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Endoscopic Plantar Fasciotomy surgery

Posted by Marcia on 2/24/03 at 18:08 (110638)

I have had foot pain since April of last year my other foot also have been in pain for the last 5 months. I have been through every treatment possiable for Plantar Fasciitis. My foot Dr. told me he does not like the surgery. He is really pushing for Orthodics he has taped my foot several times and this is not working. I really do not have $400.00 to get something that may help. Can you tell me about the surgery? Also do you think I should see another foot Dr.? Please help I am to the point that I can not sleep at night becuase it hurts so bad, also the pain is so bad by the end of the day I just sit and cry!

Re: Endoscopic Plantar Fasciotomy surgery

BrianG on 2/24/03 at 18:27 (110640)

Hi Marcia,

I'm not a doc, but I have walked in your shoes. I had an EPF on my 'worst' heel. It was a failure, but I feel happy that it did not cause additional pain. Some people end up with even more problems, than before the surgery (TTS for one). It was also very painful, which is not what I was led to believe!

For me, the only thing that has given me relief is pain medication, and an anti-anxiety med, to help me sleep. It's something to think about, I believe it is better than living with debilitating pain.

I also hope some of the Pods will jump in too.

Good luck
BrianG

PS: Rest, and ice

Re: Endoscopic Plantar Fasciotomy surgery

Dr. David S. Wander on 2/25/03 at 07:44 (110670)

There are many options in addition to those you described. Read Scott's 'book' in detail, since he leaves no stone unturned. Some options include; oral anti-inflammatory medication, taping/strapping, OTC orthoses, custom orthoses, weight loss, change of shoes, ice, rest, cast immobilization, stretching, night splints, injections,physical therapy, surgery and ESWT.

There are excellent options for patients that can't or won't pay for custom orthoses. Powersteps are a product (there is a link to the site on this home page) that I have found VERY effective for my patients. Additionally, I have found the Strassburg Sock to be very helpful as a night splint to help passively stretch the soft tissues.

If you are not having success with conservative treatment, other studies such as an MRI may be indicated to rule out a tear/partial tear of the fascia and/or stress fracture of the calcaneus (heel bone). I hope this information is useful.

Re: Endoscopic Plantar Fasciotomy surgery

Dr. Z on 2/25/03 at 08:46 (110674)

There is a certain percentages of people/patients that will have every form of conservative treatment available and still have pain. In the past foot surgery was the only option. As you aware any type of plantar fascia release can make the foot much worse then what you have now. We have been using ESWT with very good pain resolution in cases that are chronic and exactly like you describe. If you would like our ESWT packet just e-mail Dr. Z at (email removed). I will be glad to send you our informational packet . Alway here to try to help you with any questions you may have.

Re: Endoscopic Plantar Fasciotomy surgery

Marcia on 2/25/03 at 18:05 (110750)

Thank you for your reply, I really think I need to find a new foot Dr.
I asked him for some pain med for this and he said that would not help me can wyou tell me what pain meds you are on?

Re: Endoscopic Plantar Fasciotomy surgery

BrianG on 2/25/03 at 22:42 (110788)

Hi Marcia,

Unfortunatly you have a doctor that would rather see you suffer, than have a little relief. You may have to go to a pain clinic, or see a pain specialist. Some of the pain meds that doctors will initially try are Vicodan, and Percodan (or Percocet). Both have 5mg of codeine, and will help in the short run. The are not something you would want to use on a long term basis, but it's a good place to start.

Good luck
BrianG, not a doc

Re: Endoscopic Plantar Fasciotomy surgery

Dr. David S. Wander on 2/26/03 at 13:34 (110865)

Brian,

I think you may be a little 'tough' on the doctor. I'm sure that the doctor's goal is not to keep her in pain, since only treating the pain would be the wrong approach. Vicodin and Percocet are not the same drugs and do not contain codeine. Vicodin contains a codeine derivative called hydrocodone and Percocet contains oxycodone. These are each different, and differ from codeine. These are all narcotics and Vicodin and Percocet are available in several strengths in addition to the 5 mg you mention.

Re: Endoscopic Plantar Fasciotomy surgery

Marcia on 2/26/03 at 19:39 (110923)

Thank you Brain No I do not think Brian is being hard on the Dr. Have been in pain since April of last year. Pain that is so bad that at the end of the day all I do is sit and cry. I feel this Dr. is not doing anything to help me he keeps pushing the Orthodics on me, but when he tapes it to see if ortho. would help it does not help at all. I wonder if he makes money if patients get orthodics through him!!!!!!!!!!

Marcia

Re: Endoscopic Plantar Fasciotomy surgery

Dr. Z on 2/26/03 at 20:06 (110925)

Let us know what you do and how you make out.

Re: Endoscopic Plantar Fasciotomy surgery

BrianG on 2/27/03 at 18:10 (111047)

Hi Doctor Wander,

Her doc refuses to treat her pain, and she goes to bed in tears, and you think I'm being a little hard on him? Sorry, I don't think so. If he won't treat her pain, he should offer to send her to someone who will. I believe there will be a day in the future, where doctors like hers will face legal action for not treating all her symptoms!

Yes, I realize there are different components to the drugs mentioned. For someone who was not familia with them, I don't see why I can't use a broad statement that they all contain 5 mg. of codeine, the effect of the drugs is almost the same. As far as Percocet, some people would have to have their arm amputated before their doctor gave them the strongest strength available, a 10/650.

As long as patients are suffering in needless pain, I'll continue to make suggestions on how to get the pain relieved.

Regards
BrianG

PS: I am not a doc, a chemist, or a pharmacist

Re: Endoscopic Plantar Fasciotomy surgery

BrianG on 2/27/03 at 18:35 (111052)

Hi Marcia,

Whe you get a chance, check out this website. It contains a lot of good information.

http://www.pain.com

If I can help, let me know. Would you like a link to a large message board for Chronic Pain?

Good luck
BrianG

Re: Endoscopic Plantar Fasciotomy surgery

frans on 3/01/03 at 09:16 (111259)

i strongly recommend the orthodics and since i have had the surgery two m onths ago, it poses new pain problems . do everything possible before surgery. the money is a small investment, i think i will be lame for life