Plantar Fasciitis

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I'm new to this forum, and have spent a good deal of time reading various posts, but ended up mentally swimming with all the information. So, I thought I should just go ahead and make my own post.

I have been suffering from PF for over a year only on my left foot; although didn't go to the pod and get diagnosed until about 6 months ago. Since then, I've gotten new insoles from the doc (not custom, insurance won't cover), lost sleep because of the night splint, received 3 cortisone injections, been to PT, ice & stretches when I'm not at PT, taken sleeping pills, anti-inflammatory med and Celebrex, and I'm sure there's other stuff I've forgotten about. X-Ray revealed a small heel spur, but the MRI revealed a fascial tear.

On my last visit (almost a month ago), he gave me what he said was my "final cortisone injection," that hurt WAY more than the other injections I had received and didn't really relieve the pain for as long as previous injections had. He said that we may need to discuss other options.

One option is they draw my blood, spin it down, and inject the platelets into the heel. Has anyone heard of this? Anyone know the success rate? Risk factors?

Of course, the final option is surgery, which scares me considering what I've read on other sites, as well as this one. I haven't talked to the doc about surgery (that's our discussion the week after next), and whether the tear is sutured or it's cut to release the tension (making one foot bigger than the other?). From what I've read here, there are different types of surgery...is one better than the other?

I know I've rambled about a lot of stuff here, but like I prefaced this post...my head is swimming. Any feedback, any suggestions, any ideas would be very welcome. My foot no longer hurts just when I stand in the AM or after sitting. It throbs all day, radiates, sends shooting pains through my foot while sitting, and is beginning to affect my right hip because I'm leaning to take weight off my left foot. UGH! I'm only 38 but feel like an old lady when I'm hobbling around and talking about all the things on my body that hurt!!

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I forgot to mention that I have VERY high arches and my job requires that I be on my feet all day.
Google the research about the platelet therapy. It might be effective. I'm getting k laser therapy done on my feet by a chiropractor. I'm also using sof-sols (about $25). They seem to help too. I also work on my feet all day teaching P.E. Good luck.
My best guess is that your problem is your job, if you will be on your feet all day they will never heal, You should find an alternative job until your feet are COMPLETLY healed.
also if you have very high arches i would recommend you get arch custom supports, ones that you buy off the shelf are not good because they will most likely not fit your feet, they may be good on your arch but will put preassure on the ball of your feet, making the situation worse.
Last thing, it's possible that your body takes longer time to heal itself, look back at previous injurys you had and how much time it took them to heal, it could be an indication to how fast you heal.
Tina Muraski said:
I forgot to mention that I have VERY high arches and my job requires that I be on my feet all day.
I have had PF over 7 yrs. I have the custom orthotics, night splints, exhausted the shots. I had them over the yrs. At first they helped for months, the last shot only a wk or so. I have taken lots of different med, none helped. I had the Topaz Coblation and that didnt help either. After that procedure, the pain began radiating into my toes. My dr is almost as disgusted as I am. I have not heard of the blood spinning thing.
Your are too young to be having it already. The orthotics do seem to help the pain some when standing & I feel are worth the cost.
The sucess rate for the surgery (cutting ) is 80 percent. Sucess rate for the Topaz thing is about 67 percent.
Sorry I am no help. Hope you are better soon.
Thank you Cheryl.
I had the surgery to my right foot, and it was the cut and release one. It didn't work. I have PF in both feet, and my right foot is slightly worse pain wise than my left, and I believe it's because of the scar tissue inside. I don't think I've noticed any larger size.....but based solely on my experience, and the information over here with the NHS, I don't think I'd recommend it to anyone.
If you do have it, plan on being laid up for about a month. I ended up in a wheelchair for a month because I pulled all my chest and rib muscles using crutches - a big bucket of pain!
Just do research, ask for a couple of opinions and then decide what's best for you.
Good luck, as I've not been very successful and I'm going on 8 years with this.....and I'm miserable with it.
I went to the ortho dr (after going to the foot dr for 2 yrs) and he told me that I needed to have the release surgery, as I have had everything else. He said I could walk on it right away the next day. Was you incision on the side of your foot and about an inch & a half or so long?
That is what I was told? I have had the topaz coblation and it didnt work. I hate to go through another surgery for nothing!
I am afraid it wont work either!
Misha said:
I had the surgery to my right foot, and it was the cut and release one. It didn't work. I have PF in both feet, and my right foot is slightly worse pain wise than my left, and I believe it's because of the scar tissue inside. I don't think I've noticed any larger size.....but based solely on my experience, and the information over here with the NHS, I don't think I'd recommend it to anyone.
If you do have it, plan on being laid up for about a month. I ended up in a wheelchair for a month because I pulled all my chest and rib muscles using crutches - a big bucket of pain!
Just do research, ask for a couple of opinions and then decide what's best for you.
Good luck, as I've not been very successful and I'm going on 8 years with this.....and I'm miserable with it.

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