Recurring heel painPosted by Deb S. on 4/01/03 at 20:33 (115128)
I had surgery for TT and Pf on 12/30/02. I am finally recovering and I've in the past week started to feel the pulling heel pain I felt prior to surgery. I am fortunate to have a tens unit at home and I'm using it two to four times per day. I'm wearing my Birkenstocks that have the orthotic built in them. I also purchased a pair of New Balance shoes this weekend.
Nothing seems to help. I am unable to take advil because I have a stomach ulcer that is healing from all the medication I took before my surgery. I've also had ESWT but it really didn't help. I did call my doctor but she hasn't returned my call as yet. I guess what I'm really concerned about is that could this possibly return? And, my gosh, I just started to get me sea legs back! I do work on my feet for five hours at a time, but I've only gone back to five hours per week, until this weekend when I'm back to my normal schedule. I'm worried I won't make it. Any suggestions on what I could possibly do to make this better? And, is it possible for this to come back? HELP!!
Re: Recurring heel painKathy G on 4/02/03 at 08:31 (115146)
I'm sorry to hear of your predicament. I don't know anything about the recurrence of PF or TTS afer surgery but I can imagine how fearful you are that it will return. Others with more experience will be able to post further information that will be more useful to you.
About your pain meds, are you taking anything at all? There are other drugs that could help ease your pain if you can't take Advil. Are you taking something for your ulcer? I have an ulcer for which I take prilosec. I only have PF but for pain, I take Axocet which is a combination of acetaminophen and butalbital. It's very similar to Fiorinal but has no caffeine. I find I can take this without it hampering my ability to drive, etc. I also have Darvocet which usually doesn't seem to affect me but I reserve it for times when the pain is worse and I'm not going to be doing anything that requires my head to be completely clear. There are othere pain meds that someone with an ulcer can take.
How many hours will you work when you return to full schedule this weekend?Can you take breaks during your work day and get off your feet for a bit?
I'm sure that other posters will come up with some good information for you. In the meantime, I hope that your doctor calls you back and gives you some information. Good Luck!
Re: Recurring heel painjohn h on 4/02/03 at 09:51 (115150)
Deb: This is just a slow healing surgery no matter how you do it. Being on your feet makes it even slower so stay off them when you can. I think the Doctors probably have you continuing to ice if you still have any swelling. You need to ask your Doctor on this issue. Maybe your Doctor might prescribe celebrex which is easy on the stomach. You are going to have to have patience. I have had TTS and PF surgery and the TTS will take longer to heal than the PF. It could take up to a year. Did the Doctor tell you what she found with the TTS surgery? Ask her if she found anything pressing on a nerve such as a vericose vein. My Doctor told me he really did not find much so TTS was not the cause of my pain.
Re: Recurring heel painDeb S. on 4/02/03 at 10:08 (115153)
Thanks for the information. I am taking Prevacid for my ulcer. The only thing I've been taking for the pain is extra strength tylenol. There was a time I couldn't even take that. When I had my surgery the Dr. had me using pain patches which were terrible. The side effect was profuse sweating, and when I would sweat, the patch fell off. Then she gave me liquid codeine. It really didn't help. I appreciate the information because I can pass this on to her and maybe she can help me with the pain. She doesn't seem to know what to do with me. Once you don't follow the norm, doctors don't know what to do with you.
I work 3 days, 5 or 6 hours on the weekend. I'm a consumer educator for wine and spirits. Too bad I can't even enjoy a glass of wine because it hurts my stomach. Oh well.... I will be able to take a ten minute break and that should help me out.
Re: Recurring heel painDeb S. on 4/02/03 at 10:27 (115154)
Thanks for answering. Yes, the doctor does want me to ice. As far as Celebrex goes, it upset my stomach. The doctor did find a nerve bundle, and said that was a complication.
I do try to rest this foot as much as possible. But, you know how discouraging it can get. It's good to know that it could take a long time and I just need to be more patient. The weather is so nice here I wish I could just take a walk like I used to. But, oh well, in the scheme of things I guess I'm pretty lucky.
Re: Recurring heel painjohn h on 4/02/03 at 12:12 (115163)
Deb: as one who has had bi-laterial PF for 8 years and had surgery for PF,TTS, and 4 ESWT treatments I can tell you I am much better. Yesterday I walked on the treadmill for a mile and one half, rode the stationary bike for 30 minutes and did weights and stretches, The day before I walked 2 miles. There is hope Deb even for the real hard cases. I know what it is like to feel you will never get better and you are stuck with this for life. Just know people do get better. Be patient and try some of the things you see people on this board doing and finding success with. For me, finding someone who got better or was cured after many years sustained me immeasurable. That is what this board does for many of us.
Re: Recurring heel painEllen J. on 4/02/03 at 14:23 (115180)
I read your note and feel so much better! I used to run up until I got P.F. and I really miss it. Though I don't know if I'll ever dare run again, it's good to know that even after a few years of P.F. (and in your case, TTS) it's possible to exercise again. I hope to get back on my road bike this spring if it ever stops snowing in VT.
Thanks for giving us some hope regarding that.
Re: Recurring heel painDeb S. on 4/02/03 at 15:17 (115183)
Thanks for the encouragement. How long ago did you have your surgery? And, how long before you could do the walking and bike riding? You've been through so much. I'm thankful that I haven't had to suffer the way you have. I wonder if it is okay to ride my bike outdoors? Or, if I still have pain should I wait. I sure don't want to set anything back and I'm hoping I haven't thus far. Keep up the good work!
Re: Recurring heel painBev on 4/02/03 at 16:01 (115187)
John, Did it take you 8 years and surgery and 4 ESWT treatments before you were able to start walking again well? Or was it an on and off thing where you were better for a year and it came back over and over?
Re: Recurring heel painCarole C in NOLA on 4/03/03 at 06:42 (115254)
I haven't had surgery but in my case I've found that doing gentle stretching while sitting down has helped fight off the pulling feeling, tightness, and twinges if they try to come back. Can you do Julie's gentle Yoga stretching exercises? It doesn't take a whole lot of stretching to help, and I would guess that the surgery is pretty much healed by now so that this would be possible (but I'll leave that up to your common sense).
I'm essentially recovered from PF, which I first got in Sept 2001. Occasionally (but very rarely) it seems to cause me a twinge or a feeling of pulling like that, which seem to go away with gentle stretching and rest. It seems reasonable that you would be experiencing some pulling feelings as you slowly resume your activities, but if you back off a little and/or do some gentle stretching that might do the trick.
I was amazed at how a little twinge and pulling feeling could scare me so much, when it happened. It's because we remember how bad things can get.
Re: Recurring heel painCarole C in NOLA on 4/03/03 at 06:57 (115257)
John, nothing could make me happier than to hear that you are able to walk and ride your bike that much, since you are a former runner with long term PF who has really been through the mill over the past few years. That last ESWT really seemed to help you a lot. Who knows; maybe next spring you will be running races again just like in the old days. :)
Since you are walking 2 miles, maybe you could at least participate in some of the 5K walking races even now. That's only a little over 3 miles.
I'm utterly thrilled to be walking all I want and riding my exercycle again every day. My legs feel SO GOOD and this is what I missed so much when my PF was bad. Even though I have felt essentially completely healed for 10 months now, I am very careful and apply the conservative treatments like gentle stretching whenever my legs feel tight or twingy. I also do the gentle stretching as a warm up and cool down before riding my exercycle. So far, so good. :)
Re: Recurring heel painjohn h on 4/03/03 at 10:07 (115276)
Carole our minds are running in a parallel universes. I am thinking about walking in a 5k walk/run in the next couple of weeks. Yesterday I was walking for a couple of miles and placed the incline at 5 degrees which I think might provide a little more stretch to the Achilles tendon. No problem this morning so I may try 3 miles today. I sort of play it by ear in that if I feel something that does not feel right I just quit. No problem yesterday. If Mohez got well after many years then why can't I. Why can't Brian? We all just have to keep just plugging away.
Re: Recurring heel painjohn h on 4/03/03 at 10:18 (115279)
Bev it has been an on and off thing. I have periods where my feet allowed me to walk 3 miles and periods I did not want to walk down the block. I have never missed a day of work because of my feet but I have gone for some months where I could not wait to get home to get off my feet. Currently I am in a 3 week period where the feet are doing well and I have walked and rode the bike for three consecutive days with no ill effects. One of these days I hope my improvement will be permenent. Since I had ESWT on December 27 with the EPOS I am hoping this is the cause of my improvement. Things can go south so I try not to get to up and take it one day at a time.
Re: Recurring heel painjohn h on 4/03/03 at 10:31 (115280)
Deb: Do not use me as a good example. I had TTS surgery, PF surgery, and surgery for Hallux Limitus (sort of like bunion surgery) all on the same foot on the same day. I was on crutches and in a half cast (front open) for ten days. I was back to work on crutches in 3 days. My stitches were out in ten days. I was off crutches and in shoes in two weeks. I was walking with no limp and without pain in 15 days. Looking back, since I had no pain after my cast came off I thought I was cured and really did to much. I should have taken it easy for a couple of months and done a little physical thearapy. I know that now but I still have that mentality of use it or lose it. I did have some swelling for about 2 months but this was largely from the surgery on the great toe. I kept the foot elevated and iced when I could..
Re: Recurring heel paindave r on 4/03/03 at 11:02 (115292)
Dont forget about me John.......
Re: Recurring heel painCarole C in NOLA on 4/03/03 at 11:20 (115294)
That is so great! I like where you say, 'I sort of play it by ear in that if I feel something that does not feel right I just quit'. That seems to work for me too. Sometimes, for reasons I'm not sure of, I seem more fragile and just have to back off for a while. But right now, everything's a 'go' for me.
We'll all be there in spirit to see you get your t-shirt after the 5K run. :)
Re: Recurring heel painjohn h on 4/03/03 at 12:39 (115306)
Dave R I just placed you on my 'remember list'!
Re: Recurring heel painSuzanne D on 4/03/03 at 21:21 (115365)
Yes, we would all be so happy to read that you completed the 5k walk/run, John! =D>
Carole, maybe his t-shirt could say 'I survived PF, TTS, and finished this race!!'
Re: Carole...Suzanne D on 4/03/03 at 21:31 (115366)
That's great that you're doing so well with your exercise program and feeling good. Keep up the good work! I thought of you today as I wore a new pair of Florida Birk sandals which I bought in the winter when I had a chance to go to a Birkenstock store. They are the soft footbed that I like. I wore them a little too long, but changed as soon as I had a chance.
There was an intern with the doctor this morning when I went, and she and I talked a little about PF. She mentioned that I had on good shoes, and I looked down and noticed she was wearing Birkenstock Annapolis shoes. I told her to keep on wearing good shoes like that and maybe she might not get PF some day! (I have to watch it; I end up talking to everyone like they're in first grade! :'> She didn't seem to mind, though.)
Re: Carole...Carole C in NOLA on 4/03/03 at 23:43 (115369)
I love my Florida Birkenstocks, and as you know, they were my first Birkenstocks. They sure got a lot of use! That's interesting that someone would be wearing Annapolis who didn't have PF at all. Sometimes I forget that people with healthy feet wear them too. /:)
Re: Recurring heel paindave r on 4/04/03 at 12:02 (115399)
How about just saying ' Finally '
Re: John, you are inspiring meCarole C in NOLA on 4/04/03 at 23:25 (115460)
John, you are inspiring me to add some walking to my new exercise program. I've been riding my exercycle. But the weather is GORGEOUS and so I think that tomorrow morning I will walk on the jogging trail in the park. Since I'm just beginning, I'll pay very close attention to my feet and legs and stop when they tell me rather than having a mileage goal. Who knows? Maybe I will be able to walk two or three miles, or maybe not. But sometime this summer I should be able to participate in a 5K walk too.
Wouldn't that be cool? :)
Re: John, you are inspiring mejohn h on 4/05/03 at 17:20 (115494)
Carole: yesterday it was my springtime tune up for my riding snaper mower (change oil, air filter, tilt the big 200lb baby on its end and change the blade,etc). this required a lot of squating which always brings you up on your toes as you know. I did this in my birks. no problem with feet today and this nearly always spells trouble. I think there is a medium of somewhere between doing very little and doing somehthing to have healthy feet, legs, and ankles, If course if you are in some very bad pain you obviously need to rest, I often wonder if there is not such a thing as to much rest when we have PF?