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diagoned with Plantar Fasciities

Posted by Bob Mathies on 3/26/02 at 18:00 (077649)

I was just diagnosed with having plantar fasciities. All my doctor recommended was to stretch and exercise the foot for 10 to 15 times and scheduled to see me in 2 weeks! I'm into running everyday for at least 4 miles a day. Do you recommend cortisone shot to relieve the pain so I can continue to run? Somewhere in the article it stated to be 'patient', and patient I do not have. I need to exercise, but now; every time I move my leg it hurts!!! Any recommendation beside Stretching?

Re: diagoned with Plantar Fasciities

Suzanne D on 3/26/02 at 18:28 (077652)

I'm not a doctor, Bob, but I urge you to click on 'The Heel Pain Book' on this site and read for conservative treatments for PF. You could really make things worse by continuing to run right now even though I know you want to. And the worse your PF gets, the longer it will take to heal. You can read story after story on these message boards from people who did not learn the right things to do until after they had endured many weeks/months of pain.

Besides stretching, there is icing, rest, anti-inflammatory medicine that can be useful, taping, as well as the whole matter of shoes and inserts. I first went to my family doctor who gave me a paper about exercise and told me, 'This is not going to get better any time soon'.

I later got a referral to a podiatrist and found this site from which I have gotten much helpful information and support. Read and educate yourself, and you will be in the best position to get better sooner.

I am much better now (10 months after my PF started). I have not had a cortisone shot, but many here can give you information about them.

Take it easy, and read so that you can make the best informed choices! Good luck to you, Bob!

Re: diagoned with Plantar Fasciities

Julie on 3/27/02 at 02:06 (077693)

Hi Bob

I'm not a doctor either.

Well - you're not the only runner/person in the world who has no patience, but patience is what we've all had to learn. (Perhaps that's the Great Lesson of PF - it was for me!) You'll have to learn it too.

You have an injury. Plantar fasciitis is a repetitive motion injury, often caused by running. Running now - here's the bad news - will very likely worsen your condition, leaving you with long-lasting, chronic, and possibly disabling pain.

Now for the good news. Backing off weight-bearing exercise (running, and all but necessary walking and standing) will allow the fascia to heal. If you haven't had PF for very long, you stand a good chance of improving fairly quickly (but think in months, rather than days or weeks).

See a foot specialist (a podiatrist) for a full evaluation and diagnosis, and a sensible package of co-ordinated conservative treatments. Once you've established the cause (which could be running with shoes unsuitable for your foot type and biomechanics) it can be addressed.

Read the heel pain book.

Don't go barefoot: always wear good, supportive shoes. I mean - never let your bare feet touch the floor.

Take care with stretching. Remember than anything that hurts is re-injuring the fascia, so listen to the messages your body gives you and stop doing whatever hurts.

Be good now, and you'll be running again. What's a few months of sensible
patience against a possible lifetime of pain?

Re: diagoned with Plantar Fasciities

Mary Beth S on 3/27/02 at 10:36 (077723)

Bob, I'm not a Dr. but an avid runner who ran marathons. I FULLY understand your desire to run. I had to give my number up for the Boston marathon because my plantar fasciitis was getting much worse. I was taping and sticking my foot into a bucket of ice water three times a day. This lasted for three years until I began to get symptoms on my other foot. That's when I knew I had to stop the running (temporarily) and seek help. I did everything from physical therapy, stretching, icing, very expensive gait analysis and orthotics without any success. I chose NOT to get a cortisone shot because it's really just a bandaid effect, and with that you MUST stop running for several weeks.
I just had ESWT with Dr. Z last Saturday. I can't go back running for atleast 4 weeks postop. I am cross training by taking spinning classes, using the elliptical trainer and the escalator stairs. I also weight train four days a week. I UNDERSTAND you compulsion to exercise!
My advice is to cross train and stop running for atleast 3-4 weeks especially since your sypmtoms are so acute. Otherwise, you'll only be shelling out big bucks for treatment and will have to stop running anyway. Just my two cents worth. MB

Re: diagnosed with Plantar Fasciities

Bob Mathies on 3/27/02 at 14:33 (077740)

Suzanne, Mary and Julie,

Suzanne D, Mary Beth S, and Julie,
I appreciate your comments and reply to my new problem in life. You know it really made me feel must better knowing that
I'm not the only one who suffers from this aliment. 'Not that I'm happy knowing somebody else is suffering from the same
painful experience. I do not wish this on anyone!
Two weeks ago when I first experienced my pain on my left heel, early in the morning I thought I was going to 'die' it
hurts so much, and caught me by surprise.
That afternoon I ran only 2 miles and could not run any further. I suffered for two weeks and finely saw my doctor and I
was so discourage from is diagnose. I thought to myself I would never be able to run and do all of the things I took
lightly.
I appreciate your support and your candor in sharing with me so I do not make the same mistakes.
I wish all of you the best and hope you can get back to 'normal' without any pains and to get back on the right track! I will
defiantly take everyone suggestions and stay off from running, until my pain goes away. It will be difficult. However, at
least now I know I will be able to run in the future. Guess what I just received in the mail? An invitation to run in the
San Francisco marathon. :( I better learn being patient quickly before going out of my mind! Best wishes to all! Bob :)

Re: diagnosed with Plantar Fasciities

Julie on 3/27/02 at 15:36 (077751)

Hi Bob

I'm so glad you took all these gloomy directives so patiently to heart. You WILL get better if you're smart now, particularly as we now know you've only had PF for two weeks. All the doctors who contribute their time to this website have said repeatedly that early treatment is vital.

It may encourage you to hear that I AM better and back to normal and have been for over a year. My PF lasted five months, from July to December 2000. It resolved with rest (I'm not a runner, but I am a walker, and backed off all recreational walking completely, took taxis everywhere, etc), custom orthotics, icing, taping, and a change to better shoes.

Re: diagnosed with Plantar Fasciities

Suzanne D on 3/27/02 at 16:22 (077754)

Best wishes to you, too, Bob! Thanks for your message to us. I AM much better now, so keep in mind in the midst of all our warnings and suggestions that this pain will not be for always...:-)

And since you have just been diagnosed and will now start doing all the right things for your feet, I think you will mend much more quickly than many of us.

Your shoes will be very important, Bob. I can't tell you what to buy, but read and try to find what is best for you. I've never been a runner but used to love to walk - not great distances, but a mile 3 or 4 times a week made me feel good. And I'm a first grade teacher, so I'm on my feet most of the day. After reading so much about Birkenstocks on this site, I found a store that sells them and began wearing those in August. They were quite helpful in my recovery. I now am wearing SAS walking shoes with a Birkenstock insert, and this seems best for me now. I think this spring/summer I will be able to start taking some short walks again! Last summer I had to sit in the van while my family went through Wal-Mart. So I have come a long way.

Keep reading and posting for help and support. Hang in there!

Suzanne

Re: diagnosed with Plantar Fasciities

Carole C in NOLA on 3/27/02 at 16:27 (077757)

Suzanne, that is so exciting! I know you are looking forward to resuming your walks. You really have come a long ways since last summer. I'm truly happy to read about your improvement.

Carole C

Re: diagoned with Plantar Fasciities

Mar on 3/28/02 at 17:32 (077869)

I too was diagnosed with Plantar Fasciitis in November and I am still in extreme pain. I go for ultrasound treatments twice a week, was doing acupuncture twice a week, stretch, ice, rest when possible, have custom orthotics, use a TENS Unit, take homeopathic drops and use cream, and just started with lidoderm patches! I've tried anti-inflammatories and pain killers, as well as glucosamine, but my stomach can't tolerate them. So I guess patience is the answer, but I have run out myself. Maybe if you try some of these things they will work for you. Good luck!

Re: diagoned with Plantar Fasciities

Julie on 3/29/02 at 02:50 (077931)

Mar, you've tried an awful lot of things, and if they haven't 'worked' they may not have been the right things, or you may not have given them a chance. It's also possible that you're unintentionally doing something that is holding your healing up. Are you on your feet a lot. standing or walking too much and not getting enough rest? Are you sure your orthotics are right for you? Do you always wear supportive shoes? Never go barefoot? If you are trying to overcome PF with exercise, what exercise are you doing?

Everything needs to be looked at, so have a really good look at everything you are doing, and not doing.

Four months is no time at all: treating PF isn't an overnight wonder, and it's really too soon to run out of patience. Just be sure you're doing all the right things for yourself, and not doing wrong things.

Do you have a podiatrist whom you trust? What is his advice?

Re: diagoned with Plantar Fasciities

Mar on 3/29/02 at 06:56 (077936)

Thanks Julie -- I will take a look at everything I am doing. I am on my feet more than I should be I'm sure -- my job requires it. I have been faithful with all the treatments I am trying and am giving them all a chance -- also had cortisone shots which I failed to mention before. I trust my podiatrist completely and he is really proactive with me in trying to solve this. (My first podiatrist was the opposite and is in many ways responsible for my condition.) By the way I have the problem in both feet and both heels are extremely painful to walk on. You say that 4 months is no time at all -- actually it is 5 months now -- I guess I just don't see any light at the end of the tunnel, but thanks for the encouragement. I never go barefoot anymore, and I can't even wear bedroom slippers! Thanks again -- Mar

Re: diagoned with Plantar Fasciities

Julie on 3/29/02 at 08:12 (077946)

Could you negotiate a temporary change of duties at work to allow you more time off your feet? That sounds as though it could be the anti-healing culprit.

I can't remember if I mentioned taping to you the other day. When you do have to be on your feet, it can be a help. See the heel pain book, part 2. But do see if you can't stay off your feet. That should help more than anything else: if it hurts to stand and walk, it means you're re-injuring the fascia with every step.

Re: diagoned with Plantar Fasciities

Carole C in NOLA on 3/29/02 at 08:35 (077951)

Mar, first the bad news. If your feet do not eventually heal without rest, it is possible that you may have to rest them job or no job. The longer PF goes on, the longer it takes to heal. Don't kill the messenger! I hate to be telling you these things and I wish they weren't so often true.

I'm glad you have a good podiatrist! That's good news and gives you a wonderful head start. Julie is right that 4-5 months is no time at all, especially since you have not been able to rest your feet. PF takes a long time to heal, and 6 months is pretty fast for a severe case of it to heal. I know (well actually, all of us here with PF know) how devastating and hopeless and frankly, depressing the situation feels with PF.

Julie and I were relatively fast in healing compared with others here; I think she said she was completely healed in 6 months or so, and I've had PF for 6 months and one week. I'm not healed yet but I'm down to a pain level of less than 1 on a scale of 1 to 10, whereas my pain was 8-9 back in December or January. At that time I was terribly depressed and even despondent at times, but the people on this board listened and understood and they helped me a great deal by giving me ideas and by just caring and understanding. A lot of people here have PF that's worse than mine and lasts longer, sadly enough.

OK, so for ideas. Even now I don't wear slippers or just socks; it's a bad idea to take even one step without supportive shoes.

Speaking of which, a lot of people here like Birkenstocks, which you might want to try. It's best to get fitted for them in a store before ordering online, if you can. The Arizona sandals are the most helpful to many, and since they are backless they are great for a 'slipper substitute' to wear around the house.

Also, are you showering barefoot? I found that a shower stool and some waterproof slip-proof shower shoes keep me from re-injuring my PF in the shower. I couldn't really resort to baths, because getting up and the end of the bath while barefoot would have really messed up my feet too.

I am so glad to read that you are being faithful with all the treatments! That is very encouraging. Gentle stretching is important to continue, but as you probably already know the keyword is 'gentle'. I still do not do any stretching while standing, because most of those stretches are weight-bearing. If your heels or feet hurt from the stretching, it is not gentle enough.

For me, the key thing in healing was preventing ALL minor re-injuries for a couple of months. That's pretty hard to do. I did it by attempting to do less than I thought I could safely do, rather than more. As your feet heal, it is hard not to get back on them and do the things that you need to do in life.

Please don't give up hope; without hope the situation is so bleak. Remember that something like 90-95% of PF cases do heal with conservative treatment such as rest, gentle stretching, ice, orthotics, and all the other things we discuss on these message boards. After you've had PF a while longer, your podiatrist may recommend other treatments, but for now this is your best bet.

We're on your side! I hope your feet feel better soon.

Carole C (another PF sufferer, not a foot doctor)
.

Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 08:58 (078023)

Thanks Julie again for your suggestions. I have often asked my doctors about staying off my feet and they don't see it as a big deal. They say I need to walk to keep the fascia from tightening up too much! I'll confront them again. Also, the podiatrist said the orthotics take the place of taping -- hmmm... I am going to try to rest even more than I have -- thanks for the support -- it means a lot.

Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 09:02 (078024)

Carole --

Thanks for all the info and most of all for your support and honesty. Yes, there are days when I am very despondent too and then I get hopeful again! I am going to try to rest more -- I think I agree that it is necessary -- it's tough as there are so many things that need to be done just to live!! And I am not ready for a wheelchair yet! Thanks again . Mar

Re: diagoned with Plantar Fasciities

Dr. Zuckerman on 3/30/02 at 09:04 (078025)

Rest means no long shopping outing, no sports, no up and down ladder.
You can]'t stretch the plantar fascia only the litle muscle and tendon around it . Orthosis correct any mechinical problem with your feet. Taping is temporary and correct and reduces motion etc. Did taping help your foot.
Are you in pain.

Re: diagoned with Plantar Fasciities

Carole C in NOLA on 3/30/02 at 09:28 (078029)

You are right, it is very tough to rest more! Most of us feel at first like we 'can't' rest because of our responsibilities in life, and how we normally live, not to mention the role of exercise in defining who some of us are. But for many of us, there comes a point where one realizes that the choice is limited and that in order to heal we have to rest whether we think we can or not, whether we want to or not.

A wheelchair isn't generally required for getting rid of PF, luckily, but there are other things you can do. I had to re-arrange how I did everything to allow myself to rest more. I became an expert on drive-through food, drive-through banking, and drive-through pharmacies, and did my laundry by tying a rope to my laundry basket and pulling it behind me to the washer. It was very aggravating to watch so much TV and do nothing, when there were so many things that I felt I needed to be doing. But really, it pays off to start resting now as much as you can, because the longer you have PF, the longer it will take to heal.

Carole C

Re: diagoned with Plantar Fasciities

Julie on 3/30/02 at 10:05 (078030)

Hi Mar

I'll stick to my guns. If you're on your feet a lot because of work demands, that is the first thing to look at - and change. Can you talk to your employers? I'm sure you're not going on any long shopping trips, or hikes, and I'll bet anything that it's work that's the problem.

I know orthotics are supposed to be enough. All I can tell you is that when my PF was at its most painful, I taped my foot every day and wore my orthotics (or Birkenstocks). The tape was a tremendous help. I would have a go, especially if it takes some time to get changes to happen at work. Ask me if you need any help with it.

Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 13:39 (078054)

I have done none of the above as it would be too painful. I only do the everyday walking necessary and what walking I need to do at work. I guess the next step is to try taping. Thank you for your response. Mar

Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 13:41 (078055)

Thanks Julie. Dr. Z also recommended the taping, so I guess that's my next step. Noooo, I am not going on long shopping trips or hiking (unfortunately!) Mar

Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 13:43 (078056)

Thanks Carole -- it helps to have advice from someone who has been there. I'll have to look at things to see where else I can cut back on the walking. Thanks -- Mar

Re: diagoned with Plantar Fasciities

Mar on 4/01/02 at 17:17 (078204)

Dr Z --

I have tried taping for 2 days and it does seem to help a little. I'll continue to do it -- I'll try anything to ease this pain. Thanks -- Mar

Re: diagoned with Plantar Fasciities

Mar on 4/06/02 at 11:23 (078674)

Dr Z --

I have been taping the feet for 6 days now and it does not seem to be helping. Should it take away the pain? The pain is so bad again these last few days that I can hardly walk at all -- I shuffle from room to room and put most of the pressure on the ball of the foot which I know isn't good but the heels are just too painful. My doctors are as baffled as I am. Will time heal this problem even though the pain becomes so severe? Thanks for your help. Mar (A)

Re: diagoned with Plantar Fasciities

Dr. Zuckerman on 4/06/02 at 12:18 (078679)

What other treatmetn are you doing now. What medications are you taking
IS one foot worse then the other . May have to consider ESWT at this point.
Update me

Re: diagoned with Plantar Fasciities

Mar on 4/07/02 at 08:27 (078733)

Dr Z --

Thanks for responding. I am still doing Ultrasound Treatments twice a week, icing, stretching, using homeopathic drops and cream, 200-300 mg of B6, wearing custom orthotics, using lidoderm patches, occasionally a TENS Unit, and now taping. I just had a bone scan on Monday which showed 'mild' inflammation! I am currently seeing both the podiatrist and recently a Pain Managnement Specialist. I did Acupuncture for2 months, chiropractor for 2 months, had cortisone shots, took medrol, pain killers and anti-inflammatories (which my stomach cannot tolerate --IBS). The heels were down to a pain level of maybe 6 but after trying to buy and wear sneakers with more support, the pain level is back to a 10. My podiatrist says he has never had anyone who didn't repsond to all this treatment. (This started in November.) He is very supportive and keeps trying to think of another alternative. The Pain Management doctor is also thinking of alternatives. Generally, both heels are equally painful, although this week, the left one (the foot that did not have bunion surgery) is much more painful. They are painful to walk on or stand on and to touch. My podiatrist says I do not even want to consider any surgery, at least not now, and I agree as I had such a time recovering from the bunion surgery, which ultimately put me where I am today! I appreciate your thoughts and time. I wonder where in NJ do you practice? Thanks for any help you can offer. Mar (A)

Re: diagoned with Plantar Fasciities

Dr. Zuckerman on 4/07/02 at 12:11 (078740)

Hi

I am in Woodbury, New Jersey . We are just outside of Philadelphia, pa. Where do you live

Re: diagoned with Plantar Fasciities

Mar on 4/07/02 at 18:18 (078764)

Hi DR Z --

I am in Teaneck -- northern NJ. In the summer, I am in LBI. Mar

Re: diagoned with Plantar Fasciities

Dr. Zuckerman on 4/07/02 at 18:21 (078765)

LBI is one hour from my office and Teaneck about two hours. If you would like our ESWT informational packet just e-mail me at (email removed)

Re: diagoned with Plantar Fasciities

Suzanne D on 3/26/02 at 18:28 (077652)

I'm not a doctor, Bob, but I urge you to click on 'The Heel Pain Book' on this site and read for conservative treatments for PF. You could really make things worse by continuing to run right now even though I know you want to. And the worse your PF gets, the longer it will take to heal. You can read story after story on these message boards from people who did not learn the right things to do until after they had endured many weeks/months of pain.

Besides stretching, there is icing, rest, anti-inflammatory medicine that can be useful, taping, as well as the whole matter of shoes and inserts. I first went to my family doctor who gave me a paper about exercise and told me, 'This is not going to get better any time soon'.

I later got a referral to a podiatrist and found this site from which I have gotten much helpful information and support. Read and educate yourself, and you will be in the best position to get better sooner.

I am much better now (10 months after my PF started). I have not had a cortisone shot, but many here can give you information about them.

Take it easy, and read so that you can make the best informed choices! Good luck to you, Bob!

Re: diagoned with Plantar Fasciities

Julie on 3/27/02 at 02:06 (077693)

Hi Bob

I'm not a doctor either.

Well - you're not the only runner/person in the world who has no patience, but patience is what we've all had to learn. (Perhaps that's the Great Lesson of PF - it was for me!) You'll have to learn it too.

You have an injury. Plantar fasciitis is a repetitive motion injury, often caused by running. Running now - here's the bad news - will very likely worsen your condition, leaving you with long-lasting, chronic, and possibly disabling pain.

Now for the good news. Backing off weight-bearing exercise (running, and all but necessary walking and standing) will allow the fascia to heal. If you haven't had PF for very long, you stand a good chance of improving fairly quickly (but think in months, rather than days or weeks).

See a foot specialist (a podiatrist) for a full evaluation and diagnosis, and a sensible package of co-ordinated conservative treatments. Once you've established the cause (which could be running with shoes unsuitable for your foot type and biomechanics) it can be addressed.

Read the heel pain book.

Don't go barefoot: always wear good, supportive shoes. I mean - never let your bare feet touch the floor.

Take care with stretching. Remember than anything that hurts is re-injuring the fascia, so listen to the messages your body gives you and stop doing whatever hurts.

Be good now, and you'll be running again. What's a few months of sensible
patience against a possible lifetime of pain?

Re: diagoned with Plantar Fasciities

Mary Beth S on 3/27/02 at 10:36 (077723)

Bob, I'm not a Dr. but an avid runner who ran marathons. I FULLY understand your desire to run. I had to give my number up for the Boston marathon because my plantar fasciitis was getting much worse. I was taping and sticking my foot into a bucket of ice water three times a day. This lasted for three years until I began to get symptoms on my other foot. That's when I knew I had to stop the running (temporarily) and seek help. I did everything from physical therapy, stretching, icing, very expensive gait analysis and orthotics without any success. I chose NOT to get a cortisone shot because it's really just a bandaid effect, and with that you MUST stop running for several weeks.
I just had ESWT with Dr. Z last Saturday. I can't go back running for atleast 4 weeks postop. I am cross training by taking spinning classes, using the elliptical trainer and the escalator stairs. I also weight train four days a week. I UNDERSTAND you compulsion to exercise!
My advice is to cross train and stop running for atleast 3-4 weeks especially since your sypmtoms are so acute. Otherwise, you'll only be shelling out big bucks for treatment and will have to stop running anyway. Just my two cents worth. MB

Re: diagnosed with Plantar Fasciities

Bob Mathies on 3/27/02 at 14:33 (077740)

Suzanne, Mary and Julie,

Suzanne D, Mary Beth S, and Julie,
I appreciate your comments and reply to my new problem in life. You know it really made me feel must better knowing that
I'm not the only one who suffers from this aliment. 'Not that I'm happy knowing somebody else is suffering from the same
painful experience. I do not wish this on anyone!
Two weeks ago when I first experienced my pain on my left heel, early in the morning I thought I was going to 'die' it
hurts so much, and caught me by surprise.
That afternoon I ran only 2 miles and could not run any further. I suffered for two weeks and finely saw my doctor and I
was so discourage from is diagnose. I thought to myself I would never be able to run and do all of the things I took
lightly.
I appreciate your support and your candor in sharing with me so I do not make the same mistakes.
I wish all of you the best and hope you can get back to 'normal' without any pains and to get back on the right track! I will
defiantly take everyone suggestions and stay off from running, until my pain goes away. It will be difficult. However, at
least now I know I will be able to run in the future. Guess what I just received in the mail? An invitation to run in the
San Francisco marathon. :( I better learn being patient quickly before going out of my mind! Best wishes to all! Bob :)

Re: diagnosed with Plantar Fasciities

Julie on 3/27/02 at 15:36 (077751)

Hi Bob

I'm so glad you took all these gloomy directives so patiently to heart. You WILL get better if you're smart now, particularly as we now know you've only had PF for two weeks. All the doctors who contribute their time to this website have said repeatedly that early treatment is vital.

It may encourage you to hear that I AM better and back to normal and have been for over a year. My PF lasted five months, from July to December 2000. It resolved with rest (I'm not a runner, but I am a walker, and backed off all recreational walking completely, took taxis everywhere, etc), custom orthotics, icing, taping, and a change to better shoes.

Re: diagnosed with Plantar Fasciities

Suzanne D on 3/27/02 at 16:22 (077754)

Best wishes to you, too, Bob! Thanks for your message to us. I AM much better now, so keep in mind in the midst of all our warnings and suggestions that this pain will not be for always...:-)

And since you have just been diagnosed and will now start doing all the right things for your feet, I think you will mend much more quickly than many of us.

Your shoes will be very important, Bob. I can't tell you what to buy, but read and try to find what is best for you. I've never been a runner but used to love to walk - not great distances, but a mile 3 or 4 times a week made me feel good. And I'm a first grade teacher, so I'm on my feet most of the day. After reading so much about Birkenstocks on this site, I found a store that sells them and began wearing those in August. They were quite helpful in my recovery. I now am wearing SAS walking shoes with a Birkenstock insert, and this seems best for me now. I think this spring/summer I will be able to start taking some short walks again! Last summer I had to sit in the van while my family went through Wal-Mart. So I have come a long way.

Keep reading and posting for help and support. Hang in there!

Suzanne

Re: diagnosed with Plantar Fasciities

Carole C in NOLA on 3/27/02 at 16:27 (077757)

Suzanne, that is so exciting! I know you are looking forward to resuming your walks. You really have come a long ways since last summer. I'm truly happy to read about your improvement.

Carole C

Re: diagoned with Plantar Fasciities

Mar on 3/28/02 at 17:32 (077869)

I too was diagnosed with Plantar Fasciitis in November and I am still in extreme pain. I go for ultrasound treatments twice a week, was doing acupuncture twice a week, stretch, ice, rest when possible, have custom orthotics, use a TENS Unit, take homeopathic drops and use cream, and just started with lidoderm patches! I've tried anti-inflammatories and pain killers, as well as glucosamine, but my stomach can't tolerate them. So I guess patience is the answer, but I have run out myself. Maybe if you try some of these things they will work for you. Good luck!

Re: diagoned with Plantar Fasciities

Julie on 3/29/02 at 02:50 (077931)

Mar, you've tried an awful lot of things, and if they haven't 'worked' they may not have been the right things, or you may not have given them a chance. It's also possible that you're unintentionally doing something that is holding your healing up. Are you on your feet a lot. standing or walking too much and not getting enough rest? Are you sure your orthotics are right for you? Do you always wear supportive shoes? Never go barefoot? If you are trying to overcome PF with exercise, what exercise are you doing?

Everything needs to be looked at, so have a really good look at everything you are doing, and not doing.

Four months is no time at all: treating PF isn't an overnight wonder, and it's really too soon to run out of patience. Just be sure you're doing all the right things for yourself, and not doing wrong things.

Do you have a podiatrist whom you trust? What is his advice?

Re: diagoned with Plantar Fasciities

Mar on 3/29/02 at 06:56 (077936)

Thanks Julie -- I will take a look at everything I am doing. I am on my feet more than I should be I'm sure -- my job requires it. I have been faithful with all the treatments I am trying and am giving them all a chance -- also had cortisone shots which I failed to mention before. I trust my podiatrist completely and he is really proactive with me in trying to solve this. (My first podiatrist was the opposite and is in many ways responsible for my condition.) By the way I have the problem in both feet and both heels are extremely painful to walk on. You say that 4 months is no time at all -- actually it is 5 months now -- I guess I just don't see any light at the end of the tunnel, but thanks for the encouragement. I never go barefoot anymore, and I can't even wear bedroom slippers! Thanks again -- Mar

Re: diagoned with Plantar Fasciities

Julie on 3/29/02 at 08:12 (077946)

Could you negotiate a temporary change of duties at work to allow you more time off your feet? That sounds as though it could be the anti-healing culprit.

I can't remember if I mentioned taping to you the other day. When you do have to be on your feet, it can be a help. See the heel pain book, part 2. But do see if you can't stay off your feet. That should help more than anything else: if it hurts to stand and walk, it means you're re-injuring the fascia with every step.

Re: diagoned with Plantar Fasciities

Carole C in NOLA on 3/29/02 at 08:35 (077951)

Mar, first the bad news. If your feet do not eventually heal without rest, it is possible that you may have to rest them job or no job. The longer PF goes on, the longer it takes to heal. Don't kill the messenger! I hate to be telling you these things and I wish they weren't so often true.

I'm glad you have a good podiatrist! That's good news and gives you a wonderful head start. Julie is right that 4-5 months is no time at all, especially since you have not been able to rest your feet. PF takes a long time to heal, and 6 months is pretty fast for a severe case of it to heal. I know (well actually, all of us here with PF know) how devastating and hopeless and frankly, depressing the situation feels with PF.

Julie and I were relatively fast in healing compared with others here; I think she said she was completely healed in 6 months or so, and I've had PF for 6 months and one week. I'm not healed yet but I'm down to a pain level of less than 1 on a scale of 1 to 10, whereas my pain was 8-9 back in December or January. At that time I was terribly depressed and even despondent at times, but the people on this board listened and understood and they helped me a great deal by giving me ideas and by just caring and understanding. A lot of people here have PF that's worse than mine and lasts longer, sadly enough.

OK, so for ideas. Even now I don't wear slippers or just socks; it's a bad idea to take even one step without supportive shoes.

Speaking of which, a lot of people here like Birkenstocks, which you might want to try. It's best to get fitted for them in a store before ordering online, if you can. The Arizona sandals are the most helpful to many, and since they are backless they are great for a 'slipper substitute' to wear around the house.

Also, are you showering barefoot? I found that a shower stool and some waterproof slip-proof shower shoes keep me from re-injuring my PF in the shower. I couldn't really resort to baths, because getting up and the end of the bath while barefoot would have really messed up my feet too.

I am so glad to read that you are being faithful with all the treatments! That is very encouraging. Gentle stretching is important to continue, but as you probably already know the keyword is 'gentle'. I still do not do any stretching while standing, because most of those stretches are weight-bearing. If your heels or feet hurt from the stretching, it is not gentle enough.

For me, the key thing in healing was preventing ALL minor re-injuries for a couple of months. That's pretty hard to do. I did it by attempting to do less than I thought I could safely do, rather than more. As your feet heal, it is hard not to get back on them and do the things that you need to do in life.

Please don't give up hope; without hope the situation is so bleak. Remember that something like 90-95% of PF cases do heal with conservative treatment such as rest, gentle stretching, ice, orthotics, and all the other things we discuss on these message boards. After you've had PF a while longer, your podiatrist may recommend other treatments, but for now this is your best bet.

We're on your side! I hope your feet feel better soon.

Carole C (another PF sufferer, not a foot doctor)
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Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 08:58 (078023)

Thanks Julie again for your suggestions. I have often asked my doctors about staying off my feet and they don't see it as a big deal. They say I need to walk to keep the fascia from tightening up too much! I'll confront them again. Also, the podiatrist said the orthotics take the place of taping -- hmmm... I am going to try to rest even more than I have -- thanks for the support -- it means a lot.

Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 09:02 (078024)

Carole --

Thanks for all the info and most of all for your support and honesty. Yes, there are days when I am very despondent too and then I get hopeful again! I am going to try to rest more -- I think I agree that it is necessary -- it's tough as there are so many things that need to be done just to live!! And I am not ready for a wheelchair yet! Thanks again . Mar

Re: diagoned with Plantar Fasciities

Dr. Zuckerman on 3/30/02 at 09:04 (078025)

Rest means no long shopping outing, no sports, no up and down ladder.
You can]'t stretch the plantar fascia only the litle muscle and tendon around it . Orthosis correct any mechinical problem with your feet. Taping is temporary and correct and reduces motion etc. Did taping help your foot.
Are you in pain.

Re: diagoned with Plantar Fasciities

Carole C in NOLA on 3/30/02 at 09:28 (078029)

You are right, it is very tough to rest more! Most of us feel at first like we 'can't' rest because of our responsibilities in life, and how we normally live, not to mention the role of exercise in defining who some of us are. But for many of us, there comes a point where one realizes that the choice is limited and that in order to heal we have to rest whether we think we can or not, whether we want to or not.

A wheelchair isn't generally required for getting rid of PF, luckily, but there are other things you can do. I had to re-arrange how I did everything to allow myself to rest more. I became an expert on drive-through food, drive-through banking, and drive-through pharmacies, and did my laundry by tying a rope to my laundry basket and pulling it behind me to the washer. It was very aggravating to watch so much TV and do nothing, when there were so many things that I felt I needed to be doing. But really, it pays off to start resting now as much as you can, because the longer you have PF, the longer it will take to heal.

Carole C

Re: diagoned with Plantar Fasciities

Julie on 3/30/02 at 10:05 (078030)

Hi Mar

I'll stick to my guns. If you're on your feet a lot because of work demands, that is the first thing to look at - and change. Can you talk to your employers? I'm sure you're not going on any long shopping trips, or hikes, and I'll bet anything that it's work that's the problem.

I know orthotics are supposed to be enough. All I can tell you is that when my PF was at its most painful, I taped my foot every day and wore my orthotics (or Birkenstocks). The tape was a tremendous help. I would have a go, especially if it takes some time to get changes to happen at work. Ask me if you need any help with it.

Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 13:39 (078054)

I have done none of the above as it would be too painful. I only do the everyday walking necessary and what walking I need to do at work. I guess the next step is to try taping. Thank you for your response. Mar

Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 13:41 (078055)

Thanks Julie. Dr. Z also recommended the taping, so I guess that's my next step. Noooo, I am not going on long shopping trips or hiking (unfortunately!) Mar

Re: diagoned with Plantar Fasciities

Mar on 3/30/02 at 13:43 (078056)

Thanks Carole -- it helps to have advice from someone who has been there. I'll have to look at things to see where else I can cut back on the walking. Thanks -- Mar

Re: diagoned with Plantar Fasciities

Mar on 4/01/02 at 17:17 (078204)

Dr Z --

I have tried taping for 2 days and it does seem to help a little. I'll continue to do it -- I'll try anything to ease this pain. Thanks -- Mar

Re: diagoned with Plantar Fasciities

Mar on 4/06/02 at 11:23 (078674)

Dr Z --

I have been taping the feet for 6 days now and it does not seem to be helping. Should it take away the pain? The pain is so bad again these last few days that I can hardly walk at all -- I shuffle from room to room and put most of the pressure on the ball of the foot which I know isn't good but the heels are just too painful. My doctors are as baffled as I am. Will time heal this problem even though the pain becomes so severe? Thanks for your help. Mar (A)

Re: diagoned with Plantar Fasciities

Dr. Zuckerman on 4/06/02 at 12:18 (078679)

What other treatmetn are you doing now. What medications are you taking
IS one foot worse then the other . May have to consider ESWT at this point.
Update me

Re: diagoned with Plantar Fasciities

Mar on 4/07/02 at 08:27 (078733)

Dr Z --

Thanks for responding. I am still doing Ultrasound Treatments twice a week, icing, stretching, using homeopathic drops and cream, 200-300 mg of B6, wearing custom orthotics, using lidoderm patches, occasionally a TENS Unit, and now taping. I just had a bone scan on Monday which showed 'mild' inflammation! I am currently seeing both the podiatrist and recently a Pain Managnement Specialist. I did Acupuncture for2 months, chiropractor for 2 months, had cortisone shots, took medrol, pain killers and anti-inflammatories (which my stomach cannot tolerate --IBS). The heels were down to a pain level of maybe 6 but after trying to buy and wear sneakers with more support, the pain level is back to a 10. My podiatrist says he has never had anyone who didn't repsond to all this treatment. (This started in November.) He is very supportive and keeps trying to think of another alternative. The Pain Management doctor is also thinking of alternatives. Generally, both heels are equally painful, although this week, the left one (the foot that did not have bunion surgery) is much more painful. They are painful to walk on or stand on and to touch. My podiatrist says I do not even want to consider any surgery, at least not now, and I agree as I had such a time recovering from the bunion surgery, which ultimately put me where I am today! I appreciate your thoughts and time. I wonder where in NJ do you practice? Thanks for any help you can offer. Mar (A)

Re: diagoned with Plantar Fasciities

Dr. Zuckerman on 4/07/02 at 12:11 (078740)

Hi

I am in Woodbury, New Jersey . We are just outside of Philadelphia, pa. Where do you live

Re: diagoned with Plantar Fasciities

Mar on 4/07/02 at 18:18 (078764)

Hi DR Z --

I am in Teaneck -- northern NJ. In the summer, I am in LBI. Mar

Re: diagoned with Plantar Fasciities

Dr. Zuckerman on 4/07/02 at 18:21 (078765)

LBI is one hour from my office and Teaneck about two hours. If you would like our ESWT informational packet just e-mail me at (email removed)