advice please....finally 3rd GP and......

Thanks, yeah, go for it... every 1lb you lose makes a x10 effect on your feet.   try giving up wheat and dairy - will kill you for a week but then its fine - in fact i tried a biccie today and it tasted sickly sweet which really shocked me.  I eat as much as i want and just make sure my fridge is full of frut and veg.  i dont count calories or anything. the rheumatologist explained to try and get vits and fruit and sugar early in day, carbs and veggies middle of day for energy and protein in eve to give your body the stuff it needs to repair.  Dont know how it worked - think its a combo of losing weight; getting more vits; lowering wheat and dairy; i think its all a combination of stuff really. All i can say is give it a go; get determined; my bloke thinks i look 10 years younger and just loves it all; my PF went almost immediately but achiles tendnitis and sesamoiditis took longer to get rid of but cant tell you how much better you will feel.  But i'd still ask for the ultrasound to make sure nothing else wrong.   Go for it!  

Good luck!  

With respect to the jabs, then 1/2 the docs seems to refuse to do them as they may cause more harm than good and half seem to do them so jury seems to be out on that one. However, personally i;d try everything else first as the jab is just to lower inflammation so you are not gettingrid of the underlying issue. Start off with serious serious icing. Whilst rubbish long term, wearing high heels not bad for PF sufferers as stretches the relevent tendon. 

if there is a gap in the tendon, its ruptured (mega pain)

If inflammed, it will be thickened and ask the radiographer to show you how thick it is (thicker it is more damage) - they will be able to show you and you should be able to compare the 2 feet and ask what it shoudl look like. 

it might be that you have a bursa and this will also be shown on the ultrasound - so ask them about this and to show you. This will go away in time and is where the fluid filled sac which enables bones and tendons to move smoothly, gets inflammed.   Make sure you ask if you have busitis as well as PF. 

Also ask if there is any evidence of sesamoiditis. If there is, then you need soft shoes or insoles to spread the pressure across your toes and off the big toe until its healed a bit.   So make sure you ask a) is the tendon ruptured or torn b) how thick is it - i.e. how bad is it? c) is there a bursitis anywhere causing you more pain d) is there any evidence of sesamoiditis at all. the only other thing you could ask is to ask if there is any evidence of osteo arthritis in your foot, specially big toe.   The answers to these questions will then enable you to get the right treatment. The GP might have simply referred you for PF but they will be able to tell all the above on an ultrasound but you should ask as easy peasy and go with the questions written down. The above need different treatments but as you are in so much pain, worth knowing exactly how much is wrong.  Nothing much else is likely other than the above unless you are diabetic.  Good luck!