Plantar Fasciitis

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I've been battling PF for almost a year now with serious debilitating pain. I swear I tore the fascia during a running race in Dec. I've tried everything with this foot but nothing helps. It doesn't help I'm a very active parent and athlete. I'm considering ESWT. Has anyone tried this? Your thoughts please.

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Shock wave isn't a whole lot of fun. Is it effective?  I've seen it work, I've seen it fail.  It's effectively an extremely powerful form of ultrasound used to break up the connection at the heel. You HAVE to be sedated for this, then you MUST stay off it for 3-4 weeks, then you're in a walking boot for another 1-3 months depending on how fast you heal.

 

Tell me more about the race, the pain, and how this progressed.

I don't undertand Kay Warren's answer about eswt at all.  I had about 10 treatments on my bad foot -like you Melissa, I got this injury in February and I believe I ruptured it too - serious, life-changing, debilitating pain that never ended.  Nothing helped until I got these mbt shoes a few weeks ago.  I did some shiatsu massage and acupuncture to revitalize my sore, aching legs to be able to handle these 'instability shoes' but they gave me 70% of my life back even though I have to watch every step I take.  This is the only answer I have found after lasers, cortizone shot, shocks, orthotics everything - thousands of dollars for nothing.

The shock treatments were a bit painful yet somewhat pleasurable when it hit the right spots/lower level.  I did not need any sedation - nothing except some gel on my foot and the podiatrist set it at varying degrees of how much he thought I could take.  I usually did experience maybe 10-20% relief for a little bit but it really had no big effect so far but my podiatrist said it could take 6 months to really take full effect.  I would get off the chair and try to walk as much as I did before each procedure and it usually helped a bit - no down time, no sedation, no numbing cream - nothing to really be afraid of - if you have had the cortizone shot - its nothing compared to that!

I heard it really helped someone - thats why I tried it.  The usual treatment is once a week for 3 weeks.  We just kept trying it so I ended up having many sessions but the last one really hurt more than help so I stopped.

Melissa, try these mbt's at a specialty shoe store - they really helped me after the thousands of stories you hear from a thousand people.

Good luck and keep me posted.

julie Randall

Julie, i don't believe you had high energy shockwave therapy, you probably had low energy, which is very similar to standard, in-office ultrasound.  it's rarely painful, but takes longer to work.  In case you or anyone else here doesn't believe me about high energy shockwave, here is articles you can check out on your own.  there are other articles, but not all will tell you whether high or low energy chockwave was used.  high energy has been around for more than 15 years, the low energy version is newer.

 

http://orthopedics.about.com/od/footankle/i/shockwave.htm

 

As for shoes, MBTs work wonders for some people, and not so well for others. for someone whose balance is challenged, or who has pins rods or plates in the ankle, they should check with their doctor before getting them.

 



Kay,

I did not read anywhere in that reference you provided of the measures you suggested re recovery times etc- nor in your original message did you distinguish between high & low shock therapy.  Whatever, Kay - I have absolutely nothing to benefit from this discussion than to help someone out sharing my experiences and after wasting thousands of dollars desperate to find an answer - these mbt's are it for me. 

The shock sessions were sometimes helpful in pain reduction so I recommend them as an easy choice compared to anything invasive.  I could not handle more pain than the PF and nothing worked like the technology in these mbt's. 

They are definitely hard to get used to and you do have to be careful with every step but as a PF sufferer I watched every step anyway trying to avoid the brutal pain and only with these shoes can I manage without damaging my muscular system through imbalance and constant pain.  I had a huge migraine in my foot that only went away after using these shoes  - it had been 7 months of hobbling - I even used a wheelchair for a few months.   If people have pins or weaknesses and can't use them its understandable - they do make you work and you have to have balance and strength.  I did shiatsu massage and acupuncture to regenerate my atrophied legs to manage.  I never took them off after trying them on and find they tone you up so you can heal.  If every step is pain - you are reinjuring the spot again and again.  I wish I was getting paid for recommending these shoes because they are expensive but they really have given me back some hope and that means a lot.

Julie

Kay Warren said:

Julie, i don't believe you had high energy shockwave therapy, you probably had low energy, which is very similar to standard, in-office ultrasound.  it's rarely painful, but takes longer to work.  In case you or anyone else here doesn't believe me about high energy shockwave, here is articles you can check out on your own.  there are other articles, but not all will tell you whether high or low energy chockwave was used.  high energy has been around for more than 15 years, the low energy version is newer.

 

http://orthopedics.about.com/od/footankle/i/shockwave.htm

 

As for shoes, MBTs work wonders for some people, and not so well for others. for someone whose balance is challenged, or who has pins rods or plates in the ankle, they should check with their doctor before getting them.

 

Julie,

You're correct that I didn't distinguish between high & low energy shockwave in my original post. I wasn't aware they were calling "low energy shockwave" anything but ultrasound these days.  I'll always suggest least invasive treatments over surgery any day of the week, so would any decent medical professional.  Anyone who recommends going to straight to surgery in a non-emergency situation is suspect in my book.  I'm glad these techniques worked for you, and I've never said that the in-office version of ulstrasound shouldn't be done. I've cautioned about the more severe form, because it detaches the PF Band, requires sedation, and requires you to be off your feet completely for nearly amonth, and in a walking boot for another month or so. Newer research is calling it's effectiveness into question, and my own clinical experience bears that out.  I have a number of clients who haven't had good results.  I've seen other clients from whom it was great.  I just feel it should be approached with caution.  There are many other treatment options, and your doc should talk to you about all of them.


I'd also like to see more docs use class 4 laser therapy in addition to the standard treatments.  If it were within my scope of practice in NC, I'd drop the 10K on the equipment without thinking twice.  It was the only thing that helped the severe ligament damage in my elbow.

 

My references on healing times come straight from the DPMs & orthopedic surgeons I've worked with past & present.  Speed of healing depends on age, genetics, condition at time of injury, and the severity of the injury itself. Ranges given are baseline ranges intended to give people an idea of what to expect. It could take you longer, it's rarely shorter, but the doctor that does the treatment will be more specific with their patient about their expected healing times specific to their particular situation.

As for MBTs, I've got nothing against them, they're good quality shoes.  Many people have been helped by them.  I also know people with really bad balance, bad nerve damage resulting in loss of feeling in the foot, or surgical appliances permanently grafted to hold bones still who absolutely should not be in them.  The suggestion to ask your doctor about whether or not you should use them if you have these conditions is an important caution, and I'll stand by it any day of the week.

 

You seem to simply that I have something to gain by posting here other than helping people. I have gained exactly 3 clients in 5 years of posting here, and I've freely sent out THOUSANDS of guides to people all over the world. I tell peole that if they have questions about the guide, or need more info to let e, know, and I spend a fair amount of time answering questions on complex foot issues, and I do it free.  If I were posting as a money making venture, it would not be worth it.  I had this for 3 years in my early 30's, I had tears in my eyes every morning as I hobbled against the wall just to go to the bathroom.  Gods forbid I sat down for 10 minutes, because it was worse when I stood back up.  I've been pain free for 7 years.  I've been suggesting good orthotics combined with massage ever since. I'm not overly thrilled with your suggestion or attitude. I'll not bother with you again.

This is for Melissa & others who wanted authentic advice about eswt from one who experienced it more than the average.  I say go for it and it isn't ultrasound no matter what others may post about that.  Google it for yourself.  There is a treatment level but I found it too strong but when the podiatrist dialed it down a bit - it helped the pain as I said 10-20% but I actually have heard it was a magic bullet for other PF sufferers and there seems to be a longer-term benefit.  There is absolutely no reason not to try it - there is no bad outcome other than it won't work . . . good luck out there.  Hope I have helped (even one normal person out there)  I won't post anymore.

 

 

Kay Warren said:

Julie,

You're correct that I didn't distinguish between high & low energy shockwave in my original post. I wasn't aware they were calling "low energy shockwave" anything but ultrasound these days.  I'll always suggest least invasive treatments over surgery any day of the week, so would any decent medical professional.  Anyone who recommends going to straight to surgery in a non-emergency situation is suspect in my book.  I'm glad these techniques worked for you, and I've never said that the in-office version of ulstrasound shouldn't be done. I've cautioned about the more severe form, because it detaches the PF Band, requires sedation, and requires you to be off your feet completely for nearly amonth, and in a walking boot for another month or so. Newer research is calling it's effectiveness into question, and my own clinical experience bears that out.  I have a number of clients who haven't had good results.  I've seen other clients from whom it was great.  I just feel it should be approached with caution.  There are many other treatment options, and your doc should talk to you about all of them.


I'd also like to see more docs use class 4 laser therapy in addition to the standard treatments.  If it were within my scope of practice in NC, I'd drop the 10K on the equipment without thinking twice.  It was the only thing that helped the severe ligament damage in my elbow.

 

My references on healing times come straight from the DPMs & orthopedic surgeons I've worked with past & present.  Speed of healing depends on age, genetics, condition at time of injury, and the severity of the injury itself. Ranges given are baseline ranges intended to give people an idea of what to expect. It could take you longer, it's rarely shorter, but the doctor that does the treatment will be more specific with their patient about their expected healing times specific to their particular situation.

As for MBTs, I've got nothing against them, they're good quality shoes.  Many people have been helped by them.  I also know people with really bad balance, bad nerve damage resulting in loss of feeling in the foot, or surgical appliances permanently grafted to hold bones still who absolutely should not be in them.  The suggestion to ask your doctor about whether or not you should use them if you have these conditions is an important caution, and I'll stand by it any day of the week.

 

You seem to simply that I have something to gain by posting here other than helping people. I have gained exactly 3 clients in 5 years of posting here, and I've freely sent out THOUSANDS of guides to people all over the world. I tell peole that if they have questions about the guide, or need more info to let e, know, and I spend a fair amount of time answering questions on complex foot issues, and I do it free.  If I were posting as a money making venture, it would not be worth it.  I had this for 3 years in my early 30's, I had tears in my eyes every morning as I hobbled against the wall just to go to the bathroom.  Gods forbid I sat down for 10 minutes, because it was worse when I stood back up.  I've been pain free for 7 years.  I've been suggesting good orthotics combined with massage ever since. I'm not overly thrilled with your suggestion or attitude. I'll not bother with you again.

Hi Julie,

I am interested in your views of the MBT's loads of my friends over here were them, they have been popular for few years now, to help tone your bum etc to walk, thats how they were marketed. However, as I spent so much on my special orthotics €300 you couldnt put them into MBT as it was like counter doing the good? or am I mistaken? , i have to say that i had cortisone 5 months ago and it has helped lots, but it is starting to sneak back now, and I dont want to be reliant on a steroid so, could you advise if you wore your orthotics with the MBT's or took them off?

many thanks


julie randall said:

I don't undertand Kay Warren's answer about eswt at all.  I had about 10 treatments on my bad foot -like you Melissa, I got this injury in February and I believe I ruptured it too - serious, life-changing, debilitating pain that never ended.  Nothing helped until I got these mbt shoes a few weeks ago.  I did some shiatsu massage and acupuncture to revitalize my sore, aching legs to be able to handle these 'instability shoes' but they gave me 70% of my life back even though I have to watch every step I take.  This is the only answer I have found after lasers, cortizone shot, shocks, orthotics everything - thousands of dollars for nothing.

The shock treatments were a bit painful yet somewhat pleasurable when it hit the right spots/lower level.  I did not need any sedation - nothing except some gel on my foot and the podiatrist set it at varying degrees of how much he thought I could take.  I usually did experience maybe 10-20% relief for a little bit but it really had no big effect so far but my podiatrist said it could take 6 months to really take full effect.  I would get off the chair and try to walk as much as I did before each procedure and it usually helped a bit - no down time, no sedation, no numbing cream - nothing to really be afraid of - if you have had the cortizone shot - its nothing compared to that!

I heard it really helped someone - thats why I tried it.  The usual treatment is once a week for 3 weeks.  We just kept trying it so I ended up having many sessions but the last one really hurt more than help so I stopped.

Melissa, try these mbt's at a specialty shoe store - they really helped me after the thousands of stories you hear from a thousand people.

Good luck and keep me posted.

julie Randall

Hi Deirdre,

I bought the latest mbt's - the newest model - mahuta (there are others) and I didn't need any orthotics - that was the beauty of them.  The newest models are so soft inside that I didn't need any orthotic inside.  I could wear them 24/7 with confidence.  They still never hurt me while if I ever took them off and wore regular shoes - I would be dying.

I think some of the older mbt's are harder so stick with the very latest model, get a good fitting with a specialist at the store and you'll be amazed!  Nothing else is required.

I did not have any good result from the cortizone shot so you are ahead on that.  I had lots of eswt's but nothing relieved my pain until these shoes so give them a try and write back.  Good luck.

Julie randall

Thanks Julie, for that, well at this stage I will have to wait till after christmas to buy them, but will let you know

 

cheers

Deirdre,

I know - they are expensive but there are deals on ebay if you have normal sized feet.  I wear size 5.5 so they have to order some styles for me and here in Canada it takes forever and is very expensive.  I paid $400 for my boots but on "rue la la" a discount website, they were on sale for $119 but only to America so I miss that!  If you live in the states - there are amazing deals.  I plan on having a pair for every event.

You can still go to the store and try them just to see if they would work for you.  I do not take mine off - I go from my runners to the slip-ons in the house to boots for the rain.  I know I still have the condition but the shoes make me feel like I am normal! 

Please be careful about buying MBTs online.  There are over 40 known fake MBT websites that sound legit, but actually sell counterfeits. I work with a shoe store that sells MBTs, I've met their reps, and they inform me that the one & only legit MBT site is: www.US.MBT.com  If you go to the site, you can click on "Stores" located in the left hand part of the red banner on top.  Plug in your zip or postal code and you can find a retailer. Now it's quite possible that the websites you're getting such great deals on are perfectly legit, I'd just check it out first, before dropping $200-350.

thanks for that, however I live in Ireland, and even when we buy online from the states the Customs charge us VAT so its not worth it

 


Kay Warren said:

Please be careful about buying MBTs online.  There are over 40 known fake MBT websites that sound legit, but actually sell counterfeits. I work with a shoe store that sells MBTs, I've met their reps, and they inform me that the one & only legit MBT site is: www.US.MBT.com  If you go to the site, you can click on "Stores" located in the left hand part of the red banner on top.  Plug in your zip or postal code and you can find a retailer. Now it's quite possible that the websites you're getting such great deals on are perfectly legit, I'd just check it out first, before dropping $200-350.

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