Home The Book Dr Articles Products Message Boards Journal Articles Search Our Surveys Surgery ESWT Dr Messages Find Good Drs video

Do I have plantar fasciitis? TTS? stress fractures? Or am I just making it all up?

Posted by tdietz on 9/07/04 at 13:04 (159501)

I have had heel pain in my left foot for more than a year now and am now developing similar symptoms in my right leg. I have asked my doctor about it twice. Once she put me on a steroid pack but it did not help. My insurance will not pay for me to see a podiatrist without a referral.

Basically, near the area where the heel bone begins to curve toward the back of the foot (on the inside of my foot) it feels almost like a bruise but there is no bruise there. In addition, at times I feel a sharp, shooting pain that runs up from the place where the pain starts on my heel and into the area just behind my ankle that sort of curves inward (also on the inside of my foot). Now, I am beginning to geel pain that is similar to that on the inside of my heel bone on the outside of my heel bone. At times the pain can be nearly unbearable but mostly it is just annoying.

I find I cannot go barefoot as it makes the pain worse. In addition, the pain began during the period that I was training for the Disney Marathon last year. I completed the Marathon in Jan. (2004) but the last 8 miles or so were excrutiating -- it felt like someone had beaten my heels with a baseball bat or something.

I have tried rest, ice and heat, long-term use of anti-inflammatories, that boot thing that you are supposed to use to stretch the plantar fascia, arch support things that strap onto your foot, and shoe inserts that are supposed to provide support as well as cushioning. I am at my wits end and my physician's response is to ignore it and probably label me a pathetic hypochondriac. I have had people tell me that it sounds like plantar fasciitis, stress fractures, heel spurs and a few other things. Can anyone offer any advice?

Thanks,
Tracy

Re: Do I have plantar fasciitis? TTS? stress fractures? Or am I just making it all up?

Buck T. on 9/07/04 at 15:32 (159509)

Dear tdietz: My advice is to get that referral and see a podiatrist. Ask your primary physicain. This will save you time and probably be the quickest way to solve the problem. Let me know if I can be of more help.

Sincerely, Buck T.

Re: Do I have plantar fasciitis? TTS? stress fractures? Or am I just making it all up?

Julie on 9/07/04 at 16:17 (159511)

You need a diagnosis, by a podiatrist who will conduct a full examination and evaluation. Please take Buck's advice and get the referral you need. If your doctor won't refer you, go privately: a good podiatrist will be able to identify the cause of your pain and prescribe a sensible treatment plan that you can follow without having to make many appointments to see him/her.

Read the heel pain book for good information and ideas.

Don't go barefoot!
.

Re: Do I have plantar fasciitis? TTS? stress fractures? Or am I just making it all up?

Darlene on 9/07/04 at 17:57 (159514)

I am not a doctor but have been doing a lot of research on tts. The one thing that you mentioned that made me think of tts is the inner ankle pain. The posterior tibial nerve begins just above the ankle bone and curves around the back of the bone on the inner ankle. One branch then goes to the calcaneal nerve which innervates the heal. I agree with the others that you need a proper diagnosis. One year is a long time. Please let us know what you find.

Darlene

Re: Do I have plantar fasciitis? TTS? stress fractures? Or am I just making it all up?

Pat on 9/07/04 at 17:57 (159515)

I basically have the same symptoms and if you read my posts here (all over the board) you'll see that I'm now in a Cast and seeing a new Podiatrist after a rough time with an orthopedic surgeon. I saw him for the first time today and the first thing he wants to do is send me for a bone scan of the heel (they're actually able to do it through the cast) to rule that out so I'm going this Friday. Next Friday I have a follow up with the Podiatrist. They're trying to rule out stress fracture - hard for me to believe that I could have one since I probably spend 10% of my day walking and the other 90% sitting on my butt but... Once they rule that out he said the plaster cast won't really help and they can put me in a walking cast and try that. I guess they're trying to see if anything else will help me. I really think you should get the referral and see the Podiatrist. Sometimes if you have a halfway decent doctor you can just call him for one and pick it up at his office without actually seeing him. You'll really save alot of time and pain if you just get to the root of the whole thing. Pat

Re: Do I have plantar fasciitis? TTS? stress fractures? Or am I just making it all up?

Kathy G on 9/09/04 at 08:48 (159586)

tdiez,

If all else fails, see if you can find a new PCP who will take your symptoms seriously and give you a referal to a Podiatrist. You wouldn't be able to approach him/her on the first appointment, asking for a referral. You'd neeed to see him for the initial diagonosis and hope that you'd end up with a referral. If you bring a list of what you've done, I can't imagine how someone wouldn't see that you need to see a specialist.

It's always hard to find a new PCP but if you ask around, you may hear the same name come up more than once. If you know any nurses or phramacists, they are usually willing to give you a few recommendations.

Good luck!

Re: Do I have plantar fasciitis? TTS? stress fractures? Or am I just making it all up?

tdietz on 9/09/04 at 13:00 (159608)

Thanks for all the advice. So, my PCP office has a new DO that I went in to see today. I finally have a referral to a Podiatrist. He ordered an x-ray which clearly shows a heel spur. I am not certain how that would be associated with the pain radiating up from behind my ankle. But, I have a referral and hopefully the podiatrist will be able to help me out FINALLY!

The DO asked how many x-rays of it had been done over the last year of complaints and when I told him none, he ordered one immediately. He said the podiatrist would probably start with cortisone injections to at least alleviate some of the pain that I have on a daily basis now and work with me on developing a long-term treatment plan.

Ah, hope....

Tracy

Re: Do I have plantar fasciitis? TTS? stress fractures? Or am I just making it all up?

Kathy G on 9/12/04 at 09:35 (159779)

Glad to hear that you are making progress, Tracy!

Good luck and keep us posted!