Had Endoscopic Plantar Fascia Release and finally got some relief

by Caroline
(Danbury, CT)

I had a knee replaced in 2008 and got bilateral plantar fasciitis.

It was relieved by orthotics, stretches and cortisone shots.

I had a knee replaced in 2010 and got bilateral plantar fasciitis. AGain it was relieved by orthotics, stretches and cortisone shots. I had the first knee that was replaced revised to a new implant March 2011 and got bilateral plantar fasciitis. The altered gait caused by my knee surgeries in turn caused my plantar fasciitis.

I am not overweight and am in my mid-50s. Under the care of a foot and ankle orthopedist (in the same practice as my knee replacement orthopedist), I followed the same treatment protocol (orthotics, stretches and cortisone shots) but it didn't work this time.

I tried a night splint which I couldn't tolerate, especially while recovering from knee replacement surgery. So I had 2 rounds of PT, which included iontopheresis, massages, ultrasound, stretching, exercises, but none of that brought any relief.

My orthopedist considered me to have atypical plantar fasciitis because most of my pain-the worst pain-was at night-in bed trying to sleep. Pain would be at a 8-9 level (out of 10).

Taking 2 Tylenol3 pain pills (from my orthopedist) would bring the pain down to about a 7-8-and took a good 90 minutes to get there. I tried lidocaine patches but I couldn't use them long as I'm allergic to tape/adhesive on bandages and patches.

Out of desperation, my PT guy suggested acupuncture which my insurance would pay for 10 sessions. After the 6th session, the acupunturist (an MD at a pain management practice) told me it wasn't working and I shouldn't come back.

So I went back to my orthopedist (by now it was mid-September) and agreed to have the surgery on the worse foot, which I did, on Oct. 17. I felt immediately better (pain at about a 3, maybe a 6 immediately after surgery when the ankle nerve block wore off) and have continued to feel better 6 weeks after.

No more TYlenol3 required at bedtime. The plan had been to do the other foot when I was ready but now that it's not compensating for the worse foot, it isn't necessary. Since I don't think I'll be having another knee replacement, I am truly hoping that my PF days are behind me!


Joshua Answers:

Hi Caroline.

I hope the days of your Plantar Fasciitis are behind you also.

Yep. Knee replacements can/do absolutely change your gait and cause the development of compensation patterns.

That's good news the Plantar Fasciitis Surgery has made things better so far. Let's hope that sticks.

Here's a couple things that will help:

Magnesium for Tendonitis

Learn How To Reduce Inflammation

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Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert

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May 07, 2014
Constant Burning pain in toes/ hard to bend toes
by: Lafayette

I had Bi Lateral Plantar Fasciitis Surgery. The first surgery was in 2011 on the left foot I kept complaining about pin and neddle pain in my toes.

The doctor said it was normal. I had surgery on my other foot a year later, I was still feeling the pins and needle in my left foot but they kept saying it was temporary after they did surgury on my other foot I satred to get the same feeling in my toes.

My toes never hurt until I had the surgery. The doctor said it was Neurorpathy but it will eventual go away it is now 2013, my toes are constantly burning. Diabeties was ruled out, i feel as though a nerve is traped or something.

I am taking Gabapentin and Zostrix cream. My Neurologist did a nerve test but could not detect anything. Any sugestions

Please Help


Joshua Comments:

Hi Lafayette.

Your doctor is incorrect. It is not 'normal' (though it may be normal for that doctor if he is a bad surgeon).

One danger of surgery is that a nerve can be partially or completely severed, that would give one nerve pain.

So you're either suffering from that, or the pre-existing tightness and the new tightness that can and does show up after surgery have compressed a nerve and you're getting nerve pain symptoms.

For the latter, you need to do appropriate self care to 'open' things up and remove compression.

For the latter, there's not much one can do but let time pass and hope that A. it was only partially severed and B. it grows back (nerve grows REAL slow).

It's been a good long while since you posted this, how are you/your symptoms now?

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