Plantar Fasciitis

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Please could somebody tell me if I can request a walking cast of boot after planter fascitis surgery so that I can get around my house a little.  I have 3 kids and I just can't lay all the time.  Thanks,

Em

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you sure can. i would recommend it. i would be surprised if your doctor didn't also. however you may need to be non weight baring initially then transition to the walking boot. 

Thank you so much for replying.  Right now I am in a day/night walking boot.  I have to keep it on for 6 weeks and I can only take it off to shower.  When I take if off I notice no difference.  My heel is hurting so bad!  I have had 4 cortizone shots, two times at physical therapy and I was on predisone for 1 1/2 months and now this boot and nothing helped.  The doctor said if this does not work he will do surgery.  He told me that surgery does not always take the pain all away.  Is that true?  I look at it this way, it has to be better than all this pain for over 1 year.  Stretching did not even help.  Did you have surgery?  Is it worth it?  Any advise?  Thanks, 

Em 

melgirl30 said:

you sure can. i would recommend it. i would be surprised if your doctor didn't also. however you may need to be non weight baring initially then transition to the walking boot. 

Does your foot hurt while in the boot? Or only when you step out to shower? 

I finally gave in after 1.5 years and got one shot in my right foot and then put my self in a boot (this all happened Thursday). I don't feel any pain in the boot and my left foot which also has PF has not bothered me at all (knock on wood). I find this so strange since I am bearing more weight on it, go figure. This is a mysterious illness. 

I had endoscopic surgery (called a FAST Procedure). The doc made 4 small incisions in my feet and used a tool to break up the damaged tissue. It did not really help. Are you considering a release surgery? Open surgery? My concern with a release surgery that it could weaken your fascia forever. They do cut a small piece out and that does not grow back!  You also have to work to get rid of the surgical scar tissue which can be hard. However, some people do great with it. I had a bad experience with surgery so I would not do that again. 

Did you find stretching bothered your foot? It actually made mine worse. I think stretching needs to be done very carefully at the right time. I am more of fan of eccentric stretching. 

Do you have the "Stick" or a foam roller? I recommend looking for trigger points. This video explains common trigger points which can cause PF. http://sock-doc.com/2011/03/205/

What I have realized from all of this is that many treatments and doctors only treat the symptoms of the foot, which has it's place to reduce inflammation, etc. but if you are chronic like me, you need to look at your whole body. Fascia is all over your body. Starting at your neck down to your feet is all connected. I have been so inactive for a while, which I felt was necessary but it's also bad. I only recently started doing a floor yoga video that is stretching my neck, back, hips and hamstrings. It's all floor poses so I am not standing barefoot. I am careful not to stretch my foot so much so I point my toes doing ham string stretches - at least for now until I a get more strength and flexibility in the rest of my body. I think I feel a difference from doing this. 

Other things that may be helpful for you are a gait anaylsis (video that shows your walking pattern). That could be helpful to see if the way you are walking is overloading your foot. My video showed that I had really bad hip extension when I walked which was not activating my glutes enough. 

So my advice is look for trigger points, with a foam roller or if you can afford it look for massage therapist who focuses on fascial work or a rolfer. Try a floor yoga video. However at the same time, your plantar fascia is damaged, like mine so while all these whole body treatments may help you and help get to the cause, you still have an aggravated fascia. That is why I decided to go with the boot, to give my foot a rest and time to heal. My hope is that it will move me in the right direction. 

Thanks so much for replying to me.  I don't know what I am going to do.  I have a doctor's appointment on October 15, 2013, and I will see what he says.  But, if iI could avoid the surgery I want to.  I can't live on Motrin the rest of my life and that does not even help all the way.  I wonder how you get this?  I don't know how I could of got this.  I was wearing flat shoes to work last year.  I wonder if that is how I got it.  Mine started in June of 2012/  I woke up one day and I said to my sister-in-law "Wow my foot really hurts, I don't know what I did".  Ever since then it just got worse.  It is really bad when you sit for awhile and then go to get up.  Wow, there are times I can't put any weight on it at all.   I really don't think at the end of the six weeks when this boot comes off my foot will be back to normal.  It hurts at time in this boot.  Is planter fascitis when your facitis become too tight and you have to get it loose again?  If that is the case how come all the stretching does not help?  Oh well, I will keep you updated!  I hope your feet are feeling fine!

Em 


melgirl30 said:

Does your foot hurt while in the boot? Or only when you step out to shower? 

I finally gave in after 1.5 years and got one shot in my right foot and then put my self in a boot (this all happened Thursday). I don't feel any pain in the boot and my left foot which also has PF has not bothered me at all (knock on wood). I find this so strange since I am bearing more weight on it, go figure. This is a mysterious illness. 

I had endoscopic surgery (called a FAST Procedure). The doc made 4 small incisions in my feet and used a tool to break up the damaged tissue. It did not really help. Are you considering a release surgery? Open surgery? My concern with a release surgery that it could weaken your fascia forever. They do cut a small piece out and that does not grow back!  You also have to work to get rid of the surgical scar tissue which can be hard. However, some people do great with it. I had a bad experience with surgery so I would not do that again. 

Did you find stretching bothered your foot? It actually made mine worse. I think stretching needs to be done very carefully at the right time. I am more of fan of eccentric stretching. 

Do you have the "Stick" or a foam roller? I recommend looking for trigger points. This video explains common trigger points which can cause PF. http://sock-doc.com/2011/03/205/

What I have realized from all of this is that many treatments and doctors only treat the symptoms of the foot, which has it's place to reduce inflammation, etc. but if you are chronic like me, you need to look at your whole body. Fascia is all over your body. Starting at your neck down to your feet is all connected. I have been so inactive for a while, which I felt was necessary but it's also bad. I only recently started doing a floor yoga video that is stretching my neck, back, hips and hamstrings. It's all floor poses so I am not standing barefoot. I am careful not to stretch my foot so much so I point my toes doing ham string stretches - at least for now until I a get more strength and flexibility in the rest of my body. I think I feel a difference from doing this. 

Other things that may be helpful for you are a gait anaylsis (video that shows your walking pattern). That could be helpful to see if the way you are walking is overloading your foot. My video showed that I had really bad hip extension when I walked which was not activating my glutes enough. 

So my advice is look for trigger points, with a foam roller or if you can afford it look for massage therapist who focuses on fascial work or a rolfer. Try a floor yoga video. However at the same time, your plantar fascia is damaged, like mine so while all these whole body treatments may help you and help get to the cause, you still have an aggravated fascia. That is why I decided to go with the boot, to give my foot a rest and time to heal. My hope is that it will move me in the right direction. 

Em-

Sorry you have become a member of this “exclusive” group.  I have been suffering from PF for almost 4 years—mine seemed to come on during the recovery from a broken foot when I started (perhaps too soon?) resuming normal activities, including running.  It is just in the foot I broke.  I have seen three different podiatrists and tried the stretching, icing, orthotics and night splint.  Even 8 weeks in a walking boot last year and the shock therapy—all to no avail.

I just finished an 8-week treatment in a hard cast and started walking again at the end of June.  My foot feels great and I really hope this is a lasting cure.  Too soon to really tell now but so far I am very happy with it!

You might ask your doctor about it before you commit to surgery—which was my only other option it seemed.

Is yours one foot or both?

Karly

Hi Karly, thanks for responding to me.  I have planter fascitis in my left foot.  I had 4 cortizone shots, 2 times physical therapy, 1 1/2 months on prednisone and 2 MRI'S.  I have been sleeping with a night splint for over a year.  At first it helped, but now it does nothing.  Now, he has me in a day/night walking boot.  It only comes off when I get in the shower.  My foot really does not feel any different.  It hurts at times in the boot.  The MRI showed that I had significant planter fascitis.  The doctor said that after being in this boot for 6 weeks the next step is surgery.  I don't know what to do.  I heard surgery can make it worse or not fix it at all.  I don't know why when I was doing my stretching it didn't loosen it up.  I mean, does this stay forever?

Em

Karla Perez said:

Em-

Sorry you have become a member of this “exclusive” group.  I have been suffering from PF for almost 4 years—mine seemed to come on during the recovery from a broken foot when I started (perhaps too soon?) resuming normal activities, including running.  It is just in the foot I broke.  I have seen three different podiatrists and tried the stretching, icing, orthotics and night splint.  Even 8 weeks in a walking boot last year and the shock therapy—all to no avail.

I just finished an 8-week treatment in a hard cast and started walking again at the end of June.  My foot feels great and I really hope this is a lasting cure.  Too soon to really tell now but so far I am very happy with it!

You might ask your doctor about it before you commit to surgery—which was my only other option it seemed.

Is yours one foot or both?

Karly

I took myself out of the boot. I was starting to get some "other pains" and it didn't feel right.

 

Em, you don't mention if you foam roll or anything. This is a good guide:

http://tao-fit.com/self-treatment-for-plantar-fasciitis

Em-

Glad it is in just your one foot too.  Don’t know how I could cope with both.  Any idea what triggered it?  I am sure mine was precipitated by my fracture itself or in the recovery from that. 

I did the night splint/morning stretching religiously and the icing and therapy too.  I stayed away from the cortisone shots because I understand they are a temporary fix at best and repeated injections can cause new damage to the tissue.  I spent 2 months continuously in a walking boot last summer like you are and after all that, my foot was no better.  I can relate, I hated every minute in the boot, it was so heavy, hot and uncomfortable---hopefully you will have better luck with it in the end.

I gave the cast treatment a try because the surgery is kind of irreversible and there is some risk of no change or even worsening—and if the casts didn’t work, surgery was still an option.  But so far my foot still feels really great but I am still sleeping in the night splint and wearing sensible shoes.  So I am very happy with the treatment.  You might ask about it before you commit to the surgery.

Good luck!

 

Melissa-

Sorry the boot isn’t working out for you.  It was all discomfort/pain and no gain for me.  The period in the cast was certainly a pain but so far seems to have been worth it.  What is your doctor suggesting next?

Karly

Oh, I am sorry, I do not foam roll, what is that?  I have rolled my foot over a frozen water bottle is that what you mean?

melgirl30 said:

I took myself out of the boot. I was starting to get some "other pains" and it didn't feel right.

 

Em, you don't mention if you foam roll or anything. This is a good guide:

http://tao-fit.com/self-treatment-for-plantar-fasciitis



Emily Colucci said:

Oh, I am sorry, I do not foam roll, what is that?  I have rolled my foot over a frozen water bottle is that what you mean?

melgirl30 said:

I took myself out of the boot. I was starting to get some "other pains" and it didn't feel right.

 

Em, you don't mention if you foam roll or anything. This is a good guide:

http://tao-fit.com/self-treatment-for-plantar-fasciitis

Karly was you cast a hard cast like when you break your leg?  Could you walk on it or did you need crutches?

Em

Karla Perez said:

Em-

Glad it is in just your one foot too.  Don’t know how I could cope with both.  Any idea what triggered it?  I am sure mine was precipitated by my fracture itself or in the recovery from that. 

I did the night splint/morning stretching religiously and the icing and therapy too.  I stayed away from the cortisone shots because I understand they are a temporary fix at best and repeated injections can cause new damage to the tissue.  I spent 2 months continuously in a walking boot last summer like you are and after all that, my foot was no better.  I can relate, I hated every minute in the boot, it was so heavy, hot and uncomfortable---hopefully you will have better luck with it in the end.

I gave the cast treatment a try because the surgery is kind of irreversible and there is some risk of no change or even worsening—and if the casts didn’t work, surgery was still an option.  But so far my foot still feels really great but I am still sleeping in the night splint and wearing sensible shoes.  So I am very happy with the treatment.  You might ask about it before you commit to the surgery.

Good luck!

 

Melissa-

Sorry the boot isn’t working out for you.  It was all discomfort/pain and no gain for me.  The period in the cast was certainly a pain but so far seems to have been worth it.  What is your doctor suggesting next?

Karly

Em-

It was a hard cast and I was non weight bearing on the crutches.

K

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