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Cronic planters Fasciitis

Posted by Mark H. on 11/23/02 at 09:58 (100986)

I hope someone can help me or give me other directions because I have become desperate. In June of 2000 I was involved in a tow motor accident. I hit a gap and my whole body was severly jarred, including jambing my left heel into the metal floor plate. About 5 to 7 days later I noticed what felt like a small bruise on the left inside of my left heel. The pain began to get worse over the next several weeks and I did a follow up report to the Medical Dept. Due to uncertain issues, I was never sent to see a doctor until Jan. 2001. I never missed work during this period of time and by then the pain was almost unbearable. Vibration was also extremely aggrivating. A high percentage of my job required me getting on and off the lift from 60 to 160 times a shift. You enter and exit the lift from the left side and your left foot is used in pushing to getting on and is the first part of your body getting off. (I have learned that this is called pronation.)
Finally seeing the Doctor in Jan.'01, x-rays were taken and I was told that I had a deep contusion of the left heel. After this initial exam, I noticed that my neck became tight and sore a the base of the neck. I was sent to be fitted with custom orthotics for the left foot and began wearing them the beginning of Feb.'01. There was minimal relief and there were adjustments made to them, but still no help. I was told that I had to give them 30 days before anything else could be done. Also during this time my neck was giving me more trouble.
The beginning of March '01 the decision was made to try a shot of cortzone. I took the needle on the 6th and felt great until the next day, when I realized that this did not work. I should mention that up until the cortizone, I was still working my scheduled rotations and did not miss work. Also after the shot, my neck was really hurting. I mentioned this to the doctor and he felt that it was just due to stress.
I was placed on restricted duty for about 8 days, and then was told that there was no more restricted duty for me and that I was now no longer allowed to work.
Towards the end of March '01 I was sent for a bone scan and it showed a 'hot spot' and therefore I was being sent for an MRI, which took place the beginning of April '01. In the mean time I reported that the pain was getting worse and that even driving a few miles would aggrivate the heel due to the vibration from the road.
I was told that I had Planters Fasciitis (never heard of that before) and that I should just take it easy. I also explained that whenever any one messed with my foot, my neck would really hurt, and then would go away slowly over the next 5 to 7 days. I was also experiencing a burning feeling in the whole heel area along with numbness and tingling in the toes of the left foot.
During a follow-up exam in May '01 (my doctor seemed to be getting frustrated with my issues)he had me flat on my back and raised my left leg and at about 70 degrees, the front half of my left foot went numb and tingling. He then suspected a possible back problem and scheduled an appointment with a back specialist. By the time I got into the back doctor (middle of May) the company decided to terminate me, thus causing me to lose my medical benefits.
The back doctor requested an MRI of my back, but that was turned down. He was also the company doctor. I offered to pay for the MRI out of my own pocket, but he talked me out of it due to the expense, and told me that 'time' was the next best thing to the MRI. I should mention that I never had any back pain, just the neck whenever anyone checked my foot. After 3 months of seeing the back doctor (once a month) and still showing no signs of back pain, I was sent back to the foot specialist in Aug. '01. He then reguested and EMG of the LLE and this took almost 4 months to get approved. Yes, this is and still is a Workmans Comp. claim and it takes almost forever to get anything approved.
The EMG was performed in Dec. '01 and we received the results in Jan.'02. I was told that the EMG really didn't show anything and that they were not all that accurate on anyone over 45 years old. I was 2 weeks shy of my 50th birthday when this test was done.
I was then scheduled for the cast therapy. The plan was for 3 weeks with the short cast, remove it, check the heel, and re-cast for an additional 3 weeks. (I failed to mention that a night splint was tried in May '01 and caused alot of pain from the heel, up the left leg, through the middle of my back and stopped at the neck. I notified the doctor immediately and was told not to use it anymore.) With-in 2 days of having the short cast on, I was ready to cut it off. You could draw a line from my left heel straight to me neck, the same experience as the night splint, except I couldn't take this thing off. I held off for 2 more days and notified the doctor that I could barely walk and that the pain was almost unbearable. He said that the program required a minimum of 3 weeks and that he would see me then. I suffered but made it. The cast was removed at the end of Jan.'02 and now for the first time, I did have back pain. A knot that developed in the middle of the back while the cast was on, now will not go away. He still wanted to put the cast on for another 3 weeks, but then decided not to because of all the problems that I was having. He then suggested EWST.
I finally got into yet another specialist for the EWST and after determining that I was a good candidate, it was scheduled for the end of May '02. The complete proceedure was explained and I was really looking forward to this. It was also explained that I should have no pain 7 to 10 days after the EWST and then it would all come back, but no worse that what I had been going through. Then over the next 3 to 6 months, I should be pain free.
With-in 2 hours of the EWST, my left foot was throbbing and I was having more pain than ever before. I contacted the doctor in 2 weeks like I was told, I just delt with the pain, and during the follow up I had to tell him that I was now having alot of weakness in the left knee. (Yes, something that I never experienced before the EWST treatment.) He did not understand why I would have these problems. Also, the knot in the back was horrible of about 10 days after the EWST. Unfortunately, this last doctor has recently decided to stop doing all Work. Comp. claims, it was too hard to get paid. He also told me that I need to see another doctor about the knee, back and neck.
I am in the process of going through my own family doctor to try to start figuring out what is really going on. Good news, my termination was ruled un-justified by a Federal Arbitrator and I have been restored to my current seniority and job and most important, MY BENEFITS. I can now have other tests performed that the company has been fighting. I have not yet been released to work. I was sent for a return to work physical with a company docter, and was told that I am showing signs of a back issue along with the PF.
In the process of trying to find another foot specialist sice my current doctor is dropping WC cases, I did go to another one in Oct.'02. He only spent about 5 to 10 min. with me, and seemed very bored with my issues. He did check my left heel and fould the 'hot spot' and really pushed hard. I felt my eyes role back into mt head, but he didn't seem to concerned. About 2 hours after this consultation, my left knee blew up like a balloon. I called him the next day and he never returned my call, and then called a few days later, and he still never returned my call. Since his exam, the knee has swollen, the knee is tight, the left leg is cramping, the knot in the back will not go away, and I still have the neck problem, Now when I get up in the morning and my left foot hits the floor, the pain goes straight from the heel, left leg, back and neck and lasts most of the day. I have just found out in the past several days that he has listed me as MMI. I am not happy with this doctor!! The swelling has finally gone down, but I had to deal with this for over a month.
Well, if there is anyone out there that has any suggestions, I would greatly appreciate it. I have been dealing with all this for over 2 1/2 years, and I am having a hard time accepting or dealing with doctors that make me feel like I'm a psyco. 'Deal with it' is not a medical term that I am ready to accept.

Re: Mark

Julie on 11/23/02 at 10:16 (100987)

Hello

I've read your post carefully, and first want to offer my commiserations for all you have been through. I'm not a doctor, but I do have a basic knowledge of the body, and I would be willing to bet that all your problems are coming from your spine, which must have been severely jarred in the accident. In other words, you may well have plantar fasciitis, but I very much doubt that that's all you have.

If the pain were just through your heel, leg and lower back, I would suspect impingement of the sciatic nerve. As it affects your upper spine including your neck, it's possible that other nerves have also been pinched. If this were happening to me, I would see a chiropractor or an osteopath. Such practitioners know a good deal more about the structure of the entire body, particularly the spine, than do general medical practitioners. Consulting one might get you closer to a proper diagnosis, and in the best case scenario, treatment could re-align your spine and relieve your all-over pain.

I'm so glad your dismissal was ruled unjustified, and that you've got your benefits back.

Re: Cronic planters Fasciitis

Scott R on 11/23/02 at 12:24 (101000)

I don't think there is anything wrong with your heel or foot except the damage that was done by the doctors. The pain in your foot seems to be referred nerve pain (especially since you mention numbness and tingling - only 2% of 6,000 visitors to heelspurs.com said it was tingling or numb) due to damage in your lower and/or upper spine caused by the jarring. The MRI seems to be the best chance for finding something the doctors can work with. It's obviously not in your in head and your doctors and your company have been ignorant if not very mean in their pursuit of profit.

Re: Cronic planters Fasciitis

BrianG on 11/23/02 at 21:04 (101016)

Hi Mark,

I can see that you have taken excellent notes during your nightmare. Continue to take them, even going so far as a daily pain diary. I hate to tell you this, but every year there are thousands of people who can no longer work. I hope this is not in your immediate future, but it sounds like it could be. You have more than enough ailments to qualify for Social Security Disability. I know that most people would like to return to work, but if you can't, you must be prepared to present the best possible case to the govt. Another thing in your favor, is that it gets a little easier to be approved for SSD after you reach age 50. A good lawyer specializing in SSD law, and a compassionate doctor in your corner are most valuable.

I'm sorry I can't offer much in the way of getting back to work, but I wanted to let you know that getting approved for SSD is possible.

Good luck
BrianG, not a doc

Re: Cronic planters Fasciitis

Mark H. on 11/24/02 at 22:52 (101073)

I would like to thank you for responding to my message. The 3 of you have given me alot to think about and several other directions to pursue. I am still hoping that one of the doctors that review this message board will give some of their opinions too. As you my have realized I am open to any and all suggestions that anyone has to offer. Thanks Again!!

Re: Mark

Julie on 11/23/02 at 10:16 (100987)

Hello

I've read your post carefully, and first want to offer my commiserations for all you have been through. I'm not a doctor, but I do have a basic knowledge of the body, and I would be willing to bet that all your problems are coming from your spine, which must have been severely jarred in the accident. In other words, you may well have plantar fasciitis, but I very much doubt that that's all you have.

If the pain were just through your heel, leg and lower back, I would suspect impingement of the sciatic nerve. As it affects your upper spine including your neck, it's possible that other nerves have also been pinched. If this were happening to me, I would see a chiropractor or an osteopath. Such practitioners know a good deal more about the structure of the entire body, particularly the spine, than do general medical practitioners. Consulting one might get you closer to a proper diagnosis, and in the best case scenario, treatment could re-align your spine and relieve your all-over pain.

I'm so glad your dismissal was ruled unjustified, and that you've got your benefits back.

Re: Cronic planters Fasciitis

Scott R on 11/23/02 at 12:24 (101000)

I don't think there is anything wrong with your heel or foot except the damage that was done by the doctors. The pain in your foot seems to be referred nerve pain (especially since you mention numbness and tingling - only 2% of 6,000 visitors to heelspurs.com said it was tingling or numb) due to damage in your lower and/or upper spine caused by the jarring. The MRI seems to be the best chance for finding something the doctors can work with. It's obviously not in your in head and your doctors and your company have been ignorant if not very mean in their pursuit of profit.

Re: Cronic planters Fasciitis

BrianG on 11/23/02 at 21:04 (101016)

Hi Mark,

I can see that you have taken excellent notes during your nightmare. Continue to take them, even going so far as a daily pain diary. I hate to tell you this, but every year there are thousands of people who can no longer work. I hope this is not in your immediate future, but it sounds like it could be. You have more than enough ailments to qualify for Social Security Disability. I know that most people would like to return to work, but if you can't, you must be prepared to present the best possible case to the govt. Another thing in your favor, is that it gets a little easier to be approved for SSD after you reach age 50. A good lawyer specializing in SSD law, and a compassionate doctor in your corner are most valuable.

I'm sorry I can't offer much in the way of getting back to work, but I wanted to let you know that getting approved for SSD is possible.

Good luck
BrianG, not a doc

Re: Cronic planters Fasciitis

Mark H. on 11/24/02 at 22:52 (101073)

I would like to thank you for responding to my message. The 3 of you have given me alot to think about and several other directions to pursue. I am still hoping that one of the doctors that review this message board will give some of their opinions too. As you my have realized I am open to any and all suggestions that anyone has to offer. Thanks Again!!