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eswt 8/03

Posted by barb s on 8/25/03 at 16:07 (127942)

I HAVE HAD PAIN IN MY LEFT FOOT SINCE FEB -03.
I WENT TO THE FOOT DR. BONE SCAN WAS TAKEN, EXRAYS.
THE DOCS TOUGHT IT WAS A STRESS FRACTURE I WAS OFF WORK FOR 3MONTHS.
I HAVE HAD A WALKING CAST, FOR 4 WEEKS. THEN AFTER WEEKS OF STILL BEING IN
PAIN I HAD A SECOND OPINION. THAT DR. SAID IT DIDNT LOOK LIKE A STRESS FRACTURE BUT BAD P. F. SO I HAD A SHOT AND A HARD CAST FOR ANOTHER 3 WEEKS.
THEN THE CAST CAME OFF. WENT BACK TO WORK. ON MY FEET ALL DAY.
HAD LOTS OF PAIN. WENT BACK ON ANOTHER LEAVE FOR 3 MORE WEEKS IN THE
WALKING CAST. THEN BACK TO WORK.
I WHERE WALKING SHOES AND OTHOITICS. I THOUGHT I WAS GETTING BETTER,I HAD LITTLE PAIN THEN ALL THE SUDDEN, PAIN TO THE POINT OF NOT BEING ABLE TO WALK. I WHERE ALSO A NIGHT SPLINT TO BED EVER SINCE 2/03.

WENT BACK TO THE DR. I SAID PLEASE GIVE ME A SHOT .
HE SAID IT IS TIME FOR ESWT. I HAD IT 2WEEKS AGO THIS WEDS.
I AM STILL IN ALOT OF PAIN. I HAVE READ THAT IT TAKES TIME .BUT THE PAIN IS SO BAD I CAN;T TAKE IT ANY MORE. I CAN'T WALK AND ENJOY THE SUMMER OR MY FAMILY.
THE DR GAVE ME SOME PAIN PILLS BUT THEY ARE NOT HELPING ESP. AT WORK I CAN'T TAKE ANYTHING BUT TYLNOL.
PLEASE HELP ME. SOORY THIS IS SO LONG . AS I TYPE THIS I AM WAITING FOR A
call the the dr.
thanks

Re: eswt 8/03

Kristie R. on 8/25/03 at 17:09 (127951)

Hi, I'm the crazt girls who wrote in last week about being in so much pain I wanted to end it all. (STUPID IDEA.) Anyhow, I had ESWT done four and a half weeks ago and I too am in a lot of pain still. The docotor put me on Vicadine, which just put me to sleep and I think it lead to part of my depression. He changed the pain medication to Ultracet. Which seem to help a lot. It's similar to Vicaden but dones put you in the fog. I don't know whatgets rid of the pain permently--but this med is helping me fuction. Best adcive, stay off your feet and lots of heat to the region.

Re: eswt 8/03

barb s on 8/25/03 at 19:00 (127964)

HI THERE! I FEEL LIKE ENDING IT TOO.
IM ALSO ON ULTRACIT IT IS DOING NOTHING BUT PUT ME TO SLEEP .I WORK FULLTIME AND STAND ON MY FEET AT A HOSPITAL. I DO ICE IT DOWN EVERY CHANCE I GET. NOT TODAY I WORKED . HUSBANDS AT GOLF AND MY 13 YEAR OLD STARTED
VOLLEYBALL PRACTICE SO NOW IM HOME.8PM ANOTHER MOM AND I WENT OUT TO EAT
WHILE THEY WERE AT PRACTICE. SHE HAS BAD KNEES AND I HAVE BAD FEET.
'
\ YOU KNOW IT MAKES ME MAD THAT I WANT TO EXERCISE AND GET OUT BUT I CANT.
I SEE EVERYONE ELSE RUN AND JOG KIND OFF MAKES ME VERY UPSET. BECAUSE I
DON'T DO ANY OF THAT AND I HAVE BAD FEET.... MY DOC.NEVER DID CALL BACK HE WENT ON VACATION!!!!!!!!

WHAT DID YOUR DR. SAY ABOUT THE PAIN....I GO BACK ON SEPT 10TH OR BEFORE..
IF I CAN HANDLE THIS....THANKS

Re: eswt 8/03

Will B on 8/25/03 at 19:56 (127975)

ESWT usually starts to see results only after 12-16 weeks. Patience is key. Hard to do, but must be done. Pain withing the weeks soon after the ESWT is normal. Many people have to go back for a second time. Some for a third occasionally. Usually seems one or two treatments do the job. This can be especially frustrating for an athalete. I was one also. Running. I will get the ESWT soon. but what I ve learned from this board, from Dr.Z, and the other fabulous Pods here, is that - it does normally take 12 or so weeks to really 1. start to get the real benefit of ESWT 2.It takes a while for some of the pain from ESWT itsef to go away. Ending 'it all' is no option for any athalete, and should not be an option for anyone. You have to strive - and try to learn to control the pain, and get the biomechanics corrected (if you have a problem), and Nutritional deficiencies (if you have them) corrected. Some people have a limb discrepancy, some people have excessive pronation, some have bone loss along with lack of support and high arches, so many problems. Haglunds, Tarsel Tunnel can result later - even if your original probem was classic PF. Seems to me, if these things are not corrected, and the tissue (damaged) dealt with with ESWT and all other things (Insoles, taping, stretching, ice, heat) - then you will always have problems with your feet on and off at times, if not all the time. Ending it all should never be an option. No matter the pain level - because a good podiatrist will eventually get you mostly, if not totally pain free. but you have to be agressive for years possibly. In my case, severe pain for 2 years. But I managed it with info on this site, and some I came up with on my own. I have about half the pain I had before, but it's always there. I need custom inserts to correct biomechanics, and I need the damaged tissue dealt with, with ESWT (maybe twice) and my own PT (my own PT was far more effective then previous medical PT I got)

Never give up - ESWT will also becaome less expensive over time. Lasic was at one time very expensive. I think ESWT will become even more refined in time, and much, much better, and it will be commonplace. Have hope.

Re: eswt 8/03

Kristie R. on 8/25/03 at 20:33 (127978)

My doctor told me the worst thing you can do is ice. So I use a medicine bag and fill it with hot tap water and put my shoed feet on twice a day for twenty minutes. I believe DR.Z told me about the heat. I don't know there seems to a lot of different advice out there. But give it a try.
On the subject of excersise. I miss it so much as well. But I did find that I can bike ride without too much pain. I don't go very fast, nor for very long.(15 minutes) I look like an old lady. But it does get me out of the house. I've been home for four weeks now.
I can't believe your working. I'm so impressed and jelous. I was laid off a couple of weeks before the surgery. I used to work for Lord and Taylors and loved my job. The ironic thing is working on my feet all day and climing ladders caused the problem. So I guess things happen for a reason and it's a good thing that I got laig off.
I'm interested to know: can you drive? That's when I'm in th most pain; before and after the ESWT.
I'm sorry to read about your doctor. Try asking the doctor's here on the message board some questions. They seem very nice and helpful.
Best of luck with your healing. I'll be thinking about you. We seem to have a lot in common---feet a lest. Keep me posted. And about the statement you meantioned about ending it all. Read the posting I made a week ago on the Social Suppost message board---called 'suicide' All these wonderful people wrote back and were so helpful. They had very important thing to tell me. And I'm sure your 13 year old would miss you terribly.

Re: eswt 8/03-biomechanics

Kristie R. on 8/25/03 at 20:38 (127982)

Hi Will B.
I loved what yo wrote. Your have definitely done your home work. I'm in a similar situation as Barbara and believe part of my problem is very tight calf muscles and a tight achillis tendon. You meantion biomechanic orthics. What are they?

Re: eswt 8/03-biomechanics

Kristie R. on 8/25/03 at 20:40 (127983)

Sorry Barbara--I ment socked feet on the medicine bag.

Re: eswt 8/03

barb s on 8/26/03 at 09:28 (128027)

HI WILL, THANKS FOR THE MESSAGE.

I JUST GET VERY FRUSTRATED I AM IN ALOT OF PAIN. I HAD ESWT DONE TWO WEEKS AGO ON THIS WEDS., IT WASNT THAT BAD. I HAD 3 NUMBING SHOTS TO THE FOOT . OTHER THAN PASSING OUT ,BLOOD PRESSURE LOWERED WHEN HHE GAVE ME THE 1ST SHOT BUT AFTER THAT I WAS OK .
THEY WHEELED ME IN AND WE TALK THE WHOLE TIME. ABOUT 30 MINS. THE DR.
NEVER SAID ANY THING ABOUT DOING IT AGAIN. THE OFFICE HAD TO GET CLEARANCE
FOR THE INSURANCE COMPANT TO DO THE ESWT.

I HAVE BEEN IN A HARD CAST, A WALKING CAST , SHOTS , THERAPY,ICE
I AM 41 YEARS OLD 2 CHILDREN 13YRS AND 15YEARS THEY KEEP US BUSY.
I WORK FULLTIME. I HAVE HAD 2 SHOULDER SURGERGIES OVER THE PAST 6YEARS.
IT SEEMS IF IT IS GOING TO HAPPEN IT WILL HAPPEN TO ME.

I DO MAKE CHEMO THERAPY IN A LOCAL HOSP. SO I KNOW WHAT KIDS AND ALDUTS
GO THREW. I TRY NOT TO GET DOWN ABOUT MY PAINS. BUT HOW MUCH CAN A PERSON TAKE.....
I WOULD LIKE TO EXERCISE BUT I CANT.
I HOPE IN A FEW WEEKS I CAN SAY I FEEL BETTER.....

I DO WHERE ORTHOICS FROM A PREVIOS DR YEARS AGO.
I RECENTLY BOUGHT GOOD FEET OTHOTHICS. I AM TRYING THEM AGIAN.
I WAS IN SO MUCH PAIN I KIND OF GAVE UP ON THEM. YOU HAVE TO WHERE THEM
FOR ALEAST 2 WEEKS TO GET USE TO THEM THANKS.. TALK WITH YOU LATER

Re: eswt 8/03

barb s on 8/26/03 at 09:37 (128028)

HI KRISTIE THANKS FOR THE MESSAGE. YES I WORK FULL TIME . I CARRY THE
HEALTH INSURANCE FOR THE FAMILY.
I HAVE BEEN AT MY JOB FOR 25 YEARS.... LONG TIME HUH!!!!!

I THINK I MESS UP MY FOOT MORE AFTER I GOT OUT OF MY CAST. I HAD A PARTY TO GO TO AND WORE FLAT SHOES.
ALSO I HAD A WEDDING 2 WEEKS AFTER THAT, HIGH SHOES AND TRYED DANCING.

I ALSO HAD TO WORK THAT WEEKEND, AND I HAD PIAN AFTER THAT.
THAT IS WHEN I WENT BACK TO THE DR.
THEN HE DID ESWT. THANKS FOR THE NOTE OF CHEERING ME UP.
I KNOW MY CHILDREN WOULD MISS ME. BUT SOMETIMES THE PAIN AND THEM I CANT
HANDLE... TEENS..........
I AM OFF TODAY . ILL CHAECK BACK LATER........THANKS PAIN IN TOLEDO,OHIO

Re: eswt 8/03

john h on 8/26/03 at 10:50 (128038)

I am often amazed at what advice that some of our posters get from their Doctor. Kristie's Doctor tells her the worst thing she can do for PF is ice. It seems most other Doctors highly recommend iceing after activity. I personally use ice and use heat when I am in a whirlpool. Neither will cure the condition but probably both can be appropriate at various times. If your foot swells as a result of PF it would seem ice would be very appropriate. To the guy who said you would have PF for life I think the statistics are 90% of PF patients each year are cured (estimates are that the number of people involved are between 3-6 million.. Ice got me though some real painful episodes.

Re: eswt 8/03

john h on 8/26/03 at 10:54 (128040)

barb s: if you suffer from back pain you might give Lidocain patches a try. They are sold only by prescription and I think under the name Lidoderm Patches. No side effects and you can use them every day. They are widely used for shingles but many back patients have found comfort with them.

Re: eswt 8/03

john h on 8/26/03 at 11:55 (128044)

Kristie: You sound like a much different person than last week which is great. Keep on chugging and you will find the things that will make you better.

Re: eswt 8/03

Dorothy on 8/26/03 at 14:21 (128061)

You are carrying a very heavy load, Barb S.
Is there a connection between your shoulder problems and your foot problems, something systemic?
The tone of your note is one of anxiety and pressure. Is that how you feel?
Last question - maybe you have mentioned in another post that I missed - is it PF that you are dealing with in your feet?

I hope this day has some parts of it at least that are better for you.

Re: eswt 8/03 DRIVING IN PAIN

maureen r on 8/26/03 at 15:43 (128076)

I'm in great pain myself from failed foot surgery & had ESWT, but don't think it has helped much. But... you can have your car modified to drive with your left foot pretty cheaply. Find someone who does the vans for the handicapped & get a accelerator pedal extender put on. It only costs a few hundred & can relieve your pain. I've been driving that way for several years now. I took a few driving lessons; the company who will do the modifications probably knows a driving school that has an extender pedal to practice with. Good luck.

Re: Pain management !!!

BrianG on 8/26/03 at 16:43 (128081)

Barb / Kristie,

You have the right to be treated for your pain! Ask you doctor to refer you to either a pain clinic, or a doctor who specializes in pain management. I have been in your shoes, and am now able to live without the disabeling pain I used to have. I still have pain, but my daily pain meds help me tremendously. The pain meds you both have mentioned are for acute pain. There are others used for chronic pain, which are time released.

Good luck
BrianG

PS: If your doctor won't refer you, use a search engine. Type in 'pain managment' and 'your state'.

Re: eswt 8/03 DRIVING IN PAIN

barb s on 8/26/03 at 18:33 (128091)

thanks for the reply. the pain im haveing is in my left foot.
i can drive fine. im on ice now....thanks barb

Re: Pain management !!!

barb s on 8/26/03 at 18:38 (128093)

THANKS BRIAN: I WILL ASK THE DR. WHEN I SEE HIM IN SEPT.

THE PAIN IS LIKE A BURNING ,VERY HARD TO STEP WHEN WALKING.
I HOPE IT GOES AWAY SOON......THANKS AGAIN.BARB

Re: eswt 8/03 DRIVING IN PAIN

Kristie R. on 8/26/03 at 19:35 (128099)

Thanks Maureen for the idea about the car. Driving is what cause the most pain. My husband thinks I'm a little crazy, but he know how painful it is, so I will look into it. Great Idea!

Re: Pain management !!!

Kristie R. on 8/26/03 at 19:36 (128101)

Thanks Brian. I wil also talk to my docotor.

Re: eswt 8/03

Kristie R. on 8/26/03 at 19:46 (128103)

Hi Barbara---I was checking in to see how you were doing. I was think a lot about you today. I do have some goo news I drove myself to Pt and the chiropractor, first time in weeks. While I was at PT, the therapist told me that ESWT is basically re-injuring your feet. They is going to be some swelling and brushing (a lot that you will not see) that's why it hurts so much. But the swelling will GO AWAY.
I can feel the difference today. I actually did something. So there is hope for us.
Keep the faith---I know will me dancing soon.

And I was the one who wanted to end it all last week. Just hang in there please.

Re: Pain management !!!

BrianG on 8/27/03 at 08:39 (128133)

Good, a lot of people do not know that there are doctors who are pain management specialists. My own doctor had to be educated in this area. He told me that he had a total of 4 hours of training in 'chronic pain' when he was in school. Pretty sad if you ask me, and he is not an old timer either, I'd say he's about 40!

Good luck
BrianG

Re: eswt 8/03

Kristie R. on 8/27/03 at 10:47 (128146)

Thanks John. I feel a little more 'in control' of my pain. I really believe being in the house all day my myself and the vacadine, which but me in a fog, mad me so depressed. So I changed the pain medication and invited people over to visit which is helped a lot. Thank you to everyone that has gotten through a terrible period in my life. I don't feel better yet but I have more knowledge from reading this sight and know there are people like you who care. Thanks

Re: eswt 8/03

Aly on 8/27/03 at 12:04 (128158)

Hi Kristie,

Good for you for being proactive and inviting people over. Sitting at home and waiting for the PF to heal is no way to live! Keep it up! =D>

I may have overlooked it if you already posted about this, but how did your Dr appointment go - I believe it was on Monday?

Aly

Re: eswt 8/03

barb s on 8/27/03 at 18:57 (128212)

KRISTIE THAT IS GREAT.... IM STILL IN ALOT OF PAIN.

I HAVENT RESTED MY FOOT TODAY YET AND ITS 8PM. MY PATIENCE IS NOT GOOD.
I HAVE A LOT TO DO . BIRTHDAY PARTY COMING UP FRIDAY NIGHT.

THE DR. DID CALL IN VICODIN BUT I HAVE NOT PICKED IT UP YET.
I CANT TAKE IT AT WORK SO I SUFFER.....I DID ICE IT DOWN AT WORK FOR A FEW SEC. THE DR. DID NOT SAY ANY THING ABOUT THEARPY AGAIN. I HAD IT FOR 4 WEEKS BEFORE I WENT INTO A HARD CAST....I WONDER IF A CORTISONE
SHOT WOULD HELP.......THANKS I HOPE THERE HOPE FOR THE TWO OF US.....
BARB

Re: eswt 8/03

barb s on 8/27/03 at 19:28 (128217)

DOROTHY: THANKS FOR THE NOTE.... I DONT THINK MY SHOULDER SURGERGIES

HAVE ANY THING TO DO WITH MY FEET BUT YOU NEVER KNOW. THAY THOUGHT
I HAD A STRESS FRACTURE ACCORDING TO THE BONE SCAN DONE. BUT IT IS ALSO
PLANTAR FASCITIS NAD HEEL SPURS ....BARB