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plantar fascia release

Posted by milley on 9/20/04 at 11:42 (160195)

I had surgery 04/29/04 for a plantar fascia release. Then again in June for a cyst that formed same area, then in July for a tumor removal. I have been in a cast and cam boot ever since, still no relieve no walking barefoot at all. Now, my new doctor says we will have to do surgery again to release the plantar fascia, I thought the first surgery should of covered that? This has cost me 24,000.00 already and I'm worse then I was to start with, Is there something I should know, like maybe a lawsuit here or what?

Re: plantar fascia release

Dr. David S. Wander on 9/20/04 at 13:06 (160199)

I'm not sure that a lawsuit is the answer. Unfortunately, following a plantar fascia release, the plantar fascia can basically 'reattach' via scar tissue. In your case, there is probably significant scar tissue due to all the surgery you've had. There are several questions that should be answered first. After the removal of the 'cyst' in June, was a pathology report ever received stating exactly what the diagnosis of the 'cyst' was? After removal of the 'tumor' in July, was there a pathology report to see what was actually removed? You should obtain all these records and provide this to your new doctor. I will NOT have any surgery at this point, without an explanation from the new doctor explaining why he/she wants to perform surgery at this time. Once again, I'm curious to find out the diagnosis from the pathology report from the surgery in June and July. Has your new doctor considered ESWT? Keep me filled in and I'll try to help answer your questions.

Re: plantar fascia release

milley B on 9/21/04 at 08:12 (160250)

The cyst report came back as a gangolion, and the tumor came back as a fatty tumor, both benine. The first doctor scraped the bone spur off and did the epf. 2 weeks after that the cysts came, shortly followed by the tumor. I still can not walk barefoot and the pain is worse in the morning and stays all day. I can not bear weight on it. Without crutchs in the morning it would be totally impossible to walk at all. I thought the epf was a simple surgery and a few weeks recovery time. I wished I never had it done, I'm in more pain now then before. I am out of sick and vacation days, and my medical bills over exceed $24,000. The new doctor said he believes that the first doctor did not cut something all the way, I really dont know what it is.

Re: plantar fascia release

Pauline on 9/21/04 at 15:50 (160271)

I am not a doctor, but my opinion is that you not consider another surgery until you really understand what is going on.

When you use sentences that say 'the new doctor believes that the first doctor did not cut something all the way' and 'I really don't know what it is' this appears to be a pretty good indication that you need a better explaination of what is going on and a new understanding of the treatment that you've already had and the new treatment which you are being advised to have.

What you don't want is a series of snowballing surgeries that provide little in the way of result and a lot more pain. From the sound of things you've already gone down that road once. No need to repeat it.

Please take your time on this next treatment. Find out all you can and ask lots of questions, drawings if necessary until you feel comfortable
that having another surgery is warranted.

You may want to do some individual research on pub med or read additional posts archived on this site as well and yes even get another opinion.

If you've seen only Pods. maybe seeing an Orthopedic Foot and Ankle MD or Do is warranted. Just don't rush into anything until you feel comfortable with your decision.

Also do a search on this site for Tammie's story. Search under her name, Tammie. I believe her problems began with a failed EPF surgery. You will learn a good deal from her posts. Best of luck.

Re: plantar fascia release

milley on 9/28/04 at 07:01 (160627)

All of my test results show that the first doctor either did not cut and release it all the way or it has grown back. It has gotten worse since the first surgery, the pain level has tripled. I find it hard to believe it grew back in a week after surgery, or in the last 7 months due to the fact I am a diabetic! Yesterday, I went back to the doctor because it looked like the cyst was back, come to find out it was in the area of the last stitchs where the tumor had been removed, after numbing it and digging around guess what the doc found? A stitch that has been there since July! The new doctor said he will do exploratory surgery to start with, because he suspects medical negligence of the last surgureon, but won't no for sure till he looks into it with the camera. Tammie's story has made me so nervous that I'm thinking living with the pain I have now might be better than adding more to it.

Re: plantar fascia release

Dr. Z on 9/28/04 at 09:04 (160628)

I suspect that you need an additional opinion. You may not even had plantar fasciitis

Re: plantar fascia release

milley on 9/28/04 at 11:36 (160639)

That is was I was thinking too. Going to see another specialist tomorrow. I did have a bone spur, and it is still present. I still have a all the pain in the heel and arch area that I had before, but however now it is worse. My arch area burns all the time and my foot is turned in, my last 3 toes do not touch the floor, and they stay drawed up like they cant relax no matter how much I try to force them too. Thanks for your response.

Re: plantar fascia release

milley on 9/29/04 at 07:06 (160672)

Is there away to know what the original problem was to begin with? How do I know if it was Plantar fascia to start with?

Re: plantar fascia release

heel pain on 10/05/04 at 07:45 (160988)

Evindetaly it was! My new doctor did a second epf yesterday, went in exploratory first to see what was going on, found out the first surgery was not peromed right, and did a total release of plantar fascia. This morning is the first time in over the last 8 months that I have been pain free when first getting out of bed and bearing weight on it. And I was bare foot! It is a little sore at the incsion site but that is all! I am so glad I choose to have it done again, it was against my better judgement, and I asked the Dr. to pray with me before doing it. I feel 10 years younger today and ready to go back to work.

Re: plantar fascia release

heel pain on 10/05/04 at 07:56 (160990)

thank you for the advice, I did just that and he performed a second epf yesterday and it was great, other than the stichs no pain!