- quote -


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paylesstax[at]aol.com (Lesstax) wrote in

- quote -


Gary:

Since Dick stated that he has NOT plantar fasciitis (PF), I'd like to
refer to a recent (May 20, 2004) article in the New England Journal of
Medicine. I have had an episode of PF myself, and have a good friend who
is not able to go hiking with me at the moment because of PF. The URL to
the article is <http://content.nejm.org/cgi/reprint/350/21/2159.pdf> , and
can be found by Googling for "nejm plantar fasciitis". I'm not sure
whether this article is freely available, or still requires a
subscription. In that case, a local library may subscribe. I quote the
conclusion and recommendations:

start quote
Patients, such as the woman in the introductory vignette, who have
symptoms and signs consistent with plantar fasciitis - including
heel pain that worsens on first walking in the morning and
tenderness over the anteromedial aspect of the inferior heel -
should be informed that the condition is self-limiting and that in
more than 80 percent of patients, the symptoms will resolve within
a year, regardless of therapy. Since there is limited evidence
about the value of treatments for plantar fasciitis, a reasonable
approach to intervention is to start with patient-directed, low-
risk, minimal-cost interventions, such as regularly stretching the
calf muscles and the plantar fascia, avoiding flat shoes and
walking barefoot, using over-the-counter arch supports and heel
cushions, and limiting extended physical activities. A trial of
nonsteroidal antiinflammatory drugs may be reasonable.
Corticosteroid injections may provide a short-term benefit.

More costly treatments - such as the use of custom-made orthotic
devices, night splints, and immobilization with casts or other
devices - may be options for patients in whom the condition does
not improve, although the value of these treatments is currently
uncertain. Surgery should be reserved for those patients whom
conservative therapy has not helped after 6 to 12 months. In the
absence of data to guide the surgical approach, referral to a
surgeon with expertise in treating patients with plantar fasciitis
is recommended.
end quote

I hope the best for you. My PF resolved with orthotics and limiting
walking with a heavy briefcase ...

--
Best regards
Han
email address is invalid

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Dick --

All the best to you. I hope this time you sail through with
much more ease than last time, and only tenderness, not
pain.

Take your time healing and we'll all be fine, and we'll all
be rooting for you.

Catherine

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Dick Adams <rdadams[at]smart.net> wrote:

- quote -

Dick, do you have plantar fasciitis? If so tell me about
your experience. I have it and it is extremely painful
upon arising but gets better thru the day. What type of
surgery corrects it? podiatrist or?

gary

================================================== ==========
Moderator:
I am responding to this directly so anyone who has a
similar problem is aware of what needs to be done.

I had a bone spur I measured on the x-ray at 7/16".
A Podiatrist removed it. What he didn't do was to get
an MRI to check for gout or tendonitis.

Removal of my bone spur required detatching and
reattaching the achilles tendon. I have a reasonably high
tolerance for pain. But this was a level of pain I could
never have anticipated. Ask for a morphine drip. You are
not going to get it, but start high and hope for the best.

This time a surgeon is going in to clean out the
tendonitis. I expect the same level of pain afterwards,
but I expect a full recovery.

If you are close enough to Baltimore to have surgery done
here, his name is Stuart Miller 1-410-554-6350. He is at
Union Memorial Hospital.

As an aside, one of Miller's partners, Richard Hinton, a
fellow Tarheel, did Joshua's ACL injury and since Joshua
did the rehab religiously, he went to a skateboarding
camp this summer. Joshua was 11yrs-2mso when he tore his
ACL and 11yrs-10mos when he had the operation. Since
Joshua was, at the time, the youngest patient to have an
ACL operation, Dr. Hinton asked permission to use photos
and x-rays. I said yes, what do you need me to sign.
Joshua the Mercenary says "How much do I get paid for
this. <G================================================ ============

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Dick Adams <rdadams[at]smart.net> wrote:

- quote -

God be with you, Dick.

Missy Doyle

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This coming Tuesday and Wednesday (July 6th % 7th) I and
a friend of mine are putting up new ceilings in the lower
level of my house where Susan and I will live after my heel
surgery on the 15th. So I plan to post Tuesday morning
before I cover everything up and hopefully again by sometime
on Thursday, July 8th.

I will post before midnight on Tuesday the 14th. When
I post after that depends on the amount of pain I am in
and what pain killers I get.

After the first operation on my heel on June 30, 2003,
I was in a level of pain that I am unable to describe.
Anyone holding morphine is asked to consider acts of
kindness.

Dick

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