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Using ESWT for pf? What if tts is a problem?

Posted by Cindy N. on 9/02/02 at 08:09 (094196)

Hi Doctors, If you have pf and tts is it ok to use the eswt?Are there any risks involved if you have both problems? Also if you have pf with a lot of arch pain and a tugging sensation under your heel but not excruciating pain directly under the heel can you qualify for the eswt?Thanks, C.

Re: Using ESWT for pf? What if tts is a problem?

Dr. Z on 9/02/02 at 09:12 (094202)

Hi,

The indication for ESWT for pf is the pain needs to be at the insertion of the plantar fascia. The insertion is at the proximal-inside area of the heel.

Do you have pain when you first get up in the morning or when you sit for any lenght of time?

The arch pain could be the cause of the pf if it involves your posterior tibial tendon. TTS could be secondary to pf or could be the cause of pf. I would have to know your history, do an examination, and most importantly rule out the TTS involvement.

Getting back to ESWT. It is used for chronic insertional, promixal pf. The FDA studies excluded all patients with any signs of TTS and arch pain

Re: Using ESWT for pf? What if tts is a problem?

Dr. Z on 9/02/02 at 09:12 (094202)

Hi,

The indication for ESWT for pf is the pain needs to be at the insertion of the plantar fascia. The insertion is at the proximal-inside area of the heel.

Do you have pain when you first get up in the morning or when you sit for any lenght of time?

The arch pain could be the cause of the pf if it involves your posterior tibial tendon. TTS could be secondary to pf or could be the cause of pf. I would have to know your history, do an examination, and most importantly rule out the TTS involvement.

Getting back to ESWT. It is used for chronic insertional, promixal pf. The FDA studies excluded all patients with any signs of TTS and arch pain