need help here maybe Lyndal

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janers - 07 Jul 2006 20:11 GMT

I have had a mess with this so called plantar fasciitis. Both my feet this
Feb started and I had PT and injections. After the first injection the Right
foot got better but the left got worse doing PT. I have used the treatment
prescibed, ice, PT, stretching and so forth. Went back 6 weeks ago and had
a boot brace applied to the left foot. man what a "B".
I had to wear it all the time and continued to do water exercises and
classes, as well as only took it off for that and showers. OK, I wore it to
bed too..

Went to the doc 2 weeks ago. In between there I had an MRI done with NO
brakes and NO tear in the tendons and ligaments, but lots of inflammation.
I saw the doc and he again injected me with that darn meds. HURT HURT
HURT!!!

Then he tells me to start in a week which was MONDAY of this week, to taper
off using the brace an hour at a time. OK< did that and I tell you this is
terrible.

I have my brace off for an hour or so and wham, the pain in both FEET start
up again. I am not kidding you here. I had to ice both feet again. I have
GOOD shoes, with roll bars so not to roll the foot and inserts from the doc.
SH** as Lyndal (HEHE) would say.
Nothing is working here.
I get that pain back in the hell on the outside of the hell and all over the
foot. NOW both feet hurt and feel swollen.
MY Foot doc IS out of town till Aug.

I need opinions here. Is it from the back? I had a previous spinal surgery
done, could it be scar tissue. OR what?

ANY ONE WITH this ever? I am ouchy from it and damn it is a ..... to not
walk, which upsets me enough. but the pain level sometimes is bad.
I keep thinking dang this is going to go on and on and on and on. I am
scared about this one big time.
I increased my medrol thinking IT might be inflammed again. Rheumy had told
me i could mess with it up and down 1 to 2 mg at a clip. She trust this
old RN LOL

ok, well what ya think.
Lyndal? Any ideas???

janers

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Lyndal - 08 Jul 2006 02:27 GMT

Hey Janers
Is it tender or just painful? How would you describe the pain? Is there
any change in colour or temp of your foot? Does movemenet affect it at all?
You said it feels swollen, does it look swollen?

Lyndal *thinking about diagnosic possibilities*

>I have had a mess with this so called plantar fasciitis. Both my feet this
> Feb started and I had PT and injections. After the first injection the
[quoted text clipped - 49 lines]
>
> janers

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janers - 08 Jul 2006 04:57 GMT

foot doesn't look swollen but It is when I put my shoe on that LEFT foot.

My feet just feel like they are and hurt ache when setting. As well as sharp
pains in to the ankle joint. As well as the instep and toe joints, heel
pain and back achelies (sp) tendon area and around the out side of the hell.
hell the whole thing.

When I step down the plantar stuff kicks in and I have to walk like baby
steps, and when I do that puts more strain on my good foot. Since out of
the boot, the right foot is acting up. I am up to maybe 4 - 5 hours a day
and most of that is ON and off with the boot. Scares me really.

The color is fine, like always and I had had a nerve conduction test with
nothing specific but some light neuropathy from previous surgery on L5 S1
nerve damage to the right.....leg.

I just can' t figure out why after 80mg twice in left foot of cortisone, and
another 80mg in the right foot, which WAs better, didn't do the trick. That
is a lot of cortisone plus my oral medrol up and down too. I am NEVER off
medrol. I upped my dose a mg today and will stay on 1 more mg for awhile
added to what I usually am on AT this time :)

So what the "hey" is left for me. Stay in a boot the rest of my life? I
went to town to eat out tonight, took off my brace before leaving. Went to
eat, then got OUT of the car to walk and could barely move. I mean the pain
was and NOT hurt or ache, it was bad. Then next time I got up from a chair
NO pain. Weird for sure. Then later it was bad on the next step. YOU would
think it would stay bad but.
Got home and sat with feet up. Then came in here to puter. and pain hit
again while setting. so I sat on an ice pack with my feet on it LOL. no
buns LOL.

there I thought It was numb, NO way, I could barely get up to walk to put
that ice away after it thawed. NOW they burn and pain continues

OK, what you think? Still plantar stuff?
oh and I was on neurotin and hated the mood it made for me so I will never
take it again but for the life of me, why is this hanging on.

Do I need to see a neuro or ortho guy. I am seeing rheumy as well as
podiatrist.

Pain is shooting just like your joint pain when you move them...PAIN. :(

janers
thanks

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Lyndal - 08 Jul 2006 05:15 GMT

This does NOT sound like plantar fasciitis to me. Typically plantar
fascitiis causes pain and stiffness the first time you step after sitting
(in the heel and arch underneath) then improves as you get moving. It
almost never causes swelling, and joint pain also doesnt fit. You may have
a component of plantar fascia inflammtion but there's more to this going on.

I'm concerned about the severity of your pain, the fact it is not responding
to steroids (usually fascitis does) and the burning and swelling. This is
sounding more like inflammatiion in the joint itself +/- some neuropathic
pain as well.

Plantar fascitis that doesn't settle with anything else often responds to
lithtripsy - the sound waves they use to break up kidney stones. For some
reason, it also breaks up the scarring in the fascia and reduces
inflammation - but only if we are sure that is the diagnosis.(and I am far
from sure)

Has anyone done a bone scan ? Not a CT or MRI but a scan with nuclear
isotope to see where the inflammation really is?

Lyndal

> foot doesn't look swollen but It is when I put my shoe on that LEFT foot.
>
[quoted text clipped - 50 lines]
> janers
> thanks

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