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Heat or Icing after Ossatron? For DR. Z or anyone?

Posted by Robert H on 3/21/02 at 18:06 (077141)

I just had my second Ossatron treatment today in Jacksonville, FL. The first(Aug 10,2001- I'm told I was the first patient for the procedure in this part of the country) resulted in about 50 -65% reduction in pain, or at least an increase in 'time on feet' before the foot really gets 'fired up'.

This was after all the classic conservative treatments failed for 15 months(stretching, night splints, othotics, PT, 4 shots). Also, an increase in flexibility along with much less early morning sharpness was achieved. I used ice several times daily and have for the seven months following the first procedure.I convinced of the effectiveness of the procedure because it is the only treatment that had a lasting effect.

Now I see where ice is not recommend and that heat may be? I'm confused as to which I should use and how often. At this point I'll try anything except surgery. My doctor has been a real prince and went the extra mile in getting me approved as the first in this area. I'm also the worst case (47 years old lifelong active athlete, running weights, windsurfing - you name it, but now I can't stand without pain).

The problem is that the other paitents were either far milder cases, sedentary or for whatever reason have recieved close to 100% sucess, so there is little local information ragarding the use of heat or icing.

Any suggestions would be greatly appreciated.

Thank You,

Robert H

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

DR Zuckerman on 3/21/02 at 19:41 (077153)

HEAT IS MY CHOICE.

Re: Dr's name

nancy w on 3/22/02 at 11:56 (077218)

Robert, I'm moving to the Jacksonville area in June. Would you reccomend your foot dr? If you do, please tell me who he is. Thanks! Nancy W

Re: Dr's name

Robert H on 3/22/02 at 12:18 (077219)

Dr. George Tellham of the GA/FL ankle & Foot Specialists. (912)729-5250

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

Robert H on 3/22/02 at 12:21 (077220)

I've been using a heat pad on high which to my surprise feels really good. How often and for how long? Or is the general idea the more the better?

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

john h on 3/22/02 at 12:55 (077225)

All I read now from many authorites is heat not ice after ESWT. I have had several treatments and the first one was a few years ago and I do not remember if the Doc told me what to do. Allan a technican who perfoms ESWT is very adament about heat after ESWT as I think Dr. Z is also. At some point I would think you could resume icing but I do not know when. Since it can take up to 12 weeks to achieve the max effect from an ESWT treatment it would seem logical that during this period you would use heat. I use the whirlpool with my foot up against the jet (106 degrees).

Re: To John Heat or Icing after Ossatron? For DR. Z or anyone?

Pauline on 3/22/02 at 13:23 (077227)

John,
Did you wait 12 weeks between each of your 4 ESWT treatments? How many times of day did you apply the heat when you switched from icing to heat?

Re: To John Heat or Icing after Ossatron? For DR. Z or anyone?

john h on 3/22/02 at 14:28 (077230)

Pauline: My four treatments were spread out over about two years. Steve P has had 4 treatments (i think) and is have been much closer together. Allan in Australia who does Dornier Epos treatments says that accumualative dossage is the important thing and the Dornier protocol in Austalia is three treatments one week a part. In Canada the will do 3 treatments with the Dornier with one day between each treatment. I do not know what the U.S. protocol will be for the Dornier. If I were starting over I think I would move my treatments closer together but certainly no closer than 12 weeks with a high energy machine such as the Ossatron or Orby as it takes at least that long for many to achieve the full effect of the treatment. I got better after each treatment with the most improvement after treatment #3 for whatever reason. I have been moving around at pain level of 1-2 for most of the past year. If I do something stupid like a few month ago I ran two laps around a track then I have a set back. Running is still not in the cards for me and my pain level 1-2 of course is subjective and I prefer no pain and will continue to try what ever seems safe and makes sense to me. This board continues to amaze me with the many things people try and the success of some and failure of others. There are probably multiple causes of Pf such as over use, aging, bad shoes, on your feet to much, and so on. Therefore it only makes sense there is not going to be any one cure that works for all of us. Something that helps one may injure another. We are all ultimately responsible for our choices of treatments presented to us here on the board and at our Doctors office. I have had a couple of outrageous things suggested by doctors such as a 100% release of the fascia so we all best be well informed on this problem. Did you see my post to you on the facial neuralgia?

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

DR Zuckerman on 3/22/02 at 20:36 (077261)

Use heat as often as you can At least three times daily twenty minutes each time. Another method is hot cold hot. . This is what they call contrast baths

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

Robert H on 3/23/02 at 17:05 (077332)

Thanks, I'll try the hot-cold-hot when time permits and just the plain heat otherwise, at least for the 12 week period. I had used the contrast baths method early in the game when given only vioxx and the cortesone injections, but things were so bad then it was hard to tell much improvement.

It's hard to point at the precise reason but I'm only having about 1/3 the soreness and swelling after the 2nd treatement vs the 1st. Also, I noticed an even greater increase in flexibility. At any rate I'm much better off after the 2nd treatement than before although it is too soon to tell much. Thanks again for the sugestions.

Robert H

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

DR Zuckerman on 3/21/02 at 19:41 (077153)

HEAT IS MY CHOICE.

Re: Dr's name

nancy w on 3/22/02 at 11:56 (077218)

Robert, I'm moving to the Jacksonville area in June. Would you reccomend your foot dr? If you do, please tell me who he is. Thanks! Nancy W

Re: Dr's name

Robert H on 3/22/02 at 12:18 (077219)

Dr. George Tellham of the GA/FL ankle & Foot Specialists. (912)729-5250

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

Robert H on 3/22/02 at 12:21 (077220)

I've been using a heat pad on high which to my surprise feels really good. How often and for how long? Or is the general idea the more the better?

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

john h on 3/22/02 at 12:55 (077225)

All I read now from many authorites is heat not ice after ESWT. I have had several treatments and the first one was a few years ago and I do not remember if the Doc told me what to do. Allan a technican who perfoms ESWT is very adament about heat after ESWT as I think Dr. Z is also. At some point I would think you could resume icing but I do not know when. Since it can take up to 12 weeks to achieve the max effect from an ESWT treatment it would seem logical that during this period you would use heat. I use the whirlpool with my foot up against the jet (106 degrees).

Re: To John Heat or Icing after Ossatron? For DR. Z or anyone?

Pauline on 3/22/02 at 13:23 (077227)

John,
Did you wait 12 weeks between each of your 4 ESWT treatments? How many times of day did you apply the heat when you switched from icing to heat?

Re: To John Heat or Icing after Ossatron? For DR. Z or anyone?

john h on 3/22/02 at 14:28 (077230)

Pauline: My four treatments were spread out over about two years. Steve P has had 4 treatments (i think) and is have been much closer together. Allan in Australia who does Dornier Epos treatments says that accumualative dossage is the important thing and the Dornier protocol in Austalia is three treatments one week a part. In Canada the will do 3 treatments with the Dornier with one day between each treatment. I do not know what the U.S. protocol will be for the Dornier. If I were starting over I think I would move my treatments closer together but certainly no closer than 12 weeks with a high energy machine such as the Ossatron or Orby as it takes at least that long for many to achieve the full effect of the treatment. I got better after each treatment with the most improvement after treatment #3 for whatever reason. I have been moving around at pain level of 1-2 for most of the past year. If I do something stupid like a few month ago I ran two laps around a track then I have a set back. Running is still not in the cards for me and my pain level 1-2 of course is subjective and I prefer no pain and will continue to try what ever seems safe and makes sense to me. This board continues to amaze me with the many things people try and the success of some and failure of others. There are probably multiple causes of Pf such as over use, aging, bad shoes, on your feet to much, and so on. Therefore it only makes sense there is not going to be any one cure that works for all of us. Something that helps one may injure another. We are all ultimately responsible for our choices of treatments presented to us here on the board and at our Doctors office. I have had a couple of outrageous things suggested by doctors such as a 100% release of the fascia so we all best be well informed on this problem. Did you see my post to you on the facial neuralgia?

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

DR Zuckerman on 3/22/02 at 20:36 (077261)

Use heat as often as you can At least three times daily twenty minutes each time. Another method is hot cold hot. . This is what they call contrast baths

Re: Heat or Icing after Ossatron? For DR. Z or anyone?

Robert H on 3/23/02 at 17:05 (077332)

Thanks, I'll try the hot-cold-hot when time permits and just the plain heat otherwise, at least for the 12 week period. I had used the contrast baths method early in the game when given only vioxx and the cortesone injections, but things were so bad then it was hard to tell much improvement.

It's hard to point at the precise reason but I'm only having about 1/3 the soreness and swelling after the 2nd treatement vs the 1st. Also, I noticed an even greater increase in flexibility. At any rate I'm much better off after the 2nd treatement than before although it is too soon to tell much. Thanks again for the sugestions.

Robert H