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What do I do next?

Posted by Elaine M. on 5/08/02 at 13:53 (083085)

I have been in severe pain for PF for over a year. For the past 7 months I have seen a podiatrist and an orthopedic surgeon. I have had custom made orthoics, braces, casts, night splints, ice, I take an anti inflamatory and the pain is not any better sometimes it seems worse. I saw the orthopedice surgeon today and he said he does not want to do surgery but will if that is what I want. I am concern because he told me that he has not done this surgery but is sure he could. He only gives a 50% chance of it working. What should I do next?

Re: What do I do next?

Sharon W on 5/08/02 at 14:42 (083091)

Elaine,

I certainly wouldn't want to be the first person he does PF surgery on!

Have you tried steroid injections?

There is a procedure called ESWT that you have probably already seen mentioned on these boards. It can help people who haven't gotten any relief from all the usual 'conservative treatments,' and it doesn't involve someone cutting into you with a knife! Several of the doctors who answer questions on this board do ESWT and I imagine they would help you to learn more about it.

But if you have absolutely settled on surgery as the only option you will consider at this point, why not try to find a podiatrist who has done MANY of these surgeries? The ideal person would probably be one who has been practicing for at least 10 years and is a diplomate of the American Board of Podiatric Surgery, or at least a member of the American College of Foot and Ankle Surgeons.

-- Sharon

Re: What do I do next?

Pam B on 5/08/02 at 15:28 (083093)

In my opinion, I would look for another pod to assist in my care...who better to take care of feet but a foot doc? I would not let a doc that had never performed the surgery use me as the first patient....I looked till I found one that had been doing this for almost twenty years.....my orthopedic acutally sent me to the podiatrist for my PF and other foot problems....I have had the surgery after eight years of suffering and as far as the foot feels, I would do it all over again....but surgery is not for everyone as each patient is different......my advice would be to get your medical records together and find a foot and ankle specialist for another opinion.......good luck and keep us posted :)

Re: What do I do next?

Julie on 5/08/02 at 15:43 (083099)

Elaine, please don't let a surgeon who has never done surgery for PF anywhere near your feet.

Investigate ESWT before even thinking about surgery, which always carries risks and possible complications and may leave you worse off.

Do you know what is causing your PF? What work do you do?

If all other avenues have been exhausted, and you eventually do decide on surgery, follow Sharon's advice and find a podiatric surgeon who has done MANY surgeries.

Re: What do I do next?

Dr. J. Cione on 5/08/02 at 16:25 (083106)

It seems that you have tried alot of conservative treatment for your Plantar Fascitiis. Cortisone injections in the heel is a viable option if you didn't have any. There is shock wave therapy which can be very helpful and you may be able to avoid surgery. If your doctor has never done heel spur surgery, you may want to get a 2nd or 3rd opinion before you go ahead with the surgery. As you were told the success rate is not very high with surgery. I hope this helps.

Re: What do I do next?

Carmen on 5/08/02 at 18:34 (083120)

Just my two cents......do NOT get surgery done on your feet! 7 months just isn't hat long...I know it stinks...but I have had it 11 months and am prepared to suffer through it longer if i have to but NO surgery. no way. especially by someone who has never done one?

Re: What do I do next?

lisa k on 5/09/02 at 03:42 (083176)

im seeing a second that is ankle and foot certified as well as orthopedic surgery next week......in my case my pod for some reason didnt believe mris showed anything but after i practically begged him got one done and showed AALOT- A MAJOR TEAR AND DETACHMENT THAT NO CHOT NO PT WAS EVER GOING TO MAKE BETTERR oops cap lock,take car lisa k

Re: What do I do next?

Elaine M. on 5/09/02 at 09:39 (083205)

I have had 4 cortisone shots which did not help at all. Neither the podiatrist or orthopedic surgeon have suggested the shock wave therapy. Actually the orthopedic (his specialty is feet and ankles) recommended a Dr. Baxter in Texas if I was interested in going there. I live on the east coast so this seems a little far. Thanks for your response!

Re: How can a doctor operate, without ever doing the procedure before??

BrianG on 5/09/02 at 18:10 (083278)

I'm surprised this doctor would even agree to operate on you if he had never done the procedure. Don't doctor's have to participate in any training programs, as with someone who has done that procedure many times? Even the woman who drew my blood last week told me she was a trainee, and would I mind if she drew my blood. Another trained person watched her do the procedure. I just find it hard to believe there is no apprentership program for doctors. Didn't he have to do this very common surgery to graduate school? Can this really happen?

BrianG

Re: What do I do next?

Sharon W on 5/08/02 at 14:42 (083091)

Elaine,

I certainly wouldn't want to be the first person he does PF surgery on!

Have you tried steroid injections?

There is a procedure called ESWT that you have probably already seen mentioned on these boards. It can help people who haven't gotten any relief from all the usual 'conservative treatments,' and it doesn't involve someone cutting into you with a knife! Several of the doctors who answer questions on this board do ESWT and I imagine they would help you to learn more about it.

But if you have absolutely settled on surgery as the only option you will consider at this point, why not try to find a podiatrist who has done MANY of these surgeries? The ideal person would probably be one who has been practicing for at least 10 years and is a diplomate of the American Board of Podiatric Surgery, or at least a member of the American College of Foot and Ankle Surgeons.

-- Sharon

Re: What do I do next?

Pam B on 5/08/02 at 15:28 (083093)

In my opinion, I would look for another pod to assist in my care...who better to take care of feet but a foot doc? I would not let a doc that had never performed the surgery use me as the first patient....I looked till I found one that had been doing this for almost twenty years.....my orthopedic acutally sent me to the podiatrist for my PF and other foot problems....I have had the surgery after eight years of suffering and as far as the foot feels, I would do it all over again....but surgery is not for everyone as each patient is different......my advice would be to get your medical records together and find a foot and ankle specialist for another opinion.......good luck and keep us posted :)

Re: What do I do next?

Julie on 5/08/02 at 15:43 (083099)

Elaine, please don't let a surgeon who has never done surgery for PF anywhere near your feet.

Investigate ESWT before even thinking about surgery, which always carries risks and possible complications and may leave you worse off.

Do you know what is causing your PF? What work do you do?

If all other avenues have been exhausted, and you eventually do decide on surgery, follow Sharon's advice and find a podiatric surgeon who has done MANY surgeries.

Re: What do I do next?

Dr. J. Cione on 5/08/02 at 16:25 (083106)

It seems that you have tried alot of conservative treatment for your Plantar Fascitiis. Cortisone injections in the heel is a viable option if you didn't have any. There is shock wave therapy which can be very helpful and you may be able to avoid surgery. If your doctor has never done heel spur surgery, you may want to get a 2nd or 3rd opinion before you go ahead with the surgery. As you were told the success rate is not very high with surgery. I hope this helps.

Re: What do I do next?

Carmen on 5/08/02 at 18:34 (083120)

Just my two cents......do NOT get surgery done on your feet! 7 months just isn't hat long...I know it stinks...but I have had it 11 months and am prepared to suffer through it longer if i have to but NO surgery. no way. especially by someone who has never done one?

Re: What do I do next?

lisa k on 5/09/02 at 03:42 (083176)

im seeing a second that is ankle and foot certified as well as orthopedic surgery next week......in my case my pod for some reason didnt believe mris showed anything but after i practically begged him got one done and showed AALOT- A MAJOR TEAR AND DETACHMENT THAT NO CHOT NO PT WAS EVER GOING TO MAKE BETTERR oops cap lock,take car lisa k

Re: What do I do next?

Elaine M. on 5/09/02 at 09:39 (083205)

I have had 4 cortisone shots which did not help at all. Neither the podiatrist or orthopedic surgeon have suggested the shock wave therapy. Actually the orthopedic (his specialty is feet and ankles) recommended a Dr. Baxter in Texas if I was interested in going there. I live on the east coast so this seems a little far. Thanks for your response!

Re: How can a doctor operate, without ever doing the procedure before??

BrianG on 5/09/02 at 18:10 (083278)

I'm surprised this doctor would even agree to operate on you if he had never done the procedure. Don't doctor's have to participate in any training programs, as with someone who has done that procedure many times? Even the woman who drew my blood last week told me she was a trainee, and would I mind if she drew my blood. Another trained person watched her do the procedure. I just find it hard to believe there is no apprentership program for doctors. Didn't he have to do this very common surgery to graduate school? Can this really happen?

BrianG