Hypertrophic Plantar Fasciosis, Plantar Fasciitis w/ EnthesopathyPosted by Ferreri on 8/07/04 at 16:53 (157167)
The subject of this thread is the pre-op diagnosis based on ultra sound prior to ESWT procedure carried out in May this year. Symptomatic calcaneal plantar spur was also diagnosed.
I recall feeling a huge pain one day and had to take cortizone shot to make me feel much better. Spent a month doing the usual therapy with ice and anti-inflamatory (Naproxen 500mg). The therapy helped but didn't take care of the discomfort. That's when I recurred to ESWT.
Ten weeks after the treatment I still feel little discomfort in the heel area. In my last visit to my doctor, I asked him why I am still feeling pain when I walk if the inflammation should be gone away. He said ESWT causes that inflammation caused by the micro trauma. He asked me to go back to Naproxen 500mg and resume pool therapy.
Today, I had measurements taken as well as shape of my feet to make the orthotics which should be ready in the next 2-3 weeks. I was told I should feel much better (well, I have no choice but to believe in it).
I would like to share with everyone in this board how the procedure was performed on my right foot and here it is:
Device: Ossatron Unit
Placed at a 90 degree angle to the plantar surface of my right heel. Coupling media was placed on the plantar surface of the heel for conduction of the ESWT.
Frequency: 4.0 Hertz
Total Shocks: 2000
Amplitude of the charge: Ranging 18-19 KV (Kilo volts)
Re: Hypertrophic Plantar Fasciosis, Plantar Fasciitis w/ EnthesopathyEd Davis,DPM on 8/07/04 at 19:21 (157175)
All sounds okay except that the orthotics would generally be provided long before the ESWT. As long as you get them, that should help.
Re: Hypertrophic Plantar Fasciosis, Plantar Fasciitis w/ EnthesopathyDr. Z on 8/08/04 at 14:47 (157206)
Do you have had a reduction from your original pain cmpared to now?. ESWT can take months to pain resolution. In the FDA study with the ossatron 81% of the patient that received treatment were painfree or had a dramatic reducion in pain reduction. Degenerative tissue takes time to heal.
Re: Hypertrophic Plantar Fasciosis, Plantar Fasciitis w/ EnthesopathyFerreri on 8/09/04 at 01:44 (157237)
Yes, Dr. Z I've had a reduction somewhat but not substantial as I expect. I guess my case wasn't as severe as many people in this message board. I could go on doing exercises before I had that excrutiating pain which from that point on my movements in the right heel were hindered because of the spur. I agree with Dr. Ed Davis that I should've had the orthotics long time ago but I don't think it could be before the ESWT. I guess my podiatrist was trying to resolve it with the usual therapy combined with cortisone and naproxen. Young doctor as he is I am sure he lacks the experience that you two have to treat such an injury but he's working with a senior doctor on this case. Dr. Z, is that you who appears in the video of this site performing a foot surgery on a male patient to extract a spur?
Next week I go back to my phisiotherapy which is somehow doing good to my foot. Water jogging with ultra sound.
Re: Hypertrophic Plantar Fasciosis, Plantar Fasciitis w/ EnthesopathyDr. Z on 8/09/04 at 17:03 (157292)
You are doing all of the proper things to help with your pf. Time is the most important aspect for ESWT healing. Can take six months plus. The FDA patients were followed for one year
Re: Hypertrophic Plantar Fasciosis, Plantar Fasciitis w/ EnthesopathyFerreri on 8/09/04 at 18:11 (157300)
Been taking Naproxen 500mg 2x day and taking Lamisil (pill) for my fungy toe nails (as you can see I am not doing particularly well in the foot Dept!). I wonder if there is any problem (side effects)to take both medications?
The FDA patients were followed for one year. What do you really mean by FDA patients?