Something I want to point out post-eswtPosted by Dr. Z on 3/20/03 at 22:21 (113696)
Many times there are other tendonitis problem in the foot before ESWT treatment. Many times patients will increase their post-eswt activity which is only natural because heel feel good.
I have found that if you are having arch pain, posterior tib tendon pain
or just generalized foot pain here is a pearl that you should be able to do at home
Strapping the foot. We call it a low dype taping The video that Scott uses is just find. Tape the foot after the next day. Be very careful with skin rashs and try not to get the foot wet. You will find the foot must more relaxed and more comfortable and this will control to better comfortable while nature take its good old time healing your poor old foot.
I hope this helps
Re: Something I want to point out post-eswtEd Davis, DPM on 3/21/03 at 01:02 (113706)
I would hope that most patients would have had attention to biomechanical issues prior to ESWT. The low dye taping is very effective.
Re: Something I want to point out post-eswtBrianG on 3/21/03 at 19:27 (113823)
Dr Z, after an ESWT treatment, how long are you suggesting a person tape their foot / feet for? A couple weeks? A month? Longer? It sounds like it might be a good thing to do.
Re: Something I want to point out post-eswtDr. Z on 3/21/03 at 20:41 (113836)
If the patient is having pain six weeks. IF no pain one week. This is an estimate
Re: Something I want to point out post-eswtEd Davis, DPM on 3/22/03 at 11:40 (113897)
One thing which I emphasize to patients is that ESWT is not a substitute for the other aspects of PF treatment. It is a means of affecting tissue quality. Other issues affecting PF are not changed by having ESWT. So if someone has a tight gastrosoleus-achilles, they need to keep up their stretching program. If one is in need of biomechanical control before ESWT and is using taping, orthotics, special shoes then those needs persist after ESWT. ESWT has now been around long enough that I have encountered patients who have been cured with ESWT having recurrence of symptoms. It is important to keep in mind exactly what ESWT does and what it does not do.
Re: Something I want to point out post-eswtDr. Z on 3/22/03 at 12:03 (113904)
I completely understand in theory what you are saying and apply these principles to patients however the FDA one year follow for the dornier and Ossatron had none of these principles applied . The results were great.without orthosis. Orthosis in principle are great but for many patients I find that they just don't wear them when the pain is gone
Re: Taping, and orthotics?BrianG on 3/22/03 at 22:06 (113951)
I continue to wear my custom orthotics every day, with no help for my constant, chronic pain. Are you saying I should tape, as well as wear orthotics, after receiving ESWT? I had ESWT about a year ago, and my main recovery time was spent resting, and using heat 3-4 times a day. Since that didn't help me, I'm now thinking about taping after my next treatment.
PS: What I really need, is to super glue my lips together until I've lost that 30 pounds, since the arrival of PF! :*) :*) :*)
Re: Taping, and orthotics?Pauline on 3/23/03 at 16:31 (114025)
After you had your ESWT treatment did you feel anything at all?
Re: Taping, and orthotics?BrianG on 3/23/03 at 16:47 (114031)
Sorry to say, but the first round didn't help at all. I did have some additional pain right after the treatment, but it didn't last too long. I'm scheduled to go back in early May (Dr Z's Dornier), to have both heels done again. I'll do whatever it takes to finally heal myself. I would catagorze myself as a hard core PF sufferer!!