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Surgery?

Posted by owen on 12/18/01 at 19:39 (067366)

I've been battling heel pain, diagnosed as plantar fasciatis since February of 2000. I tried stretching, tape, ice, rest, different shoes and arch inserts. It still hurts.

I broke my right ankle 3 times, most recently in 1996. My Orthopedist wants to perform surgery 12/28 and remove a heel spur or two and reinforce the ligaments, or what used to be ligaments on the outside of my right ankle.

I'm looking at 4 weeks in a cast and then a boot. What do you fellow sufferes think? I'm not a big fan of surgery but if it gets rid of my pain I;ll go for it.

Re: one fellow sufferer's opinion

Carole C on 12/18/01 at 20:03 (067369)

I think that almost two years of substantial PF pain is enough if one is to maintain sanity. If it were me, I'd be more than ready. But then I do tend to be cautious when it comes to having someone (even the best of surgeons) take a scalpel and cut into my body! (shiver)

If it were me, I'd probably get a consulting opinion or two, and then if they agreed I'd go ahead and do it. First I'd make sure I'd tried everything else I could think of.

Speaking of 'everything else', have you thought about ESWT for the heel spurs instead, and just forgetting the ligaments? I don't know how bad the ligament damage is.

Carole

Re: Surgery?

Julie on 12/19/01 at 02:20 (067384)

I would do as Carole suggests and get a second opinion before going down the surgery route, Owen. And if you ultimately decide to do it, make sure that your orthopedist is a specialist in feet and ankles - lots aren't.

Is the orthopedist the only doctor you've consulted about your heel pain? If you haven't been seen by a podiatrist, that might be a good next step. You seem to have tried a good range of conservative treatments, but perhaps not in the right order or balance.

Your post doesn't give much information, so if you care to go into more detail, you might get some ideas here.

For instance: I'd want to know what stretching you've done, and how you've done it. Sometimes it can do more harm than good.

And I'd want to know how much you're on your feet, what work you do, what shoes you wear, what kind of inserts, etc. What I'm getting at is that is that there may be loads of things still to think about and to try before you go in for cutting.

Re: Surgery?

john h on 12/20/01 at 09:33 (067463)

Owen: As with any surgery I would get at least 2 more opinions Owen including one from an orthopedic surgeon specializing in foot an ankle surgery. You did not mention anything about surgery on the PF. Is this part of the surgery. As you know many docotors and journals suggest that spurs are not the cause of PF pain but just the result of PF. Many people have spurs with no pain and many have pain with no spurs (me), You did not explain where your pain is. Is it the traditional PF pain located where the fascia inserts into the heel towards the inside of the foot?

Re: one fellow sufferer's opinion

Carole C on 12/18/01 at 20:03 (067369)

I think that almost two years of substantial PF pain is enough if one is to maintain sanity. If it were me, I'd be more than ready. But then I do tend to be cautious when it comes to having someone (even the best of surgeons) take a scalpel and cut into my body! (shiver)

If it were me, I'd probably get a consulting opinion or two, and then if they agreed I'd go ahead and do it. First I'd make sure I'd tried everything else I could think of.

Speaking of 'everything else', have you thought about ESWT for the heel spurs instead, and just forgetting the ligaments? I don't know how bad the ligament damage is.

Carole

Re: Surgery?

Julie on 12/19/01 at 02:20 (067384)

I would do as Carole suggests and get a second opinion before going down the surgery route, Owen. And if you ultimately decide to do it, make sure that your orthopedist is a specialist in feet and ankles - lots aren't.

Is the orthopedist the only doctor you've consulted about your heel pain? If you haven't been seen by a podiatrist, that might be a good next step. You seem to have tried a good range of conservative treatments, but perhaps not in the right order or balance.

Your post doesn't give much information, so if you care to go into more detail, you might get some ideas here.

For instance: I'd want to know what stretching you've done, and how you've done it. Sometimes it can do more harm than good.

And I'd want to know how much you're on your feet, what work you do, what shoes you wear, what kind of inserts, etc. What I'm getting at is that is that there may be loads of things still to think about and to try before you go in for cutting.

Re: Surgery?

john h on 12/20/01 at 09:33 (067463)

Owen: As with any surgery I would get at least 2 more opinions Owen including one from an orthopedic surgeon specializing in foot an ankle surgery. You did not mention anything about surgery on the PF. Is this part of the surgery. As you know many docotors and journals suggest that spurs are not the cause of PF pain but just the result of PF. Many people have spurs with no pain and many have pain with no spurs (me), You did not explain where your pain is. Is it the traditional PF pain located where the fascia inserts into the heel towards the inside of the foot?