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continue treating or surgery (scheduled for 5/10/04)!!

Posted by Kim M on 4/29/04 at 11:05 (149762)

I have been going to the doctor for taping on and off again over the last year which cost $50 each time I go. Averaging $150-200 each month. I have good results but at times the problem worsens. I now have pain in the back of my knee with some swelling. I elevate my leg at night to relieve pain. Today my doctor said he is 50/50 about the surgery being needed but recommended it being done Monday 5/10/04 because I have been experencing pain still even with the taping. Cost effective it's better for me because honestly it will be cheaper to pay my deductible then to continue paying for the taping. (I have not discussed the cost/deductable..etc with my doctor because I do not want to have him base whether on not surgery should be done based on cost for me).My question is should I have the surgery I'm confussed some sights say surgery is rarely done and others say surgery should not be done. How ofter and for what period of time do people tape...everyday for ever?????
Thanks,
Kim

Re: continue treating or surgery (scheduled for 5/10/04)!!

Steve G on 4/29/04 at 12:18 (149772)

Kim - Surgery should be viewed as a LAST resort. Have you read the heel pain book on this site? It will give you an in depth understanding of the problem and the treatment options. Has your doctor discussed ESWT? I would have 2 rounds of ESWT before I let 'em cut my feet

Re: continue treating or surgery (scheduled for 5/10/04)!!

Carlos N. on 4/29/04 at 17:48 (149792)

Kim,

Steve's right! You should look at other alternatives before surgery. I would not let them cut me open before trying everything possible. Taping is good but you can do it yourself and avoid the $50 charge. Have you tried custom orthotics, night splints, rest, ice, stretching, and massaging? If not, please do so and stay off your feet as much as you can. Remember, some surgeries end up with horrific results that are irreversible. If your doctor can only prescribe surgery, then it might be best to see another doctor or at least get a second opinion.

Re: continue treating or surgery (scheduled for 5/10/04)!!

Dr. Z on 4/29/04 at 21:09 (149809)

What does you doctor say about the pain/swelling in the back of your knee . Do you have any vien problems or history of blood clots Pain and swelling behind the knee usually does go along with plantar fasciitis. Get it checked out

Re: continue treating or surgery (scheduled for 5/10/04)!!

Dr. Z on 4/29/04 at 21:10 (149810)

Usually doesn't go along with plantar fasciitis

Re: To Kim

BudP on 4/30/04 at 07:04 (149817)

Kim,
I think what Dr Z said is very important. From what I've read and been through,I can't recall any swelling behind the knee do to PF. There are a great deal of people who are totally against surgery on this site. There are also a large number of people who have had successful surgeries. I'm one of them. Just so happens on 5/10/04 it will be 6 months since my EPF surgery,and I feel great. If you have tried everything that you can afford or everything that you want,I say go for it. I might add that it's costly to have ESWT if your insurance doesn't cover it,but there are many people on this site that has had success with it. If it would work for everyone then that is much better than surgery. Good luck either way.

Bud

Re: continue treating or surgery (scheduled for 5/10/04)!!

Kim M on 4/30/04 at 10:39 (149828)

I have discussed to my doctor the fact that I have one vain that does cause pain and discomfort and that the back of my knee feels swollen and painful. He hasn't give either much attention. I was referred to this Podiatrist by a neighbor who is also his patient. Just yesterday I was looking through Footsmart and noticed the Dorsal Night Splint and was wondering if it would help. I am not sure hwo to approach my Pod since he has already scheduled the op for 5/10/04. Allow I am in pain and discomfort perhaps I should put it off? Any suggestions of who (what type of physician) I should see about vien/knee/foot to get my leg taken care of? Thanks to everyone for your input I truly appreciate it.

Re: continue treating or surgery (scheduled for 5/10/04)!!

Kim M on 4/30/04 at 11:39 (149834)

I have discussed several things with my Pod that is of concern. My story that follows DOES lead somewhere :).... March 8,2004 my emergency brake was stuck, I was squatting outside the vehicle pulling on the emergency brake handle when my van began to move in reverse,I reached in to try to stop it and I turned the steering wheel which made my legs slide under the van. Thus, causing my van to roll over my legs. Now having said that please know that after 10 xrays(2 doctors reviewing the xrays) at the emergency room and I had no broken bones and only tire track bruising across my thighs and I was able to walk with pain....TRUE STORY.Now the bruising is gone but my left leg 2 inches above the knee has a 'dip' there where the bruising was. I mentioned all of this to my pod doctor Wed. I asked him if before having my foot surgery if I should have my 'dip' looked at or the back of my knee or the vein and he said he would take care of the foot first. My vein and knee would swell prior to the accident on 3/8. It's all on my left leg. I was never told to follow up from the emergency room and I do not have a family physician - we just are never sick. Should I go to a vein specailist or what type of doctor whould I see? I'm confused. Thanks again to everyone.

Re: continue treating or surgery (scheduled for 5/10/04)!!

Pauline on 4/30/04 at 16:38 (149845)

Kim,
I'm not a doctor, but if you have ANY doubt about the surgery that you are about to undergo put it on hold. People cancel surgery all the time and it can be rescheduled as easily. Never let anyone make you feel guilty about putting an elective surgery on hold.

Personally I think you need to get a second and maybe even a third opinion. If vein pain is involved you may want to be examined by a Vascular Surgeon for his opinion. Your condition may be more involved than you think so check out each area carefully prior to running for the O.R.

Take your time when it comes to surgery. Make certain all the pieces of this puzzle fit together and you understand exactly what's going on.

Remember there are no guarantees that any surgery will make you pain free, but you surely want to know ahead of time why your having it, what it involves and do you really need it.

Different doctors have different approaches to problems. If you've only seen one doctor prior to deciding on surgery you may be sorry afterwards.
Most doctors encourage their patients to have second opinons. Many insurance companies require it so why not at least think about this.

An orthopedic surgeon M.D. may also hold some answers for you if your knee is involved.

Best of luck

Re: I'm putting surgery (scheduled for 5/10/04) on hold!

Kim M on 4/30/04 at 18:46 (149850)

After reading some postings throughout this website I have decided to get a second opinion. I am going to get a night splint and see how that works but I do feel more concerned about the vein in my leg at this time. I only wish I would have located this sight prior to my Wed. apptmnt.:)
nothing lost but some valuable information gained. Pauline, thanks.

Re: I'm putting surgery (scheduled for 5/10/04) on hold!

Dr. Z on 4/30/04 at 19:24 (149857)

Kim,
You need a venous doppler ultrasound to rule out any possible clots. Please arrange for an examination and testing by a vascular specialist

Re: I'm putting surgery (scheduled for 5/10/04) on hold!

Pauline on 4/30/04 at 19:46 (149863)

Kim,
Your welcome, glad I could help or at least give you something to think about.

Elective surgeries can always be cancelled and rescheduled. Never fear calling one off. Remember your in charge and the employer in this case.