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Ruptured Plantar Fascia

Posted by KathyB on 11/10/04 at 06:36 (163422)

I have a question that I hope the Dr.s could shed some light on. First some background on my problem. A little over a week ago I was going upstairs when the toes of my left foot slipped off the carpeting suddenly causing my heel to drop down quickly. I felt a sudden pop or snapping sensation followed by alot of pain. It was almost impossible to put my heel down on the ground.

The pain subsided somewhat and I figured if I could move it that it wasnt broken. Ive had PF for about a year in that same heel and have recevied two injections about 6 mos apart with sucess.

After working the next day I could hardly walk. I went to an immediate care center and they put me in an orthotic shoe and suggested that I had either stretched or tore my plantar fascia, and should see a specialist. I couldn't get into my Pod for over a week so I saw a OS. He did an examination and said that I had ruptured my plantar fascia. He put my foot in a removable hard cast and told me to try and stay off of it for a few weeks then return to him. He told me that what I did was ultimatly the end treatment for PF so I was kinda lucky. That I had released it myself so to speak. Honestly at this point I dont feel real lucky.

I work on an auto assembly line and have just returend to work after having a neuroma removed from my other foot. Does anyone have an average time that is needed to be off my feet to allow this to heal properly? I was off work for 8wks with the neuroma surgery and had a real hard time with pain for almost two month after returning to work. I was just getting used to being on my feet when this happened. Sorry for being so long winded but really wanted to give enough background for my question.

Thanks
Kathy

Re: Ruptured Plantar Fascia

Dr. Z on 11/10/04 at 08:24 (163427)

Kathy
This is a tough one. I have seen it take six months for this to feel better but every one is different. Physical therapy is very helpful. Wearing orthosis, taping is another hint to reduce the pain. Your specific job, standing on hard cement, all day long is the worse occupation to have for your plantar fascia rupture. I hope that this is helpful

Re: Ruptured Plantar Fascia

KathyB on 11/10/04 at 10:56 (163440)

Thanks for the response Dr.Z. I do remember that with the neuroma surgery the Dr. told me that it might take a year to feel good. Its been about 7 mos and its just now where I can stand on it all day with out pain. I did try to walk a few feet this morning without the cast after my shower as it hadnt hurt for a while. I didnt get very far before it got real painful.

I've never been to this OS before and he didnt really give me any longterm prognosis. I'm going to try to stay off work as long as I can and maybe ask about PT when I see him in a few weeks. Thanks for your help.

Kathy

Re: Ruptured Plantar Fascia

Tricia H on 11/10/04 at 12:59 (163453)

Kathy-

I ruptured my PF after overtraining for a marathon, so I know how painful it can be. It may take some time to heal - the Dr is right to say possibly 6 months. I stayed in my removable cast for over 6 weeks, but I also did not have to stand all the time. If you can see a PT, have them teach you how to tape it up to support it.

Good luck - this is a nasty injury

Re: Ruptured Plantar Fascia

KathyB on 11/10/04 at 15:30 (163470)

Tricia-

Thanks for your response. I was just wondering about the recovery time as the OS really didnt get into alot of detail about it. I know I should of asked but I was so stunned by what he told me was wrong that I wasnt thinking right. I go back in two weeks and I'm sure going to have all my questions on paper before I go. Did you feel that snapping when it happened? I also still feel it to a lesser degree if I walk with the cast off like going to the shower or getting in bed.

I'm going to stay with this OS as I have had alot of other foot problems and my experiance with my Podiatrist has been kinda rough.

Kathy

Re: Ruptured Plantar Fascia

BobB on 11/10/04 at 17:23 (163480)

I ruptured my right foot PF a little over 2 years ago. I had no idea when it happened or how it happened and for 3 months the pain just kept getting worse (men really do avoid doctors!). I could not walk or stand without serious pain. I finally got in to see an OS and he quickly explained I had ruptured my PF. I didn't even know I had a PF! He wrote an Rx for orthotics and I went to a Pod for them. It helped. For about 4 or 5 months I was limited as to how long I could walk, but not like before the orthotics. I really tried to stay off my feet as much as possible for the first 4 or 5 weeks. I have been doing fine in the long pull. Every once in a while I go through some discomfort, but NOT like the original pain. The OS told me I would probably be bothered with this for a long time, or even forever. The good news, at least for me, is that I experience the discomfort in the evenings after I sit down to rest, NOT so much while walking.
I did learn one thing I'll share with you; buy GOOD shoes that are stiff as a board. The stiffer that platform, the better the orthotics work. I ended up wearing Brooks HPR shoes.
Good luck to you!
Bob

Re: Ruptured Plantar Fascia

Tricia H on 11/11/04 at 07:20 (163516)

Kathy-

I did not feel it happen. Had no signs that it was going to happen. I ran a half marathon fine, walked out of the park (Central Park, I live in NYC), and suddenly had trouble putting any pressure on that foot, so walked home limping and putting the pressure on the outside of that foot. I saw an OS, and he said 'you can forget about the marathon, and you'll be lucky if you running again in 9 months'. I thought he was nuts, but turned out I didn't start running for almost a year. In the meantime, the boot he put me in helped a lot, and I really limited how much walking I did for a good 5 months. I bought a pair of Merrel 'clogs', and that helped too. Taping worked. I had a cortisone shot after 6 months, didn't work, and finally had the EWST, which really didn't help much. Rest & stretching seemed to be the best treatment.

Re: Ruptured Plantar Fascia

JoanM on 11/14/04 at 17:31 (163899)

I just ruptured my plantar fascia ten days ago, and I did indeed fill the snap. I was playing in a tennis match and thought that I had snapped my bone spur in half. Unfortunately, I continued to play the match since I compete in tennis tournaments frequently. I am in a removable cast/boot and will continue to be in one for some time. The orthopedic doctor that I saw would not commit to a length of time for recovery for me, but did suggest we take it three weeks at a time to evaluate. I will not be able to get back on the tennis courts for a lengthy amount of time, and that is the most difficult part for me. I teach school during the day, so I am on my feet about 5-6 hours a day. I have not missed any days of school yet, but I feel your pain with standing on it all day long. It is miserable!!! Good luck to you!