My left foot started hurting about 6 months ago after I stepped really hard on a small rock while barefoot. A couple of months later I was diagnosed with PF, which I had never heard of before. I found out that my grandmother has it which makes me wonder about the heredity stuff. Anyway, I had a corticosteroid injection at that same initial visit, which is probably the most painful thing I have ever experienced. I don't really like inserts in my shoes--they are weird feeling so I keep taking them out since they don't seem to help much anyway. My doctor prescribed metatarsal pads but I don't know where to put them. He suggested I try OTC arch supports instead of custom orthotics (my insurance may not cover them). I thank you so much for this website. I didn't know much about PF at all, now I know a lot of things I will try myself, like Birkentocks ( I had planned to get a pair for this summer anyway, just waiting for a little extra cash) and the calcium supplements (I have recently switched to a no-dairy diet and I have noticed that my fingernails are getting thinner so I can get benefits for both). My pain is not all that bad (yet!) so I hope that getting new shoes and stopping walking around barefoot (which I do almost all the time I am home) will take care of it. I agree that I wish I had known something about this sooner so I could have been wearing good shoes all along. Note to Kathie about excercise equipment: I wanted to start exercising more but walking hurt too much so after considering a gym membership (too expensive and time-consuming) I decided I wanted something at my house I could use while watching TV etc. My husband runs so I wanted something he could use too (no air-riders or air walkers) that wouldn't be bulky (i.e. has to fold up out of the way) or expensive. We finally got an elliptical trainer for $200 on sale that folds up (although not as much as we would like). MY husband and I both love it, he uses it instead of running sometimes, and I like it too although I have noticed that it stretches the bottom of my foot too much if I don't have correct shoes on (I played around on it barefoot when we first got it and I paid for that for the next 3 days). I haven't used it long enough to know if it works or not. Also, I have gained 20 pounds over the last year (partly from not being about to walk as much) so I hope that losing that weight will make a big difference. Good luck to all.

The Birkenstocks take time, it has taken me about two months before they started to feel comfortable. Now I find them to be the most supportive shoes I have. My hippie chiroproctor also say's they will be uncomfortable until your feet get use to them.

I just bought a pair of Birkenstocks after reading about them on this website several times. I've been wearing them around the house to get a feel for them and notice that they are not all that comfortable at this time. Can someone please advise me if it takes time to get used to them, or should I go ahead and return them to the store now? I don't expect them to work miracles, but if they help relieve the pain in my feet even a little, it will be worth the money I spent. Thanks in advance.

Hi, Dawn and I are wanting to start a chat room for all of us on AOL, We need to know if people want to and what time\day is good for everybody, I think that this would be great for all of us!! Hope to hear from you all soon. Suzy

I have suffered for five months now with trying to walk. Last September, I had what appeared to be a injury in which I tore numerous ligaments and broke my heel in three spots. After five months, I went on my own to a podiatrist. He diagnosed me with plantar fasciitus. I was, at first, relieved to know why I could barely walk all day. Then, he whipped out a shot and I got my first cortisone injection - - whoo, that smarts!!! Last week I got my second one. I am dreading to go tomorrow for my third. I've had a small amount of relief but not as much as I would think with shots right into the affected area. I am also taking a NSAID and taping. Nowm I am finding that my other foot is starting to kill me too. I am scared. Can anyone give me a shoulder to cry on . . . and some GOOD news about this condition??????

I am amazed at the number of people who have PF. I had never heard of it until last September, when I went to the chiropodist and was diagnosed with it. I have extremely high arches, work on my feet all day (teacher), am overweight, loved to go around barefoot...... classic case, for sure. Anyway, I have orthotics, and the pain has diminished somewhat, but I still can not go for walks,or even jump slightly. In the mornings, I want to cry. I am going to try the stretching exercises, and ice my foot more often. I do massage my arch sometimes, but it will become part of my daily regime. From what I read on the Net, injections are to be avoided. The thought of additional excruciating pain (with dubious results) is not too appealing.

I haven't posted for awhile, so I thought an update was in order. I was nearly healed by mid January, and then had a major setback. I had to attend a convention, and spent a day and a half walking the exhibit hall. Despite wearing proper shoes, stopping at nearly every booth that had a chair, and resting as much as possible, my foot really hurt by the end of the day. Then I had to trudge thru 2 airports to get home. Icing helped that night, but while walking around my office the next morning all of a sudden a pain went thru the bottom of my foot as if someone had sliced it with a knife. Not the 'nail in the heel' feeling of PF, but a more sudden, sharp pain. Now the doctor thinks I have a stress fracture on top of aggravating the PF. So it's back to twice a day icing, gradual stretches, night splints, etc etc. It's been 3 more weeks and things have been improving ever so slightly. I just got back from spending just 1 hour at a shopping mall, however, and my foot is throbbing. Guess even that's too much exertion for the moment. For the rest of you - hang in there. Things can improve. I just pushed a little too quickly and I'm paying for it. But we live and learn. Now it's time to grab the bag of frozen peas and start icing my foot again!

Even though I've been playing around on the internet for a year, I didn't even think about looking up PF. Glad I did! I've been in pain for about 2 years now; strangely, I was using custom made orthotics for my over-pronation already. What started the pain was stepping on something, while barefoot. After enduring a constant dull pain for 18 months it got more painful so I sought help. Earlier my podiatrist only suggested icing. I've now had cortisone (helped for 2 weeks, never again); heel cups; using orthotics, not using orthotics; taping; physio on my heel. I'm seriously considering acupuncture. I haven't seen many people comment on this alternative. Has anyone tried it?

How come the NIH (National Institute of Health) isn't looking into helping us sufferers? I mean do we have to lobby to get someone to research this and help us??? Our pain is real and it's horrible!!

I too am a sufferer. I am a teacher and have stood on hard, wood floors for 25 years...and we STILL aren't allowed to wear "good" shoes, ie..runners shoes...what is wrong with our system??

Hello Fellow PF Sufferers! I just read the entries in this guestbook. I'm glad that I am not alone in this pain-ridden existence. I teach school and have stood on concrete for the past 20 years -- at first in heels until the last four or five years. Alas, I was too late in wising up. The damage was done. I have gone through conservative treatment since October 1997. I have had pain for the last four years. My x-rays showed double heel spurs! Being an avid shopper, I can no longer do the big store deals. The pain totally overcomes my search for the best buys. This pain has necessitated a whole lifestyle change from my hobbies to my family life. My housework suffers. This situation is just a mess. Also, the spouse is not very sympathetic. His standard response is "lose weight." Yes, that would help, but in the present it's a remote possibility. I was walking regularly, but the pain stopped that. My podiatrist has not recommended the stretches. I guess he felt my condition is beyond those benefits. I can see where additional tears would make things worse. My next choice is the endoscopic surgery, but I am scared of it not being successful. I had a ligament released in my right elbow in October of 1996. It has never felt the same -- like a giant rubberband about to break! I enjoyed all of the ideas, especially about the Birks. I am going to try a pair. I have every other "orthopaedic" shoe ever made in my closet. Why not a pair of Birks? Keep up the support and communication. I really appreciated the group session tonight. My spirits are low, and the pain is terrific!

My plantar fasciitis was so severe, I was unable to walk for almost three months (April-June 1996). The first two months, nothing could touch my feet or I would scream. It's like stepping on knife blades! End of June I could barely walk by holding on to my husband. My doctor told me that once I started walking again, first I would have to regain my balance and then for the first few months I was to carry nothing! My feet would have to slowly get used to carrying my body weight--I was not to even carry a purse! My feet problems were caused by an inward pronation and then long hours of standing on cement surfaces (due to my job), and wearing shoes with no arch support. I then pulled both ligaments on my heel and just really put myself over the top! My doctor confirmed a very severe case of PF, and that being off my feet (total rest) was what was going to do it for me and prescribed aspirin for pain. I called a friend who has a master's in exercise science and works with elderly--she has seen PF in many of them. She told me, do not stretch or do any exercises as I was past the point to help--it would do more harm to my feet. She said to ice for 20 minutes three times a day. I did that for 5 months faithfully (April-August 96). I couldn't walk by myself until Sept 96 and could still not go up and down stairs until Dec 96. It wasn't until a year later that I could even attempt to do the exercises she recommended. She explained why icing is so important in the healing process. Your ligaments have very little blood circulating and by icing your foot and making it cold, your body shoots more blood to heat it up, thus aiding in the healing process. The best thing to happen to my feet were my Feathersprings spring stainless steel custom-made arch supports. Feathersprings come with a 60 day guarantee and they are wonderful. You can actually wiggle your toes in your shoes because there is no pressure on your feet. I cannot wear any shoe without them. My whole family has ordered them! Another benefit of Feathersprings are my calluses,corns and lower back problems have disappeared. Their toll free number is 1-800-628-4693 (order the kit, it's free and it has great foot information--Feathersprings, Inc. is in Seattle, WA) Other things that I have suggested to people that has helped: (1) Let's not forget the Icing three times a day for 20 minutes. (2) Never, ever go barefoot again. Once I could started walking, the only shoes I could wear and still do are Keds with my Feathersprings. The only house shoes me and my family wear are Super-Nobby Birkenstock shoes--they are great because they massage your feet. (3) Massaging helps heal scar tissue and feels great on your feet. My husband bought me the Shashitsu foot massager out of The Brookstone catalog. It's also available in their stores. It's pricey at about $200, but worth it. (4) To be able to take a bath, I ordered a bath board (Rubbermaid) so I could sit. Not until Jan 97 (9 months later) was I able to stand to take a shower but ONLY because I had ordered a wonderful bath mat from a health care catalog to cushion my feet. I take this bath mat everywhere, especially when I travel! (5) Because my feet felt like they were on fire (callous build up over time, the elasticity in my feet had gone away and it felt like a burning sensation). What helped me was using a pumice stone to take the dead skin off every time I bathed and then follow with a foot lotion to keep them soft. 6) The only way I can sleep is to have a lot of soft cushioning under my feet and if my feet are in an "L" position. What I do is push them against a pillow to keep them pointed up. This keeps your ligament stretched out so you don't get the heel pain in the morning. Here I am almost two years later. We now live on the second floor and I go up and down stairs! My recovery was all natural and time, time, time. My medical book said, "Be patient, PF can take at least a year to heal." Boy was that true! I didn't want cortisone shots or surgery so I took the "time" cure. I still follow all the suggestions listed above. Sometimes my feet get tired but all I can do is thank God that I can walk now!

My plantar fasciitis was so severe, I was unable to walk for almost three months (April-June 1996). The first two months, nothing could touch my feet or I would scream. It's like stepping on knife blades! End of June I could barely walk by holding on to my husband. My doctor told me that once I started walking again, first I would have to regain my balance and then for the first few months I was to carry nothing! My feet would have to slowly get used to carrying my body weight--I was not to even carry a purse! My feet problems were caused by an inward pronation and then long hours of standing on cement surfaces (due to my job), and wearing shoes with no arch support. I then pulled both ligaments on my heel and just really put myself over the top! My doctor confirmed a very severe case of PF, and that being off my feet (total rest) was what was going to do it for me and prescribed aspirin for pain. I called a friend who has a master's in exercise science and works with elderly--she has seen PF in many of them. She told me, do not stretch or do any exercises as I was past the point to help--it would do more harm to my feet. She said to ice for 20 minutes three times a day. I did that for 5 months faithfully (April-August 96). I couldn't walk by myself until Sept 96 and could still not go up and down stairs until Dec 96. It wasn't until a year later that I could even attempt to do the exercises she recommended. She explained why icing is so important in the healing process. Your ligaments have very little blood circulating and by icing your foot and making it cold, your body shoots more blood to heat it up, thus aiding in the healing process. The best thing to happen to my feet were my Feathersprings spring stainless steel custom-made arch supports. Feathersprings come with a 60 day guarantee and they are wonderful. You can actually wiggle your toes in your shoes because there is no pressure on your feet. I cannot wear any shoe without them. My whole family has ordered them! Another benefit of Feathersprings are my calluses,corns and lower back problems have disappeared. Their toll free number is 1-800-628-4693 (order the kit, it's free and it has great foot information--Feathersprings, Inc. is in Seattle, WA) Other things that I have suggested to people that has helped: (1) Let's not forget the Icing three times a day for 20 minutes. (2) Never, ever go barefoot again. Once I could started walking, the only shoes I could wear and still do are Keds with my Feathersprings. The only house shoes me and my family wear are Super-Nobby Birkenstock shoes--they are great because they massage your feet. (3) Massaging helps heal scar tissue and feels great on your feet. My husband bought me the Shashitsu foot massager out of The Brookstone catalog. It's also available in their stores. It's pricey at about $200, but worth it. (4) To be able to take a bath, I ordered a bath board (Rubbermaid) so I could sit. Not until Jan 97 (9 months later) was I able to stand to take a shower but ONLY because I had ordered a wonderful bath mat from a health care catalog to cushion my feet. I take this bath mat everywhere, especially when I travel! (5) Because my feet felt like they were on fire (callous build up over time, the elasticity in my feet had gone away and it felt like a burning sensation). What helped me was using a pumice stone to take the dead skin off every time I bathed and then follow with a foot lotion to keep them soft. 6) The only way I can sleep is to have a lot of soft cushioning under my feet and if my feet are in an "L" position. What I do is push them against a pillow to keep them pointed up. This keeps your ligament stretched out so you don't get the heel pain in the morning. Here I am almost two years later. We now live on the second floor and I go up and down stairs! My recovery was all natural and time, time, time. My medical book said, "Be patient, PF can take at least a year to heal." Boy was that true! I didn't want cortisone shots or surgery so I took the "time" cure. I still follow all the suggestions listed above. Sometimes my feet get tired but all I can do is thank God that I can walk now!

I'm not alone....all these folks with this miserable affliction. I shall try the Brikenstocks......no barefeet what? Thanks for all the info....I''ll be visting this site regularly...

I would like to know if anyone has tried Feathersprings from Featherspring International Corporation out of Seattle,, WA. Featherspring Foot Supports are a custom formed foot support. Before I order them I would like to hear from anyone that has used them. Please let me know! I have had plantar fasciitis for 2 years and I'm desperate to find something to help.

Just a note of thanks for your website and all the people who recommended Birkenstocks. These things have been nothing short of a miracle for me. Oddly enough, the first week I bought them, I wore them to the physical therapist's office, whereupon she declared they were the LAST things I should be wearing on my feet. "Much too hard, would only aggravate the PF." I must admit, they did seem uncomfortable (and ugly) at first, but continued to wear them anyway, and after another week or so, quit the therapist, quit the NSAIDS, quit the exercises, and let the icepacks melt. (Going barefoot for ANY length of time is a guarantee for return of the pain.) I know these leftovers from Woodstock sandals don't work for everybody, but they sure have been my salvation! Crawling to the bathroom in the morning is just a bad memory now. Again, thanks to this website for the cure that no doctor or physical therapist had offered, and to fellow sufferers for sharing your experiences with this nasty affliction.

I have been struggling with PF for almost 3years without relief. While I was told by several doctors and podiatrists that I injured my feet, I find it hard to believe that it is possible to injure BOTH feet equally. I would be interested in input from others as to whether they experience pain equally in both feet or if it is different. I started off trying to wear athletic type shoes and over time have found that shoes with a hard sole and a slightly raised heel give me the most comfort. Whenever possible I use an insert with archsupport that is not flexible. I think that's why some people like the Birk's (because of their hard sole. Sneakers insoles that "give" let your foot muscles have too much freedom to move around and stretch and cause more pain for me. Someone asked about lady dress shoes. I threw out all my high heels two years ago and have since replaced them with well made pumps with wide toes and a low stacked heel. My next plan is to try the mechanical shiatsu massager that I saw at the drug store and up my vitamin intake. Thanks to all for your input and look forward to making progress with your help.

Hi, never thought I would join a 'pain support group.' I am very amazed at how many suffer from PF. I have had it since I did a womens run last May. I have always worn decent shoes, but just the pounding on the street was too much. I was not in shape for that event. I just can't help but think there is a nutritional deficiency here. I have gotten on vitamins on a regular basis and have just increased my calcium to 1500-1800/day, and have noticed some relief. I take estrogen and have noticed several changes in my body since I started 1.5 years ago. I am going to try natural estrogen to see if I notice any differece. I notice that my Romika clogs are helping. I usually wear them in the summer, but just recently, by chance, grabbed them one day, and noticed it didn't hurt as bad. I have high arches and need a little heel elevation. Hey, you know those 'Kneading Fingers' electric neck massagers that were so popular last year? Well put your foot on it..it feels tender at first, but it actually kinda feels good. I also ordered a foot massager for Christmas too...hope Santa was listening. Hey, my $700.00 tread mill just sits now, and I really don't like the health rider...has anyone tried the air walkers? Please let me know. I have been looking at the one on home shopping for $89.00 or so, but just don't see how it could be aerobic. Oh, a plastic bottle filled with water and frozen is a good thing to roll your feet around on too. It stays cold a long time. Visualizing no pain, and affirming the pain is gone helps too if I can really concentrate. "HOPPY" Hollidays to you all. Thanks for your input, I have learned alot. Kathie

Surfed in to check you out. I guess this is a medical page concerned with the feet. Will stop by at a later date. The waiting room seems to be a little over crowded at this time.

Hi, Just an update. First I found that wearing shoes at all times is so key. Buy Nike aqua socks and stick your orthodic in it. Great for the shower and on vacations! I stopped wearing night splints because I was developing achilles tendonitis. Now that I have stopped using them, my achilles are much better although my feet are still sore. I ordered magnets through Bioflex (see website), they are the credit card size and I tape them to my feet at night. I do think it helps with the circulation. I would stillrecommend acupuncture to all. After 2 years,I can say that the pain is getting better but it still hurts to stand or walk more than 15 min. My feet hurt in any other shoes besides Birks. I would not consider surgery. Too many docs are reluctant to do it and it seems to risky to me. Good luck everyone!!!

I had bunion surgery 3 1/2 years ago when I had minor pain in my feet thinking that was the cause.I was a teacher on my feet all day and had been a power walker. I was developing plantar fasciitis but didn't know it . The surgery was terrible, didn't go well and I spent several months on crutches. After that I developed terrible pain in both feet, which was aggravated by orthotics. I had so much chronic inflammation in my feet. I went to a major clinic here and they thought I had reflex sympathetic dystrophy, a pain syndrome resulting from surgery trauma. I put $12,000 on my insurance as they gave me treatments which didn't work. I was in pain so bad I thoughtI would go crazy and have to go on disability. I kept telling the doctors there was something else wrong they were'nt seeing.All they did was tell me to go back to the psychiatrist and learn to accept my pain because it "was all in my head". I knew it wasn't. Because it was insinuated in my medical records, which each additional doctor I went to insisted on seeing, I was not taken seriously. It was infuriating because I knew different. No one suggested any alternatives to me and I went to several foot specialists. I am wondering how many other sufferers don't get the help they need because doctors label them with psychological pain. I was searching the internet for help when I came across articles on Plantar fasciitis, especially Scott's. I couldn't believe it! I knew right away what I was suffering from and am still dumb founded why the doctor's didn't see it. I started right away doing the stretching, ice massage, conserative routine. It has taken me over a year, but I am finally coming around. I am having ultarsound with cortisone cream done right now and am seeing some pretty god results. I foumd much better help from non-medical people, such as chiropractors, physical therapists, etc. than I ever did from doctors. I had plantar fasciitis so long and it was so bad it has been a long struggle, but I will make it. I am unusual in the fact that orthotics don't help me, and I found birkenstocks horribly painful. I can't even begin to wear them. I am wearitn Viscopeds now, a soft visco gel full insert for sore feet that have a small metatarsal and arch support. I hope eventually to be able to wear other orthotics as my foot inflammation diminishes. hang in there. If you are not satisfied with your doctor, keep searching. it took me a long time, but I'm going to make it!

Hi, I am a fellow suffer of PF. I have had pain in my heel and arch area for about three and a half years. Finally went to a podiatrist in June of 97 which diagnosed me with PF. Have been thru all the typical conservative treatments: two cortisone shots, anti-inflamatory, orthodics, physical therapy, and four weeks in a cast, and bought Berkinstock sandles for around the house. All the above was done in vain, no positive results. The cortisone shots worked for about two to three days, the anti-inflamatory doesn't seem to help at all, the orthodics don't work, physical therapy does nothing, and casting was a total waste of time. My doctor tells me that surgery is the next step. After reading all other suffers results it is somewhat comforting to know I am not the only one that has to live with pain from day to day, although I do feel for each one of you and wish this on noone. My doctor does the new not so invasive endoscopic surgery. Although I have read and heard positive things about the surgery I still have many reservations, as with any surgery I guess. I have never been under the knife as they say and maybe I'm just paranoid, but without my feet there's not much to look forward to as you all know. I am somewhat active in sports. I play softball, kickball, and like to workout occasionally. I have read serval articles and journals and understand from them that it is belived that the spur does not actually need to be removed, is this true in all cases? I read where one individual had to go back in a have it removed. It seems to me that it would be better to just go ahead and go in and remove it while the facia is being delt with, am I at a total loss for understanding this problem or just paranoid? The X-ray shows my spur very clearly, even to me an untrained professional. I have been through two and a half years of school for medical lab technology so I have had anatomy classes and do know what these bones are suppose to look like and mine is far from normal. Can the spur be big enough to warrant a concern? Anyone out there with any answers, positive or negative results from surgery, or any other words of encouragement please write me at sap02@flash.net. I would love to hear from fellow suffers. I am scheduled to go back to the doctor on Tuesday, December the 16th and I'm sure she will want to schedule the surgery. Suffering with you all..., Sandy Parsons

Fellow foot people..... I first posted here two months ago, so I figured I'd give a progress report of what I've found that helps. First, many thanks to all of the rest of you who write in with tips. 1) NEVER go barefoot. I wear the Birk sandals around the house, and picked up on a tip from someone else on this newsgroup, and now even stand on a folded washcloth in the shower. That also helps some. 2) regular stretching is good (stand against the wall with the affected foot to the rear and gradually lean forward - don't hold for too long, as little as 5 seconds, quick break, and done again - repetitively - helps more than trying to be a hero and go for the long stretch 3) find a GOOD podiatrist - one with some compassion. I was lucky enough to discover Dr. Perry Julien (do a web search and you'll find his published articles). He's great, and I have made good progress in the two months since I've been going to him. Plus, he doesn't rush for the cortisone shots or for surgery. Starts with the less invasive,less costly treatments. 4) night splint - using that for about 3 weeks now. It also helps some. Not nearly as uncomfortable as some have described. Actually, I find that I even put it on in the evening when I'm watching TV, and did take it with me on a business trip out of town. Sort of bulky in a carry on bag, but I appreciated having it with me at night after walking thru airports and across convention floors this week. 5) Day shoes: women - check out Rieker 'antistress' shoes. Slight heel, soft soles, good arch support, and most amazingly, they're attractive. Found them in a black suede with a zip front. Would even work with skirts. 6) Icing twice daily also helps. Using a bag of frozen peas is the best way I've found - squishes around to fit your foot, and no water leaks to worry about. 7) Patience. Don't get discouraged; try the simple things, and cumulatively they can help. 8) I'm using generic orthotic inserts for now, and may try customized.(These came from Dr.J rather than from a drugstore - there are various depths even in the generic types.) The inserts do seem to help, but I wouldn't pronounce them a 100% success. For some reason, on certain days they seem to bother me more than help. Most days I'd say they help. 9) Another tip from this group (and from the NY Times). Someone wrote in about taping a magnet to their foot and getting relief. I was skeptical, but after reading in the NYT this week about beneficial results on other ailments from magnets, I figured I'd try it. Gave it a try this week, and taped refrigerator magnets to my foot at night. Looks goofy, but it's not uncomfortable, and surprisingly, my foot does feel better, espec in the first half of the day. I don't personally care if it's a placebo effect, or real medical benefit. Any additional relief is gladly appreciated (I'll see what Dr. Julien says about this one.) What I've found is with the combined treatments, much of the heel pain has disappeared, but I've picked up some stiffness and tenderness in the upper arch/outer side of the same foot. That's easier to walk with, and certainly less painful, but we'll tackle that next. COMMENT: as common as PF is, why aren't there magazine articles about it other than in specialized mags for runners etc. A lot of us would probably have suffered less had we recognized earlier that PF is something to deal with promptly and not ignore. And that it can be treated! Some preventive education would surely benefit a lot of everyday people who never buy/read sports publications. Where are the mainstream monthly mags that common folks read????? For you 'lurkers' out there, I encourage you to add your comments. It's good moral support for all of us, and you never know what tip may help someone (always check with a doctor also).

help my heal hurts alot

I just wanted to say a big THANK YOU to Scott and to his wonderful page. It has been very helpful and empowering! I am going to try the heelspur cushions that you recommend as my PF is caused by working retail and wearing bad shoes. Does anyone have a suggestion for good shoes that follow retail dress code?

Hello. I've been dealing with what my podiatrist calls plantar fasciatis. Before I went to him. I've tried every orthotic that you could buy from a pharmacy to a surgical supply store. Got orthotics and eventually went back to him because of the soreness. Unfortunately, he recommended a shot and I got one. A little painful at first but no problems afterwards. Still the soreness lingers and I'm not a runner just a student. Standing, even for a short period of time with the orthotics gives no relief. I want to go back to my podiatrist but no for another shot. It's only temporary, and it last only for so long. My orthotics feel as hard as the floor I step on. I only got them becuase he recommended them for absolute support. Do you think an MRI will confirm a different diagnosis, i.e bursitis or something else? I could use some suggestions. I am already tired of using cat's claw and all the anti-inflammatory medications out there. Ice helps but only if you are near one. Thanks for all the help you can provide. :> John

Do I have a correct diagnosis? My arches have been sore for over a year. Went to the podiatrist who diagnosed PF. I have no heel pain and no 'first step in morning' problem. Feels more like tendinitis. Trying a Spenco arch support which so far seems to exasperate the soreness in the arches. Please let me know if anyone else has a similar presentation of PF.

finally found relief from pf pain. glucosamine, found in health stores.

Thank you for this informative page. After suffering with this painful condition for over 6 years, I am relieved to know I am not alone. And better yet, that there may be answers to the dilemma.The only thing that has even minimally helped me is a good walking shoe by New Balance, but it is minimal at best. I am going to go and buy some Birkenstocks tonight. I would agree that the injections are a waste of pain, and for me surgery is not an option. I would like to know if any of the ladies have found a dress shoe that is helpful. Thanks again for the information and encouragement.

I have had similar pains as all of you referring to PF but I was told by my pod that the cause is from a spur growing up the back of the heel entwined in the achilles tendon. I haven't played racquettball in over a year or ran across the yard due to the pain experienced afterward. I had surgery last Tuesday for the removal of the spur and stray chips floating in the tendon. I am going to see the Dr for my first after surgery visit today. I am hobbling pretty good right now using some sort of re-enforcing boot (which insurance does not cover) Hoping to get back to work after this week. My surgery was not the scope type but was relatively easy. My sister has been told by a different doctor in another part of the state that she has similar problems but the way she talks it seems to be to a harsher degree and she is afraid of surgery. Is the heredity involved with this stuff

I have pain in the PF area from the heal to the toes, this has progressed over the last five years and is now to the point that there is pain anytime I'm on my feet. My problem is different then the typical PF my feet feel fine when I stand up in the morning and get worse as I use them. I have tried everything from bonescans to accupuncture. I'm to the point were the doctor want to do surgery for a PF release and I'm thinking a 5 week cast would be better. Is there anyone out there with these symptoms. I have seen seven different poditrist and no diagnosis yet.

I wrote for the first time 10-11-97 & updating with a progress report. You may remember after trying everything under the sun to help this condition, I started wearing Birkenstocks for the 1st time in May 97 and "forgot my feet" in August 97. In September I got over confident/careless and not wearing the Birks all the time (walked barefoot, etc.) Moderate pain started to return. This scared me and since Oct. 11 I have been back to Birkenstock shoes almost 100% and am now again virtually free of pain. I stood at work on concrete today from 8:00 am till 6:30 pm and my right foot feels "alittle tight" but is not "painful". I was in Vegas last week for a 4 day vacation and walked and stood most of the time. No Pain. I have been taking over-the-counter Naproxen and "Uno da Gato" (herbal Cat's Claw) which I heard about from this site. That's it except my Arizona style Birkenstock shoes. I also decided to experiment recently with a pair of Ecco Alpha Clogs - which I wore about half the time in Vegas and they feel great. Birkenstock also makes an insert which I am going to put in some other shoes to try. Lastly, I am re-thinking the elevated shoe idea as both the Birkenstocks and Ecco Alphas are fairly flat and have been the best! I tried my elevated running shoes with Spenco arch supports for part of a day at work recently and by noon I had to switch back as both feet felt tight & slightly sore - as if I would soon be back to real pain. After 4 bad years, I now have absolutly no morning pain and can do most of my normal "walking and standing" activities (grocery shopping, standing/working long hours, 1/4 of the Mall of America) pain free as long as I do it in the Birks. In my case, I feel the added metatarsal support in the Birks (& Ecco's) is a big help - along with the toe grapping area in front of these shoes. This gripper area also seems to "exercise"the feet as you walk and possibly increases the circulation. My shoes are loose fitting which increases both of these benefits - getting the right size is important. Those are my theories after wearing them since May '97. If you decide to try this approach, to make it work, it takes at least 3 months of persistence and absolute discipline... wearing these shoes all the time (even while sitting, with feet flat on the floor - sorry, no recliners) No bare feet ever. This is how I have finally achieved the longest lasting improvement since this ordeal began 4 yrs ago. Will update in another 3 months.

After having been in a cast for 5 weeks, I was better, but now I'm back to excrutiatting pain! My arches and now my left foot are also affected. My Dr. referred me to an accupuncturist (who has also suffered from pf) and she says it will help, but not unless I use the orthotics also (get next week). She also suggested Ariat shoes, European shoes (with wider lasts?) and cork soled slippers. One thing she recommend that seems to be helping until I get my othotics is plunging feet in hot bath water for 2 minutes, then ice water for 2 minutes twice as often as possible. This is not of course real easy at work, but I do it in am and pm and all the time on weekends. What I've learned in the last 12 months of agony is that where you can take it easy with a cold and it will get better, or where you can have a broken leg cast and it will heal, this takes your full participation and no sitting back. Only a lot of work, patience and adherence to the rules is going to fix this. This reminds me of a diet. I'm not a disciplined athlete, I am developing new life habits to beat this. I'll let you all know if the accupuncture helps. I've heard from several folks that the magnets mentioned below are also quite effective.

I wrote in several months ago with a few ideas and feeling some hope after reading the guestbooks. Six months later I am not in as much pain and I have more hope. What has worked for me? I increased swimming, I bought a bike and ride regularly - the stretching and rotation of the ankle seems to help and the movement is great. I hate the enforced lack of movement - I have had dreams about running and dashing here and there as in the recent past. Also - I invested in a pair of Ariat boots - Performa Pro paddock boots - found in a tack store (riding equipment). $160 but the have gel inserts in heel and ball, fantastic arch and ankle support, are substantial, waterproof and cool looking. The built in orthotic is better than my custom one - (like many others, now in a drawer). I have to be careful every day. Caused a setback on Hallowe'en by walking back and forth in kayak 'booties'across an asphalt lot at a boat put-in while kayaking. Once in a while I have NO PAIN. It now feels weird and I don't know what is the cause for the cessation. One time I had my feet raised above butt level while on a long phone call. Another time I wore Aerosole mules with slight heel ( I have to look cute now and then). I have hurt my feet stepping in and out of the shower and now I NEVER go barefoot - thick flip flops at the pool and stand on thick sponges in the shower. Have heard negative results from 2 colleauges who got cortisone shots so I have scratched that idea. Massage is still a favorite pain easer. They are getting better slowly but surely. Right foot is 70% normal but the left still tortures me.

Scott, I have really appreciated your site, an excellent and practical source of information. I wonder if anyone can comment on lumbar spinal irritation as a contributing factor to plantar fasciitis? Or visa versa? Also, is there a hereditary component to PF? One of my sisters also has the condition.

I have had heel spurs for about 2 years - the pain was quite significant. I did ultrasound, ice, injections, stretching... all resulted in nothing... A friend of mine was looking into magnets and suggested I try magsteps - an insole made of magnets. heheh I chuckled... I am not a beleiver in alternative practices. But she gave them to me and I put them in my regular shoes. Then I forgot I have heel spurs... there is no pain now. I am not sure how fast it went away since I had grown used to that excruciating pain, but now I never feel it. I gave the magsteps to another friend with heel spurs and she has said that the pain is only very slight upon waking and not there at all in the day. She has worn them about a week. I am not sure what to make of this, but it worked where nothing else did.

Thanks,Scott--for providing HOPE to so many of us suffering from PF! I suffer from Fibromyalgia (3 yrs) and find my muscles as hard as concrete much of the time. I believe this condition, along with wearing sandals w/o proper support for my very high arches, has caused the injury to the plantar fascia. For months, I experienced symptoms of pain in the arches and would roll one foot at a time over a rolling pin to lessen the pain. So I did have symptoms for a long time before the heel spurs developed. In hindsite, I sure wish I had understood those early warnings as a call to more support, stretching and strengthening of the muscles. So now what? I have done most everything that I read others have tried. Have had lots of ultra sound, massage, tape regularly and stretch several times a day. This means I must take off my Munro boots with the Spenco inserts. So far this has proved the best combo for me (hard plastic $350 orthotics sit in the drawer!) Yeah, the Munro's don't look so cool with my suits by at least I can walk! I haven't tried Danskos yet. Anyone tried ECCO brand shoes? I hear from our shoe store that many have been helped with these, some even giving up their orthotics while in the ECCO's. My massage therapist swears by them. I find it's really hard to try on shoes with the pain and inflamation in high gear! Please pass the Ibuprofen--and keep the comments coming. Misery loves company!

Hi everyone, I have suffered with PF for a couple of years now. I have tried the icing, the shots, the nsaids, the taping, and various heel cups and other inserts, but not orthotics yet. Some days I can barely walk. I just about have 24 hours a day pain. The pain is particularly bad in one spot in my heel. Pain even shoots up the side of my foot. The Dr. did an x-ray awile back, an saw a very large hook-like spur. Is this what is causing the intense pain in that spot ? Also does anyone have an opinion, on whether it is better to continue seeing a Podiatrist for this condition, or an Orthopaedic Dr. I, like many of you am at my wit's end with this. Thanks for listening.

I have had PF for about ten months. I think I have tried just about everything I can think of, and nothing seems to help. I am on my feet 10-11 hours a day with my job and wear suits (making it difficult to find appropriate shoes that are comfortable, yet look professional.) I am currently using a night splint, naproxen, stretching exercises, and most recently custom fit orthotics. I have also had physical therapy including ultrasound, tried heel pads, all types of shoe inserts, injections, corto-steroid oral medicine, and taping for 5 weeks. Nothing has made any significant improvement for very long. It is comforting to know I'm not the only one with PF. I'm grateful to have this web site for new info. I'm willing to try just about anything to recover from this.

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Hi, everyone... This is just a update to my post of two weeks ago. Since that time, I have been doing the stretching several times a day and wearing my orthotics and my K-Mart imitation Birks around the house. I massage the foot before getting out of bed in the morning. Taking OTC ibuprofin 3 or 4 times a day. Since that time, I have noticed about an 80% improvement....I can't believe it! I still have pain, but at least I can walk without limping. The podiatrist said it was very important to try to walk as normally as possible which I have done and I think it is what has really helped. It was pretty slow at first, but I'm picking up speed. If I'm on my feet too much, I can feel it but not nearly as bad as before and the morning pain is very slight. I'm trying not to be overconfident and do something stupid that will mess it up again. I just hope this keeps up. Good luck to all of you.

I have had pf for 17 yrs. Been working on concrete for over 30 yrs. Have tried it all! Best bets; Aleve, wall streching works wonders full length "soft" orthodicts work much better than hard plastics as they form to your foot better giving more suport were it is needed My Dr. says "no" surgery it usually will not work and if it does it will last a short time. As stated many times here the best is rest,rest,rest! Don't laugh but I have many pair of "good" cowboy boots (Justin,Nacona etc.) that feel great, no pain until I wear regular shoes. If you try them stay with heels no higher than 1-1/2". Have a good dentist because you will be clenching your teeth a lot with this ungodly problem for sometime. Thanks for the site, good advice here.

I've had PF for a couple of years now. I work for the San Francisco school district as a secretary and I've been noticing that a LOT of people have it here in the SFUSD. I think it's because we have only concrete floors or flat rugs which give no support to our feet. I have NEVER worn heels in my life, only good tennis shoes and flats. It's really scary how many people have it at the school district. I would imagine many people in many work places have it as well because architects don't think about how floors affect human bodies. Anyways, I've seen a podiatrist and an orthopedic surgeon and I have orthotics. None of which worked BTW. The Spenco 3/4 length for heel pain are the only things(so far) that work. I can walk again, but I still have a lot of pain.

I have had PF for 7 months. Have tryed Feldene,ice,taping, 1 shot[don't want anymore], arch supports. Now doc wants me to try Glucosamine,a cartalidge and joint strengthner. Has anyone gone that route? Please give input, I'm at my wits end. THANKS!!!

I have had PF for more than 12 years, first L foot, now R foot (L foot better now!). Have had: night splint, ultra sound, stretching, yoga, massage, ice, vibration, rest, lots of different orthotics (OTC as well as prescription), threw out dozens of pairs of shoes, injections (kenalog cortisone and marcaine anesthetic) that helped wonderfully for a year or so, but by the 3rd injection was no help at all, acupuncture, years of daily NSAIDS and stomach protectant meds. Best custom orthotics for me have been Mr. Shanes (15th St. NW in Seattle); best OTC, Spenco super feet. My current therapy: Never go barefoot, daily NSAIDs, avoid standing in lines and shopping, stretch in a.m. before getting out of bed, wear Birkenstocks 365 days a year, even in my "dress-up" job, with suits and dresses (hey they didn't hire me for my beauty anyway); when I wear my workboots to do my "farm" work, I use the Spenco's. I never buy a shoe that does not have a very stiff sole. Best Birkenstocks for me by far are the Tatami's, a new style with a broader, more supportive heel. Tatami's have heretofore been only sandals, but they now have a "clog" slipper style closed front shoe (called Rhine), and they are supposed to be coming out with a closed oxford style in 1998. Birkenstock and Tatami resources: MJ Feet Shoe Store, 4334 University Way NE, Seattle, WA 98105, 1800 755-BIRK; and Footprints 1-800 488-8316. Both sources do mail order and have sales. Birki's are expensive shoes, but my original sandals lasted over 10 years of intermittent use. My orthopedic surgeon has had same problem of PF and he swears he cured his by using aloe vera on his feet--I just bought a bottle of the juice at the health food store and am applying to the sole of my foot at nite and in the morning--it dries almost immediately. I'm interested in Dr. Kiper's silicon dynamic orthotic---please let me know of any experience you've had with those. Happy Feet to You....

Hello everyone with this plantar fasciitis problem! I was diagnosed with this problem also last May 1997 after a fall last August 1996. I did not know I had the problem. It took me long time to realize I need help since it was very tricky situation since the pain went away during the day. When it gradually got worse that's when I seeked help. The first doctor gave me a shot, 2 and half weeks later it came back. He never told to to stop exercising if it hurts. He told me to go about my normal business but I was always on my feet because I knew it would hurt if I sat for more than an hour at one time, like watching a movie. My condition didn't get any better. The second doctor told me to STAY OFF MY FEET! I received two shots from him 2 months apart. The cortizone took away all my pain and I was good as new. I was ready to go back again until I read this informatin on the Internet about the dangers of cortizone shots and how conditions can get worse. Now that I have read all the info stated on the different categories I realize many things. I have to wait out my condition, surgery is not my choice right now. The second doctor gave me heel supports called wondersorb. They are wonderful but if I am on my feel too much, they tell me to SIT DOWN. I called the 1800 number and was told this product is available at some drug stores. So raising the heel, maybe 1/2 inch,wearing my soft spot supremes with good arch support, soaking my feet in warm to hot water in my foot massager with vibrations for 5 mins, twice a day, and staying off my feet as much as possible, should help me I hope,and not going barefoot at all. I just want to say all this because this really is a problem and a change of lifestyle. It makes me very aware of how fragile our body is and how everything is taken for granted and that it will work, until something happens and we find out different when we have accidents, or etc.I had an accident and fell on this railing on both feet but fell harder on the left foot. This condition is quite a predicament to be in. We all need to be aware of how fragile out body is and to do everything in moderation and not abuse our body so that we have problems. Thanks for listening to me. Goodbye.

I have had heel pain for just about 13 months now. Started gradually, although I can now look back and see reasons....humping a 50+lb. pack for four days over the Chilkoot Trail, intense volleyball, etc. What really triggered it was being in Austrailia for 6 weeks with only one change of shoes. At any rate, I have done the orthotics thing (brought me back about 70%) but was working a job where I was on my feet about 16hours/day all summer. That did me in!!! Once I finished my job, I went on crutches and have a removable cast. Been on crutches 5 weeks now and am finally seeing some improvement. Notice that, if I am not careful, this foor becomes the entire focus of my life....and sitting on one's butt is not the most uplifting experience in life either. Lots of ups and downs, physically and emotionally. I appreciate this web-site,,,after reading through all the entries a month ago, I decided against surgery, and I'm gald. Along with one of the others who wrote, I advocate REST, REST, REST (yes, I know it is a four letter word, but not the one I use the most while sitting on my butt). Having worked in a haospital for about 15years, I have grave reservations about doctors/surgery/hospitals. I am also taking an easily absorbed calcium/magnesium supplement which, according to ten years of research by a distributor of this vitamin, has a 100% cure rate for PF (heel spurs). Been on it 10 days, so I will let everyone know. They say a minimum of 2 weeks, and I'm sure it will take longer since my was so bad. Chin up, everyone....keep trying everything reasonable to beat this thing!!

I lived with PF for almost 3 years. A journal article detailing several treatment methods showed rest to the best medicine. I tried using my foot as little as possible (I limped for two months) and my PF appears to be gone. I no longer use a night splint and have tried going without orthodics once or twice (walking barefoot is wonderful again). I recommend REST to everyone.

Hi, I have had heel pain (PF) now for about a year. I saw my family Dr. on it about 3 or so months ago. She gave me Anti- Imflammatorys (Naproxen) It seems to help but upsets my stomach. So don't take to often. I went back to see her about 6 wks ago and she sent me to a Podiatry Dr. My first visit he taped it up and gave me a different inflammatory same resuts with it. Taping felt good first few days. The next week he taped it and gave me an injection. Did not get any releif from either. Still in a lot of pain. Third week taped AGAIN still no results. Fourth week Taped AGAIN. Now he is saying he might put me in cast for a month. Is there any other way to help this problem. I do the stretching but hurts so bad at times can't stand it. I have pain very bad in morning. Goes away for a little while as day goes on pain is pretty bad by night. I would just like to get over this it's driving me crazy. Has anybody had the surgey and been happy with it my Dr. says he dosn't like to do surgery. I have good Ins. that would pay for this. I feel like he is giving me a run around .

I have had PF for 18 months. I have tried it all, and nothing worked until just recently. I used night splints for two months, along with stretching 3 times a day. I got an 80% improvement from this. Now I am wearing a removealbe boot walker cast to immobilize the foot for five weeks, to finish off the healing process. I will wear it for 5 weeks on each foot. Forget the injection etc. Stretching and immobilization is the answer I finally found to work.

I have found a soft heel cup that goes around your heel with a strap that goes across the top of your foot. It absorbs the shock of taking steps. It also gives comfort while standing. I don't have the info with me, but can get it Monday,Oct.27.They are $16.99 each. I'll get back to you soon.

I have found a soft heel cup that goes around your heel with a strap that goes across the top of your foot. It absorbs the shock of taking steps. It also gives comfort while standing. I don't have the info with me, but can get it Monday,Oct.27.They are $16.99 each. I'll get back to you soon.

Thanks, Scott, for this great page. I had PF two years ago on my left foot. Went thru all the conservative treatments...wrapping, shots, and finally custom made orthotics. On the third day I had the orthotics, I got up from the dinner table and stepped on my son's foot. Oh, what pain. DR said I had torn the plantar fascia, which resulted in me performing my own surgery. After two weeks in a walking cast and wearing the cast at night for several weeks, the heel pain has disappeared. A few weeks ago, I developed PF in my right foot. With what I learned thru my own experience and the help of this page, I have stretched the plantar fasciia so the heel pain is almost gone. However, I developed severe pain along the top and right side of the foot. I went to my podiatrist last week, and he said the plantar fasciia was loose and stretched, but in overcompensating while walking, I had inflamed the muscle on the top of the foot. So now it's just a matter of time and patience for that to heal. He did offer me a presciption anti-inflammatory, but I prefer to stick with the over the counter for now. My doctor's advice was to stretch, stretch and stretch the foot. Put a towel around the ball of your foot and pull it back towards you. Also, he recommended when I get up in the morning, to first stretch BEFORE getting out of bed, then use a foot massager with lukewarm water. After that, immediately ice it. This works great, but only if you have time every morning to do it. Also, never walk around barefoot and he said Birkenstock sandals were the best shoe you could wear. Hope my experience helps someone.

Thanks, Scott, for this great page. I had PF two years ago on my left foot. Went thru all the conservative treatments...wrapping, shots, and finally custom made orthotics. On the third day I had the orthotics, I got up from the dinner table and stepped on my son's foot. Oh, what pain. DR said I had torn the plantar fascia, which resulted in me performing my own surgery. After two weeks in a walking cast and wearing the cast at night for several weeks, the heel pain has disappeared. A few weeks ago, I developed PF in my right foot. With what I learned thru my own experience and the help of this page, I have stretched the plantar fasciia so the heel pain is almost gone. However, I developed severe pain along the top and right side of the foot. I went to my podiatrist last week, and he said the plantar fasciia was loose and stretched, but in overcompensating while walking, I had inflamed the muscle on the top of the foot. So now it's just a matter of time and patience for that to heal. He did offer me a presciption anti-inflammatory, but I prefer to stick with the over the counter for now. My doctor's advice was to stretch, stretch and stretch the foot. Put a towel around the ball of your foot and pull it back towards you. Also, he recommended when I get up in the morning, to first stretch BEFORE getting out of bed, then use a foot massager with lukewarm water. After that, immediately ice it. This works great, but only if you have time every morning to do it. Also, never walk around barefoot and he said Birkenstock sandals were the best shoe you could wear. Hope my experience helps someone.

Thank you for this web site. I thought I was the only one suffering from this. It's nice to know I'm not alone. Any comments on casts?I've tryed archs, taping, ice(seems to work), and finally an injection, that was hell.

Thanks so much Scott! You work on this page was a god send to me! i spent many hours pouring through the articles and references it in! I was desparate Here is my story. How I Got It: One night in fairly high heels on cement. What Helped: Not much for the first month or so, though good shoes at all times were essential! What I tried: SuperFeet sole inserts (seems to work well), Night splint-homemade (maybe helped during serious pain times, sessions in the Jacuzzi with ailing foot on jets (seemed to help alleviate the next day's pain significantly), strteching (not much relief, though I am not a runner. BTW, I ride bikes a lot which was not aggravating, note to all you suffering runners, ice (jury is still out), massage (can't tell, is pain good?), Chiropractic (sessions seem to make pain less, the treatment consisted of general adjustments and some scupressure / masssage on foot), acupuncture (6X treatments, with some great massage after treatment, helped to ease point tenderness), rest (limped around for about 6 weeks, didn't push the heel-to-toe gait...it hurt), NAPROSYN (Rx strenghth anti-imflammatory, was it the timing of visiting my medical Dr., 6 weeks or so into it? or was it really the effect of this anti-inflammatory??? Over the counter NSAIDs (Aleve, Advil, etc. ) didn't seem to have the same impact. Hope I continue to regain my ususal walking stride! But I think I am on the road to recovery! KJ PS My physician has it herself and said she was one of those cases for whom injectable Cortisone made it worse!

I've been suffering with what has been diagnosed as PF for the last 10 months. Pain in the am or after sitting down. Nothing has worked--massage, ultrasound, cortisone injections (2), MRI, x-rays, various anti-inflammatories plus pills to make me less naseous, and finally now, for the last 5 weeks, a cast and crutches. Wait--one thing worked--the week I took Prednisone I was pain free. Then if came back. The cast came off 3 days ago, I'm in a removable one now, however, the pain is right back. I also feel tightness from the heel all the way up my calf. Any suggestions? I'm about ready for Prozac...

I've struggled with PF for the better part of a year now. Not helped by my job that requires extensive travel - thru airports - and conducting day long workshops standing on my feet. I read about trying Birkenstock sandals last weekend, and figured it was worth a shot. I have a pair, but hadn't worn them for ages (I know, how could I be so disloyal to them) . I put them on right away, and the difference was incredible. I can't say the pain totally vanished, but the Birks really made a difference. I'v worn them now continually when I get up in the a.m., and at night after work, and it's helping. Try them!

Dear Scott, I hope you are feeling better. I contacted your website early last year, and continue to feel pain. I am now with a podiatrist, that says that I have a high arch, and is cutting a piece of felt and slips that on to give my arch some support. He says the same things you suggested, to wear the heel supports, and to continue the stretching exercises, and to take an anti-inflammatory. I went to physical therapy from March to July, two to three times a week, with no appreciable difference. How long does this go on? I believe I won't play in my tennis league this fall, as I did last spring because of this injury. Have a good Autumn, Scott, and thanks for the advice.

So glad I found you all ! I was scheduled to have EPF the first part of Sept., but a visit to mu regular physician for my pre-surgery physical postponed the experience. I have had PF for 3 years and have been seeing a podiatrist for the last fourteen months. I have gone through the whole conservative approach to relieving my pain but nothing has helped. I have experienced terrific pain on the inside of my foot for the last four or five months. (My sons or my husband would assist me in getting up after sitting down.) A red spot about the size of a quarter was also visible. I ask the podiatrist if the pain and the red spot were reated to PF and he said yes. He told me that EPF would relieve the pain and tha PF could enflame the whole foot. I believed him! By the way, he is a very young doctor and is working under a doctor who has a large practice. At my pre-surgery physical I told my primary care provider saw the red inflamed area and I told him of my conversation with this young podiatrist. He said he didn't think the red area was related to the PF. He wanted me to get a second opinion. I made an appointment with a orthopedic specialist. When I told him what the podiatrist said he sat shaking his head saying no this is not related to PF. Instead I had a case of tendentious and if not treated could have caused permanent damage. He put me in a waling cast for five weeks. I postponed the surgery. The orthopedic also gave me pain meds and I slept wonderfully for the first time since I developed PF. I took the cast of this week. Now I'm needing some information from you. The orthopedic who treated me for tendentious does the tradional surgery for PF. I have great confidence in him. The young doctor, who will assist hes senior partner does EPF. I hope you all can see me dilemma. The senior podiatrist has a good reputation aroung here. Besides more pain and more down time what is the differences in the procedures? Is the end results any different? Are they the same? Traditional...one cut inside foot. EPF... two small incisions on inside and outside of foot.

As a result of being on my feet at work on a concrete floor for the last 15 yrs., I have had 4 years experience with heel spurs on both feet. My right foot is the worst and has had cortisone. It helped for a time but after about 3 months the pain returned. I have tried every sock, heel lift, stretching, orthotics ($300), etc. The best over the counter item was a Spenco 3/4 length (green) arch support. MY BEST ADVICE: In May 1997 I tried Birkenstocks. I wore them all day at work and for evenings at home. No other shoes. By August I actually "forgot" my heel pain for the first time in 4 years. I keep a pair by the bed and NEVER go barefoot. I got alittle careless with this program as my feet felt so good - and last week I noticed a slight pain starting in my right heel again. I am back on the full time all day wearing the shoes. Even sitting in the car or in a chair try to sit with feet flat on the floor resting in the shoes. Now, again it is slowly getting better. I do not have pain after getting up from a chair or in morning as I did for so many years. As to why these shoes may be of help besides the arch support: I am a person who walks fast and steps down hard on my feet/heels. These shoes may help in curbing these two factors in my walk which I believe aggravate the plantar facitis/heel spurs. Also, the lower front muscles of my legs were sore for about two weeks when I first started wearing the shoes - which I understand is common. It had to do with using some different muscles when you walk. After alot of reading and trying what has worked for other people(but not for me) I know that not everyone will get the results I have had. I offer this advice with the hope that wearing these shoes (almost religiously) helps some of you to feel as much relief as I have finally been able to obtain. 10/11/97

Did cortizone and worked for about 4 months, getting worse, Should I do the orthodics to postpone surgery or just go get it done? Some folks have had better luck with Orthapedic surgeons than the standard poditrist? What do you think?..thanks much.

Did cortizone and worked for about 4 months, getting worse, Should I do the orthodics to postpone surgery or just go get it done? Some folks have had better luck with Orthapedic surgeons than the standard poditrist? What do you think?..thanks much.

I've had this problem for over a year. It first started when I misjudged the distance when stepping of a bleacher. I struck heel first and it's been painful ever since. I've seen orthopaedic surgeons(2) One that says I don't want surgery or shots because the shots can dissolve the fat pad on the heel and the surgery doesn't work. He sent me to a Podiatrist who sold me expensive orthodics and told me I needed surgery or I wouldn't get any relief. I then went to a second orthopaedic surgeon who said surgery and shots were both options. He gave me 2 injections, the first wasn't properly placed and did more harm than good. The second gave me total relief for about 3 weeks. That was in May of this year. I'm going back to the 2nd surgeon tomorrow. I don't really care what they do at this point. If I was a bear in a trap, I'd have gnawed my foot off by now! I have iced, exercised, heated, massaged, and bitched. I have taken so many NSAIDS my stomach is on fire. I'll be happy with the injection tomorrow, but can anyone tell me why my Mother says cortisone injections are going to kill me? I work in a pharmacy and none of the Pharmacists understand that, does anyone else? Anyone have any other suggestions? Appreciate any info you have! Vickie

I am suffering from this and would like to know whether aging could mean 35 years old or does the literature refer to aging seniors? Also, if by chance I ignore this problem, what will happen?

I have been suffering from heel pain since May, 1997. I've had 2 cortisone shots and was feeling much better. However, 2 weeks ago I managed to trip and felt a searing pain through the already tender area. Now my achilles tendon is also stiff. Hope to hear some words of encouragement.

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