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Still in PAIN, HELP!

Posted by Anthony P on 10/09/01 at 13:15 (062541)

Hi Everyone,
I still suffer from P.F. and cronic Achilles tendonitis after a stress fracture in my left heel a year and ago.I can only stand and walk on
it for no more then a hour . Now from favoring it for so long my good foot
is getting worse . I am trying many of the conserative treatments here at
this great web site that helped some .
I've seen 4 different doctors and counting .Yesterday I was told by my
Foot and ankle specialist to go to a Foot and ankle surgeon??????!!!
this upsets me to no end.
I'm out of work 3 monthes temp disablity will run out soon
My job will end after 15 years by january 2002
Sorry this is long I needed vent and get this out.
PLEASE HELP

Re: Still in PAIN, HELP!

Steve P on 10/09/01 at 19:49 (062575)

Anthony --- The fact that you're going to a foot & ankle specialist is a plus. I assume that you've had physical therapy & that he has had you on an anti-inflammatory med.

IMO, if he is now referring you to a surgeon, it's time to look into ESWT. Having suffered for more than a year, you may well be a candidate. I would definitely look into ESWT before surgery.

Did the original stress fracture occur on the job? Is it a Workman's Comp case?

Steve

Re: Still in PAIN, HELP!

Suzanne D on 10/09/01 at 22:16 (062594)

I wish I had some real answers for you, Anthony, but I can tell you that the readers here care and that you can come here for encouragement! Also, from what I understand, I would certainly consider ESWT before surgery. I only know limited information about it from my reading on this site, but I would look into it.

Good luck to you in both healing and finding a suitable job! :-) My prayers will be with you.

Re: Still in PAIN, HELP!

BrianG on 10/10/01 at 11:27 (062637)

Hi Anthony,

If my job was going away, and I was out on disability, and getting no better, there is no way I would be going back to work. I did it once, big mistake! So, what happens after your 3 month disability runs out? LTD?

BCG

Re: Still in PAIN, HELP!

Ed Davis, DPM on 10/10/01 at 12:31 (062647)

There is no 'magic bullet' but the first thing I would look at is your ankle range of motion. The presence of achilles tendinitis suggests that the achilles-gastosoleus complex may be tight--this will protract achilles tendinitis and plantar fasciitis symptoms.
Ed

Re: Still in PAIN, HELP!

Anthony P on 10/10/01 at 20:17 (062696)

Thank You all for responding to my post.Its amazing how a injury when clearing snow can change my life .(not work related) I worked 8 to 14 hours a day, Exercised 4 days a week , now I cant walk for more than a hour with out pain now I may have P.F in the good foot too. Surgery will be the last
thing , I will look into ESWT .Will this treatment help the tendonitis ? My symtems are: Pain in the back &bottom heel , shooting pains up the back of leg ,pain at the top of my foot & toes,outer side of ankle ,swelling ,burning I will let you all Know the out come of this . MY Best to all Anthony

Re: Still in PAIN, HELP!

john h on 10/12/01 at 10:05 (062825)

anthony: some years ago i had a real severe case of achilles tendonitis. I had a knot the size of a walnut form on the achilles tendon. I limped very badly and it really hurt. Here is what worked for me: I went to a sports medicine facility where they had a physical thearpy center. the doctor prescribed several weeks of physical thearapy which included (1) first thing i would do when arriving was to place my foot in a hot whirlpool for about 10 minutes to loosen up muscles and ankle (2) a very strong physical thearapist would the very vigorously massage the tendon and knot. i mean he really went at it hard and it really really hurt. He would do this for about 15 minutes. (3) they would then place some sort of salve (steriod i think) on the tendon and apply an electrical stimulator for about 15 minutes (4) i would then stretch my foot only slightly at first on an incline board. As time went on i increased the stretch. (5) After about 2 weeks the knot had almost disappeared and i no longer limped. After three weeks he taped my foot (PF type taping) and i went outside his facility and ran about 1/2 mile. My tendonitis was cured. The most important part of the treatment in my mind was the very vigorous and painful massage. He knew what he was doing as he treated a lot of the university football and basketball players and this is a very common condition for athletes. I cannot remember if after all was complete whether he iced it for 10 minutes or not. seems he did.

Re: John h

Anthony P on 10/14/01 at 19:35 (062988)

Hi John, Thanks for your input on this tendonitis problem . I went to a physical thearapist after I got the cast removed on Sept 13th I was doing
O.k. for one week of P.T.Then the tendonitis came back with a vengence
It seems that any physical activity makes the tendonitis and P.F. worse
for me. I will keep you posted on my progress. Peace on earth to all
Anthony

Re: Still in PAIN, HELP!

Steve P on 10/09/01 at 19:49 (062575)

Anthony --- The fact that you're going to a foot & ankle specialist is a plus. I assume that you've had physical therapy & that he has had you on an anti-inflammatory med.

IMO, if he is now referring you to a surgeon, it's time to look into ESWT. Having suffered for more than a year, you may well be a candidate. I would definitely look into ESWT before surgery.

Did the original stress fracture occur on the job? Is it a Workman's Comp case?

Steve

Re: Still in PAIN, HELP!

Suzanne D on 10/09/01 at 22:16 (062594)

I wish I had some real answers for you, Anthony, but I can tell you that the readers here care and that you can come here for encouragement! Also, from what I understand, I would certainly consider ESWT before surgery. I only know limited information about it from my reading on this site, but I would look into it.

Good luck to you in both healing and finding a suitable job! :-) My prayers will be with you.

Re: Still in PAIN, HELP!

BrianG on 10/10/01 at 11:27 (062637)

Hi Anthony,

If my job was going away, and I was out on disability, and getting no better, there is no way I would be going back to work. I did it once, big mistake! So, what happens after your 3 month disability runs out? LTD?

BCG

Re: Still in PAIN, HELP!

Ed Davis, DPM on 10/10/01 at 12:31 (062647)

There is no 'magic bullet' but the first thing I would look at is your ankle range of motion. The presence of achilles tendinitis suggests that the achilles-gastosoleus complex may be tight--this will protract achilles tendinitis and plantar fasciitis symptoms.
Ed

Re: Still in PAIN, HELP!

Anthony P on 10/10/01 at 20:17 (062696)

Thank You all for responding to my post.Its amazing how a injury when clearing snow can change my life .(not work related) I worked 8 to 14 hours a day, Exercised 4 days a week , now I cant walk for more than a hour with out pain now I may have P.F in the good foot too. Surgery will be the last
thing , I will look into ESWT .Will this treatment help the tendonitis ? My symtems are: Pain in the back &bottom heel , shooting pains up the back of leg ,pain at the top of my foot & toes,outer side of ankle ,swelling ,burning I will let you all Know the out come of this . MY Best to all Anthony

Re: Still in PAIN, HELP!

john h on 10/12/01 at 10:05 (062825)

anthony: some years ago i had a real severe case of achilles tendonitis. I had a knot the size of a walnut form on the achilles tendon. I limped very badly and it really hurt. Here is what worked for me: I went to a sports medicine facility where they had a physical thearpy center. the doctor prescribed several weeks of physical thearapy which included (1) first thing i would do when arriving was to place my foot in a hot whirlpool for about 10 minutes to loosen up muscles and ankle (2) a very strong physical thearapist would the very vigorously massage the tendon and knot. i mean he really went at it hard and it really really hurt. He would do this for about 15 minutes. (3) they would then place some sort of salve (steriod i think) on the tendon and apply an electrical stimulator for about 15 minutes (4) i would then stretch my foot only slightly at first on an incline board. As time went on i increased the stretch. (5) After about 2 weeks the knot had almost disappeared and i no longer limped. After three weeks he taped my foot (PF type taping) and i went outside his facility and ran about 1/2 mile. My tendonitis was cured. The most important part of the treatment in my mind was the very vigorous and painful massage. He knew what he was doing as he treated a lot of the university football and basketball players and this is a very common condition for athletes. I cannot remember if after all was complete whether he iced it for 10 minutes or not. seems he did.

Re: John h

Anthony P on 10/14/01 at 19:35 (062988)

Hi John, Thanks for your input on this tendonitis problem . I went to a physical thearapist after I got the cast removed on Sept 13th I was doing
O.k. for one week of P.T.Then the tendonitis came back with a vengence
It seems that any physical activity makes the tendonitis and P.F. worse
for me. I will keep you posted on my progress. Peace on earth to all
Anthony