Dr. Ed and Dr. Z Please ReadPosted by Carlos N. on 3/17/04 at 12:50 (147172)
I've had PF for over 10 years now. I have tried the custom made orthotics, icing, stretching, and now I'm doing acupuncture. Unfortunately my problem has been chronic for many years. My pain mainly comes from excessive pronation that constantly pulls my fascia which makes my feet ache, burn, and stiff. I've now been strecthing regularly over the last 3 months; I ice regularly; I just bought a pair of Brooks Addiction sneakers two weeks ago; last weeek I tried another pair of orthotics (powerstep) and that feels okay; last night I started tapping and seems to relieve some of the tension on the fascia.
Since I'm so desparate for a cure so I can get my life back together, do you think I'm a good candidate for ESWT? It looks like both of you prefer the Dornier machine over the Ossatron. Lastly, I've been told that I have very little flexibility in my ankle (and I strecth regularly). Will this stymie my long term recovery with or without the ESWT procedure? Or should I start using a night splint to help limber my feet?
Re: Dr. Ed and Dr. Z Please ReadDr. Z on 3/17/04 at 16:34 (147183)
ESWT is an excellent treatment for pf just like yours. The pain must be at the insertion of the pf and not at the arch or ball of your feet. Do you have first step foot/ heel pain. This is where you have pain and or limp after sitting for any length of time A nite splint is a great idea.
Re: Dr. Ed and Dr. Z Please ReadCarlos N. on 3/17/04 at 17:06 (147187)
Thanks so much for your reply! Well, the pain does start in the heel, but eventually the fascia tightens up so much that my arches and basically my overall feet start to burn, ache, and get stiff. It happens when I walk a lot or stand for long periods. In the morning I now mostly struggle because the fascia is so taut at times that I don't want to get up. Moreover, the orthotics in some instances, bother my fascia so much that I sometimes prefer to omit then from my shoes/slippers.
Also, years of excessive-pronation have caused my entire lower extremities to become stiff and inflexible. However, daily stretching & yoga is improving my flexibility.
Oh, how long should I wear the night splint before expecting any significant results?
Re: Dr. Ed and Dr. Z Please ReadDr. Z on 3/17/04 at 18:40 (147191)
IF you have pain as you do when you first get up in the AM then ESWT can help you. A nite splint may need to be worn for months before any relief. IF this has been going on for at least six months and you have had at least three failed conservation treatment then ESWT could really benefit you pf
Re: Dr. Ed and Dr. Z Please ReadJudyB on 3/17/04 at 23:51 (147203)
Dr Z, (or anyone else)
Sorry to butt in here, but for someone like me where the pain is in the heel, but also the ball, (within 10mins of walking travels up to the ball of the foot), would ESWT still be helpful?
If not, why couldn't ESWT be helpful at the ball of the foot? Would the only other option be surgery if conservative measures fail?
Re: Dr. Ed and Dr. Z Please ReadDr. Z on 3/18/04 at 16:09 (147232)
ESWT is only indicated and tested for painful plantar fasciitis at the origin, where the fascia attachesto the bottom of the heel bone. If you have pain at the distal end of your foot ( ball) then that is different. Do you have first step pain with you have pain with either or both pf problems ? Neuroma pain can be one of the causes of pain in the ball of your foot. So can tendonitis, capsulitis, stress fracture I hope that this is helpful. One more thing don't get pf releases for pf pain where there in on first step foot pain.
Re: Dr. Ed and Dr. Z Please ReadJudyB on 3/18/04 at 16:45 (147237)
The pain is at 48, 32, and 27, when I walk on this chart.
Re: Dr. Ed and Dr. Z Please ReadDr. Z on 3/18/04 at 18:28 (147241)
This is could be a sesamoid problem and or a Flexor tendonitis. It does look like a pf problem from the chart
Re: Dr. Ed and Dr. Z Please ReadJudyB on 3/18/04 at 19:04 (147243)
I also get pain in the heel, but the pain/burning I get in numbers 48, 32, and 27, exceed that I get in the heels. After walking some distance, it feels like something is being stretched and/or torn in those areas. That's why I was thinking PF. My podiatrist insist it's pf, even after I questioned her a few times on it.
Grocery stores can be terrible, because of the slow walking and standing. I have to take my shoe off and rub my feet in those areas, to get any relief.
Re: Dr. Ed and Dr. Z Please ReadJudyB on 3/18/04 at 20:04 (147248)
Dr Z,I don't think it's sesamoid because I get the very same type of pain/burning in area 25.
Re: Dr. Ed and Dr. Z Please ReadJudyB on 3/18/04 at 20:05 (147250)
Dr Z,I don't think it's sesamoid because I get the very same type of pain/burning in area 25, between those two metarsal heads.