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I need a Drs advice about achilles pain.

Posted by Angie on 5/06/04 at 21:59 (150161)

On August 21, 2003 I had surgery to remove a bone spur, lenghten the achilles and raise the achilles. Since the surgery the pain is worse than before the surgery. I work in a warehouse and am on my feet 8 hours a day. The pain isn't as intense on the weekends but it is still there. It is constant any time I put weight on my foot, from the moment I wake up till the moment I go to sleep. How would I know if there is scar tissue on the tendon. I had my surgery done through work comp and am getting the run around about getting me back into the doctor. The pain is right at the heel. I also have a little bit of numbness in the heel. What could all of this mean? Also What exactly does it mean to lenghten and raise the tendon. And why would they need to be done? Thank you for your time in reading this.

Re: I need a Drs advice about achilles pain.

Dr. Z on 5/07/04 at 14:37 (150202)

Hi

If the tendon hasn't healed you will have pain. Do you limp when you first get up in the morning.? I have used ESWT for this problem with very good results. With ESWT this is no cutting and or cast or canes. Feel free to ask me any questions or e-mail Dr. Z at (email removed). I will send you additional information

Re: I need a Drs advice about achilles pain.

Angie on 5/07/04 at 19:01 (150209)

I limp all day long. From the moment I get out of bed till the time I get back in bed. But the limp and pain are worse the more I am on my foot. What exactly does it mean to have the tendon raised and lenghtened? I have never fully understood all of that. Thank you so much for responding to my post.

Re: I need a Drs advice about achilles pain.

Dr. Z on 5/07/04 at 20:32 (150212)

The tendon was first re-moved from its insertion into the back middle, of the heel bone. It was then lengthening and then screwed back into the heel bone on the top of the back of the heel. It usually is at the back middle part of the heel. So taken off and then re-attached much on the top of the heel. This is to try and lengthen the tendon so that it will function better. It does work but I have seen cases where it is worse off.

Re: I need a Drs advice about achilles pain.

Angie on 5/08/04 at 20:47 (150246)

Thank you for answering my question. What could be done to make it not hurt so much? I know in a earlier post you said you have seen good results with the eswt. But there isn't a place here that does that. Also how would I know if there is scar tissue on the tendon? When I feel along the tendon it feels alot thicker on parts of the tendon. Also if there is scar tissue what is the procedure to remove it?

Re: I need a Drs advice about achilles pain.

Dr. Z on 5/08/04 at 21:32 (150251)

I am sure there is scar tissue. It is impossible for your to determine yourself if there is scar tissue, partial tear. An Ultrasound and or mri would be a test to confirmation just how bad the tissue quality is. We have many patient come to our offices for ESWT. They have come from every state in the USA. Something for you to consider if you are facing surgery and are in alot of pain. How is the pain effecting your daily life?

Re: I need a Drs advice about achilles pain.

Angie on 5/08/04 at 21:48 (150256)

In regards to my daily life with the pain, By the end of the day my foot is so sore. No over the counter meds helps me. The pain isn't so bad that I can't deal with it, but I am affraid that it will get to that point. Like I said in my original post I am on my feet 8 hours a day. I work in a warehouse, so I am on concrete all day also. I also always have a limp, but it is worse by the end of the work day also. I can barely walk fast let alone run. And with the ESWT I don't have the money to pay for it. And I can't use my insurance, cause it is a work comp case. And I don't know if you have ever had any dealings with work comp but they try to get something done for the least amount of money. I learned that the hard way. Also I am having alot of trouble getting my case opened back up to get back into the doctor who did my surgery. Work comp refused me coverage back in Dec. because I missed one appointment. Sorry I am going on and on. I really appreciate you answering my questions.

Re: I need a Drs advice about achilles pain.

Dr. Z on 5/08/04 at 23:57 (150259)

Has the limp caused you knee, lower back and or hip pain. How has it affected your other foot? How has your home life been changed with this.?

Re: I need a Drs advice about achilles pain.

Angie on 5/09/04 at 11:07 (150273)

I have always had problems with all of those. Since I was young I have had problems with my knees. The doctor said it was something about the ligament or what ever it is that keeps the knee cap from moving to much sideways. But whatever that is was letting the knee cap move too much one way. With my lower back it has hurt since I was pregnant with my son, 7 years ago. And I have bursitis, sorry if spelled wrong, in my hips. Sometimes I think my back and hip pain is worse, then other times I think it is the same. You asked about my home life, the only changes there is the fact that I can't run around with my son. But pain wise it isn't as bad when I am at home and not on my feet too much. My other foot is starting to hurt, but the pain in it isn't that bad.

Re: I need a Drs advice about achilles pain.

Dr. Z on 5/09/04 at 15:57 (150289)

It looks like the sooner you address this with the best treatment possible you can start to look forward to days without day and a chance at no future problems with the other foot, knee and lower back. Surgery will place you out of work for months to up to a year with risks that I am sure you are aware of. ESWT is non-invasive and without the severe risks that go with foot surgery. Many work comp insurances cover ESWT. Have you discuss this with your doctor and or case manager . That seems like a good start. Lets us know how you make out.

Re: I need a Drs advice about achilles pain.

Angie on 5/09/04 at 18:39 (150298)

I really appreciate you answering my questions. I will ask my doctor just as soon as I can get back in. I have been trying to get ahold of my case manager and she won't return my phone calls. I have taken it to the health and safety manager at my work, who is also having trouble getting ahold of the case manager also.

Re: I need a Drs advice about achilles pain.

denise g on 5/17/04 at 16:09 (150723)

i live near nyc and am seeing a specialist in achilles tendons dr. deland on wed. he is with the hospital for special surgery, i wish you luck with your pain, i am in severe pain and hope i get the help i need as local drs. just want to cast me for 3-6 months.

Re: I need a Drs advice about achilles pain.

Dr. Z on 5/17/04 at 16:29 (150725)

Hi Denise

I have used ESWT for chronic achilles tendonitis for years. It can be very effective for a tendonosis condition which means there is degeneration of the tendon where it inserts into the heel bone.

Re: I need a Drs advice about achilles pain.

Angie on 5/17/04 at 17:17 (150728)

Denise,
I wish you the best of luck. I know how it feels to be in pain. I wouldn't say my pain is severe but it still hurts like you know what.