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orthotic woes

Posted by Cathy C on 4/15/05 at 23:54 (173289)

Have just discovered this site, and want to ask the many sufferers out there about their experiences with orthotics and shoes. I have had pf for almost 15 years, and have been to all sorts of podiatrists, chiropractors, physios, massage therapists etc., tried cortisone, anti-inflamatories, night splints, taping, icing, stretching and have never been pain free. My activity is very limited, standing for even short periods of time or walking for 10 minutes is agony. I have a very narrow foot/heel and have always had a terrible time finding shoes that fit while wearing orthotics. ( contrary to the promises from the people who sell them - 'they will just slip into all of your shoes!' ) The orthotics elevate my foot and then the shoe does not fit properly. I have tried many brands of orthotics, (much $) and did have some relief with the last ones from a sports medicine clinic. I wore them with leather lace up Rockports exclusively ( was that a bad idea?) and felt better that I had in a long while but after a year or so, my problems flared up worse than ever. I wondered if the shoes just wore out - I did have my orthotics re-soled and bought New Balance runners. I have been in pain ever since, it is so hard to know if it is the shoes, orthotics, a combination of both, or what. I don't seem to have luck with athletic shoes, maybe too much correction, not deep enough, too wide...... who knows!!! Any suggestions would be greatly appreciated!

Re: orthotic woes

Mar on 4/16/05 at 17:13 (173312)

Cathy -

I tried orthotics and athletic shoes for several years and was in constant pain. i too cannot stand more than a few minutes or walk for more than 10 minutes (even that is pushing it most days), but I have found the best footwear for me is Clarks' clogs in the winter and Teva and Clark's sandals in the summer. Experiment with soft soled shoes that have some support and can easily slip off when you sit down. Athletic shoes were a nightmare - I must have tried at least 50 different types!! Good luck - Mar

Re: orthotic woes

Cathy C on 4/17/05 at 16:00 (173337)

Hi Mar,
Thanks for the advice... I have tried a few Clarks, I find though, that clogs do not stay on very well with my narrow feet. I do agree with you that flexible soles seem better. I will continue my quest! I appreciate your interest.
Cathy

Re: orthotic woes

Liboralis on 4/17/05 at 21:14 (173354)

What state do you live in? Maybe we can help

Re: orthotic woes

Ed Davis, DPM on 4/18/05 at 23:03 (173395)

Cathy:

Even the best orthotic in the world may not get every plantar fasciitis patient pain free. Please read the Heel Pain Book on this site when you get a chance.

It is possible, especially after a number of years go by, for chronic inflammation to take its toll on the tissue quality of the fascia. The fascia can become thickened and stiffened. MRI and/or sonography (preferably) can tell you more about that. ESWT which is described in the book provides a way to improve tissue quality.
Ed

Re: orthotic woes

Mar on 4/19/05 at 07:11 (173397)

Nor does ESWT get every PF patient painfree :-( Mar

Re: orthotic woes

Cathy C on 4/19/05 at 22:49 (173439)

Ed,
The idea of the fascia becoming thicker and stiffer makes sense - do you know what the effects of ESWT would be compared to LED therapy (as described in the products message board?) I have recently ordered one and have hopes for some relief. Also, would my GP be the one to talk to about an MRI? Thanks for your input.
Cathy
PS. To Liboralis - I live in Alberta, Canada

Re: orthotic woes

Ed Davis. DPM on 4/21/05 at 10:12 (173492)

Cathy:
I would talk to someone like a Dr. Z who has a lot of experience in the area as a GP would not be likley to have a great deal of knowledge of the subject (even a lot of specialists are new to this area).
Ed

Re: Note to Dr. Z

Ed Davis. DPM on 4/21/05 at 10:14 (173493)

Dr. Z:
This question demonstrates the need for an American Shockwave Assn. where we have lists of knowlegeable members with resources....
Ed

Re: Note to Dr. Z

Dr. Zuckerman on 4/21/05 at 10:57 (173497)

I agree. I will being talk to people next month in Vienna.