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angela09870 angela09870

Surgery decision

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

82 Replies

  • david12541 david12541 angela09870

    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.

    • angela09870 angela09870 david12541

      Hi David , thanks for the reply, I've had it for so long now it's driving me nuts!! But I guess you no how painful it can be. There are no answers I suppose but I've tried so many things that this is now my last option ,   I just hope this works just scared it will make it worse  ,,but anything is worth a try. 😔

  • david12541 david12541 angela09870

    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.

    • angela09870 angela09870 david12541

      Hi David I've done that so many times and it's excruciating  only people who suffer from this understand  other people just think your moaning about achy feet, I try not to talk to people about it because they just think I'm mad !!!   Hope you get some relief soon  like you say you just have to keep trying ,, I just think  it gets hard sometimes  just have trouble coping when  they give  us no sleep , makes us more  miserable by the day.. have had pain killers but they  don't work long term  

  • dennis 49459 dennis 49459 angela09870


    Did they put you to sleep when they did your shock wave therapy?

    • angela09870 angela09870 dennis 49459

      Hi Dennis .No they don't put you to sleep for shockwave therapy. It's uncomfortable  but not  excruciating they can turn it up or down depending on how much you can stand. I had mine at a private hospital , by there physio department I had it for 6 consecutive weeks. But still didn't help made it worse if anything.

    • dennis 49459 dennis 49459 angela09870

      So sorry. I have been through everything you have. They put me to sleep using an "Ossatron" machine. Too painful to be awake. I'm 40 and have had for 10 yrs. I work in Orthopedics so know a lot. No one wants to cut me for fear of destabilizing the arch and foot drop.

    • angela09870 angela09870 dennis 49459

      I no there are risks with the operation but I have an amazing  podiatrist surgeon  who always is honest with me and tells me all good and bad things that can happen ,but I have been through all other options, with little or no effect I cannot carry on the way that I am.  Something has to work at some point 😳😕

  • Linder607 Linder607 angela09870

    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.

    • angela09870 angela09870 Linder607

      Hi Linda, yes I've tried accupuncture  it didn't help everything still the same don't find walking with a stick helpful though   Not sure what to do next to be honest just so Fed up of it all. It's one of those situations isn't it you don't gave a choice you have to stand on them  it's just getting harder to carry on with trying to have a normal life ,I've always been active so I'm struggling with not been able to do the things I want , it's so frustrating I no if I do that bit too much I'll pay for it later in the day .

  • lucy 73160 lucy 73160 angela09870

    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.

  • Stozy Stozy angela09870

    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.

    • angela09870 angela09870 Stozy

      oh no I'm sorry to hear that. My surgeon said he'll do one at a time so I can get over it and not make me any more useless .how long ago did you have surgery ,what kind did you  have I've already had coblation surgery and that didn't work. I hope you can get some help for the problems you now have .have you tried another podiatrists surgeon I've been to 2 hospitals as the first one didn't have the knowledge the surgeon had at the private one x

    • Stozy Stozy angela09870

      Hi Angela,

      I had Plantar release on both feet, this means slicing the plantar to release tension but it took another 12 years to recover from the operation to a point where I was 90%better. L

      Unfortunately it returned 12 months ago and only now I am able to go running but standing for period of time on hard floors is a no no.

      I have found the 3/4 insoles which support the arches to be useful and maybe I should be more persistent with the golf ball routine as it seems popular.

      Sorry to be the bearer of bad news in my case but I have known people have it for just a few weeks also. I believe time and cushioning are the best treatment.

      Good luck again

  • lucy 73160 lucy 73160 angela09870

    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!

    • angela09870 angela09870 lucy 73160

      hi lucy ,yes I've tried the rolling on all sorts of things, mainly while I'm eating dinner, or when I've eventually sat down at night .still didn't really help that much always feels a little better then it hits like a train with the pain shooting right up the back of my legs .but I'll keep with it   I've tried everything else .

  • amy51247 amy51247 angela09870

    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.

    • angela09870 angela09870 amy51247

      Hi Amy,sorry to hear that you have to go through this too.its a long hard road to getting anywhere as the doctors don't like to do this operation unless everything else has failed.i have a couple of weeks to make the last decision but I'm so scared of making it ,once there cut there cut ,no going back.But when all else fails what do you do,,,, I Carnot stand being in so much pain any longer .

      i really do wish you all the best and hope your operation goes well  please let me know how your doing wishing you lots of love    Xxx

    • amy51247 amy51247 angela09870

      Hi Angela, so I had the PF partial release surgery yesterday. It took 4 hours in total but only about 15 mins on each foot. Being awake in theatre was really hard mainly because I could hear them snipping away! However there was no pain because obviously they numb your feet, just uncomfortable. I have to rest and elevate my feet for 2 days. Did a few steps yesterday which was difficult as my feet were still numb but I've done some more steps this morning with my mums help and hanging onto a lot of walls! Feet are starting to wake up now which is uncomfortable and of course it's hard to say if the pain I've had for 10 years has improved because now I've got pain from the operation! But it's early days, I shall continue to post about how I'm getting on. Amy X

    • angela09870 angela09870 amy51247

      Sounds like you had a big day, hope things start to improve for you now and you can finally get on with things.hope your not in too much pain I suppose after constantly been in pain for so long you will hopefully see an end in sight soon .make sure you do as your told and rest    Take care  let me no how your doing when you feel a little better 🤕

    • amy51247 amy51247 angela09870

      So it's day 5 and I walked down the stairs this morning! I can now walk unaided. I am finding that I walk on the outside of my feet because otherwise it feels like my stitches are going to burst so I'm gradually trying to turn my feet in so this doesn't become a new issue. Still in the bulky bandages and post op shoes which makes bending my ankles quite hard. Full nights sleep last night with minimal pain. I'll keep posting. Amy X

  • lucy 73160 lucy 73160 angela09870

    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.

  • amy51247 amy51247 angela09870

    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.

    • amy51247 amy51247 angela09870

      It's been 3 weeks post my bilateral PF partial release surgery. I had my stitches out and bandages off a week ago so I am now able to walk around normally in trainers and drive! I'm pretty certain my right foot has improved in terms of PF pain. It still hurts in the morning but it gets better quicker, after about 10 mins rather than an hour I can put my heel flat to the ground! My left foot is another matter. The PF pain is hard to put my finger on and is potentially better but any improvement is masked by this pain I have. I thought it was from the amount of bulky bandage under my arch causing aching pain in my mid foot but a week after the bandages came off its still there. After I have been walking for a while I have very intense pain in my little toe and next toe, then through my mid foot and shooting up my calf and into my thigh/bottom. It feels like nerve pain. Also my little toe and the pad of my foot where my little toe joins is very numb. Having said that I am able to do more walking everyday, after all I'm used to painful feet! I do think it's important to walk through the pain to a point to build up the muscles and ligaments again but if it continues I will phone my podiatrist. Keep you posted. Amy.

    • angela09870 angela09870 amy51247

      Hi Amy nice to hear from you .are you glad that you made the decision to have the op, I see my surgeon later today and have to give him my decision, I've changed my mind so many times this week but have decided to go ahead with the operation as everything else has failed  I'm still uncertain that I'm doing the right thing but I have no other option as we have tried everything else .i hope your pain improves soon  take care x

    • amy51247 amy51247 angela09870

      Hi Angela, yes I would say I am glad I had the operation. I think this pain will go away and judging by my right foot I think it is better. I have to remind myself it's only been 3 weeks and they said it could take up to 6 months to feel the benefits. For someone who has tried everything like us, I don't think you can not have the surgery because it might be the best thing you ever did! I hope you're appointment goes well and that what I have said over the past few weeks has helped you to make a decision. I would say that so far is hasn't been as scary as I thought it would be and so far yes I am very glad I had the operation because I can say to myself now I've done everything I could do and if it still doesn't fix it then at least my mind is at peace x

    • angela09870 angela09870 amy51247

      Hi Amy I've been to see my surgeon today who has recommended the surgery after looking at all the other options and surgery that I've already been through  we've had a very long conversation about the future prospects for my feet and so we've decided to go ahead with the surgery one foot at a time, so hopefully I can try to get my life back, thanks for thoughts on this it has really helped . X

  • dennis 49459 dennis 49459 angela09870

    Hi all,

    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.

    • angela09870 angela09870 dennis 49459

      Hi Dennis I've had shockwave therapy  too I found that all it did was aggravate  rather than make it more comfortable. I was  offered the same drug and others as well but  don't like the side effects  that they have .hopefully it'll work for you  I have another operation  soon and hope that gives some relief it's a hard condition to treat as everyone is different   I hope you get some relief soon good luck x

  • david12541 david12541 angela09870

    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’.

    • angela09870 angela09870 david12541

      hi David I hope santa is kind to you this Xmas I've spent a fortune on all kinds of shoes but find they all feel ok for a couple of days then agony  still searching for something that's comfortable but it gets to a point of having a hundred  more than the shoe shops ,,,,, if your anything like me you'll always be searching for them good luck hope you find some soon x

    • lucy 73160 lucy 73160 david12541

      Hi David. I wear Merrell Jungle Mocs most of the time. I add ProFoot Plantar Fasciitis three quarter orthotics to them. They provide good arch support and have a gel heel. This is what is most comfortable for me.

    • angela214 angela214 david12541

      Hi David,

      The shoes that have been a godsend to me are very thick spongy thongs in OOFOS brand. They are like walking on clouds! I wear these as soon as I finish work and around the house always. I hope this helps..

  • amy51247 amy51247 angela09870

    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

    • angela09870 angela09870 amy51247

      Thankyou Amy have a good Xmas I'll keep you posted Carnot get my operation till early Feb but hoping for a cancellation in Jan I'll keep you posted  hope all goes well in the coming weeks happy holidays xxx

    • amy51247 amy51247 angela09870

      Hi Angela (and anyone else who's interested!) So it's been 6 weeks since my bilateral plantar fascia release. I think my right foot in terms of original PF pain is a lot better. I'm not walking on the outside of my foot as much to help ease the pain in the morning. The pain has by no means entirely gone but it is better. My left foot, is maybe even a little more better, although it was always the less affected foot. That is why the next point is so frustrating because I kind of feel like I wish I hadn't had my left foot done. I have blogged about this pain before. It is in my little and next toe, it's starts in the toes, shoots to the back of the heel through my calf and my thigh. It's like a cramp, spasm, nerve pain and takes my breath away at times! Also my little toe, part of the side and sole of my foot are numb. It is a lot worse after walking, having said that I can walk for an hour or two until the pain gets too much, although it's always there. Anyway I saw my podiatrist yesterday even though I'm not supposed to have a follow up for 6 months! I wanted to ask about this pain. He said he wasn't concerned but thought I had been doing too much and I needed MORE time off work. He thinks the pain is caused from walking too much on the outside of my foot to compensate for pain from my incision site. I'm not so sure that's it as my incision site is only a little bit tender but I'm concentrating on walking 'properly' now. He told me to do more calf stretches and I've also got some quite firm/rigid shoes from Clarks and Shuropody. So if I have another 3 weeks off work that will be 9 weeks in total! That's a lot more than the original 3-4 weeks they said I would need. So I'm going to do some intense rehab on my feet and and build my strength up. Sorry for the long entry but hopefully it might be of interest to someone. Amy X

    • angela09870 angela09870 amy51247

      Hi Amy nice to hear from you ,,glad your feeling the benefit of your surgery, I think it takes a lot longer than we think to get over the operation  but long term we will feel like it was worth it. My first lot of surgery I thought I would be ok 6weeks after my surgery,,, so I booked 2 holidays one was 6 weeks after surgery one was 3 weeks after the first holiday ,,,boy was I wrong I could barley get around I was in so much pain  my surgeon made me take my crutches for the second holidays which did help but was so inconvenient,,,. This time I'm not booking any holidays until I feel able to get about as normal,,,I think like my surgeon has warned me don't try to do do too much to soon it takes time to heal and lots of physio, I'm just impatient and want results to soon but it's not going to happen ,take the time and get yourself better before jumping back into normal routine and work ,I no it's not easy as I work for myself so I don't have to have time of from an employer. I hope you feel better every day keep me posted good luck.xx

    • amy51247 amy51247 angela09870

      Hi Angela, so 10 weeks after my surgery I have been back to work for two, 3 hour shifts. In my last message I spoke about starting to walk 'properly' through my left foot. Having poo pooed my podiatrists advice, I thought about it and yes I have been walking too much on the little toe side of my left foot which has caused this nerve pain and numb foot. I haven't had the shooting up the back of my leg for a few weeks now and the toe pain has decreased also. It comes back when I have been walking for more than about 4 hours or so. I have had two shifts at work and my feet have been ok. My feet have been a lot more tired than before the operation but I guess that's just a case of building up strength again. It's still getting me down because I can't imagine doing a 12 hour shift at the moment but work have been really good and I'm just going week by week. It must be very hard to be self employed because any time off is lost earnings. Have you got an operation date yet? Amy.

    • angela09870 angela09870 amy51247

      Hi Amy nice to hear from you ,, good to hear things are improving slowly.i have my operation on Saturday I'm a little nervous as the last surgery didn't work but I have to try   Just hope it works as I've got no other option. I'll let you no how it goes keep strong I think it's just a long road we're going down but chin up 🤕😉xx

    • angela09870 angela09870 amy51247

      hi Amy ..well it's been 8days after my surgery and although I have pain at site of surgery I definitely can say I feel so much relief from the nagging excruciating horrible pain that I had constantly. My others foot killing me because I'm putting all my weight on it  but the crutches help. I'm not taking my pain medication  cause I'm ok without them so hopefully will continue to improve ...How are you doing have you had some relief how are you doing are you walking in normal footwear yet .. xxx

    • amy51247 amy51247 angela09870

      Hi Angela I didn't get an alert about your previous message so I couldn't say good luck. Looks like you don't need it though if you are feeling the benefit already! I'm glad to hear your pain has improved. May I ask are you in the UK? It's just that I was told I could not/didn't need to have crutches or pain relief. Well I have been back at work for 3 weeks and it is going ok. I went to see my gp two weeks ago and I am taking Amitriptaline for this nerve pain in my left foot. I think it has improved the pain but I still have pain. So I'm just taking it day by day really. Keep me updated on your progress. Amy x

    • angela09870 angela09870 amy51247

      Hi Amy, yes I'm in the uk .i have had my treatment at a private hospital  not the NHS  so not sure if the advice is any different  .I was given Codine Ibuprofen and paracetamol, but I only took it tor the first three days  have crutches so that I don't put any weight in the surgical site and wasn't allowed to put it to the floor for the first three days so not to thicken the wound site .Im now putting it to the floor but not putting weight on it as such just using it more for balance but putting more pressure on it every day.I can definitely feel the difference ,yes it's sore but as long as I don't do too much the pain. Has definitely improved ..Are you in the U.K. .xxx

    • amy51247 amy51247 angela09870

      Yep I am in the uk too. Any reason you decided to go private? I had mine on the nhs and I was told to weight bear after the first 24 hours and wasn't given any crutches. Maybe it's because I had both feet done. Anyway that's all in the past now! I'm starting full time hours at work next week and I'm going back to the doctors to see if they can give me anything else for this nerve pain. Glad to hear you are doing well xx

    • angela09870 angela09870 amy51247

      Hi Amy. I didn't decide to go private on my own I did go to NHS specialists first in the MICATS. Department but after 2 rounds of cortisone injections  and ultrasounds they referred me to go private hospital as they said they didn't have the expertise or the most revolutionary equipment to deal with the problem,I must admit I'm so glad I did it as you would not believe the difference in your care and the knowledge that they have and how different  the treatment is .Im glad your ok and getting back to normal even though it's a long road,I've only had one foot at a time done as my surgeon wouldn't do both of them for this type of procedure as he said it  wasn't  suitable doing both at the same time not for this op .im having the others one done in 6months when I've fully recovered from this one ,take care xx

    • amy51247 amy51247 angela09870

      Hi Angela, how is your foot? I am back at work now full time. I am finding it difficult and painful doing my full time shifts. I am on the top dose of amitriptyline which is helping but the pain in my toes has still not fully gone but I don't get the shooting pain much now. My right foot is not really any better than pre op but my left is better but with the added new pain. So still not sure how to summarise how successful it's been. I'm still doing my stretches and icing. I'll be 6 months post op in a month. I hope you are getting on better than me! Amy X

    • angela09870 angela09870 amy51247

      Hi Amy sorry to hear your still having problems,, it's been just over 6 weeks after op for me and everything going really well still have some surgical pain at site of the op but otherwise it's feeling so good I have no pain in my heel at all just still a little sore at op site but the pain that I had before which was excruciating has gone ....

      i saw my surgeon on Monday who was pleased with the progress and I go back in another 4 weeks to see him but I'm so pleased I had it done .ill be having the other foot done later in the year but want to make sure that this one is fully recovered as having to bear more weight on one foot is hard work for the poor foot that you use especially as I have Pf in that one as well. it's worked well for me but I think that the advice and help from your surgeon goes a long way I've been on crutches for 6weeks and a boot which I think may of helped with the recovering,.My advice is go private the specialists and care are much better .. I hope you feel better soon .take care xx

    • amy51247 amy51247 angela09870

      Hi Angela, you must be having your other foot done soon? I am 8 months post op now. I recently went on holiday where we did quite a lot of walking and I was really pleased with my feet! My right foot is still painful at times and my podiatrist said the plantar fascia is still abit tight unlike my left foot which he said is quite loose now so in that sense my pain is a reflection of the success of each foot individually. He said I can have it done again but I don't want to go through it again! On holiday I had a lot of times even after walking a lot where I had no pain! I do calf stretches 4 times a day which greatly helps and I am still on Amitriptaline as I can still feel niggling nerve pain at times. Anyway let me know how you are doing. Amy.

    • joanne0101 joanne0101 angela09870

      Hi Angela, I was wondering how you are doing--I read all your posts.  I had surgery almost 4 weeks ago, getting anxious as I want to travel and visit my son the end of next month.  I'm walking without assistance, but I do get pain in the area of surgery (expected) and on the outer part of my foot but also on the outside of my foot now--I'll be discussing with my podiatrist on Tuesday.  So, questions for you: are you walking normally with shoes?  did you have any physical therapy after surgery? do you do any exercises? when does the surgical pain go away?  Thanks for any encouragement!

  • erika88410 erika88410 angela09870

    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.

    • lucy 73160 lucy 73160 erika88410

      Erika, I had two shockwave treatments and seven laser therapy treatments. My podiatrist charged me $60.00 for each one. I would say that they helped me about 50%.

      I had a cortisone shot that did not help me at all.

      Do a Google search for an article "The Running Doc on Plantar Fasciitis". It was in the New York Daily News dated April 4, 2016.

      This is what he says:

      "Good arch supports or orthotics are key: full length, flexible, no hard plastic! 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!

      Really! "

      I followed what he said about rolling a golf ball under my foot for half an hour each day. (I used a hard massage ball with spikes). I did it for two weeks and it helped me tremendously. You must do it for half an hour every day.

      Also, try wearing the ProFoot Plantar Fasciitis three quarter orthotics. You can buy them in most drugstores or Walmart.

      I have had plantar fasciitis for eight months and it is finally starting to get better. 

    • erika88410 erika88410 lucy 73160

      Thanks lucy, I just saw your response...for some reason I missed it before. I appreciate the tips. The orthodics make my feet hurt more so I stopped wearing them. Same with the golf ball. maybe I need to try again. It is frustrating to do something that is supposed to help and feel worse. Then you wonder if you should keep it up. I am scheduled for the shock wave therapy in January. Good luck to you!

    • lucy 73160 lucy 73160 erika88410

      The ProFoot Plantar Fasciitis three quarter orthotics are only about $10.00, so give them a try. They are soft. You can buy them on Amazon if you can't find them locally. The golf ball (I used a hard massage ball) does make your foot a bit sore, but it would feel better in the morning. It really helped me after two weeks of doing it. I only wish that I had read about it when I first got plantar's fasciitis. I don't think I would have had it as long. It's just starting to go away.

    • erika88410 erika88410 lucy 73160

      Hi Lucy, Thanks. I did buy the ProFoot on your recomendation and it made my shoes more comfortable and softened the heel impact. Just had the shockwave therapy for the first time yesterday so the jury is still out on whether that wil help. My theory is that the therapy itself hurts so much that just regular old PF doesn't feel as bad!

    • kurt16524 kurt16524 erika88410

      Custom orthotics form the doc are key if they are done right. They will make any shoe a custom fit. It'll cost about 400 or so but worth every penny. I had them made in the Eighties and they were awful but now they are awesome. Find high top basketball shoes and strap them down so that the heal doesn't separate from sole and orthotics.The shoe, foot, ankle, and orthotics will absorb the shock evenly allowing you to heal. Worked for me and I had to figure it out myself!!

    • erika88410 erika88410 kurt16524

      Hi Kurt,

      I do have custom orthotics from my MD (insurance paid for them) but they have always been very painful to wear. They make my arches ache. The high-top idea sounds interesting but it sounds like there would be no cushion. Thus far I haven't managed to wear any shoe without a heel cushion as it is just too painful. Pretty much any time spent on pavement or concrete sends me to the couch for a day of recovery. 

    • kurt16524 kurt16524 erika88410

      Hi Erika, I'm guessing your orthotics aren't right, I think you should get a second opinion. I had my first ones redone because of arch pain. Basketball shoes are rubbery but on the firm side. I tried the crocs and soft gels and they did help my heal but it didn't solve the pain, and created other foot issues for the lack of side support.

  • kurt16524 kurt16524 angela09870

    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!


    • angela09870 angela09870 kurt16524

      Hi kurt ..I've tried all the shoes possible for many years of expense believe me it's been a long road ..I had more surgery  8 days ago and so far  I have surgery pain at the site of the cut but already feel so much relief  from the nagging excruciating pain I had constantly ,,although my other foot is extremely painful as I have it in both it's taking a real bashing at the minute. When you've lived with the problem as long as I have and have tried everything medical and non medical thing possible  sometimes you have to put your trust in a surgeon who specialises in the problem .hopefully things will continue to improve as time goes on I'm not pushing myself and are doing as my surgeon has advised  .  Shall be having my other foot done in 6 months when I have recovered enough as I can already feel the benefit after just 8 days although a littl sore there's is definitely a difference. My advice is everyone has it at different stage so do what's best for you and find a surgeon who knows what they're talking about it makes the world of difference xxx

  • Beecham Beecham angela09870

    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

    • Aberzerk72 Aberzerk72 Beecham

      Hey there

      You had PRP for your PF and it worked???

      I have had it in heels for 6 mos and my surgeon wants me to try this.

      How long did it hurt?

      Did you wear walking boot? 

      How long till it fully healed?

      One shot or two? 

  • GDM GDM angela09870

    Hi Angela,

    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!

    • GDM GDM icecool

      I'm getting myself in a fix trying to respond to this, this is my third attempt !!  I am completely clear of PF and have been for about 7/8 months now.  I still wear the Vionic slippers and have a jel heel in my one shoe still but am completely free of any pain.  I put it down to the ultrasound treatment, rest, massaging my calves (initially they felt so tight you wouldn't believe it, massage and get right into the muscle and feel it (use moisturising lotion) to help get that muscle nice and relaxed and soft. I also massaged under my foot the same way......gave it a real rough massage and felt every bone and muscle in my foot!   Really get in and feel the muscle and massage it roughly!  Also rolled my foot over a tennis ball whilst relaxing during the evenings which gave me immense relief and made me feel real good, at least until I stood up !!!  I stretched my calves umpteen times a day by stepping forward with my best foot and keeping the bad leg straight backwards, bending your good front leg knee and stretching the calf of the bad foot. Do it as many times as you can throughout the day.  I still also loafah my calf every single day when showering and give it a real big rub!  i will probably always continue to do this as I think it is important to keep those muscles soft and relaxed.  I have had no further PF twinges or anything.  I feel like a new woman (or rather back to my old self!) again.  Fantastic as PF pain is the worst anyone can experience.  I did also lose a little weight about 5 to 6 lbs which must have helped.  My weight still seems to yo yo depending on holidays etc.  I also found the Volterol 12  hour cream a complete relief morning and night time which you can use for 10 days I think then you have to have a week's break from it before using it again.  All this definitely worked for me.  

      I hope you will try all of this and get the same relief I did and eventually become PF free.  You really do have to persevere with the excercises, massaging and rubbing and Volterol and of course resting the foot before you gain any relief.  It's down to you to do this.  I must admit the steroid injection was my last resort or even surgery but I was determined not to go down that road so I just got on with it and persevered!  It's the only way!

      Let me know how you get on......don't give up and use the cream for relief it really is a god send.

      best wishes,


    • icecool icecool GDM

      Hi GDM

      Thank you very much inded for this valuable detailed information. I am very grateful as I am at the end of my tether over this PF business.

      I ill try the things you have described and will kep you updated if that is okay .

      Once again many, many thanks.


    • GDM GDM icecool

      Hi Icecool,

      I know now exactly how you feel and the unbearable pain, the Voltoral 12  hour cream was amazing relief for me.  The jel heels I bought from Amazon where Sorbothane Heel Pads Shock Stopper Amorti which are auto adhesive if this helps. There are two in each pack.  As they are self adhesive I bought a couple of packs so I didn't have to keep taking them out of each shoe. I originally bought full shoe jel inserts but soon discovered that you can't get your shoes on as with those you need an extra size of shoe!! Whereas these heel pads just slip into your shoe and make no difference to shoe size.

      Be patient it's not going to work overnight and you will wonder if it will ever work but actually the pain subsides eventually then completely disappears!  It's not gradual at all it just happens and you get up one morning without the pain!  Rather strange really but I think it's all about relaxing and working on your calf muscles.  I read an article on Internet somewhere(did loads of research) and it said if you have pain in your foot you have to work on your leg muscles, which make sense really!

      Dont give up, do everything I mentioned and keep doing it without fail.  When the pain subsides you still have to rest your foot and continue to do everything, as you still get twinges every now and then.  Just continue to do the work for months after too.  It will disappear but you have to do the work!

      Good luck and do let me know how you get on.

      Thanks for getting in touch. I hope you get relief soon.

      best wishes,



  • lillyderrah lillyderrah angela09870

    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.


  • Aberzerk72 Aberzerk72 angela09870

    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

    Good luck


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