Akron so am very familiar with Ashtabula.

Be careful if you do go to the Cleveland Clinic. I went there in September of 1998 and was told by the head of the orthopedic foot specialists that he did not belive in Tarsal tunnel syndrome.

I was given things to do which further hurt me and when I tried to get a new appointment because I was in so much pain that I could not work,(my next appointment was scheduled for 10 weeks later) they didn't even have the courtesy to call me back after saying that they would try ' try to get me in sooner'.

I wish I had a name to give you, but the best I can do is Dr. Christoper Klonk of the Crystal clinic, Phone; 330-688-4040. he is an orthopedic surgeon who specilizes in the foot and is recognized as the best in the area.

I went to him before the Cleveland clinic. He is the only one who got the correct diagnosis ( of several doctors I saw), but I found him a difficult person to deal with. My new family docotor is trying to talk me into returning to him.

Re: Re:Dr,If I need new doc who or where?

Dr. Zuckerman on 8/24/01 at 09:11 (057791)

Hi,

There is also a great podiatry school in Cleveland called the Ohio College of Podiatric Medicine. I went there is the 1970's. It is associated with the Cleveland Clinic but it is strictly Podiatry.

So give them a call. One of my teacher Dr. Myron Brodner is an excellent clinician and I would ask to see him

Re: Eileenec & those who care and who have helped me

Tammie on 8/24/01 at 09:12 (057793)

Hi I wrote a note to u, but dont know where it went to ? That is weird well will wait a bit and see if it shows up as I had not finished it but oh well I am not the brightest crayon in the box,I must have messed it up hehehe. Thanks for the help, as I wrote before wherever it is ,I am not to keen on ortho dr. the ones I have seen or know either come out with the knife or say sorry but not much more can do for you then done and keep working on it it will get better with time, pain really well yes I suppose would be but it will go away dont worry , Actually that is why I went to a pod, I have found quite a different approach and understanding and no he did not have the knife out when he looked at the xrays, he started with taping and ice and shot of cortisone and the pt and well u get the idea, I am happy with the pf release and the spur gone I am as I could not walk on heel at all before surgery and really that problem was just one of 2 I guess. And we did not jump into surgery it was a long process of trying many other things first tho for me it was like is it ever going to end cause things were just not right, my gut feeling was something is more going on, he seemed to agree from start but did not want to do a extra surgery when we thought we could work with this to and maybe the one would help the other somewhat. Unfortuantly at this point it has not and only has gotton progresivly worse and I am frankly tired of all this pain, dont get me wrong I have and can deal with some pain, I really can, but this is getting unreal and I refuse to live my life on pain pills without giving all other options a fair shake. Not that I wont if necc. but first I will try all else offered. At this point I will be seeing him today and will sit with him and try to open my ears to what he is trying to tell me and take along the hubby so as he can hear, I think he listens to more of the whole picture, and together we will decide where we will go now. I may be a wimp and may be making wrong decisions but at this point I cannot sleep or live a normal day without a pain medicine to take the edge off and i cannot work , or do anything that makes me happy without a consequence attached to it and I am not going to live this way without seeing whatelse is there for me. This is not just a 3 week decision I have been going thru this for some time, the pf surgery was in april and it was going on long long before that. I know in my heart that It is time to take care of this,so wish me luck with my options and keep me in your heart weather i make the right decisions or not I care about each and every one of you and thatnk you all for the help and support you have given me! When u hurt u will do ANYTHING to give it a try to relieve it after a while.I miss life, I miss doing simple things without crying in pain and frustration so I am going to give it my best shot to find a way to fix it. hugs to u and anyone else who reads this!

Re: Re:Dr,If I need new doc who or where?

Dr. Zuckerman on 8/24/01 at 09:21 (057796)

Hi,

There is also a great podiatry school in Cleveland called the Ohio College of Podiatric Medicine. I went there is the 1970's. It is associated with the Cleveland Clinic but it is strictly Podiatry.

So give them a call. One of my teacher Dr. Myron Brodner is an excellent clinician and I would ask to see him

Re: Re:DrZ

Tammie on 8/24/01 at 09:23 (057797)

Thanks for the help but you know , my dr. went there to, I wonder if he is not the good guy and is getting a bum rap? I am going to see him today and we are going to sit down and we are going to see what else there is yet to fix this so at least I can get some pain relief. My hubby will come as he heres all of the picture while I tend to hear what I want to and especially if it is going to be a quick fix. I am tired of pain and not living and sleeping a half way of decent life. I dont expect perfection just some relief. As my pt and my doc has sugeested i will try to listen and hear what he needs to tell me . Even if I dont like it. So thanks again, and I am really sorry I have been such a pain in the butt to you! I just cant seem to deal with this and hate pain and no sleep and do not want pills as a fix I want to be able to function with a clear head not fuzzy and sleepy. Thanks! I wonder maybe u know my doc lol wouldnt that be funny? I dont think he is really bad I think he has a difficult patient and one who er is not helpful at listening and maybe thinks more of what is said is better, and maybe has caused more of this herself do to not listening. I am working on being a better girl but think I have lots to go on it as I am just a impatient person! And darn it I want to work and be useful . And go shopping again and do simple things with my familiy like going to the fair and just walking to the darn football field without dying or medicating self to lesson pain but then feeling to fuzzy to care when I get there. I know patience and I am learning. Hugs to u and all others for giving me guidence.