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

Is there hope after a p.f. tear?

Posted by Jo Goodson on 10/16/01 at 10:17 (063065)

It has now been 15 months since I tore the p.f. in my right foot whilst mountaineering in the Alps and I am at my wits end. 2 private specialists failed to believe me and merely prescribed shelf-orthotics at a price and which crippled me further. In May this year (10 months after the initial incident)it was finally proven with an ultrasound scan (6mm tear in the right p.f. along with swelling in both heel p.f. join areas)yet the NHS will not recommend physiotherapy or useful advice of any kind. Use of a diabetic boot on the right foot lead to a further deterioration in the left foot. I have been trying massage at home on the tear and cold treatment to reduce inflammation for over 6 months with no reduction in sensitivity and no way to get another ultrasound to see if there has been any repair. The left heel now feels as though there is a partial detachment on a monthly cycle with an audible snap followed by more pain.
I am currently on the NHS waiting list for custom orthotics but am concerned this will worsen the problem as they will not accept the left p.f. is rupturing, but will not use a scan to show either way. I am now unable to stand for more than 1 minute before both feet are too painfull. I have already had to resort to using a wheel chair on occasions and am considering asking the NHS to supply me with one since they don't seem to want to treat the problem. Any suggestions?!!

Re: Is there hope after a p.f. tear?

Dr. Zuckerman on 10/16/01 at 10:27 (063066)

Hi,

You are describing typical micro-tearing of the plantar fascia as opposed to a rupture of the plantar fascia. You could also have a stress fracture of your heel bone . This is a very tough situation and you are trapped in a health care system that well I am not sure what to do.

Rest is very important. Physical therapy is very helpful. . It you can't stand for a minute then you have something going on with your feet. I wish I can examine you but tough via the internet.

PS: There is hope but only with treatment and not waiting on a list

Re: Is there hope after a p.f. tear?

Jo on 10/16/01 at 11:56 (063077)

Many thanks for the reply.
I rather wish you could look at my feet too!
If it is micro-tearing can I presume injections (as have been recommended) should not be done?
Will massage (gentle or deep) help or hinder repair processes?
I shall continue to knock louder on the NHS doors!

Thanks again, any help is much appreciated.

Re: Is there hope after a p.f. tear?

Dr. Zuckerman on 10/16/01 at 10:27 (063066)

Hi,

You are describing typical micro-tearing of the plantar fascia as opposed to a rupture of the plantar fascia. You could also have a stress fracture of your heel bone . This is a very tough situation and you are trapped in a health care system that well I am not sure what to do.

Rest is very important. Physical therapy is very helpful. . It you can't stand for a minute then you have something going on with your feet. I wish I can examine you but tough via the internet.

PS: There is hope but only with treatment and not waiting on a list

Re: Is there hope after a p.f. tear?

Jo on 10/16/01 at 11:56 (063077)

Many thanks for the reply.
I rather wish you could look at my feet too!
If it is micro-tearing can I presume injections (as have been recommended) should not be done?
Will massage (gentle or deep) help or hinder repair processes?
I shall continue to knock louder on the NHS doors!

Thanks again, any help is much appreciated.