Plantar Fasciitis

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Hiya,

 

I was originally diagnosed with PF 15 years ago and have treid about 15 different treatments but none help and currently my PF is the worse it has ever been. I am constantly limping and the pain in my right foot is excruciating (I have it in both feet). I often feel like no one really understands what this is like and that I am putting it on! Below are the various things I have tried:

1. Othotice (custom made by a podiatrist) - expensive

2. Gel pads

3. Heel Cushions

4. Over the counter Orthotics

5. Reflexology

6. Aromatherapy

7. Reiki

8. Gels / Deep Heat Rubs

9. NSAIDs

10. Injections of cortisone (twice through the sole of my foot - ouch! and once through the side of my ankle)

11. The strongest pain relief my chemist would sell me

12. Physiotherapy (who also taped my right foot)

 

I am running out of ideas and am at my wits end as to what my options are. Would an operation help? Is there an operation for PF?

 

Any advice?

 

Peter

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Latest update:

 

Went to hospital on Friday (13/5) and after some discussion was advised to have another injection through the sole of my foot into the heel (ouch)! Do the right one first and back in 6 weeks to see how it went and then take it from there. Well for the next few hours it was lovely - for the first time in so long I was able to walk without any pain in my right foot (it did however make me acutely aware of the pain in the left but it was nice to know this is what normal was like for a few hours). The next morning was back to hobbling etc.

 

Do think to myself when I go for my next appt I am going to make sure it is a bad day rather than dosing myself with pain relief so that when I see the consultant he does not think I am making it up!!!!

 

Still do not feel like they beleive me when I see a specialist (Orthopaedics) and no they could not offer me TOPAZ on the NHS here in Bournemouth and if any thing he was very negative about it! So have a taken (using an awful pun) a step in the right direction? Well I am now seeing soemone in orthopaedics rather than my GP or someone trying to flog me shoe inserts but know I need to be patient

 

Peter

I know what you mean, I feel like not taking the pain killers when I go to see someone as I also think they do not realise what the true pain is like.  Did he give any reasons for not having topaz, or perhaps that shock wave treatment, lets hope he is not putting cost first.

 

Nigel

Peter Williams said:

Latest update:

 

Went to hospital on Friday (13/5) and after some discussion was advised to have another injection through the sole of my foot into the heel (ouch)! Do the right one first and back in 6 weeks to see how it went and then take it from there. Well for the next few hours it was lovely - for the first time in so long I was able to walk without any pain in my right foot (it did however make me acutely aware of the pain in the left but it was nice to know this is what normal was like for a few hours). The next morning was back to hobbling etc.

 

Do think to myself when I go for my next appt I am going to make sure it is a bad day rather than dosing myself with pain relief so that when I see the consultant he does not think I am making it up!!!!

 

Still do not feel like they beleive me when I see a specialist (Orthopaedics) and no they could not offer me TOPAZ on the NHS here in Bournemouth and if any thing he was very negative about it! So have a taken (using an awful pun) a step in the right direction? Well I am now seeing soemone in orthopaedics rather than my GP or someone trying to flog me shoe inserts but know I need to be patient

 

Peter

I totally agree that the NHS don't take PF seriously.  I started getting symptoms back in 1993 but no doctor mentioned the words "planter faciitis" until 2001 (I think they diagnosed it before that and wrote it in my records but didn't bother to tell me!).  Since then I have been given totally useless, contradictory advice and no doctor has really understood how debilitating the condition is.  I have given up with doctors and just try and adapt my life to suit the condition.

 

The only things that have really helped me are:

1. Silicone gel insoles in all my shoes.

2. Giving up teaching and getting a desk job.

3. Learning to drive.

4. Losing a lot of weight - I seem to have a break point around BMI 30ish below which I get very little pain and above which it is pretty constant.

 

I had cortisone injections in both heels that worked brilliantly for six months (although I couldn't stand up for three days after the injections) but the second time I tried this it didn't work at all. Frankly these injections were the most painful thing I have ever experienced in my life and I admire anyone who keeps trying it.

 

I have thought about going private for some of the more invasive treatments but I have always been a bit scared they might just make everything worse.

 

Maybe someday soon they will invent foot transplants!  They can do bionic hand transplants these days so it can't be far off!

Susannah!! My experience with the NHS in the UK has been similar. My doctor diagnosed my PF immediately and sent me for an x-ray (which showed in hindsight that she knew nothing about PF). Only an MRI will show how advanced the condition is - I now know. At my strong insistence she sent me to physiotherapy, after her colleague had recommended cortisone injections. Physiotherapy didn't help - extreme stretching they said would help but this only made me worse. They clearly didn't know what PF really is and that stretching routines only worsened the problem.


Then I went for the non-invasive route, courtesy of some friends I have in Russia. See my yesterday's blog and call me on 0750 358 5136 if you want support and advice.
Susannah Drazin said:

I totally agree that the NHS don't take PF seriously.  I started getting symptoms back in 1993 but no doctor mentioned the words "planter faciitis" until 2001 (I think they diagnosed it before that and wrote it in my records but didn't bother to tell me!).  Since then I have been given totally useless, contradictory advice and no doctor has really understood how debilitating the condition is.  I have given up with doctors and just try and adapt my life to suit the condition.

 

The only things that have really helped me are:

1. Silicone gel insoles in all my shoes.

2. Giving up teaching and getting a desk job.

3. Learning to drive.

4. Losing a lot of weight - I seem to have a break point around BMI 30ish below which I get very little pain and above which it is pretty constant.

 

I had cortisone injections in both heels that worked brilliantly for six months (although I couldn't stand up for three days after the injections) but the second time I tried this it didn't work at all. Frankly these injections were the most painful thing I have ever experienced in my life and I admire anyone who keeps trying it.

 

I have thought about going private for some of the more invasive treatments but I have always been a bit scared they might just make everything worse.

 

Maybe someday soon they will invent foot transplants!  They can do bionic hand transplants these days so it can't be far off!

While the thought of the surgery is indeed frightening, it generally works.  You have to consider that the people who have successful surgeries do not get on the internet and rave about them; but those who have bad experiences...

 

After two years of dealing with PF (and I would rate my case as mild..) I am considering surgery to get back into race training.  I learned about the podiatrist I am considering for the surgery from other athletes who had the surgery and were please with the results.

 

Based on what you guys in the UK are saying, I am not sure that I would want to have it done over there.  You might want to consider going out of pocket and having it done in the U.S. by someone who is really good.

Do you have any bright surgeons over there offering the laser therapy route. No cuts, no errors, just focussing high intensity photons at the damaged area to remove scar tissue, according to my therapist. Then magneto therapy, where inflammation is seriously reduced enabling subsequent ultrasound treatments to be effective in stimulating delivery of nutrients to your injury. Two, ten treatment sessions, spaced 3 months apart have got me back on my feet. No surgery, but a promising, pain free, result which I'm monitoring carefully.

Hi David,

 

I have had two treatments of laser here in Dublin and they didnt do it for me, they are €150 a go, if you want info on the place let you know

Good Day Deidre!!

 

My laser treatments were part of a designer complex (so to speak)!! The full session comprised "laser" followed by "magneto-therapy" then "ultrasound". This is what seems to have cured my condition. My therapist was confident that this would provide me a pain free solution and so far, she's winning and me too!!

good stuff!! I am up to my eyes in work for next 3 days but will have a deeper look into what you saying, and David, just for my info sorry if it seems rude but are you overweight?? I am by 1.5stone 21lbs so about 10.5kgs so trying to find out is this the route, as i am not getting treated very well unless i loose and its hard when you cant do to much!
Deidre, No problem with your question - which means, I guess, I'm not awfully overweight. I come in at 190 lbs or 86-87 kg for my 5'10" frame. That's a BMI of 27, bordering mild obesity in some reference books (damn cheek)!! But you're right to try and keep weight under control, after all the feet and knees have to support all that load.
If you go onto YouTube and type

Topaz for Plantar Fasciitis | Weil Foot & Ankle Institute

there is a video there showing what happens - looks good but where in the UK is this available?

 

Peter

Peter,

Topaz is not what I'm advocating, the laser treatment trilogy is totally non-invasive and is standard procedure for plantar faciitis patients in Russia, which is where I was treated. Now back in London and improving daily.

David

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