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Hard casting for PF and HS?

Posted by Holly L. on 6/21/03 at 10:48 (122535)

I was wondering if hard casting has good results for PF? I am a sufferer of PF and HS. I have been dealing with this for 1 year. I have done all the suggested treatments except cortizone. I have had all the inserts etc. except for professional orthotics, which I can't afford. I am going to see my physician this coming week and I wanted to have some information on hard casting results to see if it would be something to try.

Thankyou for the help


Re: Hard casting for PF and HS?

Ed Davis, DPM on 6/21/03 at 11:39 (122543)


What is HS? Keep in mind that 'PF' is not even an accepted abbreviation for plantar fasciitis -- we just get away with using it on this site.

A cast can provide relief for the more acute symptoms of PF but not necessarily lead to a cure. I would need to know more about your biomechanics but many can get away with a combination of a good prefab orthotic and a motion control running shoe -- eg. combine a New Balance 1122 running shoe with a Superfeet foot bed ( http://www.superfeet.com ). I have not tried them but many have recommended the Powerstep foot bed too.

Re: Hard casting for PF and HS?

Holly L. on 6/21/03 at 13:07 (122552)

I have seen the wording heel spur abbreviated as HS. What is the 'acute' symptoms? I can barely walk without limping constantally it hurts so bad.

Re: Hard casting for PF and HS?

Ed Davis, DPM on 6/21/03 at 14:23 (122558)

'Acute' refers to short onset or sudden but severe symptoms. It sounds like a cast may be a good idea to relieve your acute symptoms. You need a plan on what to do for permanent relief once the cast comes off. See Scott's Heel Pain Book in order to understand the basics of treatment for this.