EPF ScopePosted by Bud P. on 11/06/03 at 09:44 (136538)
I'm scheduled for arthroscopic surgery on my plantar fasciitis Monday Nov. 10th. I've been dealing with this pain for just over 2 years and finally after exhausting all other alternatives decided on the surgery. I'm very nervous about this surgery. I've read a great deal of post on foot surgery but haven't seen to many on this procedure. Can anyone out there give me some advice or send me a location? I'm also open for comments please. The Dr tells me that this procedure is relatively simple and the pain shouldn';t be any worse than what I'm dealing with now. HELP
Re: EPF Scopenancy s. on 11/06/03 at 09:52 (136540)
bud, actually there are many, many posts on this procedure, and you should take a look at them. type 'epf' (no quotes) into the search box on the message boards home page, and you'll find plenty of interesting info. it's a controversial procedure at best, and i wouldn't go into it without doing a good deal of reading up on it.
Re: EPF ScopeBrianJ on 11/06/03 at 10:37 (136542)
Would recommend looking at eswt before undergoing epf or any other surgery.
Re: EPF Scopejohn h on 11/06/03 at 14:33 (136564)
Bud: I am not a Doctor but have had foot surgery and read many post from people who had endoscopic surgery. My research caused me to back away from this type of surgery for many reasons. It is late in the day for me to be posting this to you but suggest you do some web searches on this procedure to read about some of the downsides. When it was first introduced it was very popular but in the last 5 or more years more surgeons are going to minimal invasive type surgery with only about a 1-2' incision. Post your question on Ask the Doctors but more importantly do some research. Surgery is a step that cannnot be undone so you want to make sure you get it right the first time. Get a second or even a third opinion. Best of luck.
Re: EPF ScopeBrianG on 11/06/03 at 15:15 (136571)
So your doctor tells you the pain from the EPF won't be any worse than what you have right now???? Why don't you ask him for that in writing, and see what he says !!! I had a failed EPF and the pain from the procedure was terrible for about 2 months. I had to take an additional month off, before I could return to work. 3 months out of work, for a simple little EPF !!!!! I suggest you read up on it, as your doctor is either the best in the world, or he's not being straight with you. Also, why not ask him what happens if he nicks a nerve and you end up with RSD, a nerve injury that is far worse than any PF operation.
Don't become a statistic, you still have the choice of a pain management clinic, if you can't stand the pain any longer. There are many people posting here that take daily pain meds for their PF.
Re: EPF ScopeJulie on 11/06/03 at 16:11 (136579)
You are right to be nervous, Bud. Please do as has been suggested and do your research here, using the search facility. The EPF procedure is not recommended by any of the doctors who have posted here, there have been many failures (as you will find when you search) and I believe the procedure is no longer held in high regard throughout the podiatric profession (though obviously some doctors are still performing it, including yours).
I don't recall that you've posted here before, so I'm guessing that you are 'new' and that you haven't yet read the heel pain book. Do read it, and keep reading the message boards and asking questions, because you will learn a lot more than you have ever suspected about PF and possible ways of dealing with it. You say you have 'exhausted all the alternatives' to surgery, but I have been around here for over three years and rarely has 'I've tried everything' really meant 'everything'!
It has been said before, but here it is again: once you have been cut there is no getting un-cut. Surgery is absolutely the last resort, and really shouldn't be undertaken unless EVERYTHING else, including ESWT, has failed. I would be very surprised if you were anywhere near that point.
Re: EPF ScopeBud P. on 11/06/03 at 16:58 (136585)
Thanks for the info.My surgey is going to be minimal invasive.I'm hoping for the best
Re: EPF ScopeBud P. on 11/06/03 at 17:00 (136586)
Thanks so much for your input. I've been on pain mngmnt for 3 yrs and am really tired of the meds. It's to the point of all I can do is to increase the dosage. I'm not going to do that.Time to get off the pain meds
Re: EPF ScopeBrianG on 11/06/03 at 21:57 (136605)
Tapering off your daily pain meds is a very personal decision. I hope it works out OK for you. Make sure your doc takes his time lowering you dosage, no need to get sick !!!
Re: EPF ScopeBud P. on 11/07/03 at 06:18 (136644)
You seem to know a great deal about these procedures. Also your experience must have been a bad one . I'm sorry. Since yesterday I have talked to a great number of people. Most of them say the operation was a success. I'm going to have the two portaal procedure. The Dr prefers this because he says he can see the problem better. What do you know about this. Thanks Bud
Re: EPF Scopejohn h on 11/07/03 at 10:10 (136663)
Bud: I think the two portal procedure is sort of standard for this. Some of the problems I have read about is when the Doctor inserts the scope and pushes the scope through tissue he does not see where it is going and sometimes injures nerves. Yes there are many successful EPF surgeries. I do not not the success rate. I do know the two groups of Doctors (Podiatrist) that I visted in my city said they quit doing the procedure some years ago. The two Doctors who frequented this board Dr. Z and Dr. Ed I do not think used or recommended this procedure. It is your feet however and you must make the decision based on your information and your confidence in your Doctor. Orthopedic surgeons do not perform this procedure. Good luck..
Re: EPF ScopeBud P. on 11/07/03 at 22:46 (136770)
Thanks for the info. Can you tell me or have you heard how long before a person is uo and walking with this procedure.I know each person is different,but from what I've read it seems to be around 3 to 5 days.
Re: EPF ScopeJohn H on 11/08/03 at 14:08 (136832)
Bud when I had foot surgery I had a trifecta. A tarsal tunnel release, Pf release, and Chelictomy of great toe. I was in bed for 36 hours at home Back to work and driving on crutches the 3rd day. Stitches out and off crutches day 10. With a PF procedure only I would think you would be walking the next day depending on they type of procedure you have. Different Doctors have different protocols
Re: EPF ScopeBrianG on 11/08/03 at 20:38 (136851)
Hi Bud, the 2 portal method is the 'old' original kit. It's twice the trauma, as they are going in from both sides, to meet in the middle. I hear that it's much more painful than the newer, 1 portal method. Mine was the 2 portal, which I already told you that it hurt like hell.
These 'kits' are not cheap. I bet you doctor is still using the older method, because he doesn't want to spend the money to upgrade to the 1 portal 'kit'. Of course he can't tell you that, he has to say something like he can see better with the old kit. It's big old load of BS, I can smell it from here !!!!! Have you really checked the EPF's on this sites 'Search' feature? Lots of failures !
PS: I'll throw in one more little tid bit for you, just maybe it will sway you the other way. A Podiatrist who used to post here, mentioned he went to a convention where a group of Pod's got to perform the 2 portal method on some frozen cadaver feet. When the operations were over, the heels were all opened up. Not one of them had been cut enough, to allow the procedure to become a success. They all advised that the Pod's should have gone back in, and snipped more of the fascia, with a pair of scissors. This didn't happen then (or to me), and not enough of the fascia was cut to allow healing!!!! Something to think about....
Re: EPF Scopecherlyn Z on 11/08/03 at 20:55 (136852)
Bud, I first found this board when I had hard casts on both my feet to try and fix my PF of one year. My pod said EPF would be next step. Long story short, I had the ESWT after being frightened off by the 'sugery message board' posters. It has been three weeks now and I went back to work this week. Each day is a better day for me. I notice that I now can stand in one spot for longer amounts of time. My feet still hurt at the end of the day, but I don't walk down the halls at work OOhing and aahing
as I hobbled away. I encourage you to do some research if you haven't already. Delay your surgery if you have any doubt's.
Re: EPF ScopeBud P. on 11/10/03 at 05:18 (136923)
I'm at the end of the road. I've hurt long enough and feel it's time to try the EPF Thanks
Re: EPF ScopeBud P. on 11/10/03 at 05:20 (136924)
Thanks for the positive respopnse. I really am tired of hurting
Re: EPF ScopeBud P. on 11/10/03 at 05:31 (136925)
I'm going in this morning to have the EPF. After a great deal of consideration and listening to all of you. I've deciced I need to have it done. Thanks for all the help and information. Say a prayer things go well. I'll check in and give you an update.
Re: EPF ScopeJulie on 11/10/03 at 06:35 (136926)
Good luck, Bud. We will all be hoping it works for you. Let us know how you get on.