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now what

Posted by joannie M on 10/17/02 at 13:34 (097750)

my podiatrist has been treating my pf with ice, rest, shots and orthotics, but i have experienced no lasting releif. we're at an mpasse now; he says its all in the way i walk and there's 'nothing to fix'. I feel my heel is injured and reinjured throughout the day. I do not get morning or resting pain; my pain increases throughout the day to become close to crippling by night. My foot doesn't 'roll' right when walking once the pain has set in. His next idea is more custom-made orthotics, in the $350 range, but i'm reluctlant to depend on that because no orthotics tried to this point have helped the condition-my gut feeling is its something else. I don't know where to go from here. Wearing custom orthotics 24-7is the only way to go???? Also does anyone know of a site where one can get referrals to doctors specializing in this? thanks everyone

Re: now what

BrianJ on 10/17/02 at 16:26 (097765)

Hi Joannie --

I'm sorry you haven't found relief yet, but this site has a lot to offer in that regard. First, I would thoroughly read (and re-read) the Heel Pain Book on this site. Cases of PF are very different from person to person, and some experimentation is necessary to see what works for you. In particular, I would try taping, and see if that helps. Second, I would go to the best store in your area that sells running gear, and would ask them for the name of one or more doctors who can help with heel pain. You need someone experienced to analyze your walking gait. Third, I would resolve myself that this may take awhile and to be very patient. Don't rush into surgery or other invasive treatments until you have tried absolutely everything else for at least a year (some would say you should NEVER get surgery for PF).

Good luck!

Re: now what

R C on 10/17/02 at 21:58 (097780)

Ditto everything BrianJ wrote. I especially believe that taping might be a good thing to try. It takes some experimentation to figure out what works best for you (e.g., how tight, how often to change it), so be patient with it. I myself had no success with orthotics, but had good results taping daily. If your podiatrist expresses that you are at an 'impasse', and that 'there is nothing to fix,' then it is time to move on to a different doctor. You might consider an orthopedic specialist with experience in foot injuries. You are wise to trust your gut feelings.

Where to go from here: Try tape, ice when it hurts, rest as much as you can, gentle calf stretches (non-weight bearing), and find another doctor. All my best recommendations for specialists were word of mouth, including suggestions from my totally excellent family doctor.

Re: now what

Julie on 10/18/02 at 03:00 (097792)

Excellent advice from Brian and RC, Joannie. I agree with it all, and especially about taping. See the instructions and pictures in part 2 of the heel pain book.

I also think it's time for you to find another doctor. My suspicions are raised by your doctor telling you 'it's in the way you walk' - yet he has given you orthotics which haven't helped. The purpose of orthotics is to correct biomechanical faults (i.e. 'the way you walk') and properly casted and made orthotics should do that, and at least help some. But my gut feeling is NOT to entrust this to your present doctor, who from what you've said is ready to wash his hands of you. You need one who will work patiently with you until you are better.

It may be that there are other things going on with your feet besides PF - another reason to find a new foot doctor and get a full diagnosis.

Re: Time to try SDOs!

Mahatmelissama on 10/18/02 at 16:11 (097827)

Sorry...couldn't resist the way I put that hehe.

Seriously, I have had great results with http://www.drkiper.com so I recommned these. I had pain so bad, I would get worse sitting in a car (the vibration even of an old car)...and also had trouble sleeping a lot more.

I still get stiff and stitches in my legs...but my feet are healing.

I don't work for Dr. Kiper, just a happy patient. He does have a 6 month
gurantee.

Anyway...just trying to help.

Re: Time to try SDOs! ditto that

carmen h on 10/19/02 at 09:05 (097864)

I have definitely improved since getting these sdo's as well. I love them...they have stopped all kinds of pains (prickling, tingling all of that).

Re: Time to try SDOs! ditto that

pala on 10/19/02 at 09:34 (097873)

i really appreciate those with the sdo s giving continual updates. i might be calling him myself. keep us posted

Re: Non-invasive things to try

Lara T. on 10/19/02 at 14:01 (097906)

I particularly like trying taping (heavy, heavy - about an inch's worth - taping worked for me, but light taping didn't do much -), orthotics (seemed to slow things down for, but still headed in the wrong direction), and compression socks (my personal favorite and let me live a nice life, but doesn't work for everyone and didn't give me back my sports activitites),
because all are non-invasive, and easily reversible if they don't work. None of these work for everyone, and probably not most, and more than one person has been quite pleased with each of them. Unfortunately, we all have to do our own experimenting to see what works.

I wish more doctors would start with these, because they are non-invasive.

The expense varies, but missing out on work and life is expensive too. Sometimes we get lousy choices.

Re: now what

dave r on 10/21/02 at 08:35 (098012)

Taping has been beneficial to me to. It at least has giving me the ability to walk again. I dont know what to tell you that may help. When pf is in its early stages nsaids and stretching may help. Orthotics may help if there is a mechanical problem. But unfortunately when pf becomes chronic the tissue quality of the plantar fascia is the problem( I think ).
In my case thickening of the pf is due to continuous micro tearing of the fascia. I believe that if i could get that tissue healthy again my problems would be over. ESWT can help tissue quality and is beneficial to many people, However alot of us on this board are in that 15% range where nothing helps at all.....

Re: now what

BrianJ on 10/17/02 at 16:26 (097765)

Hi Joannie --

I'm sorry you haven't found relief yet, but this site has a lot to offer in that regard. First, I would thoroughly read (and re-read) the Heel Pain Book on this site. Cases of PF are very different from person to person, and some experimentation is necessary to see what works for you. In particular, I would try taping, and see if that helps. Second, I would go to the best store in your area that sells running gear, and would ask them for the name of one or more doctors who can help with heel pain. You need someone experienced to analyze your walking gait. Third, I would resolve myself that this may take awhile and to be very patient. Don't rush into surgery or other invasive treatments until you have tried absolutely everything else for at least a year (some would say you should NEVER get surgery for PF).

Good luck!

Re: now what

R C on 10/17/02 at 21:58 (097780)

Ditto everything BrianJ wrote. I especially believe that taping might be a good thing to try. It takes some experimentation to figure out what works best for you (e.g., how tight, how often to change it), so be patient with it. I myself had no success with orthotics, but had good results taping daily. If your podiatrist expresses that you are at an 'impasse', and that 'there is nothing to fix,' then it is time to move on to a different doctor. You might consider an orthopedic specialist with experience in foot injuries. You are wise to trust your gut feelings.

Where to go from here: Try tape, ice when it hurts, rest as much as you can, gentle calf stretches (non-weight bearing), and find another doctor. All my best recommendations for specialists were word of mouth, including suggestions from my totally excellent family doctor.

Re: now what

Julie on 10/18/02 at 03:00 (097792)

Excellent advice from Brian and RC, Joannie. I agree with it all, and especially about taping. See the instructions and pictures in part 2 of the heel pain book.

I also think it's time for you to find another doctor. My suspicions are raised by your doctor telling you 'it's in the way you walk' - yet he has given you orthotics which haven't helped. The purpose of orthotics is to correct biomechanical faults (i.e. 'the way you walk') and properly casted and made orthotics should do that, and at least help some. But my gut feeling is NOT to entrust this to your present doctor, who from what you've said is ready to wash his hands of you. You need one who will work patiently with you until you are better.

It may be that there are other things going on with your feet besides PF - another reason to find a new foot doctor and get a full diagnosis.

Re: Time to try SDOs!

Mahatmelissama on 10/18/02 at 16:11 (097827)

Sorry...couldn't resist the way I put that hehe.

Seriously, I have had great results with http://www.drkiper.com so I recommned these. I had pain so bad, I would get worse sitting in a car (the vibration even of an old car)...and also had trouble sleeping a lot more.

I still get stiff and stitches in my legs...but my feet are healing.

I don't work for Dr. Kiper, just a happy patient. He does have a 6 month
gurantee.

Anyway...just trying to help.

Re: Time to try SDOs! ditto that

carmen h on 10/19/02 at 09:05 (097864)

I have definitely improved since getting these sdo's as well. I love them...they have stopped all kinds of pains (prickling, tingling all of that).

Re: Time to try SDOs! ditto that

pala on 10/19/02 at 09:34 (097873)

i really appreciate those with the sdo s giving continual updates. i might be calling him myself. keep us posted

Re: Non-invasive things to try

Lara T. on 10/19/02 at 14:01 (097906)

I particularly like trying taping (heavy, heavy - about an inch's worth - taping worked for me, but light taping didn't do much -), orthotics (seemed to slow things down for, but still headed in the wrong direction), and compression socks (my personal favorite and let me live a nice life, but doesn't work for everyone and didn't give me back my sports activitites),
because all are non-invasive, and easily reversible if they don't work. None of these work for everyone, and probably not most, and more than one person has been quite pleased with each of them. Unfortunately, we all have to do our own experimenting to see what works.

I wish more doctors would start with these, because they are non-invasive.

The expense varies, but missing out on work and life is expensive too. Sometimes we get lousy choices.

Re: now what

dave r on 10/21/02 at 08:35 (098012)

Taping has been beneficial to me to. It at least has giving me the ability to walk again. I dont know what to tell you that may help. When pf is in its early stages nsaids and stretching may help. Orthotics may help if there is a mechanical problem. But unfortunately when pf becomes chronic the tissue quality of the plantar fascia is the problem( I think ).
In my case thickening of the pf is due to continuous micro tearing of the fascia. I believe that if i could get that tissue healthy again my problems would be over. ESWT can help tissue quality and is beneficial to many people, However alot of us on this board are in that 15% range where nothing helps at all.....