hi I'm new to forum , long story , don't want to bore you with too much, had plantar fasciitis for about 3 years now tried everything insoles,stretching strapping had cortisone injections in heal and ultrasound guided ones had shockwave therapy acupuncture and had coblation surgery doctor has given me all treatment you can think of . Pain excruciatingly painful when I stand and even when I'm in bed it throbs all night .at the end of me tether, now need to consider having them cut but so confused ,don't no what to do .anyone out there with any ideas cause I haven't got any
Hi Angela - I really do sympathise with your problem and am afraid all I can off is sympathy.
Over the last few years I have had recurring bouts of PF each one getting worse and longer. Last July I was laid up for over two weeks as like you I had the throbbing pain most nights and could only drag myself around clinging onto furniture.
I have found that only complete rest with no walking has worked for me - I know with work and other commitments this can be difficult or impossible. After my last bout I was left with a very stiff painful heel that made walking difficult for over two months. Started calf stretching and this seems to have worked as have not had a bad flare up since although my foot is still often very painful.
Surgery is the last option and I hope others who have had the procedure can tell you of their experiences.
As I have said on this forum before none of the so-called experts seem to really know what they are doing, it's just a case of try this, try that, and if it doesn't work try something else. I wish a proper long term study was carried out at some medical institution with in-depth PF research, but with budget cuts, and as it is not life threatening, I doubt this will happen.
Anyway I hope something works for you soon.
Hello Angela - sorry I couldn't be of more help.
Yes I certainly do know the excruciating, debilitating miserable pain of PF only too well. At night somtimes my foot was throbbing so bad I had to rest it on two pillows and keep the covers off - not that this made much difference! At other times there was no pain and I could move my toes, yes it's gone I thought, only to stand up and feel a 1000 volt shock shoot up from my heel to my head, and know there was yet another day of it.
It really is a miserable condition and I hope something soon works for you.
I'm so sorry to hear of your ongoing battle with PF. I was able to diagnose my PF very early and have managed to get it under control quickly (about 3 weeks from first symptoms). However, it was a horrible journey, albeit short. So, I empathize with you greatly!! My suggestion is to get your gait analyzed. I'd come across this advice on a site and it makes a lot of sense. The woman felt the source of her recurring PF was actually a weak lower back forcing her to walk awkwardly. I think this could also be a contributing factor to my PF as I am about to undergo a total hip replacement. When my hip is bothering me the most and my gait is off to compensate, I begin to feel the twinges of PF coming on. I quickly rest, stretch and stick to my cushioned shoes (Crocs and Brooks Adrenaline) to get back to pain-free. I know it is hard to rest and live your life simultaneously. I suggest using a walker (an inexpensive one is fine or, even just a cane) to alleviate stress on the fascia. I also recommend acupuncture. It helps - a lot!! Good luck.
Angela, Please do a Google search for an article called "The Running Doc on Plantar Fasciitis" by Dr Lewis Maharam. This is what he says:
"Fortunately, treatment is easier than most. Good arch supports or orthotics are key: full length, flexible, no hard pastic! Stretches of the calf relieve arch tightness as the heel bone acts like a fulcrum pulling back the arch tissue if too tight. Perform the gastroc and soleus stretches regularly - you can’t do them too much.
Finally, the magic cure is to roll a golf ball under the arch for a half-hour once a day. This may hurt the first week. Keep going because by week two the pain will be gone!
Enjoy the ride!"
I read this two weeks ago and decided to try it. I have been rolling my foot on a hard massage ball. It has really helped me. You must do it for half an hour every day. I urge you to try it.
Worst decision I ever made was having surgery on both feet. From having pain in the heel (which was improving slowly) I went to having inflammation as well as pain along the full length of the feet.
Of course everyone has different problems, the doctors diagnose almost all symptoms of the under foot as of?
Yours sounds very bad so it may be beneficial for your problem. Good luck.
Angela, I tried the frozen water bottle and I also was doing the massage ball for 5 minutes a day. The key is to do it for 30 minutes a day. It is boring as hell and tiring. I do it in the bathroom and hold on to the vanity or sit on the toilet. I watch TV or youtube on my ipad when I am doing it.
My background story: I've had plantar fasciitis for over six months. I had a cortisone shot (did not work) and seven laser therapy sessions and two shockwave treatments which helped about 50%. I only wish that I had read what this doctor said about using the golf ball six months earlier. He is an MD and specializes in sports medicine.
I do not have a golf ball so I am using this hard plastic massage ball with spikes which is also used for plantar fasciitis. I have been doing it for two weeks and it has really helped me. Like you, I was willing to try anything. This has done more for me than the other things that I have been doing, Good luck!
Hi Angela I have had PF for 10 years and ive had everything the doctors can offer me apart from surgery. After an awful lot of tears, indecision and despair I am having plantar fascia release surgery tommorow on both feet. I hope it's the right decision. I shall send a post to say how I got on and maybe it will help you make a decision. Chin up. Amy.
Angela, there is also a procedure called "ultrasonic fasciotomy".
Fortunately, a minimally invasive treatment is available for patients with plantar fasciitis who otherwise have not found relief. Percutaneous ultrasonic fasciotomy uses the Tenex Health TX tissue removal (debridement) system, which Mayo Clinicdoctors helped develop. The procedure, which can be done in a doctor's office, can be used on elbows, shoulders or other places where tendinopathy (irritation in the tendons) may develop, as well.
Here's how it works. Before the procedure, imaging tests -- such as ultrasound or MRI -- are done to determine the location and extent of the degenerated tissue. Once the specially trained physician has a clear picture of what's going on, her or she numbs the skin over the area and makes a small incision -- just large enough to insert a needle-like probe.
The physician then inserts the probe into the opening, guided by ultrasound imaging. The probe's oscillating tip produces ultrasonic energy, which breaks down the damaged tissue directly ahead of it. At the same time, a built-in inflow-outflow fluid system simultaneously irrigates and sucks up the broken down, or emulsified, tissue. Once all of the degenerated tissue is cleared away, the probe is removed, and the incision is closed with adhesive skin tape and a pressure bandage. The whole procedure takes only a few minutes, and complications are few.
After the procedure, patients must rest the area for several days and may need crutches or a walking boot to relieve pressure on the foot. But, they usually can get back to their regular routine within a week to 10 days, although it might take several months before returning to the activity that prompted the plantar fasciitis. Improvement continues as the tissue heals. Some people may benefit from additional physical therapy.
The procedure may not be appropriate for patients who have a complete tear in the fascia, but those with plantar fasciitis that hasn't responded to initial treatment should talk to their doctor about all of their treatment options, including ultrasonic fasciotomy. -- Jay Smith, M.D., Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minn.
So it's a week after I posted about having had bilateral PF surgery (it's now day 11.) I have been confined to the house for this time which has been difficult and boring! However I am walking around the house quite well. I still think I can feel my PF pain in the mornings when I first get up but at the moment I'm just glad that it doesn't seem worse as I was so nervous about surgery. I've had pain in my left arch, mid foot and calf where it feels like they are going to burst when I stand on my foot. I don't have this in my right foot which leads me to believe (and hope) that it's because there is a lot more bandage on my left foot which is making a really high arch instep. I get my bandages off and stitches out Monday so time will tell. I think after I've got the bulky bandages off I will be able to fully assess the success of the surgery. Amy.
Dennis here again. So I did the shock wave therapy (Ossatron) three weeks ago and sadly I don't think it worked. 3500$ cash bc not covered by insurance. I've done everything else as well. I'm 40 yrs old and it was suggested I try Gabbapentin a neropathy drug you take at night that may help nerve pain in the feet. I had a nerve conduction study that came back normal but I'm going to try anyway. I will report back in a month.
What is the secret about shoes – I’m writing this a little tongue in cheek but have contributed many comments before.
See my previous posts and I know only too well the fearsome pain of PF, but what about the shoes we may request for Xmas??
I wear Crocs around the house and sometimes outside, also Asics Gel Nimbus, and some Nike trainers. Formal shoes more difficult but use gel heel pads for usually short periods.
But oh, how I would love to find a pair of supportive, comfortable shoes I could wear all the time.
Now, as we know, PF is different for many of us, I wore a pair of Sketchers Memory Foam shoes for a week, they were sublimely comfortable, but then a PF flare-up that left me bed-ridden for nearly a week, and so I sold them on Ebay.
I have bought new, and on Ebay so many shoes, I should set up a store!!
The shoes can be slightly loose, in which case they do not give me the support, and at the end of the day my foot feels, how can I say, flat and painful, or if they are firm, the foot swells up in the day, and it feels crushed later on.
I have put my note up the chimney with a message for Santa, which says ‘Please give me a nice comfortable pair of shoes’.
Hi Angela well I'm glad you have made a decision. Please let me know how it goes I would be keen to hear about someone else's surgery experience as I have found it difficult to find this information (apart from this forum.) I wish you all the best with it. I will continue posting on here and let you know how this nerve pain progresses. In regards to shoes I have only found merrell walking type trainers comfortable, although they stopped making them so I bought a few in bulk! And more recently (pre surgery) I have been wearing doc martens. Good luck to everyone and maybe Santa will bring us all new feet!! X
I am very happy to have found this forum but sad that so many of you share my condition (bilateral PF) which began 1 year ago after spending 2 weeks walking in Paris in not very good shoes. I have tried almost everything and my doctor now wants me to try shockwave therapy. Has anyone in this group had positive results from it? Here in the US it costs $800 for 3 sessions. I guess the next step is the myofascial release which the doctor said could be done in the office and that I would "walk out" which sounds very different from the months of recovery that people are reporting here. I assume he is talking about the endoscopic vs. open surgery but wonder if that has easier recovery time. As far as shoes go, I too have spent a small fortune and have to rotate them regularly. The ones that seem the best for me are Hokas as they have a huge cushion. Lately I have also been wearing Skechers memory foam, and surprisingly my garden shoes, Sloggers which are super light (similar to Crocs). God forbid I should ever need to wear anything formal. Also wondering if anyone has had luck with specific exercises to strengthen the feet, or no weight bearing activities like swimming. Thanks for any information and good luck to all.
Hi all! I have been dealing with the same thing in both feet for some time. I'm an ex-pro athlete who actually injured the plantar tendon and put on IR list. Well, many years later it came back to roost and I pondered surgery. I rested, did shots, orthotics, stretched and other stuff already mentioned. Pain in arch on my L got better but the heal on R persisted until I figured out something on my own which may help some of you. I found out that high top basketball shoes were the best because of no heals, rubbery hard sole and tight high shoe laces were key in keeping it snug. You don't want the heal to ever separate from orthotics or sole for that sake if you want it to start healing. I know work gets in the way but there may be a medical exemption for this if you are on your feet a lot. If not, find a real tight sock and put it over the orthotics and foot to hold in place so a least the separation while walking is with the shoe and the orthotics and not foot. And I used a cane around home to relieve pressure, just for the time being to give it a chance to heal. It took a good amount of time however now I walk without pain but it is always there and I have to be careful. Oh ya, I used a small tubular pillow to keep it elevated during sleep. And I would take one Duexis at night on bad days. Hope that helps someone!
Hi angela - platelet replacement was my miracle. After years of suffering and having the same treatments as you i had this done last january and it changed my life ! Never thought it would work but i am now pain free, back to exercising and normal footwear. Good luck xx
I too had PF for over 12 months and now it's gone. I tried ultrasound, physio, Vionic shoes which did help relieve the pain, PF socks, jel heels, 24 hr pain relief cream which also helped although you can only use it for 10 days with 10 days rest before you try again all of which gave relief from the severe pain. Now it has gone! The only thing I can put it down to is the manipulating of the calf muscles with real vigour until you feel the tightness of the muscle in the backs of your lower legs, you can feel the pain in the muscles and it does hurt, you need to relax those knots in there.... and then massaging it afterwards with body cream to relieve your vigorous manipulation. I read an article that said if you have pain in the foot it is the leg you have to deal with. Pressure points in the calf muscle areas relieve the pain in your feet. Anyway I did all of this this and it worked! Give your calf muscle real working over firstly just with your hands and dig down deep in that flesh and you can feel the pain/knots in the muscle. Then massage normally with cream. Repeat each time you feel pain in your foot for a few days, eventually it will go. I now use a loafah when showering and give my calves the most roughest rub each morning and it helps relax those muscles and I no longer suffer with PF. Very, very occasionally I feel a slight swinge in my foot just as I step out of bed but once showered and rubbed with loafah I am back as normal and don't suffer at all now. No pain at all and haven't had for quite a few months now. All I ask is for you to have a go, it's worth a try before you opt for surgery! You have nothing to lose!
For all of you who suffer from chronic pf for years here are some things that may help:
If the pain's so bad at night, try a pair of dorsal night splints they will help relieve the pain and you might be able to walk normally in the morning.
Same for during the day, you can use strapping and compression socks to cope with the pain, but just for quick relief short-term.
Okay if you've tried all these things, here's the important one to actually treat the root causes of your plantar fasciitis:
Have a specialist examine and correct your walking/standing/running postures. 90% of the cases if not because of overweight it's the wrong posture that causes pf in the first place, since it creates negative repetitive impact on the arch. Work on your postures! go to youtube you can find some videos to start with. They'll guide you doing some exercises to strengthen your hips, your foot, and legs muscles and have a healthier walking gait.
I have PF both heels. Yes, no one understands what it is like till you have it.
Did you try PRP injections? At this point it is no longer inflamed but damaged tissue. This would bring blood back to the area of concern.
You could also roll a highlighter under ur heel and arch to reinflamm or reaggravate the area so it resets the healing process again.. much like shockwaves tries to do. Keep in mind ur foot will be sore till it reveals.
If those fail.. rest ur foot as much as possible. The fascia has limited blood supply and needs to rest