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Update

Posted by Cristi R. on 11/06/02 at 16:13 (099523)

Hi everyone. Well, I was finally able to see the podiatrist the other day that my primary care doctor referred me to. He was great. Really knowledgeable in what he does.

He did the exam and diagnosed me with PF, which we already knew. Told me that the primary care put the injection in the wrong spot on my foot, so that's why it never helped. :( Gave me a Medrol dose pack to take for a week and then another prescription called Feldene to take after that one for a month. So far, really no relief at all. I got a copy of his notes to my primary care this afternoon and his examination notes read:

'The neurovascualr status is intact. The motor function is 5/5 for distal lower extremity groups. Locally, the patient has acute point tenderness on palpitation of the medial and central plantar aspects of the right heel that is 2+ in nature. She has 1+ tenderness at the lateral aspect of the right heel as well. There is no tenderness in the tarsal tunnel, achilles' tendon attachments or distal lateral aspect of the foot.'

After getting those notes faxed over to him, my doctor decides to have his nurse call me and tell me that he is not allowing me to go to my follow up visit in three weeks because 'he can take care of it on his end'. He now refuses to speak to me via telephone to let me know why it is that he's refusing to let me see my POD anymore. Does this all sound too strange??? I'm really confused as to how bad the PF really is and if I should see if my POD will do more tests i.e. MRI, etc.

Someone help! I'm sitting here fighting a control freak doctor and medical group to get treatments!

Cristi

Re: Chiropractor?

Mahatmelissama on 11/07/02 at 13:04 (099577)

If all else fails, you can do like me and get a chiropractor.
My chiropractor does physical therapy on me each week...he is
only $40.00 per visit.

Since your doctor refuses to discuss it with you, you have a few options:
1) write a complaint to your medical group (I did that before for mine and they ignored it, never once followed up on it)
2) go find another primary doctor
3) go to a chiropractor

(I got so fed up with the medical group I am with I went to a chiro)

Re: Update

Ed Davis, DPM on 11/07/02 at 21:52 (099614)

It sounds like the doc you saw may have a strong managed care mentality.
I feel that most patients expect a specialist to proceed in a more definitive manner. Study Scott's Heel Pain Book to see the various treatments for plantar fasciitis. Armed with that information, go to your family doc and demand a referral to a podiatrist who is willing to 'do the job.'
Ed

Re: Chiropractor?

Tim D on 11/13/02 at 14:34 (100050)

What kind of treatment does the chiropractor give you for the pain? Is it helping much?

Re: Chiropractor?

Mahatmelissama on 11/15/02 at 17:56 (100318)

Hi Tim.

My chiropractor is a real mensch, but he does like to torture me. I call it 'friendly torture'.

He does ultrasound, electrical stimulation, massage (electrocal gadgets that really ROCK YOUR LEG). He also adjusts my back and feet.

All this is improving my feet. He did break up a bunch of scar tissue, just amazing. It is not always fun and I have to admit but I am getting better.

If you find a good physical therapist, I get a hunch you would get the same treatment.

My chiro takes A LOT OF TIME with me, we are talking at least 20 minutes a visit or more of treatment time. That is IMPOSSIBLE to do where I live with managed care.

I am trying to get Blue Cross PPO to cover my visits..but if they don't, it is still cool. I pay $40.00 a visit, once a week. If I miss even a week, I surely feel it! I highly recommend a chiropractor if all else fails.

Re: Chiropractor?

Mahatmelissama on 11/07/02 at 13:04 (099577)

If all else fails, you can do like me and get a chiropractor.
My chiropractor does physical therapy on me each week...he is
only $40.00 per visit.

Since your doctor refuses to discuss it with you, you have a few options:
1) write a complaint to your medical group (I did that before for mine and they ignored it, never once followed up on it)
2) go find another primary doctor
3) go to a chiropractor

(I got so fed up with the medical group I am with I went to a chiro)

Re: Update

Ed Davis, DPM on 11/07/02 at 21:52 (099614)

It sounds like the doc you saw may have a strong managed care mentality.
I feel that most patients expect a specialist to proceed in a more definitive manner. Study Scott's Heel Pain Book to see the various treatments for plantar fasciitis. Armed with that information, go to your family doc and demand a referral to a podiatrist who is willing to 'do the job.'
Ed

Re: Chiropractor?

Tim D on 11/13/02 at 14:34 (100050)

What kind of treatment does the chiropractor give you for the pain? Is it helping much?

Re: Chiropractor?

Mahatmelissama on 11/15/02 at 17:56 (100318)

Hi Tim.

My chiropractor is a real mensch, but he does like to torture me. I call it 'friendly torture'.

He does ultrasound, electrical stimulation, massage (electrocal gadgets that really ROCK YOUR LEG). He also adjusts my back and feet.

All this is improving my feet. He did break up a bunch of scar tissue, just amazing. It is not always fun and I have to admit but I am getting better.

If you find a good physical therapist, I get a hunch you would get the same treatment.

My chiro takes A LOT OF TIME with me, we are talking at least 20 minutes a visit or more of treatment time. That is IMPOSSIBLE to do where I live with managed care.

I am trying to get Blue Cross PPO to cover my visits..but if they don't, it is still cool. I pay $40.00 a visit, once a week. If I miss even a week, I surely feel it! I highly recommend a chiropractor if all else fails.