Plantar Fasciitis

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Hello everyone,
I am hoping for some advice please.
I've had PF for over two years now in my right foot. I got it through running. Over the last two years I have tried everything to cure/ease the pain, smiliar to everyone else. I am now at the point where my consultant surgeon has agreed to release the plantar. This is what I've wanted all along but had to exhaust all other options before invasive surgery, I guess because of potential complications. I have a few questions which I'm hoping someone might be able to help me with please...
- what did you do to prepare yourself for the op? What are the best sites to read up on it? What practical things did you wish you had done but didn't realise it would've helped at the time?
- any tips for after the op? Again perhaps things you may not have thought of yourself until you were in that situation?
- this is just a little aside but I also have pain in my left foot now. My surgeon has applied pressure to the right points and said its not PF just stress. Has this happened to others? I'm completely paranoid that I'm going to get it in my left foot too.
I'm 46 and sometimes when I get out of bed in the morning (straight into my fit flops of course :-)) I feel like an old women. I really need to have to operation and I think the risks will outweigh the benefits.
Thank you for taking the time to read my post, any help would be really appreciated. Unless you've been there yourself, which none of my friends and family have, it's difficult for them to understand.
Thank you

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Hi Ely,

I'm having my surgery (Endoscopic Plantar Faciotomy) on 11/13/2017 (one week from today).  I've been trying to rest as much as I can leading up to the surgery, that's about it for prep.  My doctor makes it sound very easy and straightforward.  Sure hope it turns out that way.  I'm finding that a short walk (1/2 mile or so) twice a day makes my foot feel better, anything more makes it sore.  I've written a blog about my experience, which I will update after the surgery. 

Correction to blog link: https://chronicpf.wordpress.com/

Hi Gary, thanks so much for your response. I had my surgery on 30th May 2017. It's the best thing I could have done. I'm coming up to 6 months post op now and my life couldn't be more different. Don't get me wrong, I still wear inserts, my night splint and still do my stretches but I think this comes more naturally now after so long. I also think once your feet have been 'broken' with PF you learn how important it is to care for them. I've started running again. After 2 years and 7 months not running I had to go right back to basics. My first run, 3-months post op, was just run one minute, walk one minute X 3. I've now started on the 'coach to 5k' and I'm on week 2, run 2, so up to nine minutes running. I always stretch before and after which I didn't used to do. I read your blog and really related to it. It's a horrible thing to get but I think, for me, the op was a great success. They cut out the diseased part of my PF and while I was under they also cut the calf muscle to give it extra length. Let me know if you have any questions and I can try and help, thank you

DON'T HAVE THE SURGERY!!!!!  I AM URGING YOU IN ALL CAPS!!!  DON'T DO IT!

I am two years post op and I have had nothing but complications and excrutiating pain.  I'm literally back in the walking boot they gave me for the surgery because I have more stress fractures now.  I wish I never had it!  

Find a doctor or a chiropractor or even some PT places may have it.... Low Laser Treatment Therapy.  It works! I wish I had found out that my old chiropractor had this BEFORE my surgery.  I go to him now when I can't stand the pain.  I like you had suffered from the PF with bone spurs for too long so I opted for the surgery hoping that I would be back to my old self in 3-6 months.  Worst decision of my life!  My doctor should have offered me the walking boot before surgery but when I inquired about it, he laughed in my face.  Then, I found out his partner treated another patient by having her wear the boot for several weeks.  It calmed her inflammation and she was able to avoid having the surgery.  

My suggestions:  Try the walking boot first, and search for the low laser therapy.  Wait it out for another month and see if your inflammation settles down.  

 

Ely, 

I'm glad your surgery went well. You are one of the lucky ones.  You really are lucky.  I hope you continue to recover. Don't overdo it on your runs.

Gary, 
Think about what I posted about the low laser therapy and walking boot.  Try Hoka sneakers or a good pair of Asics too.  I wish I had discovered these prior to my surgery.  

Yes, I've read many stories of success and failure.  It hasn't been an easy decision, and every case is different.    Thank you Ely and Joan for your thoughts and suggestions.  With all due respect, I think we are more likely to hear about the bad outcomes, because the good ones often go unreported.  I have tried many different treatments, and the condition will not go away.  Even months of rest does not help.  I will report back on my surgery and recovery.

Hi Gary, I very much related to your story. It sounds like you have tried everything like I did too. Like you say everyone is different and sometimes you have to take the risk to gain the benefit. If I hadn't had the operation I wouldn't be as mobile as I am now. I was too young to be thinking 'shall I walk there now because I won't be able to walk there later'. Everybodies body is different, every surgeon will be different, but they will do their very best for you. Post op you need to look after yourself and this will aid recovery. I was walking straight away, on crutches, it hurt but I had to walk through it. I made myself try and do more and more each day. I agree with you, people don't tend to shout about it working, I probably wouldn't have posted that it'd worked if you hadn't written to me. Let me know how you get on and if you have any other questions. PF release does work and it has really worked for me :-)))

That's great Ely, I'm glad you are doing well.  My daughter is in Podiatry school, and her professors all recommend the guy who is doing my surgery.  He's considered the best in this area (SF Bay Area, CA) for this surgery.  So, I think I have every chance for a good outcome.  I've been going to the gym throughout, to stay in shape and keep my weight down (I'm 5'10" and 180 lbs.).  I'm finding the elliptical to be helpful, my foot tends to feel better after 20-30 minutes of it.  The rowing machine is also good for cardio with low foot stress.  There is a lot of weight training you can do without straining your feet.  Stretching a lot also, wearing my orthotics and Ufos around the house.

Hi Gary, sounds great. Do you wear a night splint? I found it difficult to wear one at first but now I can't sleep without one.

I tried one but didn't find it very helpful.

Gary

That's a shame. I always feel the benefit in the morning. I understand it stops your PF contracting over night so that first step when you get out of bed isn't as painful as the tissue isn't tearing again and again. I guess it keeps it stretched out. Maybe try a different type if you can, especially for after the operation.

I guess I don't have the same problem with this.  I don't have pain on the first steps in the morning any more.  I had that in the beginning, but now I only get pain after too much standing/walking/etc.  In fact, my foot usually feels the best in the morning.  It is worst after a lot of walking and then sitting for a while.  When I get back up and try to walk, that's when the pain is the worst for me.

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