Plantar Fasciitis

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Hi - I have had bilateral PF for the past 2.5 years.  However, within the last year It has gotten much worse from moving to Florida as the floors are so hard on your feet here.  I have received 2 cortisone shots in each foot now, have done PT, where they have done heat therapy, stretches, ice, massage, ultra sound etc etc.  I am not getting any relief!  The Physical therapist has said that my right foot band is one of the tightest she has ever felt.  I am sooo tired of being in pain.  I take anti-inflamotories, ty 3's and I just hurt all day long from the inflammation. I tried sleeping with the night splint, but that was a joke - I kept ripping it off in my sleep!  So here's my question -- have any of you tried the plasma rich platelet injections?  Did they work, is it painful, My Podiatrist says that insurance doesn't cover them, so I'm wondering how much it costs etc etc.  Thank you for any replies.  

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Hi- I've been on this forum before contemplating the PRP procedure that an orthopedist is suggesting as an option. I too have PF in both feet (and have for about 4 yrs). PRP can only be done on 1 foot at a time, so my question is, do you think the non-treated foot can successfully get you around on crutches while the treated foot is healing? That's my HUGE concern, as I'd do and pay anything to be done w/ this PF nightmare. I've mentioned before on this site that I've had some success w/ laser treatments. I feel I need to stick there since there is no recovery time. Its kind of like acupuncture- you go in feeling lousy, walk out feeling good and just hope the good feeling will last more than a few days. I keep coming up w/ the concern about getting around on crutches and what happens to the non-treated foot because last yr I tore I left PF and had crutches make a mess of my right PF while I was staying off the left... 

What are your thoughts about crutches and the bilateral PF situation?

-JB

I just had PRP injection in my left foot on Tuesday.  I have had PF for over 2 years and have tried all other measures other than surgery.  I can't comment on cost, as I am in a study at our university, so that is being waived for me.  However, the doctor doing my treatment stressed that this does not offer immediate relief.  He said to think of it this way:  When you inject the steroid, you are injecting the medicine that gives immediate relief that eventually wears off and pain returns.  When you inject the PRP, it causes inflammation, much like if you cut yourself......it becomes sore and takes time to heal.  He said in their studies they are seeing gradual improvement over time with most people plateauing at about 8 months. 

So, if you do have this done, from what I was told by my doctor, don't expect to be pain free even after just a couple months.  The body takes time to heal itself.  For me, even if it does take 8 months, this is a better option than cutting.  It just doesn't make sense to me to cut the fascia in any way since that band is needed for proper arch support and flexion/extension of the foot. 

As for how the injection felt.....I won't kid you, it is worse than the steroid injections but not unbearable, especially when you have been living with the foot, ankle, calf, and back pain from PF for years.

Hi- I wanted to see how you are doing now with the PRP injections? Were they worth it?

Thanks- JB

Linda H said:

I just had PRP injection in my left foot on Tuesday.  I have had PF for over 2 years and have tried all other measures other than surgery.  I can't comment on cost, as I am in a study at our university, so that is being waived for me.  However, the doctor doing my treatment stressed that this does not offer immediate relief.  He said to think of it this way:  When you inject the steroid, you are injecting the medicine that gives immediate relief that eventually wears off and pain returns.  When you inject the PRP, it causes inflammation, much like if you cut yourself......it becomes sore and takes time to heal.  He said in their studies they are seeing gradual improvement over time with most people plateauing at about 8 months. 

So, if you do have this done, from what I was told by my doctor, don't expect to be pain free even after just a couple months.  The body takes time to heal itself.  For me, even if it does take 8 months, this is a better option than cutting.  It just doesn't make sense to me to cut the fascia in any way since that band is needed for proper arch support and flexion/extension of the foot. 

As for how the injection felt.....I won't kid you, it is worse than the steroid injections but not unbearable, especially when you have been living with the foot, ankle, calf, and back pain from PF for years.

Hi- I can't seem to find it, you might have already given a recent update, but I wanted to see what your post PRP thoughts were? What were you told to do regarding the boot and crutches?  My doc is being kind of vague. I'm a week out and being told to use the boot up to 2-3 wks post procedure, crutches as needed. I'd be curious to hear your experience.

Thanks! JB



jb said:

Hi- I wanted to see how you are doing now with the PRP injections? Were they worth it?

Thanks- JB

Linda H said:

I just had PRP injection in my left foot on Tuesday.  I have had PF for over 2 years and have tried all other measures other than surgery.  I can't comment on cost, as I am in a study at our university, so that is being waived for me.  However, the doctor doing my treatment stressed that this does not offer immediate relief.  He said to think of it this way:  When you inject the steroid, you are injecting the medicine that gives immediate relief that eventually wears off and pain returns.  When you inject the PRP, it causes inflammation, much like if you cut yourself......it becomes sore and takes time to heal.  He said in their studies they are seeing gradual improvement over time with most people plateauing at about 8 months. 

So, if you do have this done, from what I was told by my doctor, don't expect to be pain free even after just a couple months.  The body takes time to heal itself.  For me, even if it does take 8 months, this is a better option than cutting.  It just doesn't make sense to me to cut the fascia in any way since that band is needed for proper arch support and flexion/extension of the foot. 

As for how the injection felt.....I won't kid you, it is worse than the steroid injections but not unbearable, especially when you have been living with the foot, ankle, calf, and back pain from PF for years.

Hi JB:

Sorry I did not reply until now, but at first I did not think it was going to work.  I'm exactly 2 months out from my PRP injection into my left heel.  At first the pain was much, much worse.  I wore the boot for 4 weeks with only taking it off to sleep and shower.  I also used crutches for the first week or so.  After 4 weeks, I was told I could go without the boot and to increase activity gradually.  In just the last week, I have noticed that my pain in that foot has decreased dramatically.  I had been taping my foot every day for over a year, and now I have not had to tape it for the last week.  I still notice some pain if I stand or walk for longer periods, but if there is still more healing to go, I think I am very pleased I went this route instead of surgery.  My right foot has been starting to give me trouble, and I had my first steroid injection in that foot.  It is not as bad as my left foot was, and time will tell if it will get as bad that I feel I need the PRP injection in it, but I would definitely do it again before I schedule any type of surgery.

Thanks for the update! You are giving me hope. I'm 4.5 weeks out from my first injection. THE PRP  was injected into a "partial tear" in the PF, pretty serious stuff. 1st 2 wks I had irritation and inflammation on and off. By about wk 3 I started to feel ALOT better, but in the last few days (after a chiropractor visit)  I had that weird irritation feeling again. Just now that irritation is going away and I'm starting to feel fairly good again. At 6 wks I will go back to the doc to decide if I should do a 2nd injection. If I continue to progress but not feel totally healed, I think I'll do it again. 

Have your docs suggested a 2nd injection to you? Are you doing any cardio exercise yet (bike, Eliptical...?)

I'm wondering if anyone other subscribers have had PRP injections suggested to them? 

Happy Healing! 

Best- JB

Not sure about the first part, but my foot surgeon told me to sell my mini trampoline & never use it!  (I feel that is what started my PF!)

i had a prp injection in my left foot yesterday.  i took 2 vicodin before the procedure and they used lidocaine in the needle.  the doctor had prepared me for unbearable pain, but the worst part was listening to him discuss the placement of the needle with his assistant.  i'd put the pain at a 4, perhaps a 3 and the discomfort at a 5.  i had no pain for several hours after, but then was unable to put any weight on my foot for the rest of the night.  my husband bought me crutches which i am now using to get to the bathroom.  it feels a bit like someone drilled a hole into my bone.  the pain is very specific and localized to one tiny spot.  my doctor told me i wouldn't see any results for at least a month.  not sure when i 'm going to be able to walk again.  surely not today.

You can only have so many of these injections & that's it!  I live in pain daily....nothing else can be done, I'm told.  It doesn't say much for the medical profession when they can't find solutions to problems like PF & many others!

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