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eswt? dr z or any other dr.

Posted by barb s on 9/03/03 at 15:49 (128710)

I HAD ESWT DONE 4 WEEKS AGO NEXT WEDS. I SEE THE DR. NEXT WEEK.

MY QUESTION IS WHAT SHOULD I BE ASKING HIM. I STILL HAVE PAIN. AFTER WORKING ALL DAY IN PAIN AND ON MY FOOT IN TENNIS SHOES. MY SIDE OF MY FOOT
IS STILL HURTING ME . I M ON ICE AS I WRITE.

I AM TAKING VICODIN MOSTLY AT NIGHT, I WERE A NIGHT BRACE AND ORTHOICS.

SHOULD I GET A CORTISONE SHOT? WHAT IS NEXT? thanks.. barb...

Re: eswt? dr z or any other dr.

Dr. Z on 9/03/03 at 17:04 (128712)

I would start to tape the foot. You can also use an elastic support such as a futuro ankle support. Are you talking about the inside bottom area of your foot where the plantar fascia inserts?

Re: eswt? dr z or any other dr.

Ed Davis,DPM on 9/03/03 at 21:06 (128731)

barb:
It takes 12 weeks to see the effect of ESWT. Most patients see something happening around the 7th week so it is really too early to see any effects. I would hope that your doc explained that to you.

I would avoid cortisone shots for now as it could interfere with the effects of ESWT. Most patients should avoid tennis shoes but running shoes can be very helpful with the majority of PF patients benefitting from a motion control type running shoe (eg New Balance 1122, 587, Brooks Ariel).

Physical therapy may be helpful -- including stretching, deep tissue massage, ultrasound, etc.
Ed

Re: eswt? dr z or any other dr.

barb s on 9/04/03 at 16:36 (128778)

ED THANKS FOR THE RESPONSE!!!!! MY DR. DID TELL ME THAT SOME PEOPLE HAVE
NO PAIN OR THEY HAVE PAIN FOR A WHILE. I THOUGHT I WOULD HAVE BEEN THE ONE WITH NO PAIN.....I WAS IN THEARPY WHEN HE THOUGHT I HAD A STRESS FRACTURE, AND A HARD CAST FOR 3 WEEKS .

THE PAIN IS HARD TO DESCRIBE!!!????
MY LEFT FOOT RIGHT BELOW MY ANKLE, FOLLOW THAT DOWN UNDER MY FOOT AROUND
THERE.TOWARD THE FRONT PART OF MY HEEL ON THE BOTTOM.

I WEAR WALKING SHOES NOT TENNIS SHOES . SORRY ABOUT THE MIX UP....
I DO STAND ALL DAY AT WORK. AND WHERE ONLY WLKING SHOES AND ORTHOICS.
I TRY TO MASSAGE MY FOOT EVERY NIGHT AND WHERE A BRACE FOR BED.

I KNOW HE WONT GIVE ME A SHOT. BUT I THOUGHT I WOULD ASK YOU.
THANKS FOR THE IMPUT. I WELCOME MORE!!!!!!BARB

Re: eswt? dr z or any other dr.

dr ben pearl on 9/04/03 at 19:39 (128789)

posterior tibial tendonitis is common in the area you describe along with p.f.
suggestions by Dr. Z& D good start, revaluate orthotic too

DRBP