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DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Posted by Been There x 4 on 4/09/02 at 20:17 (078991)

I am here to tell you to PLEASE reconsider having any type of a plantar fascial release. I have had 4 operations on my feet; a partial release on both feet, a total release on my right when the partial didn't work, and a total reconstruction on my right foot because neither one of the original releases did anything but make my foot pain WORSE. There is another way! Find a doctor who does cord lengthening procedures. This is where they go into your calf and surgically stretch the cord, which releases the tension up and down the leg as well as in the plantar fascia. I saw a physician yesterday who has been practicing for 40 years and ONLY lengthens cords. He told me that he has had almost 100% improvement in all of his cases. Unfortunately, my feet are so destroyed now that there isn't anything he can do for me. DON'T LET THIS HAPPEN TO YOU! The worst mistake I EVER made was letting my first surgeon cut my plantar fascia. Once you let them do it ... there is no turning back. If you're having a second surgery because the first one didn't work -- don't expect the second one to bring you any more relief. I thought it would happen for me ... it didn't. If you would like additional information on several surgeons in the Seattle area that do the cord lengthening procedure, please let me know and I can get you their names. You don't know me, but TRUST ME ON THIS. Read the other postings -- has anyone had a positive experience with a plantar fascial release? They are few and far between.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Dr. Zuckerman on 4/09/02 at 20:21 (078994)

Wow

Sorry to hear that you have had such bad results. I have also seen the release of the gast cause infection, failure and pain .

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Tina R. on 4/10/02 at 14:02 (079086)

Dear Been There:

So sorry to hear about the failure of your PF surgeries. There are many stories of failure of these surgeries posted here, but I can't help but wonder if there are many that have had success as well. I had a partial release done in June of 2001 and have had a wonderful recovery and results. I must admit, however, that I have not posted my story. It seems that we are always much quicker to complain and report negative outcomes than we are to praise and share our victories. How many people will complain about poor service in retail and food services, but never stop and talk with a manager when they have had competent and knowledgeable help?

I believe I remember reading one of the physicians that posts here commenting on the fact that a visitor to this post who has a good recovery is likely to no longer visit and post, as their feet are no longer at the forefront of their concerns.

I wish you the best.

Tina R.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Dr. Zuckerman on 4/10/02 at 17:02 (079118)

I agree plantar fascia release can be very bad.

Re: predictability of results

Ed Davis, DPM on 4/10/02 at 20:31 (079150)

The procedure can work very well or very bad. It works well more often then bad. One of the dilemnas is the lack of predictability---we can only look at percentages. This situation with multiple surgeries concerns me in that, ideally, only one attempt should be made---either one needs to have the achilles lengthened or not so I feel that decision needs to be made on the first round.
Ed

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

john h on 4/11/02 at 11:06 (079231)

There is one release out there Ed that is less likely to cause problems than any other in my opinion and that is the Baxter Procedure developed by a well known Foot and Ankle Surgeon in Houston. Few people are trained in this procedure and its premise is not accepted by the full medical community. Dr. Baxter removes a semi-circular wedge of fascia (about 1/2' wide) over the Baxter Nerve where the fascia attaches to the heel. He believes much of the PF pain is caused by pressure from the fascia on this nerve. This procedure probably does not release more than 10% of the fascia if that much and there is very little chance of foot instability, pain on the opposite side of the foot and other complications from a major fascia release. It is less than a 30 minute procedure with very small incision. Carl Lewis the famous runner had this procedure and was back to world class running. The downside on this (opinion) is that since so little fascia is released you may not have enough of the tension reduction on the fascia to produce your desired result. The upside is very very few complications or problems down the road. It either works or does not and you are not made worse.

Re: Yes, there ARE other options!

Been There x 4 on 4/11/02 at 14:04 (079288)

I think this is turning into a very valuable conversation and it's about time that someone blew the lid off the PF release myth. I am very excited to hear about the procedure that John describes, which I have not heard of until now. There will always be success stories for PF release, but people need to realize they are playing Russian Roulette with their feet when they undergo this procedure. Chances are simply too high that they will have a very bad outcome and will likely have to live with it the rest of their lives.

Re: Yes, there ARE other options!

John h on 4/11/02 at 17:41 (079323)

Although there are people who have terrible outcomes with PF surgery let us not forget that most of the people on our board are people who continue to have problems and what we read is schewed from what has happened to most of the people who have had PF surgery. The success stories for the most part are getting on with their lives and are not on this board. Anyone contemplating surgery should clearly understand the risk and that you can be made very much worse but I suspect for the most part more people are made better than worse. It comes down to how much risk are you willing to accept. You do have the power to get 2nd and 3rd opinions, do a thorough check on your Doctor, make sure he has done the procedure many times, do not rush into surgery until you have tried everything else and become very well informed.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Ed Davis, DPM on 4/11/02 at 21:33 (079358)

John:

This procedure may sound less traumatic but it is based on an unproven and minimally tested hypothesis about the cause of heel pain. I think that the reason that few people are trained in this procedure is based on the lack of confidence in this concept. Who knows -- this may be an answer but I will need a lot more information and evidence before I can accept it.
Ed

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Dr. Zuckerman on 4/11/02 at 22:50 (079378)

I think that any type of cutting at the insertion can resolve pf with heel spur syndrome. The reason is that trauma is procedurd and the body then is able to get a second chance to heal the tears at the insertion. The tension release in my opinion has nothing to with resolution of heel pain

Re: Yes, there ARE other options!

Been There x 4 on 4/11/02 at 23:24 (079383)

My first operations were done by the 6th physician I had seen over the course of 2 years for my PF (2 orthopods, 1 podiatrist, 1 neurologist, and 1 sports medicine doc). Prior to surgery, I had cortisone shots, PT, ultrasound, taping, stretching, more stretching, icing, custom orthotics ... you name it; I tried it. I don't know what I could have done differently to change the outcome of the operations. In spite of everything I did and all the effort I put in to making what I thought was the right choice, I do not see that my feet will ever be normal or painfree again.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

barbara on 4/15/02 at 18:13 (079761)

i had surgey 11/29/01 and i have done ever thing medically possible i dont know what else to do i have had this for 2 1/2 years and with diabets there is only so much can be done i am at the point that there no relieve in sight i have two childern that help me alot in getting around it is hard would you recommend this surgey for me

Re: Barbara -- Need some clarification

Been There x 4 on 4/16/02 at 11:04 (079824)

Barbara -- it sounds like you already had the surgery, so I am not sure what your question is.

Re: Barbara -- Need some clarification

Barbara S. on 4/16/02 at 15:44 (079866)

Hi THis is Barbara S. the post you are asking about was not me. I am having sugery for tts on April 22nd,2202. THank you.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Janew on 4/18/02 at 01:45 (080085)

Ok so what are the different options? My current Pod only told me about one type of surgery. I'm with an HMO so if there are better options I will have to fight for a referral. He told me the name of what he is recommending but I don't remember the name. He was basically saying he would cut holes on oth sides of the foot, insert a tube, cut some of the PT and then remove the tube.

Also I'm new to the web page so I have some other questions too. How often per day should I be doing stretches? It sounds like I should not be doing the wall stretches or towel stretches I was told about. Is that true? I ice twice a day, once mid morning and once in the evening for 15 minutes both feet. Is that enough? Physical Therapy with ultrasound and taping helped a little but I went to for the standard 6 appointments. Shoud I push for more? My Pod doesn't think I should try a night splint. He says the new research is showing that it is not helpful. What do you think? He's also never suggested casting. Does anyone know the success rate of casting? Should I try that before surgery even if I've been doing everything they tell me to do and I am still in pain after 3+ years.

I am so happy that I found this web page. I really appreciate everyones candor and willingness to help. I'll be back soon.

PS: I just had my fourth cortisone shot today so my feet feel ok. I also have othortics and really like them. I have high arches and the orthotics specialist adjusted them to give me more support. Much better than anything I found over the counter.

Re: Response to Janew

Been There x 4 on 4/18/02 at 13:02 (080150)

Please read the first message to this 'thread' that talked about the cord lengthening procedure. It is my understanding that a podiatrist can't do this (please correct me if I'm wrong) ... so you may need to go to an orthopedic surgeon. If you are close to the Seattle area, let me know and I will give you the name of a couple of surgeons who do this. I wish I had known about it before I let anyone cut on my feet! Don't overdo the PT on your feet, as it can make them hurt more. You are the only one who can decide if enough is enough. I was doing stretching, icing, etc., every day after my last surgery and only made my pain worse. I wouldn't have any more cortisone shots; most docs will only do them once per foot and sometimes twice -- 4 times is more than enough. I was in a cast for 2 months between surgeries and it only made my foot hurt worse. Anyone else had better results?? I have night splints (little ones vs. humongous things that I bought at Footsmart.com) and have worn them for over a year. Sleeping in them is the only time my feet don't hurt. Have they helped? No ... but at least I have some relief for a few hours a day.

Should you have a PF release? Based on my results I say absolutely no way. I also have very high arches, but don't know if they played any part in my having such a bad outcome.

I hope this helps you and that others will also pass along their experiences to you. Take care and good luck to you.

Re: Barbara -- Need some clarification

Pam B on 4/20/02 at 09:05 (080429)

With regard to fellow PF sufferers trying to decide if they should have surgery or not, I feel for you......I too suffer from PF and spurs bilaterally.....I have suffered for eight years now and I have seen many docs and done everything suggested to me by each and every one of them.....it is very frustrating to say the least.....but the one thing I have learned is that once a PF sufferer, always a PF sufferer with our without the surgery......I sympathize with anyone that has had a 'failed surgery'.......but I also know that for some of us that have tried it all, surgery is sometimes the only hope left considering insurance does not cover some treatments and some cannot afford treatment without the insurance......I had PF/spur excision surgery in Feb 2002......I am still in the healing process but can already tell you that I am glad I did it.....NO, I am not pain free, but I can put my foot flat on the floor now where as before surgery, I was not able to do that at all without severe pain.....my pod told me that surgery is not a cure all and that my recovery depended mostly on me....his words were it is not a miracle cure......I have found in chatting with people that alot of the time the patient does not follow post op instructions nor do they stay off of their feet for the length of time that their bodies tell them to......I think that most people rush their recovery in doing to much too soon and their body reacts with pain and more scar tissue......each person is different in the healing time and as most pods tell you, it can take up to a year for complete healing to take place......yes, there are failed surgeries, but I think there are more successful ones however, we just dont hear about these patients as they do move on with their lives trying to forget this nitemare.....I cannot say I am pain free, but I did not expect to be without some pain.....what I will say is that if you are one of the patients like myself that has suffered for years and tried all the remedies, surgery can help you if you help the surgery but dont go into this expecting to ever have painfree feet like you had before you got PF......that will not happen just and if it does, you are most surely the exception to the rule.....without surgery, I am a firm believer in PF just goes into remission but always returns.......I am not saying to rush out and have the surgery, just be certain before you make your decision that you research all your options pertaining to surgery as there are several ways of having the procedure performed......talk to your doc at length writing down all your questions on paper for a good Q&A session.....I opted for the open procedure following much research and many years of suffering....

This post is not to say there are not failed surgeries, because there are.......I am simply stating for someone that may be reading these boards for the first time that all surgeries are not failures and that much of your outcome depends on you.......good luck to all of you in whatever you decide is right for you.......:)

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Jon E on 4/20/02 at 13:48 (080472)

Been There,

Sorry to hear of your situation!

I live in the Seattle area and have been suffering for almost four years, so I'm starting to consider surgury. Could you give me the list of names you mentioned? I'm at (email removed).

Thanks!

Re: Barbara -- Need some clarification

John h on 4/20/02 at 19:55 (080499)

Pam: from all I read your are correct. When all else fails you still have surgery which has many more successes than failures. We read mostly about the failures here. It seems that when there is a failure it often just does not work but makes the patient worse and perhaps for a lifetime so that is the risk that anyone going into surgery must weigh.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

trish e on 4/24/02 at 08:41 (080925)

question,when do you really know if the tts/pf worked,should i still be having the same pain i did before my surgery,it is getting worse every day

Re: Hi trish e

Been There x 4 on 4/24/02 at 10:59 (080943)

I can't tell you whether you should still be having the same pain. All I can say is that I am in worse pain now than I was (my last operation was 6 months ago). I believe most surgeons will tell you that it takes a whole year to determine whether the operation was successful or not.

I sit at work 8 hours a day; if I had to stand 12 hours a day, as it appears you do ... well ... I don't know how you're going to do it if you're in worse pain now than you were before your surgery.

I think you need to consider getting another opinion on your foot. If I were you, I'd try to get in to see the top foot orthopedic surgeon at a university, hopefully close to where you live. In the event you can't do that, ask for a referral to an orthopedic surgeon with special training (a fellowship) in feet.

Whatever you do, don't let anyone operate on you again ... it is my experience that it will only make matters worse. If you give me your email address, I will be happy to share additional thoughts with you that I'm not comfortable writing on this message board.

Best of luck to you, my friend.

Re: Hi trish e

john h on 4/24/02 at 14:33 (080971)

I think the general consenus among medical personnel is that it takes a full year to see what your results will be from surgery as x 4 states. put any further surgery thoughts completely out of your mind for the next 6 months. ESWT should be what you should think about after a year has passed.

Re: Hi trish e

trish e on 4/25/02 at 20:12 (081132)

thank you john,heres my e-mail (email removed),would love to hear and keep in touch about our feet problems.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Maria F on 4/26/02 at 19:07 (081242)

I had a partial plantar fascia release as well as a gastrocnemus release. It worked great - complete cure after 4 months, and this was after about 4 years of trying everything else.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Dr. Zuckerman on 4/09/02 at 20:21 (078994)

Wow

Sorry to hear that you have had such bad results. I have also seen the release of the gast cause infection, failure and pain .

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Tina R. on 4/10/02 at 14:02 (079086)

Dear Been There:

So sorry to hear about the failure of your PF surgeries. There are many stories of failure of these surgeries posted here, but I can't help but wonder if there are many that have had success as well. I had a partial release done in June of 2001 and have had a wonderful recovery and results. I must admit, however, that I have not posted my story. It seems that we are always much quicker to complain and report negative outcomes than we are to praise and share our victories. How many people will complain about poor service in retail and food services, but never stop and talk with a manager when they have had competent and knowledgeable help?

I believe I remember reading one of the physicians that posts here commenting on the fact that a visitor to this post who has a good recovery is likely to no longer visit and post, as their feet are no longer at the forefront of their concerns.

I wish you the best.

Tina R.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Dr. Zuckerman on 4/10/02 at 17:02 (079118)

I agree plantar fascia release can be very bad.

Re: predictability of results

Ed Davis, DPM on 4/10/02 at 20:31 (079150)

The procedure can work very well or very bad. It works well more often then bad. One of the dilemnas is the lack of predictability---we can only look at percentages. This situation with multiple surgeries concerns me in that, ideally, only one attempt should be made---either one needs to have the achilles lengthened or not so I feel that decision needs to be made on the first round.
Ed

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

john h on 4/11/02 at 11:06 (079231)

There is one release out there Ed that is less likely to cause problems than any other in my opinion and that is the Baxter Procedure developed by a well known Foot and Ankle Surgeon in Houston. Few people are trained in this procedure and its premise is not accepted by the full medical community. Dr. Baxter removes a semi-circular wedge of fascia (about 1/2' wide) over the Baxter Nerve where the fascia attaches to the heel. He believes much of the PF pain is caused by pressure from the fascia on this nerve. This procedure probably does not release more than 10% of the fascia if that much and there is very little chance of foot instability, pain on the opposite side of the foot and other complications from a major fascia release. It is less than a 30 minute procedure with very small incision. Carl Lewis the famous runner had this procedure and was back to world class running. The downside on this (opinion) is that since so little fascia is released you may not have enough of the tension reduction on the fascia to produce your desired result. The upside is very very few complications or problems down the road. It either works or does not and you are not made worse.

Re: Yes, there ARE other options!

Been There x 4 on 4/11/02 at 14:04 (079288)

I think this is turning into a very valuable conversation and it's about time that someone blew the lid off the PF release myth. I am very excited to hear about the procedure that John describes, which I have not heard of until now. There will always be success stories for PF release, but people need to realize they are playing Russian Roulette with their feet when they undergo this procedure. Chances are simply too high that they will have a very bad outcome and will likely have to live with it the rest of their lives.

Re: Yes, there ARE other options!

John h on 4/11/02 at 17:41 (079323)

Although there are people who have terrible outcomes with PF surgery let us not forget that most of the people on our board are people who continue to have problems and what we read is schewed from what has happened to most of the people who have had PF surgery. The success stories for the most part are getting on with their lives and are not on this board. Anyone contemplating surgery should clearly understand the risk and that you can be made very much worse but I suspect for the most part more people are made better than worse. It comes down to how much risk are you willing to accept. You do have the power to get 2nd and 3rd opinions, do a thorough check on your Doctor, make sure he has done the procedure many times, do not rush into surgery until you have tried everything else and become very well informed.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Ed Davis, DPM on 4/11/02 at 21:33 (079358)

John:

This procedure may sound less traumatic but it is based on an unproven and minimally tested hypothesis about the cause of heel pain. I think that the reason that few people are trained in this procedure is based on the lack of confidence in this concept. Who knows -- this may be an answer but I will need a lot more information and evidence before I can accept it.
Ed

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Dr. Zuckerman on 4/11/02 at 22:50 (079378)

I think that any type of cutting at the insertion can resolve pf with heel spur syndrome. The reason is that trauma is procedurd and the body then is able to get a second chance to heal the tears at the insertion. The tension release in my opinion has nothing to with resolution of heel pain

Re: Yes, there ARE other options!

Been There x 4 on 4/11/02 at 23:24 (079383)

My first operations were done by the 6th physician I had seen over the course of 2 years for my PF (2 orthopods, 1 podiatrist, 1 neurologist, and 1 sports medicine doc). Prior to surgery, I had cortisone shots, PT, ultrasound, taping, stretching, more stretching, icing, custom orthotics ... you name it; I tried it. I don't know what I could have done differently to change the outcome of the operations. In spite of everything I did and all the effort I put in to making what I thought was the right choice, I do not see that my feet will ever be normal or painfree again.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

barbara on 4/15/02 at 18:13 (079761)

i had surgey 11/29/01 and i have done ever thing medically possible i dont know what else to do i have had this for 2 1/2 years and with diabets there is only so much can be done i am at the point that there no relieve in sight i have two childern that help me alot in getting around it is hard would you recommend this surgey for me

Re: Barbara -- Need some clarification

Been There x 4 on 4/16/02 at 11:04 (079824)

Barbara -- it sounds like you already had the surgery, so I am not sure what your question is.

Re: Barbara -- Need some clarification

Barbara S. on 4/16/02 at 15:44 (079866)

Hi THis is Barbara S. the post you are asking about was not me. I am having sugery for tts on April 22nd,2202. THank you.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Janew on 4/18/02 at 01:45 (080085)

Ok so what are the different options? My current Pod only told me about one type of surgery. I'm with an HMO so if there are better options I will have to fight for a referral. He told me the name of what he is recommending but I don't remember the name. He was basically saying he would cut holes on oth sides of the foot, insert a tube, cut some of the PT and then remove the tube.

Also I'm new to the web page so I have some other questions too. How often per day should I be doing stretches? It sounds like I should not be doing the wall stretches or towel stretches I was told about. Is that true? I ice twice a day, once mid morning and once in the evening for 15 minutes both feet. Is that enough? Physical Therapy with ultrasound and taping helped a little but I went to for the standard 6 appointments. Shoud I push for more? My Pod doesn't think I should try a night splint. He says the new research is showing that it is not helpful. What do you think? He's also never suggested casting. Does anyone know the success rate of casting? Should I try that before surgery even if I've been doing everything they tell me to do and I am still in pain after 3+ years.

I am so happy that I found this web page. I really appreciate everyones candor and willingness to help. I'll be back soon.

PS: I just had my fourth cortisone shot today so my feet feel ok. I also have othortics and really like them. I have high arches and the orthotics specialist adjusted them to give me more support. Much better than anything I found over the counter.

Re: Response to Janew

Been There x 4 on 4/18/02 at 13:02 (080150)

Please read the first message to this 'thread' that talked about the cord lengthening procedure. It is my understanding that a podiatrist can't do this (please correct me if I'm wrong) ... so you may need to go to an orthopedic surgeon. If you are close to the Seattle area, let me know and I will give you the name of a couple of surgeons who do this. I wish I had known about it before I let anyone cut on my feet! Don't overdo the PT on your feet, as it can make them hurt more. You are the only one who can decide if enough is enough. I was doing stretching, icing, etc., every day after my last surgery and only made my pain worse. I wouldn't have any more cortisone shots; most docs will only do them once per foot and sometimes twice -- 4 times is more than enough. I was in a cast for 2 months between surgeries and it only made my foot hurt worse. Anyone else had better results?? I have night splints (little ones vs. humongous things that I bought at Footsmart.com) and have worn them for over a year. Sleeping in them is the only time my feet don't hurt. Have they helped? No ... but at least I have some relief for a few hours a day.

Should you have a PF release? Based on my results I say absolutely no way. I also have very high arches, but don't know if they played any part in my having such a bad outcome.

I hope this helps you and that others will also pass along their experiences to you. Take care and good luck to you.

Re: Barbara -- Need some clarification

Pam B on 4/20/02 at 09:05 (080429)

With regard to fellow PF sufferers trying to decide if they should have surgery or not, I feel for you......I too suffer from PF and spurs bilaterally.....I have suffered for eight years now and I have seen many docs and done everything suggested to me by each and every one of them.....it is very frustrating to say the least.....but the one thing I have learned is that once a PF sufferer, always a PF sufferer with our without the surgery......I sympathize with anyone that has had a 'failed surgery'.......but I also know that for some of us that have tried it all, surgery is sometimes the only hope left considering insurance does not cover some treatments and some cannot afford treatment without the insurance......I had PF/spur excision surgery in Feb 2002......I am still in the healing process but can already tell you that I am glad I did it.....NO, I am not pain free, but I can put my foot flat on the floor now where as before surgery, I was not able to do that at all without severe pain.....my pod told me that surgery is not a cure all and that my recovery depended mostly on me....his words were it is not a miracle cure......I have found in chatting with people that alot of the time the patient does not follow post op instructions nor do they stay off of their feet for the length of time that their bodies tell them to......I think that most people rush their recovery in doing to much too soon and their body reacts with pain and more scar tissue......each person is different in the healing time and as most pods tell you, it can take up to a year for complete healing to take place......yes, there are failed surgeries, but I think there are more successful ones however, we just dont hear about these patients as they do move on with their lives trying to forget this nitemare.....I cannot say I am pain free, but I did not expect to be without some pain.....what I will say is that if you are one of the patients like myself that has suffered for years and tried all the remedies, surgery can help you if you help the surgery but dont go into this expecting to ever have painfree feet like you had before you got PF......that will not happen just and if it does, you are most surely the exception to the rule.....without surgery, I am a firm believer in PF just goes into remission but always returns.......I am not saying to rush out and have the surgery, just be certain before you make your decision that you research all your options pertaining to surgery as there are several ways of having the procedure performed......talk to your doc at length writing down all your questions on paper for a good Q&A session.....I opted for the open procedure following much research and many years of suffering....

This post is not to say there are not failed surgeries, because there are.......I am simply stating for someone that may be reading these boards for the first time that all surgeries are not failures and that much of your outcome depends on you.......good luck to all of you in whatever you decide is right for you.......:)

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Jon E on 4/20/02 at 13:48 (080472)

Been There,

Sorry to hear of your situation!

I live in the Seattle area and have been suffering for almost four years, so I'm starting to consider surgury. Could you give me the list of names you mentioned? I'm at (email removed).

Thanks!

Re: Barbara -- Need some clarification

John h on 4/20/02 at 19:55 (080499)

Pam: from all I read your are correct. When all else fails you still have surgery which has many more successes than failures. We read mostly about the failures here. It seems that when there is a failure it often just does not work but makes the patient worse and perhaps for a lifetime so that is the risk that anyone going into surgery must weigh.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

trish e on 4/24/02 at 08:41 (080925)

question,when do you really know if the tts/pf worked,should i still be having the same pain i did before my surgery,it is getting worse every day

Re: Hi trish e

Been There x 4 on 4/24/02 at 10:59 (080943)

I can't tell you whether you should still be having the same pain. All I can say is that I am in worse pain now than I was (my last operation was 6 months ago). I believe most surgeons will tell you that it takes a whole year to determine whether the operation was successful or not.

I sit at work 8 hours a day; if I had to stand 12 hours a day, as it appears you do ... well ... I don't know how you're going to do it if you're in worse pain now than you were before your surgery.

I think you need to consider getting another opinion on your foot. If I were you, I'd try to get in to see the top foot orthopedic surgeon at a university, hopefully close to where you live. In the event you can't do that, ask for a referral to an orthopedic surgeon with special training (a fellowship) in feet.

Whatever you do, don't let anyone operate on you again ... it is my experience that it will only make matters worse. If you give me your email address, I will be happy to share additional thoughts with you that I'm not comfortable writing on this message board.

Best of luck to you, my friend.

Re: Hi trish e

john h on 4/24/02 at 14:33 (080971)

I think the general consenus among medical personnel is that it takes a full year to see what your results will be from surgery as x 4 states. put any further surgery thoughts completely out of your mind for the next 6 months. ESWT should be what you should think about after a year has passed.

Re: Hi trish e

trish e on 4/25/02 at 20:12 (081132)

thank you john,heres my e-mail (email removed),would love to hear and keep in touch about our feet problems.

Re: DON'T HAVE A PLANTAR FASCIAL RELEASE!!

Maria F on 4/26/02 at 19:07 (081242)

I had a partial plantar fascia release as well as a gastrocnemus release. It worked great - complete cure after 4 months, and this was after about 4 years of trying everything else.