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Plantar Fasciitis and/or baxter's neuritis

Posted by Laura O. on 11/13/02 at 15:18 (100058)

I have been diagnosed with possible PF but definite Baxter's neuritis. I haven't been able to find much info on the wed for Baxter's-can you give me some details? Also, I just had an MRI last week to determine if I have Tarsal Tunnel. This stinks!! :-) I'm too young to go thru with all this pain and bother. I'm currently on crutches and a cam walker and have been for over 2 months. Was on a medical leave from work(retail) and realized even with surgery I'm not going to be able to do work on my feet any more so I quit. How successful is surgery for these problems? Can a chiropractor help, except for massage? Thanks!

Re: Plantar Fasciitis and/or baxter's neuritis

Ed Davis, DPM on 11/13/02 at 21:59 (100092)

PF is easier to diagnose than Baxter's neuritis so it is a bit unusual for someone to say 'definite' Baxter's neuritis but 'possible' PF. How did your doctor arrive at your diagnoses? What are your symptoms? What treatments have you had so far?
Ed

Re: Plantar Fasciitis and/or baxter's neuritis

Laura O. on 11/14/02 at 12:31 (100149)

Our family dr. originally said PF and told me to get shoe inserts and take ibuprofen(which I am allergic to). Shoe inserts didn't do much, he gave me another painkiller which I had a really bad reaction to(this was a bad summer!). He sent me to podiatrist, who, at 1st was leaning toward PF,but after x rays and exams said possible PF but Baxter's. Went for a 2nd opinion, this dr. concurred. Also have heel spurs on same foot. They are leaning more toward Baxter's becasue of where the pain radiates from and to, and because over time I don't have the typical intense pain in the a.m. when I first try to walk. Late July I got custom made orthodics, which after the break-in period still weren't helping. At the end of Aug I took on a 2 month leave from work(I worked retail),put on a cam walker and crutches for the 2 months. Due to our financila sitaution, I have been working a couple hours a few days a week for friends doing cleaning in a medical clinic. I can last about 2 hrs without severe pain.

The pain radiates from the inner part of my foot near the heel, up thru the arch and into the middle of my foot. SOmetimes it is a very sharp pain like someone is shooting heat or cold thru a line in my foot, other times it is just a pain. Even when I am sitting sometimes I'll get these really painful twinges thru the nerve. I don't know that there is ever a time it doesn't hurt, even when I'm on Darvocet. Heel spur pain has gotten progressively worse as time goes on. It is impossible to just stand in 1 place for more than about a minute(no joke) without the pain starting in really bad. My Pod didn't think tarsal til about a month ago when I was in for an exam and he did the test and I got tingling going all the way up to my toes which lasted for a couple of minutes. I had never mentioned that feeling before because I figured it was just part of my foot hurting. I can flex my foot to almost a 90 degree angle without much problem-it actuallyfeels a bit better when I do that. My MRI, taken 2 weeks ago, showed no lesions, cysts, or tumors, but some fluid build up and inflammation of the nerves. So at least I don't have cancer! :-)

We opted not to do any sort of injections because from personal experience not only are they painful, they do nothing, and reports from several family members and friends who have had the steroid shots for PF they didnt do any good and actually made the problem worse. Both pods agreed with me that in their practices they've seen the same thing a lot.

Right now we're talking surgery to release the nerve and tendon etc. 6-8 weeks non-weight bearing-ug! A little hard to do laundry when you can't put any weight on your foot! :-)

WOuld any sort of chiropractic treatments help with TTS and Baxter's?

Thanks for your help.

Re: Plantar Fasciitis and/or baxter's neuritis

caryn z on 11/14/02 at 18:48 (100170)

Laura O.

your symptoms sound a lot like mine and I just had a 'confirmed TTS diagnosis last month' after suffering with all this pain for the last 2 yrs. I had a nerve block injection 3 weeks to confirm that the posteria tibial nerve is in fact compressed and now I'm booked for the TTS decompression surgery.

I too chose not to have cortisone injections because they were not the right type of treatment for my pain. It is an ongoing process and my doctors have chosen not to cast my foot, however I do use a cane when I have to walk any distance more than 50ft. Sleeping has been my main problem due to the shoooting pains all the time and it seems to be worse at night time.

I hope you find your answers, I saw my family doctor, neurologist, orthopedic specialist and got different diagnosis from each one, then saw a podiatrist who did all the tests, etc and diagnosed the compressed nerve as the main source of my pain. I've been told that surgery is guarded and may not give 100% result but will definitely help. Reading this site in great detail has been a godsend and you will find a lot of information on the TTS site and also in Scott's heel pain book. The people who post here seem to be quite knowledgeable. You can also check out Wendy FAQ pages and the link is at the top of the page. She has a lot of information and answers many questions, you will find it very helpful.

I have found that reading and learning about PF and TTS is the best way to understand what we suffer with. Some doctors are more knowledgeable than others I have found with my research.

Good Luck

Cheers, Caryn

Re: Plantar Fasciitis and/or baxter's neuritis

Ed Davis, DPM on 11/14/02 at 22:52 (100199)

TTS is also a possibility so a nerve conduction test should be performed.
I am unsure what chiropractic could do for your problem -- not something amenable to treatment by manipulation. Some chiropractors do physical therapy though.
Ed

Re: Plantar Fasciitis and/or baxter's neuritis

rickb on 12/10/02 at 06:41 (102499)

i was diagnosied with baxter's before i had emg. the emg showed laterial planter nerve entraped bilateral. at that time i was completly unable to walk due to pain. my pod did serial casting rt foot hard cast 6 weeks pt month left foot cast 6 weeks pt month this helped some and i was able walk a little after. looking back i think it would have worked much better to cast both feet at the same time because i found it hard to stay completly non weight bearing because of the pain in the uncasted foot. although my symtoms improved a lot i still went on to have a release surgery of the baxter's nerve in my rt foot this did nothing but cause me more pain that took me almost a year to get back to my pre op pain level. been on crutches for most of 2 years and still no better than after the cast came off. i also had a emg after my surgery and it showed almost normal in both feet. i believe that this shows that casting helped the most so far. having full tts done on the 19th so wish me luck rick

Re: Plantar Fasciitis and/or baxter's neuritis

Ed Davis, DPM on 11/13/02 at 21:59 (100092)

PF is easier to diagnose than Baxter's neuritis so it is a bit unusual for someone to say 'definite' Baxter's neuritis but 'possible' PF. How did your doctor arrive at your diagnoses? What are your symptoms? What treatments have you had so far?
Ed

Re: Plantar Fasciitis and/or baxter's neuritis

Laura O. on 11/14/02 at 12:31 (100149)

Our family dr. originally said PF and told me to get shoe inserts and take ibuprofen(which I am allergic to). Shoe inserts didn't do much, he gave me another painkiller which I had a really bad reaction to(this was a bad summer!). He sent me to podiatrist, who, at 1st was leaning toward PF,but after x rays and exams said possible PF but Baxter's. Went for a 2nd opinion, this dr. concurred. Also have heel spurs on same foot. They are leaning more toward Baxter's becasue of where the pain radiates from and to, and because over time I don't have the typical intense pain in the a.m. when I first try to walk. Late July I got custom made orthodics, which after the break-in period still weren't helping. At the end of Aug I took on a 2 month leave from work(I worked retail),put on a cam walker and crutches for the 2 months. Due to our financila sitaution, I have been working a couple hours a few days a week for friends doing cleaning in a medical clinic. I can last about 2 hrs without severe pain.

The pain radiates from the inner part of my foot near the heel, up thru the arch and into the middle of my foot. SOmetimes it is a very sharp pain like someone is shooting heat or cold thru a line in my foot, other times it is just a pain. Even when I am sitting sometimes I'll get these really painful twinges thru the nerve. I don't know that there is ever a time it doesn't hurt, even when I'm on Darvocet. Heel spur pain has gotten progressively worse as time goes on. It is impossible to just stand in 1 place for more than about a minute(no joke) without the pain starting in really bad. My Pod didn't think tarsal til about a month ago when I was in for an exam and he did the test and I got tingling going all the way up to my toes which lasted for a couple of minutes. I had never mentioned that feeling before because I figured it was just part of my foot hurting. I can flex my foot to almost a 90 degree angle without much problem-it actuallyfeels a bit better when I do that. My MRI, taken 2 weeks ago, showed no lesions, cysts, or tumors, but some fluid build up and inflammation of the nerves. So at least I don't have cancer! :-)

We opted not to do any sort of injections because from personal experience not only are they painful, they do nothing, and reports from several family members and friends who have had the steroid shots for PF they didnt do any good and actually made the problem worse. Both pods agreed with me that in their practices they've seen the same thing a lot.

Right now we're talking surgery to release the nerve and tendon etc. 6-8 weeks non-weight bearing-ug! A little hard to do laundry when you can't put any weight on your foot! :-)

WOuld any sort of chiropractic treatments help with TTS and Baxter's?

Thanks for your help.

Re: Plantar Fasciitis and/or baxter's neuritis

caryn z on 11/14/02 at 18:48 (100170)

Laura O.

your symptoms sound a lot like mine and I just had a 'confirmed TTS diagnosis last month' after suffering with all this pain for the last 2 yrs. I had a nerve block injection 3 weeks to confirm that the posteria tibial nerve is in fact compressed and now I'm booked for the TTS decompression surgery.

I too chose not to have cortisone injections because they were not the right type of treatment for my pain. It is an ongoing process and my doctors have chosen not to cast my foot, however I do use a cane when I have to walk any distance more than 50ft. Sleeping has been my main problem due to the shoooting pains all the time and it seems to be worse at night time.

I hope you find your answers, I saw my family doctor, neurologist, orthopedic specialist and got different diagnosis from each one, then saw a podiatrist who did all the tests, etc and diagnosed the compressed nerve as the main source of my pain. I've been told that surgery is guarded and may not give 100% result but will definitely help. Reading this site in great detail has been a godsend and you will find a lot of information on the TTS site and also in Scott's heel pain book. The people who post here seem to be quite knowledgeable. You can also check out Wendy FAQ pages and the link is at the top of the page. She has a lot of information and answers many questions, you will find it very helpful.

I have found that reading and learning about PF and TTS is the best way to understand what we suffer with. Some doctors are more knowledgeable than others I have found with my research.

Good Luck

Cheers, Caryn

Re: Plantar Fasciitis and/or baxter's neuritis

Ed Davis, DPM on 11/14/02 at 22:52 (100199)

TTS is also a possibility so a nerve conduction test should be performed.
I am unsure what chiropractic could do for your problem -- not something amenable to treatment by manipulation. Some chiropractors do physical therapy though.
Ed

Re: Plantar Fasciitis and/or baxter's neuritis

rickb on 12/10/02 at 06:41 (102499)

i was diagnosied with baxter's before i had emg. the emg showed laterial planter nerve entraped bilateral. at that time i was completly unable to walk due to pain. my pod did serial casting rt foot hard cast 6 weeks pt month left foot cast 6 weeks pt month this helped some and i was able walk a little after. looking back i think it would have worked much better to cast both feet at the same time because i found it hard to stay completly non weight bearing because of the pain in the uncasted foot. although my symtoms improved a lot i still went on to have a release surgery of the baxter's nerve in my rt foot this did nothing but cause me more pain that took me almost a year to get back to my pre op pain level. been on crutches for most of 2 years and still no better than after the cast came off. i also had a emg after my surgery and it showed almost normal in both feet. i believe that this shows that casting helped the most so far. having full tts done on the 19th so wish me luck rick

Re: Plantar Fasciitis and/or baxter's neuritis

Nancy K on 10/23/08 at 21:07 (251434)

Have any of you tried the Z-Coil shoe? The base of the shoe is a 3/4 rigid orthotic so its like having your foot in a cast. The heel is a coil that compresses when you walk reducing impact. It's like walking on plush carpeting all day long. Check out thier web site http://www.zcoil.com . They have been fantastic for plantar faciitis and heel spurs.