I was wondering if anyone out there who is healed , if not cured, has a problem with the entire heel area being very hard and tender. Also, every step that I take results in a sharp, almost burning sensation
around the edge of my heel. The faster I walk, or the harder I put my heel down, the worse it gets.
It seems that every week there is a new and equally annoying symptom that crops up. Hopefully there is an end to this in the near future. Somedays I'm ready to give up hope on anything close to a normal life again.
Good Luck to all you fellow sufferers
!
Message # 24
I have had a really difficult time with the healing process. After 4 months I still have an incredible amount of pain at the surgery site and frequent sharp pain all over the heel when I walk.
Could inserting the scope more than once cause extra tissue damage or am I just really slow in healing?
The surgeon seemed to think I should have no pain after a couple of weeks but my family doctor had a look at it and said there is still a fair amount of swelling in the heel and that it could take up to a year to heal. Why is there such a difference of opinion within the medical profession or is it that surgeons won't admit anything less than a perfect result?? HELP
Message # 111
Have you tried any PT or any swimming? Those might help, but get surgeons ok first. In PT, they can use ionophoresis to put cortisone into the insertion sites, and that might help. If you are interested, ask you Dr. to refer to PT. Good luck.
Message # 112
I have had very little pain; the incision sites are tender, and I am using crutches for now. In a few days, I will be able to walk with the boot he gave me and without the crutches. I am already doing stretches 5 times a day, to keep the fascia from tightening up while healing.
\In 8 weeks, if this foot continues to feel good, I will get the left foot done. Again, I'll go to Dr. Barrett. Houston is a nice place, the people are very friendly, and the surgical center was great.
Message # 391
I'm not trying to scare anyone. This can be avoided. Your doctor can advise you better than I, of course. I'm just telling you what I have seen. Please use a little prevention and stay happy with your feet.
Message # 496
Your dr sounds like the devil! You poor thing. Of course, you should not go back to him. Some drs. want to hear only praise and congratulations for their work; they can't take it if the outcome is not perfect. Thankfully, my dr. has been very good and patient. He's in Houston and I'm in the Seattle area, but we talk by phone every week, and he's very good about getting back to me, and he takes me seriously. I wish you could get to Houston to see him. Not to say he has the magic cure, but he has really "stuck" with me thru all of this. And, he's never been condescending. Are you near Houston, or can you travel there? His name is Stephen Barrett, he has a web page at www.footspecialist.com. He is an expert in the EPF. So, he's probably seen every thing that can go wrong, and his ego is not injured if you don't follow the correct pattern of healing.
I am wishing you better luck. It made me feel better to hear that someone else is healing slowly, its not just me. Dr. Barrett still feels that I will be ok in the end, its just slower for some of us than others. I say don't try to do too much on that foot - Dr. Barrett has told me to go slow, and listen to the foot, and if it needs rest, ice, whatever, do it.
Message # 502
Surgery wasn't that bad but the recovery has been hell
! I have followed all of his instructions to the letter and after almost four months, I'm in more pain than ever. MOst of it is directly in the area where the surgery was performed . I've done ultrasound and taping and inflammatories with little in the way of improvement.
My doctor wants to wash his hands of the whole thing and insists that the pain is all in my mind. He says that the more I use the foot, the better it will heal. At this point, I don't know whether to take his advice or not.Somedays I'm beside myself with both pain and confusion.
Has anyone had a similar experience with slow healing and can you give me some hope for the future?
I really wish doctors would be a little more honest wih you instead of painting such a rosy picture in order to hook you into such procedures. I guess we should ask more questions first. Perhaps the most important one should be if they would have the same operation themselves if they had the same condition. I'll bet the honest answer would be ....NO. If he had told me honestly what to expect on this never ending road to recovery at least I would know what to expect and wouldn't be so confused and frustated .
Has anyone got a few words of encouragment? Thanks!
Message # 579
At this point I would be happy to just return to the amount of pain that I had prior to the surgery. I know that this sounds very pessimistic but I'm sure that a lot of people that have gone through the surgery and now have complications from it are thinking the same way.
After reading many of the posts on this site, I'm grateful that I managed to get through this without any of the other serious results that can happen.i.e.nerve entrapment etc.
I think that most of us would agree that this is a problem that lasts a LONG time and therefore could be Classified as a chronic pain situation and eventually will have to be treated as such.
As a result of my experience with surgery, I will never consider having it done to my other foot and am now taking charge of my own pain . An excellent book that others may want to consider is "Mastering Pain: A Twelve-step Program for Coping with Chronic Pain" by Dr. Richard A Sternbach.
Good luck to all!
Message # 616
The sample of patients we are looking for is very limited and only involves those who have already had an EPF.
DR. LUNDEEN
Message # 617
If you have had EPF, how sore were you after surgery? How long was it until you were able to walk around pretty much as much as you wanted? The podiatrist said that it takes 2-4 weeks to recover. Is that about right?
Thank you for sharing your experiences!
Message # 815
I started out with a commitment to myself that I would wear them full time for 3 mths and if that did not get me to a point where I felt much better I was going for surgery... I was almost pain free in August of last year after starting to wear them in May. I then started glucosamine and calcium/magnesium supplements which I also heard about on this site and got rid of the last little pain. I think you could achieve this too, if you haven't yet tried the birks??
I felt mysel identifying with your pain, and the main reason I responded to your post was that you seem to have some questions regarding this surgery (concerns about pain after surgery,etc.). Many people have posted in the past year to this PF site regarding this endoscopic surgery and also traditional surgery. You should read every single post (in the surgery message area) and all the past and present posts you can access on this site. People have some real scary experiences and I have yet to read where someone is pain free after surgery - some are a lot worse.... and 2-4 weeks of pain would seem very short compared to some who tell of years of pain following surgery. Again, it is strictly your feet and your decision but when you asked if anyone has had EPF surgery, it seemed possible you haven't read all these past posts yet - and it is such a big irreversable step.
Good luck to you whatever you finally decide and if you'd like more info on the birks just e-mail me direct. Diane R.
Message # 818
I read nearly all the previous posts about EPF. I found quite a few success stories. It sounds like I stand a decent chance of being fully functional by the time school starts in August if I rest during the weeks after surgery. I had very little pain after my ankle surgery last fall (until I started to try to walk on it), so I wanted to know if that is what I can expect with this surgery.
Message # 823
I think you did the right thing by not getting the cortisone from the surgeon. I would recommend that you get a second opinion as to what's going on with your foot before doing anything else invasive.
I have tarsal tunnel, so did just have a cortisone injection into the area where the nerves are entrapped. The dr. spent around 45 minutes numbing my foot first, and I felt no pain with the shot. This is in sharp contrast to the other 4 cortisone injections I've had prior to the surgery (they were into the fascia area, not the nerves). Those drs. just sprayed the numbing agent, and stuck the needle in . I would hereafter insist that the dr. who's giving me a shot take the time and effort to numb the foot first.
As for whether the cortisone will help, you probably had several shots prior to surgery, so know if you react well to them. The 4 I had in each foot prior to surgery didn't help at all. I am hoping that the most recent one will, but have no great expectations.
If you are in the Houston area, I recommend my dr. He is an expert in the EPF (invented the instruments and pioneered the procedure). If you are interested, e-mail me and I'll give you his info. Best of luck
Message # 853
I had a walking cast for reasons other than PF. I broke my fibula (outer bone of ankle) in '92 and had surgery last September to repair ligaments that went undiagnosed when I broke my ankle. I was in the walking cast for four weeks the first time and three weeks after my surgery. I had so much difficulty walking after both times I was in the walking cast that I would not consider it for PF. The physical therapy after the walking cast was incredibly painful.
I did not try orthotics. In a pamphlet about PF that my podiatrist gave me, it said that orthotics are only tried if taping works. Pictures of taped feet are shown on this website. The taping was tried twice and failed both times.
Do not have any more cortisone shots. My podiatrist told me three in six months are the absolute limit. I had three cortisone shots. My last was two weeks ago and did nothing for the pain.
Since none of these things have worked, I'm scheduled for epf on July 6. My podiatrist told me that I have a 90% chance of that getting rid of my PF. I hope to be part of that 90% who he says have success with this procedure!
I hope your orthotics bring you relief!
Message # 912
I just had the epf surgery last Monday, 7/6. They put me to sleep, and I don't remember anything until I somehow found myself fully dressed in the waiting room of the outpatient surgery center where I had the operation. I saw the doctor/podiatrist/surgeon today, and I'm partially weight-bearing, still using crutches and putting just a little weight on the foot that got the surgery. I was completely non-weight bearing for a week. I've had quite a bit of post op pain, but the doctor has been good about prescribing pain medication. I have one stitch on each side of my heel and just a little bruising in the heel. I get the stitches out next Monday. Time will tell whether this surgery was worth it.
If you have any more questions, please e-mail me. I'm still pretty laid up with my foot, so I have time to answer you and give support. Fortunately I'm a teacher, so I don't have to deal with work right now. Best of luck with your surgery!
Melissa
Message # 981
I had the epf surgery last Monday, 7/6. I had the surgery so that hopefully my PF won't interfere with my teaching this year like it did last year. I had exhausted all the other options anyway, like taping (tried it twice), PT, three cortisone shots, ice, etc. Relafen did not work for me, and on top of it, it cost me almost $40 because my insurance refused to cover it, since it was not on their formulary. However, just because something does not work does not mean that you shouldn't try it. Everybody reacts different to medication, and my system is particularly resistant to the effects of most oral medications. It could work for you. As for being on your feet right away, I have not found that to be true at all. I was non-weight bearing until I saw my doctor this morning. I am now partially weight bearing, meaning that I have to use my crutches to keep most of the weight off the foot that had the surgery. I am 70 pounds overweight and am clumsy on crutches, so I used a wheelchair while I was non-weightbearing. Being able to use the ball of the bad foot a little to maintain my balance has helped me use the crutches starting today. My heel is quite tender and too sore to put weight on yet. I'm using the front part of my foot. I'll still have to use the wheelchair in stores or where there are distances to go.
If you have any questions or just want to talk, please feel free to e-mail me. I hope you get some relief before we go back to work!
Message # 999
Message # 1004
I had the epf 6 months ago, and various parts of my foot still hurt, too; but, I have a nerve entrapment problem also, so I blame all my pain on that. I hope you can find a dr. to help you. (I have been told that cortisone injections are used for lateral column pain).
Message # 1020
I just thought I would share a positive EPF experience with everybody. My surgery was 7/6, last Monday. I was non-weightbearing until I saw the podiatrist this Monday, 7/13. I'm supposed to be partially weightbearing now, except that my foot has progressed so well that I'm not using the crutches anymore. I no longer have pain in the spot that bothered me the most with PF. My soreness is more toward the very back of my heel rather than near the top of the arch. Even that's not too bad. I get the stitches out this Monday, 7/20. I think the soreness will go away quickly once those come out. I'm being very careful not to overdo my activities, so I'm keeping away from the hazards of swimming and mall walking. I think with adequate rest my foot will be ready for teacher pre-planning which starts August 4. I'm starting to be glad I had this surgery. I can't believe how good my foot feels less than two weeks after surgery.
I know this is not the right option for everyone, and it is a last resort. I wrote this for the benefit of those who might be having this surgery. Some of you were very kind and encouraging when I decided to have EPF, and I thank you for that. Anyone who has any questions or wants more details can feel free to e-mail me.
Melissa
Message # 1058
Sorry to hear that you are suffering so much. You are more patient than I have been. There's no way I would have been able to put up with this for a year.
I had epf on July 6. So far, I'm recovering just fine. Everyone around me is amazed that I can get around this well only three weeks after surgery. My suggestion would be that you at least visit another doctor to see what he or she has to say about surgery. I'm also wondering if your current podiatrist is a surgeon, because not all podiatrists are surgeons. If your podiatrist is not a surgeon, that might help explain why he or she is so hesitant to recommend surgery.
Best of luck! If you have any other questions or just need to vent, feel free to e-mail me.
Melissa
Message # 1093
Debra gave you some good suggestions. Try those first. If those don't work, your doctor could try cortisone shots. Don't allow your doctor to give you any more than three within six months time. Cortisone did cure my mother of her PF, but it did not help me. I had to have epf.
Another idea that has helped some people is a night splint. Your doctor may be able to prescribe you one to wear in your sleep.
Feel free to e-mail, and best of luck!
Melissa
Message # 1094
For insurance reasons, podiatrists are much easier. Florida law allows you to see one without a referral. The whole city of Orlando has only one orthopedic doctor specializing in feet and ankles, and it's almost impossible to get an appointment in a reasonable amount of time. I would have had to get a referral and then wait six weeks to see this specialist, so I went to a podiatrist.
As for what Kathy said about surgery, I disagree. I think you can have a good surgery experience no matter what kind of doctor does the surgery, as long as it's an orthopedic doctor or a D.P.M. When I had my epf, I had the podiatrist and anesthesiologist (an M.D.) in the operating room. I felt safe and felt that if any complications came up, I would be in good hands. My surgery went very smoothly.
As long as you have a doctor you trust, I think it really doesn't matter what kind of doctor you go to.
To find out more about the kind of training podiatrists receive, go to the following web site:
www.apma.org/podiat.html
Good luck no matter what kind of doctor you choose!
Melissa
Message # 1105
EPF is a last resort. I'm just posting this success story in case anyone has reached this last resort and is facing this surgery. I would still encourage everyone to exhaust every option listed on this website before considering EPF.
If anyone is going to have this surgery or is considering it, please feel free to e-mail me.
Melissa
Message # 1154
Thanks for yor advise along the way.
Message # 1155
EPF is endoscopic plantar fasciotomy. It's a surgery of last resort for people with PF. It involves one tiny incisions on each side of the heel.
If you have any other questions, please feel free to e-mail me.
Melissa
Message # 1188
I only had (past tense now!) PF in my left foot, so that's the foot that got epf.
Melissa
Message # 1198
If you are in Florida, I recommend David Moats, D.P.M. with Orlando Foot and Ankle Clinic. He's worth traveling out of your way for. His personality is very much like Cindy's description of Dr. Barrett. Dr. Moats believes what you say and only does epf as a last resort.
Feel free to e-mail me with any questions you have. I had EPF exactly four weeks ago today. I walked about eight blocks today in 1 1/2" heels totally pain free.
Good luck!
Melissa
Message # 1211
Whatever you do, do not have any more than three shots in six months time, because more than that can damage the fat pad on the bottom of your heel.
My mother was cured of PF in both her feet by having cortisone shots. I had three, and the first worked five days. The last two did not give me any relief, so I had epf.
Good luck!
Melissa
Message # 1262
I don't know what I should do. Reading this bulletin board and this
web page have made me more indecisive.
Hope someone can give me some insight.
Message # 1268
I agree with Ginny. It is way too soon to consider surgery. epf is a last resort. Some of your options are stretching exercises for at least a month, ice, night splint (takes a few weeks to know if that works) more cortisone (up to two more shots), strapping, physical therapy, supportive shoes, anti-inflammatory medication, corticosteroid medication, and orthotics. Cortisone shots should only be done if all the other things I listed don't work.
I'm concerned that your doctor would recommend surgery when you were only diagnosed last Monday. Perhaps you should try to find a more conservative doctor. Statistically, only 10% of PF sufferers require EPF. That means the options I listed above work for 90% of the people.
I can understand that you are confused about this board. This board has a wealth of information and opinions. Read the information keeping in mind that what works for one person may not work for another. No treatment is 100% effective, including EPF (85-95% success rate). Don't put too much weight on any one opinion. After I exhausted all the conservative options above, I mentioned on the board that I was scheduled for EPF. Some people vehemently argued against my having the surgery, and others supported my decision. Ultimately you have to decide and do what is right for you.
Feel free to e-mail me. I hope everything works out for you, and that whatever conservative options you try relieve your pain.
Melissa
Message # 1282
Only my roommate had pain in his feet for about two years. He had a job where he had to stand all day, so the pain interferred with work, home, etc.
He underwent epf on both feet. The results were disastrous. He is disabled as a result and it is pitiful to see a 30 year old young man's life so shaken from the epf's.
Together we are researching complications and consequences of the endoscopic plantar fasciotomy. We have gathered much literature in this regard in an effort to compose a web-site for educational purposes only.
Many familiar with the internet know of the vast resources of information about foot pain, heel pain, etc. The BEST decision a person can make is an INFORMED decision. And that means knowing the pro's and cons of any treatment.
We've searched the net with many subjects and keywords yet find very little information about the problems patients have experienced with epf. However we were successful in retrieving many articles in the various journals.
I do not believe that any comprehensive study has been undertaken to explore or compile complications or consequences to epf. I think that some patients that have adverse experiences quietly seek another physician's help. Even if they stay with the doctor that performed epf there is not one national register for "epf complications".
Besides, what doctor wants to report a "failure?"
This is posted as a request for any personal experience, feedback or suggestions. We will be launching the web-site but would benefit from the advice of others.
There are multiple, multiple conservative approaches. Combinations of the conservative approaches.
EPF has disabled a friend of mine. The few retro-spective analyses are eye-opening and we're hoping to be able to gather honest feedback from people that have had epf or know someone who has.
And keep an open mind. I am confident that you'll be alarmed.
Message # 1471
Before you have the second, at least review any conservative approaches. Even if you have to have your foot cast for six weeks or take time from work, etc. it might prevent the second surgery.
The spur is just a consequence of the plantar fasciitis. It's presence with the pain are not justification enough for the second surgery.
There will always be "overcompensation". Just think how bad it could be while you recover from surgery. Then you'll be placing more weight on left (while right heals). Then left will hurt. You'll shift to right and potentially interfere with healing.
These are my opinions, only. It's great to hear of your success. There are some studies that indicate up to 8% complications with epf. And some of these are severe.
You're obviously well-informed becaue this web-site is filled with information. Take advantage of this web-site and forum to ask others about the second surgery.
My friend's experience has been traumatic. After researching it seems as if the conservative approaches are unlimited, especially if certain approaches are used in combination.
Even stretching exercises are worth another try. One orthopedic physician has his patient demonstrate their entire stretching ritual just to make certain they don't leave office and stretch incorrectly and exacerbate problem.
Again these are only my sentiments on subject. My position is that after research I've learned of several complications to epf. These were not easy to locate. As a patient, I would want to know all of these before any procedure. If they are not so easily accessed, how can a patient make a thoughtful decision?
Read some of the posts from post-op surgery and ask others their opinion. One comment says that the posts aren't fair representation because those with good results have no need to write. Even if that is the case, I think I'd rather know any potential problems.
Good luck with whatever you decide!
Message # 1524
I had epf on both feet a couple of years ago. A year or so apart. I am still having pain in both feet, the right more so than the left. I am learning to wear birkenstocks and dansko for relief. I went back to my doc and he said I should not have any pain at all. I said that I always have had pain. I take that back the month of May was very nice because I walked pain free. (I have no idea what I have done different) Anyway, the doc said that I probably have tarsal tunnel syndrome. I have been researching that and I don't exhibit any symptons of that. Though I do have soreness and some swelling along the side of my ankle. Any ideas out there? Any help for relief?
Help
Laura
Message # 1530
Merle and Bonnie, you have my full empathy on being in the walking cast. Those things always seem to itch where you can't reach at 1 a.m.! I hope that works for you, and I hope my boot works so I don't have to join you!
Melissa
Message # 1659
In the mean time, is there anybody who has had the EPF who can give me suggestions for what has worked after the surgery and after that first few weeks of recovery? I'm in a cast boot right now, and will be in that for at least the next two weeks. That helps decrease my pain at work and move around my classroom easier. However, the weekend comes, and I end up being laid up with intense stabs of pain shooting up and down the inside of my arch. Even Demerol has failed to kill the pain. I would like to do something besides work and sit in front of the television.
Thank you in advance for any ideas you have!
Melissa
Message # 1705
I was diagnosed with Plantar fasciitis and about two years ago underwent endoscopic plantar fasciotomy (EPF).
After the procedures, my pain worsened exponentially.
I am intimately familiar with the emotional devestation of a physical disability and the "baggage" that comes with the disability.
Prior to EPF's I worked in medical industry. I was 30 and financially very well off. I had a great job, and had worked in my profession for 9 years. I had just bought a beautiful new home.
That was almost two years ago. The pain in my feet was crippling. I searched the internet for information about PF and EPF. There was little to be found and I felt all alone.
I was unable to work. Unable to perform most daily duties around house. I had to liquidate everything I owned and was planning on moving in with my mother or finding an assisted living apartment.
Why am I writing? A few months back I came accross a group of lawyers, FOOTLAW. I communicated with them. They were highly professional and kind.
They are representing me in a medical mal-practice suit as well as with disability benefits from my insurance carrier.
Regardless of the out-come of any lawsuit or insurance company, they have been instrumental in my finally (after two years) finding relief which is PRICELESS.
I wish I had known of them sooner, and am hoping that my sharing this might benefit someone else. I am not affiliated in any way with them, other than as a client.
The lady that wrote of her success in social security without a lawyer is fortunate. Each case is different, and your physician plays a vital role in determination of benefits.
Depending on your situation you might not have the resources or physical capacity to "fight" a large insurance company.
There are many studies of complications to surgeries in the feet. I had a hard time finding any on EPF, but I have and they can be quite serious.
There were multiple instances where the Footlaw group brought things to my attention that I had not thought to look in to. I personally found having a "third party" reviewing my records and looking out for my best interests to be advantageous.
Request copies of your personal medical records. Review them. Are they an accurate representation of your medical history? Did or does your doctor's notes indicate his/her complete understanding of your situation? You might be surprised. You might be disgusted.
You doctor should not have any problem releasing a copy of your records to you. This pain is effecting your life. It is to your benefit to learn how to be involved in finding the best treatment available.
Is your condition a consequence of a surgery that should not have been performed? Should you have been referred to another physician? If you have had pain for this long and the doctor is not able to help shouldn't he/she be involved with helping you find a doctor best suited to address your condition?
How would you feel if your doctor considered you a "hypochondriac?"
Over two years I have searched in desperation for answers. There was something very wrong with my feet. I watched my world crumble around me. And I was no better.
Guess what...there are many other causes of pain in the feet, other than plantar fasciitis
! My original podiatrist continuously assured me that the foot was "quite simple". He was confident in my diagnosis.
Over time I learned about many approaches that should have been considered before surgery. I trusted my doctor--he was "high-tech".
I asked for EMG, MRI. Not necessary, he said. He was confident.
Anyway--I've left my email address so if anyone has a specific question feel free to write. This is my two-cents worth.
The Footlaw group has been of tremendous personal benefit.
I hope you all the best in your pursuit of relief and answers.
John
Message # 1942
It has been a while since I posted, and I
want to see if anyone has had this new
procedure my new podiatrist is thinking I will
have to have next summer.
I was pain free from the fourth through
sixth week after my epf in July. After I
had been back to work two weeks (teacher),
the pain came back worse than ever. I had
one more cortisone shot, and I've been in a
cast boot (metal bars down the sides and
attaches with velcro) since the first week
of September. That has enabled me to work,
but it has done nothing for the sharp,
shooting pain I get later in the day and at
night. I wear the boot to bed so that I have
less pain at night. Now I'm having ankle pain
because of being in the boot so long. I'm now
going through two weeks of physical therapy.
For two months, I've been trying to get my podiatrist
(the one who did the EPF) to tell me what's wrong with
my foot, since the pain is much worse than before the
surgery. He has refused to tell me, and gets angry when
I ask. I finally went to a podiatrist yesterday who was
highly recommended by a colleague of mine. He determined
that my podiatrist who did the EPF trapped a nerve on the
bottom of my foot. No wonder my podiatrist was so reluctant
to tell me! I'm partially flat footed, and that greatly
narrowed the margin of error in doing the EPF. Now scar
tissue from the surgery, plus PF, plus walking all day is
pinching the nerve (Somehow it's called pinched nerve in
your back and nerve entrapment in your foot.). Anyway, the
recommendation is orthotics (already ordered by doc who did
the EPF), physical therapy, and a rather extensive surgery
next summer after school gets out.
This new surgery involves general anesthesia, and a three
to four inch incision shaped like an 'L' on the bottom of
the foot. It is done in the arch as opposed to the heel.
This podiatrist I saw yesterday said that it would relieve
the nerve entrapment and the EPF. It enables the surgeon
to see much clearer the structures and nerves inside the
foot. It also minimizes scar formation.This doctor
doesn't do the procedure and says that it's new. Anyone
ever heard of anything like this?
Thanks!
Previous
From:
Diane R. (DIANE5)
Posted:
10/28/98 10:12 PM
Melissa,
So sorry to hear the surgery was so unsuccessful for you - I have come to feel that is
the case for most people, actually, after reading so much on these heel spur sites. I
have yet to see anyone who is a year past surgery come on and say they had such and
such done, by so and so, and are now pain free. Instead most people appear to be in
more pain and are more disabled than with the orginal PF problem.
Also, I don't know anything about the new surgery you are contemplating but do have a
friend who (several years ago) got the full PF release type surgery (before endoscopy
was around) and it resulted in more pain, scar tissue etc. etc. She has had two later
surgeries to try and relieve this but nothing has worked. She told me not to get started
with surgeries and I believe her.
Now that you have had one surgery, I feel unqualified to really give any advice as to
what might help the pain - as I haven't had any experience with nerve entrapment/scar
tissue etc. What works for me may not work with these added nerve/scar tissue
problems. Have you tried birks? How about glucosamine with sulfate?? These work
well for PF and they help me but... maybe someone out there can tell you if it has
helped them with post surgery pain like you are having?? Or is there somethingelse that
works for them??
Another friend has had so many back surgeries (5 or 6) - each one being the one that
was to fix what the others had failed to do or to correct problems caused by previous
surgeries. His back is such a mess they can't do the anything more for him. He is on
morphine constantly and it does not help anymore. He went to see about that new nerve
implant device that they show on tv where it blocks the pain impluses to the brain etc.
They tried the procedure but his nerves are so misplaced/re-routed from his previous
surgeries that the electrodes generated impluses/spasms into the chest area and caused
potential heart problems - so they had to quit right in the middle of the procedure and tell
him he would not be a successful candidate for this pain relief method. They said if he
hadn't had so many surgeries they probably could have helped him. The only resort left
to him is some sort of permanent morphone drip that goes right into this spinal area.
I'm not trying to discourage you with all this info, but rather to warn you to be really
careful about who you let do what to your body. You have to live with the
consequences and then they (the dr.'s - like the one who is mad at you now) just get
angry and defensive when you aren't cured or complain of pain that doesn't go away.
They take it as a criticism of their "God-like image of themselves"...and they sure do not
like that... but then they are not living with the pain the way you are.
So, please just do alot of checking... I would want to talk to some people who had
whatever procedure you may decide on, done by the same doctor and who he says are
cured by him, etc. If he doesn't have cured people he can let you talk to then what does
that say about his success rate??
You sure have some tough decisions to make - I'll keep you in my thoughts and prayers
that if you do go in for another surgery it works to help you this time.
From:
Bead (BEAD)
3 of 6
Posted:
10/28/98 11:16 PM
I think Diane gave you very good advice. The only thing I
would want to add is to be careful of podiatrists, their
training is much less that orthopedic people. I ccertainly
would try accupunture before any more surgury. Good Luck ,
From:
Beckyluvs2travel@juno.com (BECKYB1)
10/28/98 11:37 PM
Please really reconsider when thinking of seeing as Podiatrist or getting the EPF. Both
failed for me.
I think for those of us who have tried everything (and no I haven't done accupuncute or
taped yet), hopefully the Ossatron will be the answer.
By the way for those of you who are wondering. I am still huring from the blind study I
got. I don't think I got the real thing. Am taking a lot of ibu as usual.
From:
gcul (GCUL)
So sorry to hear of your surgery outcome. I don't know anything about the type of
surgery now recommended. But in my experience, podiatrists are much more likely to
want to do surgery than orthopedic surgeons. I would suggest you get a few second
opinions with one being from an orthopedic surgeon, especially one who specializes in
foot and ankle. I know they are difficult to get appointments with, but usually you can
can get in more quickly if you specifically say you need a second surgical opinion. Hope
things work out for you.
Gina
Reply
Forward
Delete
Top of Page
Message 555
Previous
From:
Cindy (BADFEET)
To:
MelissaZ (MELISSAZ) UNREAD
6 of 6
Posted:
11/3/98 4:53 PM
Reply to:
495
Oh, Melissa, I knew it must be you when I read the heading about the failed EPF. I had
hoped that you were doing better by now. This is cindy near Seattle, I had the EPF last
January by Dr. Barrett in Houston. I am still having just a terrible time with both feet. I,
and the drs., think the EPF worked to get rid of the PF, but now I have trapped nerves
in both feet. At first, they thought it was Tarsal tunnel, which is a trapped nerve under
the round ankle bone area. But 3 nerve conduction studies don't prove it, altho. the drs.
say those aren't a 100% perfect test. So, now I have seen 2 very good orthopedic
surgeons, one in North Carolina, recommended by Peggy Whitesides, our friend on this
board, and one in Seattle recommended by the Dr. in North Carolina. These drs. are
both ankle and foot specialists, and I really liked the dr. in North Carolina; the guy in
Seattle was pretty abrupt and forward. Anyway, they both agree that I have a trapped
nerve (the posterior tibial nerve), but its not trapped in the tarsal tunnel (which is a
specific space near the ankle bone), but below that, in muscle and fascia. The bad news
is that neither of them thinks the surgery will be very successful. The dr. in North
Carolina was more optimistic, saying 70% of the people operated on get 70% relief.
But, the dr. in Seattle was less enthused, and told me point blank that he would follow
me for 4 weeks post-op and then didn't want to be stuck with me as a chronic pain
patient! So, that tells you a lot what he thinks about the possible success of the surgery.
I don't know anything about the "new" surgery your dr. described, but it must be similar
to what I would have. I would have the L shaped incision, and then the dr. would try to
pull the muscle back from the nerve, and then we pray. There is a good risk of scar
tissue, which will squeeze the nerve more. So, I have decided to try everything else I
can before I would try this surgery. I forgot to say, I also saw a group of 10 podiatrists
at a "grand rounds" prsentattion of my case by my podiatrist. All 10 podiatrists also think
I have a trapped nerve, and that surgery won't be very helpful. Nobody had any ideas
of what else to do (I've done a lot already, that's why). The dr. in N. Carolina wrote a
prescription for new shoe inserts, which I got, and they haven't helped at all. $250
again! But, they are more comfy cuz they are a little softer.
I most recently saw a pain specialist in Laredo, TX; he is very nice, very competent,
and has very good credentials. He thought I might have RSD (now called the Complex
Regional Pain Syndrome instead of Reflex sympathetic dystrophy), but said I only have
some of the symptoms, not all of them. Anyway, I went down a second time and he did
a sympathetic nerve block in the hospital; then, he inserted a catheter in my back, and I
went to his office 3 days in a row for injections into the catheter to try to numb the
sympathetic nerves. Well, the upshot is, it didn't work. So, he says that pretty much
rules out that its the small, sympathetic nerves causing my pain, and it is the larger
nerves (posterior tibial). He said I could get an implant that would stimuate the nerve,
and it works on the larger nerves, not just the small ones that the nerve block work on.
He said a dr. in South Carolina is more expert than he is at that, and he would refer me.
But, I decided to hold off on any more procedures for a while. So, he put me on very
strong narcotic meds, which have helped a lot,but I still can't complete a trip to the
grocery store, or walk around the block (I tried to walk for 5 minutes on Sat., after 2.5
minutes, my feet were killing me, and this was with the drugs!). so, I think I will need a
stronger dose, and there are risks with that, of course. He says I can take the drugs for
life if needed and if they help. I don't know if I want to do that, but if I can get more
relief than I have now, I guess I would do it.
So, if you would like any more info. on the drs. I have seen, or ask any questions, please
e-mail me. It sounds like we have a very similar problem. I agree with the others that
you need to see an ortho. that specializes in foot and ankle. Maybe 2 or 3 of them, then
decide. I know how awful this is, believe me. My prayers are with you, and all of us!
Love, Cindy
Message # 2314
From:
LouSue (LOUSUE)
To:
ALL
1 of 8
Posted:
10/25/98 1:23 AM
Reply to:
New Thread
Next
After 2.5 yrs. of pain, I finally got an x-ray done and sure enough my worst fears. I
have one very large spur (doc said it's the biggest he's ever seen) coming off the heel
bone toward the arch of left foot, also one smaller going towards the back of heel on
other side of heel bone and then there's a growth on the ball of my foot he couldn't
identify. Now headed to a specialist. Am sure that surgery will be discussed, ANY
ADVICE APPRECIATED from anyone? I am a 46 yr. old female that stands doing
hair 50 hrs. pr. week, and am overweight by 30 lbs. how much time off work will I
need? Please respond asap, thanks!
Reply
Forward
Delete
Top of Page
Message 447
Previous
From:
Bead (BEAD)
To:
LouSue (LOUSUE)
2 of 8
Posted:
10/25/98 2:33 AM
Reply to:
446
Next
I don't have first hand experience, but be very careful about
surgury. Get more than one opinon and investigate your doctor
ask to talk to other patients and get their experience. Some
go to podiatrist, some orthopedic but be careful of all
doct
Reply
Forward
Delete
Top of Page
Message 462
Previous
From:
Flutopia56@aol.com (DEB56)
To:
LouSue (LOUSUE)
3 of 8
Posted:
10/26/98 11:29 PM
Reply to:
446
Next
Hi. I had the surgery and had what the dr said was a huge heel spur. My other foot
was always my worst foot, and now I consider the foot I had surgery on to be the
worst one. I had no pain after the surgery and was on crutches for 10 weeks. It was
only suppose to be for 6, but my foot wouldn't stop swelling. I have since been told
that the heel spur is not what hurts, it's the tissue around it that hurts. I couldn't even
walk like a normal person, could only walk real slow and my feet hurt all day. I am
now having acupuncture and can walk a mile a day
! My feet aren't completely
better but I would say are 75% better. I would get several opinions if I were you, and
go to an Orthopedic dr. They have studied longer and in my opinion are more
experienced. Cortizone shots are only a temporary relief and not always safe. Of
course I have had success with the acu and recommend every one try it. I hope this
helps. Deebbie
Reply
Forward
Delete
Top of Page
Message 471
Previous
From:
kelus (KELUS)
To:
LouSue (LOUSUE)
4 of 8
Posted:
10/27/98 8:25 PM
Reply to:
446
Next
Lousue,
Hi! I hate to tell ya this, but my Dr. says that the surgery will take from 2-6 months
recovery time.
And if you don't follow all instructions, and stay off of your feet for a certain amount
of time, then it could take up to 9 months, and then he said that some people NEVER
recover.
That is with the old type, larger cut surgery.
The endoscopic surgery is supposed to be a recovery time of about 2 weeks, but it is
documented that it only works on about 50% of the people who do it. Then you have
to turn around and have the "old type" surgery after all.
The thing is that some people never even recover from the surgery. There are many
reasons why...scar tissue is one of them, as I recall.
Of course, this is just what one Dr. said.
This is also why I haven't gotten any surgery yet. I am a single mom of a 2 year old
and there is just no way that I can have surgery on both feet and also chase after a 2
year old, and also be off work long enough to recover and still have a job when I
do
!
Hope this helps!
Kelus
Reply
Forward
Delete
Top of Page
Message 477
Previous
From:
Diane R. (DIANE5)
To:
LouSue (LOUSUE)
5 of 8
Posted:
10/28/98 12:06 AM
Reply to:
446
Next
A good place to check about "heel spur" surgery is the Mayo Clinc Medical book
and they also have published a lengthy Mayo health letter regarding the procedure...
they advise against it as they say the pain is not from the spur but from inflammed
tissue which is causing the spur to form...They mention studies etc. which have been
done as this used to be the treatment of choice before more was known about the
spurs... The spur is the body's reaction/defense to the inflammation -
Also, I know someone who had surgery done to remove just the spurs and got only
worse. I had x-rays and have spurs and both feet and will not have surgery. Birks
have been my salvation and am now pain free most of the time.
Good luck to you - p.s. you should also consider taking glucosamine sulfate three
times a day for 3 mths. I did this and no longer needed any NSAIDs. It really does
help along with good shoes like the birks and good habits - no barefeet etc.
Reply
Forward
Delete
Top of Page
Message 479
Previous
From:
EML729 (EML729)
To:
LouSue (LOUSUE)
6 of 8
Posted:
10/28/98 7:38 AM
Reply to:
446
Next
Hi, I was diagnosed with heel spurs and fas-
citis and after over 1 year had epf surgery
Recovery was uneventfull but long and boring.
I was on crutches and a boot for 6 wks, and
then slowly on my feet after. I did not feel
much improvement for 6 month. The surgery
was not 100% effective, I continue to have
heel pain if I walk to much or fast. I am
much better now, 99% pain free most of the
the time but I attribute this to a change
of lifestyle more than surgery. I now have
a sitting down job instead of on my feet,
that allows me to walk the mall and shop
without pain, I wear birks 80% of the day,
also take glucosomine sulfate 1000 mg a day,
not sure this really help, still stretch 2
times a day. good luck. Eileen
Reply
Forward
Delete
Top of Page
Message 489
Previous
From:
Margie in Atlanta (MARZO)
To:
LouSue (LOUSUE)
7 of 8
Posted:
10/28/98 3:40 PM
Reply to:
446
Next
Dear LouSue,
Please...wait on surgery! I had EPF surgery scheduled for the first of September and
cancelled the day before the blood workup (the week before surgery). I found this
site in August and decided to take the advice of Diane R. about glucosamine sulfate
and Birkenstocks. For the past 60 days I have been taking 1500mg/day and wearing
Arizonas 99.9% of the time. The only time they are off is in the shower and bed. I
even started working last week part-time as a school teaching assistant and spend
most of the time on my feet. While wearing the Birks I can work and then go
shopping, run errands, etc. Sometimes I have a little pain but it seems to go away
easily ;by wearing the Birks. I never thought I would like them but I LOVE them
!
Reply
Forward
Delete
Top of Page
Message 550
Previous
From:
LouSue (LOUSUE)
To:
LouSue (LOUSUE)
8 of 8
Posted:
11/2/98 11:48 PM
Reply to:
446
My sincere thanks to all who replied, I've moved my household since that last posting
and really did myself some harm trying to do too much by myself, so I was slow in
responding. I have also questioned my family members about spurs and have found
out that four great-aunts have had them too. Three said surgery helped and one said
she'd never go to another doctor for advice, so go figure, huh. I know that I must do
something because the move almost did me in. My right hip hurts so much from trying
to carry all the weight that I had to go in for some Propoxy pain pills. But, we all
know that you can't stay doped up forever. My thanks to Kelus, Diane, Eileen,
Marzo, Debbie and Bead for their advice and concern. I will check into the
glucosamine sulfate since that seems to be recommended the most often. I guess I'd
better find the money for some Birks too :) I must now face the inevitable, I can't go
on like this for the rest of my life. As Kelus is the mother of a 2 yr old I am going to
be a grandmother for the first time in Jan 99, so I must be able to keep up with a little
one. I'm sure that I will try surgery and will post my results for all to see. One more
chance for the doctors to practice medicine :)
Thanks to Diane for the Mayo lead.
Thanks to all who post and read this board.
LouSue
Message # 2316
Over the past several months, on the old message board, there were several threads
regarding Birkenstock shoes. Given the price I hesitated on buying a pair and also
because they are pretty ugly for business attire.
I decided to give them a try because of all of the positive comments. I bought a pair
of the Arizonas and then their inserts for dress shoes.
I'm absolutely thrilled with the results so far. I've been wearing them (either the
Arizonas or the inserts) religiously for one month. The morning pain has been reduced
substantially (I no longer hobble/shuffle). During the day I no longer have any pain
when I get up and walk after having sat for a bit.
The old message board said that it took a couple of months for the results to show.
Also, it took a couple of days to break them in. My heel felt wonderful immediately
but my arches were pretty sore starting out. During the first week I wore them 2
hours and then increased an hour a day.
I'm particularly thrilled that I can wear "normal looking" shoes with the inserts. They
are pricey (about $45-50) but well worth the cost.
Hope this message gives hope to someone else because I sure needed it awhile back.
Reply
Forward
Delete
Top of Page
Message 107
Previous
From:
Bead (BEAD)
To:
PMatthews1 (PMATTHEWS1)
2 of 13
Posted:
10/1/98 10:00 PM
Reply to:
104
Next
Just heard on QVC- a woman with plantar fasciitis called in
and talked about the great sucess she has had with
Birkenstocks. It would be a good idea to check with them as
they sell them periodically at much reduced prices. Good Luck
all.
Reply
Forward
Delete
Top of Page
Message 112
Previous
From:
Kathy DG (KATHYDG)
To:
ALL
3 of 13
Posted:
10/2/98 1:41 PM
Reply to:
107
Next
I watched the QVC show and bought my first pair of Birks from them. I am so
excited to get them! And when the woman called about her fasciitis, I yelled to my
husband to come watch, too! I bought a clog-style. I am getting custom orthotics
made to put in most of my shoes, but it would be nice to slip something on when I get
home, and not have to wear closed shoes all of the time. Besides, clogs are kind of
funky and fashiobale these days. I am not quite ready for sensible shoes all of the time
yet!
Kathy
Reply
Forward
Delete
Top of Page
Message 143
Previous
From:
beej2 (BEEJ2)
To:
ALL
4 of 13
Posted:
10/5/98 12:34 PM
Reply to:
112
Next
You know, I am sort of at a loss regarding the Birkenstocks. I have a high arch and
have tried on many models. It seems to me that my foot must be shaped wrong for
them. My toes are squared off and therefore run into the raised end at the toe. If I get
the larger size the arch support doesn't hit right. Also, I have been told by my
podiatrist that shoes with a one inch rise in the heel are best. So I went out and
bought a pair of Mephisto slip on sandals for home wear. They fit perfectly and have
excellent arch support. I can't say they have reduced the pain but they haven't hurt
either.
I stopped my acupuncture treatments last week because I had 11 treatments with no
success other than making the pain more bearable, and I actually feel worse. I went to
my regular m.d. and he prescribed some heavy duty anti-inflammatory for the next 10
days and stretching exercises which I should do for 5 minutes three times a day. He
apparently had pf and found this worked for him. I have been doing the stretching but
apparently not enough! I also got the name of an orthopedist in Berkeley but can't get
in to see him until November! If the anti-inflammatory and stretching don't work I am
going back to the acupuncturist to at least make the pain more bearable... I am so
depressed about this.
As an aside, I don't mind this board--there are pros and cons to both the old message
board and this site. I vote for keeping this site and also thank Scott again for his
caring and support.
Reply
Forward
Delete
Top of Page
Message 145
Previous
From:
Barbannj (BARBANNJ)
To:
beej2 (BEEJ2)
5 of 13
Posted:
10/5/98 6:56 PM
Reply to:
143
Next
I too had to get a larger size Birk. I also got the one with the narrow foot bed. I
ordinarily wear a medium but this worked. I felt at the store that the arch was in the
wrong place but I was so desperate that I got them anyway. I tried really slowly to
begin wearing them, really slowly. Just in the house or out to the mail box, I used them
like slippers and gradually my symptoms began to subside. Read the message under
Best Shoe for Standing and you will find a detailed message that is very good for
symptom reduction. Not leaning back in the recliner in those Birks will help you feel
better more quickly. Good luck.
Reply
Forward
Delete
Top of Page
Message 150
Previous
From:
Margie in Atlanta (MARZO)
To:
Barbannj (BARBANNJ)
6 of 13
Posted:
10/6/98 10:30 AM
Reply to:
145
Next
I also love my Birks. I bought Arizonas about 5 weeks ago and "live" in them. I only
take them off to sleep or shower. At first I wore them too long and my feet and legs
got really sore. I thought I would hate them...but now I don't want to wear anything
else
Even when my feet get a little sore it doesn't bother me to walk in them. I used
to think a little heel was necessary for relief but I think that just masks the pain. I think
the Birks keep the pf stretched which helps healing. I also rarely ice my foot anymore
and stretch very, very little. I think I used to overstretch which only aggravated the
problem. My 17 year old son, who "thinks" he is a hippie has been wearing Arizonas
for 2 years and loves them. He has the highest arch I've ever seen so maybe wearing
Birks will help him avoid getting pf...I hope. After wearing this pair for 2 more
months, I plan to buy some other styles and also the footbed inserts. I almost had
epf surgery in early September. Thank God I didn't. With the Birks, night splint,
Voltaren anti-inflamatory, glucosamine
sulfate, and calcium, I feel so much better than one month ago. I really finally feel that
there is hope to get this damn thing under control. Good luck to the rest of you and
thanks for all the great advice
Reply
Forward
Delete
Top of Page
Message 151
Previous
From:
Lisa (LECHAKAN)
To:
Margie in Atlanta (MARZO)
7 of 13
Posted:
10/6/98 11:17 AM
Reply to:
150
Next
MARGIE! So good to see you online. I owe you a message and will get cracking on
it soon. Glad to hear that the combo therapy seems to be working. I am exploring
getting myself a pair of Birkenstock boots - the tacoma or the pasadena. Will let you
know if they feel as good as the arizona. I can tell you for sure that the ontario was
nothing like a birk shoe. Get the birk inserts, though. Great thing is that you can wear
them with most good regular shoes. Warm regards.
Lisa
Reply
Forward
Delete
Top of Page
Message 152
Previous
From:
beej2 (BEEJ2)
To:
Barbannj (BARBANNJ)
8 of 13
Posted:
10/6/98 12:28 PM
Reply to:
145
Next
Thanks, Margie and Barbannj:
I have another question. Don't your feet feel unsupported by the birkenstockss (I
assume you mean sandals when you talk about Arizonas--is that right?)? After
wearing closed lace up type shoes for so long (the only kind that orthotics fit in), my
feet feel unsupported in sandals. I am considering not wearing the orthotics anymore
since they certainly have not been a cure and I don't even think they have helped in
any way at all... You do make a convincing argument for giving birkenstocks a serious
try--thanks so much for the input. If I do purchase a pair, how long would I wear
them each day? Would it be like orthotics--an hour the first day, increasing an hour
per day? Or would you suggest something less structured? Thanks, again.
Reply
Forward
Delete
Top of Page
Message 157
Previous
From:
Margie in Atlanta (MARZO)
To:
beej2 (BEEJ2)
9 of 13
Posted:
10/6/98 8:04 PM
Reply to:
152
Next
Be certain that you go to a good store to buy your Birks. We have a chain of stores in
Atlanta called Abbadabba. The sales people are very knowledgeable because they
only sell shoes like Birks, Mephisto, Dansko, etc. Don't go to a department
store...they won't know how to fit you properly. I would start slowly like you would
with orthotics. You have to learn how to walk in them and they make you walk
slower. All I can say is the first week or so I did not like them. The arch seemed to be
in the wrong place and they did hurt at first. You have to break them in (I don't think
mine are totally broken in yet)...be patient. Now I don't even notice that I have shoes
on. I got Footmax orthotics in early July. By mid August my feet hurt much more and
I quit wearing them. Good luck!
Reply
Forward
Delete
Top of Page
Message 161
Previous
From:
Bead (BEAD)
To:
Margie in Atlanta (MARZO)
10 of 13
Posted:
10/6/98 9:59 PM
Reply to:
157
Next
I have used custom orthodics for 10 years & have been pain
free until the past year when I started having this achilles
heel pain which the doctor says are calcium deposits. Anyway
I love to go barefoot in the house which I have been told is
very bad for me. So I purchased some BirkenstocksBetula over
QVC. They arrived today & I have been wearing them around the
house & so far my foot feels better than it has for months.
Hope it keeps u p. My feet adapted to the Birks rite away
Maybe becaused I'm used to the or
Reply
Forward
Delete
Top of Page
Message 374
Previous
From:
PMatthews1 (PMATTHEWS1)
To:
Bead (BEAD)
11 of 13
Posted:
10/21/98 7:09 PM
Reply to:
161
Next
I've notice a change in achilles heel also. I had a big lump back there that would just
ache. Since going to Birks it is disappearing and I hadn't even realized it didn't hurt
anymore until a few days ago. It's such a relief to finally be getting some results after 3
years of yuck!
Reply
Forward
Delete
Top of Page
Message 418
Previous
From:
Beckyluvs2travel@juno.com (BECKYB1)
To:
ALL
12 of 13
Posted:
10/23/98 9:26 PM
Reply to:
104
Next
I am thinking about getting some more birks. I have the Milano's (Arizona's with
back's) and they don't do much for me
'I recently went to a Birk store here in Chattanooga and the girl working there has PF.
I think she is crazy but whatever.
Anyway, was wondering if anyone has heard of the Nebraska's or Kentucky's? It is
in the new Tatami style. They are hand stitched. The Chattanooga store would have
to order them if I wanted them. Like I said the Birkenstock's are so hard, but
between my flip flop's I love ($6) and running shoes, I have to change sometimes. My
running shoes with Orthotics really irritate me. I'd rather have nothing touching my
feet. I think I have mentioned this before. I think different things work for different
people and I know so many of you guys swear by BIrks. In fact many of you are pain
free. Oh how I wish. If this Ossotron that I am trying doens't work, well.... I guess I'll
have to learn to live with PF for the rest of my life. I am hoping the Ossatron works
though.
Reply
Forward
Delete
Top of Page
Message 483
Previous
From:
BarbZ (BINGO3)
To:
Beckyluvs2travel@juno.com (BECKYB1)
13 of 13
Posted:
10/28/98 8:22 AM
Reply to:
418
Having never worn sandals without the backstrap I tried the ones that do in the store
and found that the Arizona, without the strap, was much better. Also for winter I
purchased the Memphis totally enclosed Birk and find it even better than the Arizona
sandal. Of course it did cost more, $180+ with tax. We have a new store opening
next week in our town that sells Birks and I'm hoping for a Grand Opening special. I
do know that they put their shoes out for sidewalk sales so I also will be checking
those sales when the time comes. Good L