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ASTM-ACHILLES TENDONITIS-HEEL SPUR

Posted by Sandy R on 9/29/02 at 17:03 (096461)

Hello, I injured my left heel about a year ago by pushing a heavy object it felt like a tearing sensation.I thought it was strained and figured it would heal with time so I let it go for 7 weeks.
Went to family Dr. he recommended PT.They preformed ASTM, stretching,exercise bycyle. The pain from the ASTM treatment got bad so I quit going to PT after about 8 visits.
I had pain for awhile after but it subside enough that I could live with it for about 3 monthes. At work had to start going up & down ladder and pushing and or pulling a heavy cart. Pain came back severely.The pain is like a ripping or tearing sensation like a zipper being pulled down.Went to family Dr for a recommendation for a POD but he sent me to an orthopedic surgeon. He put me on anti-inflamitories for a month still had pain, put me in a walking boot for 6 weeks which helped while I was wearing it.Went to PT for stretches that I had been doing at home.On anti-inflamitories for 3 monthes.The ortho Dr. said if I still had pain in 4 monthes to see him again and he'd take xrays but that wouldn't show anything.
Went to Family Dr. again for something else he asked about foot, I told him about Ortho Dr. he asked if I wanted 2nd opinion and sent me to POD. Physical Therapist recommended.(He didn't like the Ortho Dr.)
POD looked at xrays taken with 1st family Dr. visit said I had Calcaneal spur on xray bursitis, achilles tendinitis.He took new xrays to see if the spur has grown in a year but I don't see him for another 4 weeks.
He is now sending me to PT (PHYSICAL THERAPY) They are doing ASTM again exercise bike, wall stretches, and ice of course.Will be doing strengthning exercising. Are you familar with ASTM? Its very painful! is it like a case of the storm before the calm,no pain no gain? Does it have to be more painful before it gets better.My heel pain is in the back of my heel not bottom, very tender area in like a circular patch on the calcaneal area does radiate to left side of foot down behind ankle to pad of foot.I can find no research on ASTM. I know it suppose to break up scar tissue I told my PT he should become a professional fish skinner he scrapes it so hard I feel like he's taking skin and all.
I'am now sitting here barely able to walk at all, Should I continue with ASTM since its so painful during and for days after? What is the ripping or tearing sensation I feel when pushing-pulling objects, squatting on my toes?I can point my toes out with no problem its when I try to point it back towards my leg is when I feel the tightness in the heel and achilles tendon area.
I have normal stiffness in the morning which usually subsides with use and comes back with periods of rest. I work on a cement floor at work in a factory and by evening its hard to stand.Do you think a heel cup would help? anything touching the back of my heel causes severe pain is there hope? Sorry this is so long just wanted to give history.
Short of it.
Sould I continue ASTM? What is ripping,tearing sensation? Would a heel pad or lift help? Any info would be greatly appreciated.
Sandy
P.S; I bought one of those heel ice pack wraps from ANKLE TX and like it.
No I'm not affliated with them its just easy to use.

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Carrie on 9/30/02 at 17:27 (096544)

Excuse me here but what is astm? I am totally unfamiliar with this term?

Scraping sounds very strange, what is he scraping?

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Sandy R on 10/01/02 at 01:29 (096571)

ASTM is used to break up scar tissue. My PT (Physical Therapist) uses these acrylic looking tools.. one looks like a shoe horn, one like a door jam, there are a few other ones I have to lay on my stomach with my foot over the edge of a table and he scrapes my heel,calf, sides of my heel,sometimes the bottom of my foot.
Before he does this I ride the exercise bike for 5 min, wall stretches, he does ASTM, wall stretches again then he ices it.
It is very painful. You can feel little bumps when he scrapes it, he says that it is built up scar tissue.It feels like he is skinning a fish, its real red and very tender afterward then usually about two days after it is hard to walk. by the time the pain subsides some its time to have it done again. When he scrapes it he does it real slow and goes over the same place a few times like he's digging in certain areas.
The first time about a year ago I had this done it got so painful I just stopped going. Thats why I went searching and found this message board.
I was wondering if it was suppose to hurt so bad,no pain no gain,storm before the calm type of thing. I thought if it hurt now maybe it would help later. This is being done for the Achilles Tendinitis.
Apparently no one here has ever heard about it because you are the first to ask anything.. Aren't there suppose to be POD'S here?
Well I hope I have enlightened you as to what ASTM is and I would not recommend it to anyone. I 'am having it done again in the morning if I can make it through the whole treatment 2x a week for 6 weeks I'am on my 2nd week if I last I'll let you know if it actually helps.
Sandy

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Carrie on 10/02/02 at 07:57 (096682)

Sandy this sounds terrible, yuck ! I don't see how causing more pain is going to make you feel better in the long run this sounds kind of dangerous.

hope you end up ok, I don't know what to say, yuck!

C

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Shaira on 10/05/02 at 23:15 (096959)

My general rule with PF, if it hurts, don't do it, don't buy the shoes to break them in, don't do any hurtful procedures.

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Betty S. on 1/19/03 at 14:22 (105937)

I have been diagnosed with PF and then over a period of 5 years had the diagnosis changed with a present ? of peripheral neuropathy. I broke my leg and was off my feet for about a month and a half , all symptoms got much less , but my toes continuedx to 'burn' and get irritated when I got into bed at night. My broken foot was casted and I assume stretched some in the cast (as well as tightened) . Does the lessening of symptoms point more to peripheral neruopathy or PF/ heel spur etc. anyone have an idea?

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Carrie on 9/30/02 at 17:27 (096544)

Excuse me here but what is astm? I am totally unfamiliar with this term?

Scraping sounds very strange, what is he scraping?

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Sandy R on 10/01/02 at 01:29 (096571)

ASTM is used to break up scar tissue. My PT (Physical Therapist) uses these acrylic looking tools.. one looks like a shoe horn, one like a door jam, there are a few other ones I have to lay on my stomach with my foot over the edge of a table and he scrapes my heel,calf, sides of my heel,sometimes the bottom of my foot.
Before he does this I ride the exercise bike for 5 min, wall stretches, he does ASTM, wall stretches again then he ices it.
It is very painful. You can feel little bumps when he scrapes it, he says that it is built up scar tissue.It feels like he is skinning a fish, its real red and very tender afterward then usually about two days after it is hard to walk. by the time the pain subsides some its time to have it done again. When he scrapes it he does it real slow and goes over the same place a few times like he's digging in certain areas.
The first time about a year ago I had this done it got so painful I just stopped going. Thats why I went searching and found this message board.
I was wondering if it was suppose to hurt so bad,no pain no gain,storm before the calm type of thing. I thought if it hurt now maybe it would help later. This is being done for the Achilles Tendinitis.
Apparently no one here has ever heard about it because you are the first to ask anything.. Aren't there suppose to be POD'S here?
Well I hope I have enlightened you as to what ASTM is and I would not recommend it to anyone. I 'am having it done again in the morning if I can make it through the whole treatment 2x a week for 6 weeks I'am on my 2nd week if I last I'll let you know if it actually helps.
Sandy

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Carrie on 10/02/02 at 07:57 (096682)

Sandy this sounds terrible, yuck ! I don't see how causing more pain is going to make you feel better in the long run this sounds kind of dangerous.

hope you end up ok, I don't know what to say, yuck!

C

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Shaira on 10/05/02 at 23:15 (096959)

My general rule with PF, if it hurts, don't do it, don't buy the shoes to break them in, don't do any hurtful procedures.

Re: ASTM-ACHILLES TENDONITIS-HEEL SPUR

Betty S. on 1/19/03 at 14:22 (105937)

I have been diagnosed with PF and then over a period of 5 years had the diagnosis changed with a present ? of peripheral neuropathy. I broke my leg and was off my feet for about a month and a half , all symptoms got much less , but my toes continuedx to 'burn' and get irritated when I got into bed at night. My broken foot was casted and I assume stretched some in the cast (as well as tightened) . Does the lessening of symptoms point more to peripheral neruopathy or PF/ heel spur etc. anyone have an idea?