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SEVERE Plantar Fasciitis

Posted by Pat S on 9/01/03 at 21:34 (128524)

My husband has suffered from plantar fasciitis for over 2 1/2 years now. All treatments (rest, ice, cortisone, casts, walking casts, crutches, Ossatron treatment, orthotics and brace for leg) have all been tried to no avail. I really believe the only treatment next is surgery. Please advise information/results on cutting the fascia and foot surgery. We are very scared from what we have researched so far; yet he cannot live with this pain. Thanks for your time and help.

Re: SEVERE Plantar Fasciitis

HilaryG on 9/01/03 at 23:27 (128529)

Depending on where you live you might be anle to use Active Release Techniques. It is performed by a limited number of chiropractors. It cured my PF which I had for 20 yrs. Please go to the websites activerelease.com and drabelson.com. The first website has a 'provider locator' where you can find out if there is a provider near you; the second website has even more interesting info about the technique. I strongly recommend this treatment whcih is the only that worked for me. You can also do a search of the message board here at heelspurs.com, using the search term 'active release' to see what people have said about this treatment. Hilary

Re: SEVERE Plantar Fasciitis

BrianG on 9/02/03 at 09:32 (128543)

Hi Pat,

Another non-doc / patient, putting in his 2 cents. Have you cheked the rest of the message boards out. Go to the top of the page, click on message boards, then go down to surgery. Unfortunatly you will find many examples of patients who were much worse after surgery. After reading all these cases, I personally believe that surgery should be the very last treatment considered. Once your heel is cut, there is no going back!

There are many options that your husband has not tried yet, I would seek a second opinion, from the very best doctor that you can afford. With today's internet, that information is much easier to find in this day and age. If you do run out of non-surgical opinions, I would seriously consider seeing a Pain Specialist Clinic, or Doc.

Good luck, and I hope that hear from some of the Docs, who took advantage of the long weekend.

Re: SEVERE Plantar Fasciitis

Ed Davis,DPM on 9/02/03 at 11:20 (128556)


Plantar fascial release surgery is a fairly simple and quick procedure.
The single biggest concern is the unpredictability of results (we know that about 2/3 of patients will be helped but cannot de

termine how and why it helps some and not others). Many of the posters with negative posts had surgical treatment before all reasonable conservative modalities were used, an experience which, unfortunately is not uncommon.

Your husband, based on your post, has had a full range of non-surgical treatment and is still in a lot of pain. He is a candidate for surgical treatment.

There is a lot of information concerning the surgical procedure on this site but it would be my expectation that his doctor has provided more information and placed it in better perspective (one of the drawbacks of this site is the difficulty with assimilating a large amount of information and placing it in proper persective). If that is something that his doctor cannot do or has not done, he should be talking to another doctor.

There are four techniques used: open, endoscopic, minimal incision and the newer 'arch' procedure. I and Dr. Z, who posts here, prefer the minimal incision technique. The majority of my surgical patients do well and have good outcomes with this surgery. Two key elements are proper selection of who gets the surgery and when and proper follow up after the surgery.

Re: SEVERE Plantar Fasciitis

Buck T. on 9/03/03 at 09:27 (128671)

After years of failure with conservation treatments, I had surgery on left foot. That was about seven months ago and I am doing good. The recovery time takes maybe eight months to a year but I am pleased with the surgery. Actually, I had endoscopic surgery first and that didn't work. The second successful surgery was the minimal incision type referred to by Dr. Davis. I was advised to wear a night splint after the surgery.
I did ask the doctor two questions before the surgery. They were: what is your success rate; and could I talk to another patient you did this surgery on. I felt uneasy asking him these things, but he really didn't mind and gave me the information. Hope this helps some.

Re: SEVERE Plantar Fasciitis

thomas j. on 9/04/03 at 04:00 (128749)

Try DICLAC 5% or Diclofenac-Ratiopharm or EFFEKTON , it helped me after 1 year PF. Try it for 3 weeks , then you should feel the difference!!
greetings tj

Re: SEVERE Plantar Fasciitis

BrianG on 9/04/03 at 21:46 (128811)

Hi tj,

I tried to look up your ingredients on a search engine. I didn't find much. Could it be that your from Europe?

BrianG, not a doc

Re: SEVERE Plantar Fasciitis

Kathy L on 9/06/03 at 10:08 (128949)

Dear Pat,
All the conservative treatments are aimed to 'heal', which is good. But rest, ice, good shoes, cortizone, stretching... they are all healing 'support', in other words, they're suppose to allow the body to heal itself, but they are not the factors with which the body does the healing. Healing has to come from proper nutrients, vitamins and supplements, 'you are what you eat'.
Were you able to see my post just recently on supplements? I'm looking for others who will try MSM and Vit C, and perhaps a few other supplements which out of the blue gave me a remarkable improvement in my PF. A few other posters have said they will try, and I'm looking forward to some feedback soon.

Re: SEVERE Plantar Fasciitis

Terri C on 9/10/03 at 07:10 (129413)

I also had surgety on my foot after all else failed, I tired EVERYTHING, now 5 months after the surgery I am very happy with the results, I say go for it, what does he have to lose, hes in pain now, believe me I was in alot of pain, and it works, u just have to give it time after the surgery, if you have any questions, feel free to write me...Terri