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will shots help spurs or only PF

Posted by rlpd on 1/21/03 at 18:42 (106197)

I posted this in the doctor section and didn't get a response so thought I would try here.

My feet have been x-rayed and I do have heel spurs - have had them going on three years. I do not have the problem of tightness when I get up in the morning any more but they do limit my activity. When I was x-rayed the doctor gave me inserts which made my feet feel great while wearing them but after taking them off I would have the tightness again after sitting for awhile and then again in the morning. He said if the inserts didn't help he would do shots next time if I wanted - he wasn't really pushing them at all. From what I have read it seems once you have the heel spurs the shots will take away the pain temporarily but you will still have the spurs and the pain after it wears off. It seems the shots only work in the beginning with PF. Is that correct?

Re: will shots help spurs or only PF

Carole C in NOLA on 1/21/03 at 18:58 (106200)

rlpd, plantar fasciitis (PF) causes pain. Heel spurs don't; they are the result of plantar fasciitis. Even though they look awful, they are more gel like than hard (as I understand it). The pain is from the plantar fasciitis and the heel spurs help to confirm a diagnosis of plantar fasciitis.

As far as the shots go, I have heard some people say that they work, and some say that they don't. I've never had them. If the shots work, they aren't necessarily completely temporary.

Why did you stop using the inserts if they help? They sound pretty good.

You probably already know about different treatments, but I suppose it wouldn't hurt for me to briefly mention a few. Some of the things that helped my plantar fasciitis are rest, never going barefoot (not even in the shower), orthotics, gentle non-weightbearing stretching ( bbv.cgi?n=91080 ), icing, and anti-inflammatories. It might be a good idea to read the heel pain book on this website, which explains a lot about different treatments.

I hope this helps.

Carole C

Re: will shots help spurs or only PF

rlpd on 1/21/03 at 20:19 (106206)

Carole,

Thanks for your reply. The inserts felt good while wearing them but I would be in so much pain after wearing them. The tightness and pain when you first take a step in the mornings or after sitting for a while. I tried them for several days but I couldn't take the after pain. I know the standard is you are suppose to wear shoes all the time but I do so much better when I get my shoes off and then can go barefoot. Walking around barefoot I don't feel the pain at all. If I could stay home all the time I would be great. Actually I had surgery last summer and was home for six weeks and my feet felt great.

Re: will shots help spurs or only PF

Julie on 1/22/03 at 02:30 (106238)

I am wondering if you have seen a podiatrist (foot specialist) and if you have been properly examined and diagnosed. This is what you need, so you should try to find one in your area. I suspect the inserts you were given were not custom-made for you, and if they are causing pain they obviously aren't right for you.

There are many useful treatments for plantar fasciitis - inserts and shots are not the whole story. Please read the heel pain book (click on the blue link here) as Carole suggested, to inform yourself. And do see a foot doctor. PF can resolve with conservative treatment, but the longer you let it go on, the longer it will take to heal.

Re: will shots help spurs or only PF

Shell D on 1/23/03 at 12:28 (106483)

Carol C,
How do you NOT go barefoot in the shower? I've seen water shoes, but there's really no arch support in those? What do you wear in the shower? I usually just have my shoes sitting in the bathroom, and put the on as soon as I dry off.
Shell D.

Re: will shots help spurs or only PF

dave r on 1/23/03 at 15:48 (106500)

i wear sandals

Re: will shots help spurs or only PF

Carole C in NOLA on 1/23/03 at 16:02 (106503)

Shell,

I think that Birkenstock makes some waterproof shoes that have good support. When my PF was acute, I looked for them but couldn't find any in my local Birkenstock store where I could see for sure if they did or not.

So, what to do? I'll describe two ways that I handled this problem. Both seem to work.

1) My next step was to buy a $50 shower stool at my local medical supply store. It cost a lot but was worth it, because it is extremely light and strong.

I would place the shower stool in my tub/shower, sit down on it, slide off my leather Birkenstocks, and then just rotate until my feet were in the tub. I have one of those shower massagers on the long 6' cord, so I could shower sitting down. Then I'd turn it off, dry my feet, and then swivel around so that my feet were out of the tub and put my leather Birkenstocks back on. That worked all right.

2) But after a month or so, I wanted very much to stand up in the shower. Since I couldn't find any shower shoes with support, I bought a pair of Nike waterproof sandals that have a plastic/foam sole about an inch thick. That gives a lot of cushioning; however, they are flat. I began by wearing them in the shower but still using the shower stool, and then just standing up for a minute at the end of the shower, in my Nike sandals. Even though they didn't have support they seemed to help a lot. After a while I used the stool less and less, and then stopped using it.

I would highly recommend doing something other than standing barefoot, especially in a tub shower which seems to be really hard on the feet. I was amazed at the difference because I didn't realize that showering barefoot was causing me so much trouble. Try looking at Birkenstocks online to see if you can find any that are waterproof and appear to provide some support. But if not, I hope my 'make do' sort of solutions helped some.

Carole C

Re: will shots help spurs or only PF

Julie on 1/23/03 at 16:24 (106508)

Birkenstock DO make a waterproof shoe. It's called 'Birkie', I think. It's basically the Arizona footbed, only quite rigid and not much good, in my opinion, for walking any distance in - but fine for standing in the shower or walking to and from the pool, if you're a swimmer. They're quite cheap (about half the price of the regular Birkenstocks) and would do the job.

Shower shoes really are a good idea.

Re: will shots help spurs or only PF

Carole C in NOLA on 1/23/03 at 19:07 (106527)

I've heard of those, Julie! Also there was an inexpensive waterproof Birkenstock called the Pacifica, I think, which looked good in the photos but apparently went out of production at just the time when I got PF. I actually ordered it online but then found out that it was not available.

It might be worth browsing through websites like http://www.birkenstockexpress.com to see what they have now, since they might have replaced it with a newer model. Or, maybe they have photos of the Birkie that Julie mentioned.

I do think that a waterproof Birkenstock with an orthotic footbed would be ideal, but even better is whatever you can manage to do soon until you can get one. Showering barefoot is a whole lot more harmful than it seems like it would be, or at least that was what I noticed in observing my own feet.

Carole C

Re: will shots help spurs or only PF

Carole C in NOLA on 1/21/03 at 18:58 (106200)

rlpd, plantar fasciitis (PF) causes pain. Heel spurs don't; they are the result of plantar fasciitis. Even though they look awful, they are more gel like than hard (as I understand it). The pain is from the plantar fasciitis and the heel spurs help to confirm a diagnosis of plantar fasciitis.

As far as the shots go, I have heard some people say that they work, and some say that they don't. I've never had them. If the shots work, they aren't necessarily completely temporary.

Why did you stop using the inserts if they help? They sound pretty good.

You probably already know about different treatments, but I suppose it wouldn't hurt for me to briefly mention a few. Some of the things that helped my plantar fasciitis are rest, never going barefoot (not even in the shower), orthotics, gentle non-weightbearing stretching ( bbv.cgi?n=91080 ), icing, and anti-inflammatories. It might be a good idea to read the heel pain book on this website, which explains a lot about different treatments.

I hope this helps.

Carole C

Re: will shots help spurs or only PF

rlpd on 1/21/03 at 20:19 (106206)

Carole,

Thanks for your reply. The inserts felt good while wearing them but I would be in so much pain after wearing them. The tightness and pain when you first take a step in the mornings or after sitting for a while. I tried them for several days but I couldn't take the after pain. I know the standard is you are suppose to wear shoes all the time but I do so much better when I get my shoes off and then can go barefoot. Walking around barefoot I don't feel the pain at all. If I could stay home all the time I would be great. Actually I had surgery last summer and was home for six weeks and my feet felt great.

Re: will shots help spurs or only PF

Julie on 1/22/03 at 02:30 (106238)

I am wondering if you have seen a podiatrist (foot specialist) and if you have been properly examined and diagnosed. This is what you need, so you should try to find one in your area. I suspect the inserts you were given were not custom-made for you, and if they are causing pain they obviously aren't right for you.

There are many useful treatments for plantar fasciitis - inserts and shots are not the whole story. Please read the heel pain book (click on the blue link here) as Carole suggested, to inform yourself. And do see a foot doctor. PF can resolve with conservative treatment, but the longer you let it go on, the longer it will take to heal.

Re: will shots help spurs or only PF

Shell D on 1/23/03 at 12:28 (106483)

Carol C,
How do you NOT go barefoot in the shower? I've seen water shoes, but there's really no arch support in those? What do you wear in the shower? I usually just have my shoes sitting in the bathroom, and put the on as soon as I dry off.
Shell D.

Re: will shots help spurs or only PF

dave r on 1/23/03 at 15:48 (106500)

i wear sandals

Re: will shots help spurs or only PF

Carole C in NOLA on 1/23/03 at 16:02 (106503)

Shell,

I think that Birkenstock makes some waterproof shoes that have good support. When my PF was acute, I looked for them but couldn't find any in my local Birkenstock store where I could see for sure if they did or not.

So, what to do? I'll describe two ways that I handled this problem. Both seem to work.

1) My next step was to buy a $50 shower stool at my local medical supply store. It cost a lot but was worth it, because it is extremely light and strong.

I would place the shower stool in my tub/shower, sit down on it, slide off my leather Birkenstocks, and then just rotate until my feet were in the tub. I have one of those shower massagers on the long 6' cord, so I could shower sitting down. Then I'd turn it off, dry my feet, and then swivel around so that my feet were out of the tub and put my leather Birkenstocks back on. That worked all right.

2) But after a month or so, I wanted very much to stand up in the shower. Since I couldn't find any shower shoes with support, I bought a pair of Nike waterproof sandals that have a plastic/foam sole about an inch thick. That gives a lot of cushioning; however, they are flat. I began by wearing them in the shower but still using the shower stool, and then just standing up for a minute at the end of the shower, in my Nike sandals. Even though they didn't have support they seemed to help a lot. After a while I used the stool less and less, and then stopped using it.

I would highly recommend doing something other than standing barefoot, especially in a tub shower which seems to be really hard on the feet. I was amazed at the difference because I didn't realize that showering barefoot was causing me so much trouble. Try looking at Birkenstocks online to see if you can find any that are waterproof and appear to provide some support. But if not, I hope my 'make do' sort of solutions helped some.

Carole C

Re: will shots help spurs or only PF

Julie on 1/23/03 at 16:24 (106508)

Birkenstock DO make a waterproof shoe. It's called 'Birkie', I think. It's basically the Arizona footbed, only quite rigid and not much good, in my opinion, for walking any distance in - but fine for standing in the shower or walking to and from the pool, if you're a swimmer. They're quite cheap (about half the price of the regular Birkenstocks) and would do the job.

Shower shoes really are a good idea.

Re: will shots help spurs or only PF

Carole C in NOLA on 1/23/03 at 19:07 (106527)

I've heard of those, Julie! Also there was an inexpensive waterproof Birkenstock called the Pacifica, I think, which looked good in the photos but apparently went out of production at just the time when I got PF. I actually ordered it online but then found out that it was not available.

It might be worth browsing through websites like http://www.birkenstockexpress.com to see what they have now, since they might have replaced it with a newer model. Or, maybe they have photos of the Birkie that Julie mentioned.

I do think that a waterproof Birkenstock with an orthotic footbed would be ideal, but even better is whatever you can manage to do soon until you can get one. Showering barefoot is a whole lot more harmful than it seems like it would be, or at least that was what I noticed in observing my own feet.

Carole C