Doctors - please advise - Now what??Posted by Leslie B on 2/10/05 at 09:22 (168833)
I am currently scheduled to have an ESWT treatment on February 22. As you may recall, I had many agonizing fights with insurance and doctors to get this set up. My podiatrist had ordered an MRI and I just got the results.
I will write exactly what it says:
The medial fascile of the plantar fascia is irregularly thickened posteriorly, and there is adjacent soft tissue edema. The fascia is more normal in caliber at it's attachment to the calcaneus, but there is a small cystic or errosive change of the calcaneus at the attachment site. The lateral several of the plantar fascia is normal. The visualized structures in the foot are otherwise unremarkable.
Impression: Abnormality involving the medial fascicle of the planter fascia which, because it is nodular, is suggestive of plantar fibromatosis.
So what does this mean? Would the ESWT do anything to help with the pain? Will I now need surgery? I am seeing my podiatrist on Monday, but I really hope to get some feedback and help here beforehand. Thanks so much for ANY advice!!
Re: Doctors - please advise - Now what??Dr. Zuckerman on 2/10/05 at 13:55 (168843)
An MRI is just part of the examination. Very difficult to tell you what all this means without an in- depth examination. It isn't routine to order an MRI pre-eswt unless your podiatrist was concerned about something. IT is best to call him and talk to him or see him.
So your MRI could mean something and then it may mean nothing but the fact that you have plantar fasciosis. So call your podiatrist and put your mind at rest over this
Re: Doctors - please advise - Now what??Stanly Tanner on 2/10/05 at 17:07 (168854)
Easy for you to say. It is best to call him back are see him, so that that poor old dusted fellow would have to spend an arm an leg over the cost of treatments??
Re: Doctors - please advise - Now what??Leslie B on 2/10/05 at 20:25 (168863)
I am not totally sure why he ordered an MRI. He certainly never gave an indication that he thought there was another underlying problem. I am already scheduled to see him on Monday, so I ho[e to get some answers then. If I were to go ahead and have the ESWT, would there be a possiblility of causing damage, or is it a fairly 'benign' procedure that may only help some?
Re: Doctors - please advise - Now what??Dr. Z on 2/10/05 at 21:01 (168866)
This is where having a very experienced ESWT physician. Yes there are very few complications with ESWT provided it is done in the right patients. Did you ever ask your ESWT physician how many procedures he or she has done and how long they have done the procedure. ESWT is a great procedure when done properly and with an experienced ESWT physician.