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Is there any hope? PF, TTS

Posted by Maria on 4/10/05 at 21:12 (172937)

My husband, a very young 41 y/o, has, over the last 3 years, undergone bilateral endoscopic plantar fascia releases, bilateral tarsal tunnel releases, bilateral deep peroneal nerve transposition/release, bilateral electrical wave stimualtion (or something), and a right carpal tunnel release. He was taken off work this entire time. He estimates about a 10-15% lessening of his pain.

He has now been released to return to a sit down job. Thankfully he found one. This is helping his overall outlook on life.

But the severe pain and disabilities in the feet continue. He takes Celebrex daily, Prozac for depression daily, Vicoden ES multiple times daily (I'm concerned about the addictive nature) and he uses an electric scooter as needed and wears custom orthotics in custom made shoes. He cannot tolerate being on his feet for more than an hour out of an entire day! His pain is very real. He is not a complainer, but I can see it in him. He is restless at night, sleeps more in the daytime. Some as a function of his depression, some as a function of the pain preventing his restful sleep.

Two questions:

1) Over time, if he follows doctors orders to stay off his feet, uses his electric scooter religiously even before the pain becomes severe for the day, is there any hope of the pain lessening with time?

2) Is there anything I can do, other than being supportive?

Re: Is there any hope? PF, TTS

Geri on 4/11/05 at 19:51 (173004)

Maria: Your husband is so lucky to have such tremendous support from you.
Not everyone with any of the debilatating foot problems has such support. I cannot comment medically about his problems, but I just wanted you to know you are one great lady. The best of luck to him.

Re: Is there any hope? PF, TTS

messed up foot on 4/12/05 at 07:35 (173018)

Maria, there is always hope! Has your husband seen a neurologist and a pain management specialist? I have a friend with horrible RSD and through a pain center, she got off the Vicodin and has learned to live with the pain. Her life will never be the same, but it has greatly improved in quality.

While many of us (especially me) whine on this message board about our PF and TTS, most of us are able to get back to work - with some modifications. It is really hard to give up being physically active but there are other things he can do - like upper body exercises. One of the problems with disabilities is that we can all forget that we still have abilities that greatly exceed what we have lost.

Best of luck to you and my prayers are with you both.

Re: Is there any hope? PF, TTS

Ed Davis, DPM on 4/18/05 at 22:50 (173392)

I am unsure what percentage of the pain comes from plantar fasciitis but that can be treated effectively 80 to 90% of the time with ESWT -- please read Scott's Heel Pain Book on this site for more information.

Re: Is there any hope? PF, TTS

john king on 4/20/05 at 16:03 (173461)

Chronic pain and depression go hand in hand. The vicodin used over a long period will also cause depression. He would be better off with some sort of time release type of morphine if he can tolerate it. Vicodin puts you on a roller coaster with ups and downs. You feel worse over time. With your husbands pain he may be helped by a pain management doctor. I have bad foot pain as well as other injuries so I was never able to return to regular employment.

Re: Is there any hope? PF, TTS

Ed Davis, DPM on 4/22/05 at 23:54 (173567)

I have also seen some of the best long term pain management with methadone.

Re: Is there any hope? PF, TTS / Dr. Ed

BudP on 4/25/05 at 01:48 (173683)

Dr Ed,

There are few people in the pain managementer center that I go to that are being treated with the fentnyl patch and lolipop that have had a great deal of success for PF and chronic pain. It is a strong med but both of them seem to be getting thier lives back. There is another on methadone and he says it works for his PF. ESWT and EPF did not work for any of them.


Re: Is there any hope? PF, TTS / Dr. Ed

Ed Davis, DPM on 4/25/05 at 18:54 (173723)

The fentanyl patch is a good alternative for many with chronic pain. Thanks for bringing that to our attention.