Plantar Facia release and heel spur removal - One month ago

by April
(Upland CA)

This is just sort of an FYI, because I know a lot of people have plantar fasciitis and heel spurs.


I'm writing this because these are things that doctors don't tell you. All my doctor told me about recovery was "crutches for 4 days, then the boot". They simply don't have time to spell out what you need.

So I was thinking I could go back to "normal" after the first week. Nope. It's been a month and it's just now getting back to "normal" (AKA pain similar to what I had before surgery).

I spent 2 years getting cortisone injections, buying orthotics, stretching, icing, trying to rest... I finally gave up and had surgery. At this point, I don't regret it. I'm in about as much pain now as I was before surgery, and it's getting a little better each week.

Its been 1 full month since my surgery. At this point I can wear my new balance cross trainers. I can walk about 5 minutes (slowly) before taking a 5 minute break due to pain and exhaustion. My leg muscles are weak on my right side, so they cramp easily.

I can walk with shoes for about a half-day and then I have to switch to the cam walker boot. Then I can finish out the day on the 5up/5down schedule.

Just in case you are considering plantar fasciitis / heel spur surgery, here is how it went for me:

Surgery went fine. No pain, because I was asleep. ;-) It was an outpatient procedure. Surgery took about 45 minutes. Wear cotton shorts so you can get dressed easily in recovery afterwards, and bring your boot to wear afterwards (mainly to protect your foot from getting bumped - it's not really for walking, yet). You won't have a cast.

Immediate Recovery/ In Hospital: Foot is numb. Covered with dressing and ace bandage. Throat is sore because of the breathing tube. ( I was asleep when they put it in - but awake when they took it out. It didn't hurt to remove - but I was sore afterwards)


Week 1: Total bed rest except bathroom & hygiene trips. Pain fairly intense even while lying down. Advil & tylenol PM work better than codiene. I recommend Tylenol PM so you can sleep, and the time goes by faster. If you want to stay awake, regular tylenol works too. Ice and elevation is a must due to swelling. Ice behind the knee and at the ankle. My toes swelled to the point of immobility if not constantly elevated.

Walking: no weight 4 days, then walk with crutches and boot... Very short distances - about 1 min max. When you can put some weight on it, a boot and one crutch on the opposite side seems to work fine...that way you can carry your own medications and washcloth and maybe a phone in the other hand. Sponge bath only. Everything takes forever...and ever..and ever..

Week 2: Able to sit up some- about an hour, twice a day. Balance good enough to get into the bath tub with foot hanging out the side. A handheld showerhead is very helpful. (just remember to bring it down to tub level before you sit down in the tub...lol) Tip: Wear a sock on your good foot - the sock will get wet, but will help with leverage when you are trying to get out of a wet tub. Keep your cam walker boot on the other foot - it has a non-skid bottom and it will also help keep your foot from getting splashed. A hand rail would have come in handy, too. Still mostly bedrest. Only trip away from home is to go to the doctor. Not much pain at this point - but I'm not really walking, either. Swelling is the main problem.

Week 3: Retention stitches removed at the beginning of this week. Get your physical therapy referral at this time. Sometimes it takes a while to go through, and it would be helpful to start this right at week 4. Getting the retention stitches out offers little relief. Makes me nervous to walk just with the incision stitches. Risk of overdoing because swelling is reduced. Can sit up a couple of hours at a time. This is when my back started hurting due to being in bed and the "off balance walking" (the boot makes one leg about 2 inches longer which causes a sort of waddle.. Hard on the lower back). However at this point I'm going stir-crazy and will put up with pain in order to be up and doing things. Just know that the usual back pain exercises on the floor are almost impossible because you can't get the right leverage on one side. For me, this is the time that everything started going bad and I needed help with laundry, housework, dog care.

The family gets tired of waiting on you, and the home starts to look dirty. Just plan on hiring some help at this point - even if it's just the neighbor kid to pick up your floors so you can walk from the bed to the bathroom without tripping.

Week 4: All stitches removed at the beginning of this week. Did not provide immediate relief. Still swollen some. It took a couple of days before a shoe felt comfortable. The incision was very hard to the touch and still required butterfly closures for 3 days. Can shower but no soaking foot in tub for 2 more weeks. Showers are more difficult than I had imagined, because being barefoot on hard surfaces is very painful. Day 4, I can drive and run short errands. This is the one improvement I've seen. Before surgery, I couldn't drive without pain, and now I can.

Today (end of week 4): I think I've overdone, and my foot (both feet, actually) are very sore. I'm supposed to start physical therapy soon... until then I'm not sure what's safe. My incision isn't totally closed and healed yet. It's not bloody or anything, but there's still a small gap. I'm trying to wear my boot as much as possible to keep my foot stretched out (I've heard the facia can actually re-attach itself! Good grief, I would hate to have done this for nothing).

Bottom line is this: You'll need to stay in bed for the better part of a month. I thought I would be able to be on the sofa, but that didn't work for the first two weeks because of the effort required to get UP out of the sofa. The bed is high enough that I could stand up and still have the bed for support. Get a TV in position that you can see while lying on your back and some sort of small mobile internet device to keep in touch, and for entertainment (laptop isn't really that practical). Arrange for someone to take care of the pets, kids and housework. You wont be doing it.

No driving for a month if your surgery is on your right foot (like mine). The main reason is because you have to wear a boot, and you can't drive with the boot. If it's on your left, you can probably drive after 3 weeks as long as you aren't on pain meds. Very light housework in week 4. If you have a job, work is out of the question if your recovery is like mine. After one month you can probably do a desk job...wear your boot and take a crutch.



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Joshua Answers:

Hi April.

Thank you so much for sharing your experience!

Plantar Fasciitis specifically and Tendonitis in general can be bad news, and obviously can get even worse when someone goes cutting around in there.

See: What Is Tendonitis

What exactly did they do in there, surgery wise?

How big is the incision? Just one?




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Comments for Plantar Facia release and heel spur removal - One month ago

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Nov 01, 2016
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Stabbing pain and needles
by: Anonymous

I had my surgery a month ago and been wearing the boot 2 weeks after the staples my tendon is burning and feels like needles jammed in it plus I can see the tendon my arch is so high now .

Hope it's a passing thing.





Oct 14, 2016
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Heel spur surgery not recommended
by: Ruth

I had heel spur surgery right before Memorial Day 2016 after struggling with plantar fasciitis for a year and a half.

It is now October 2016 and I am still suffering with pain. The incision was very small through my heel however the drill slipped off the spur when the doctor was grinding and hit my foot bone.

I was awake with four nerve blocks and felt it. Excruciating pain. He says no damage was done.

I have tried ice, heat, ointments, soaking, rest, new shoes, orthotics and I am now changing my diet to a ketogenic diet to see if that helps.

The pain is aching around the outside of my heel, sometimes shooting pains right in the center of the heel, sometimes electric-type shocks in my big toe.

I advise everyone I meet with heel spurs and plantar fasciitis to seriously reconsider surgery and instead ice the area, rest the foot and wear the best running shoes they can afford.

I just pray this isn't a lifetime sentence of pain.




Sep 13, 2016
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Cannot spread my baby toe and toe beside it month after foot surgery
by: Anonymous

I had a heel spur surgery done also.....a month has gone by, I am out of my booth, but I can't spread my toes like I use to.



Aug 27, 2016
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Surgery April 29, 2016
by: Anonymous

Surgery to lengthen Achilles tendon and fascia, and remove heel spur. 4 months, still constant pain. Went back to work (Home Depot) at 5 days post op on a knee scooter. Used the scooter for 4 weeks. Total non weight bearing.

Transitioned to weight bearing over two weeks. Then just boot for two weeks. Transitioned into shoe over two weeks.

Severe pneumonia during weeks five and six forced about two weeks of constant bedrest. Now, constant shooting burning pain in heel, possibly pad, with every step and even in rest.

Looking for relief if any options. Using essential oils for pain which helps some. Next foot is supposed to be done in three weeks and I am scared that the first one isn't healed enough first. Doc wants to proceed. Ideas? Thoughts?



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Joshua Comments:

Hi Anonymous.

Well of course the surgeon wants to proceed with surgery....(which isn't a good sign).


1. What if any self care did your doctor/surgeon have you do?

2. Did you take Cipro or Levaquin or any other Fluoroquinolone antibiotic for the pneumonia?

3. Read through this thread, follow the links and read those pages too. Especially the 'How To Reduce Inflammation' one.







Aug 25, 2016
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Ankle pain
by: Sandra

I had a heel spur removed April 2016.
My dr. Never recommended physical therapy to me and my ankle is weak and it is has been four months. Should I have had pt and if so is it still an option to strengthen my ankle?


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Joshua Comments:

Hi Sandra.

It's never to late to start exercise/strengthening/rehab etc. So yes, PT is still an option. Have them get your mobility/range of motion/strength back.

Should you have had PT? Probably. But doctors generally aren't great about anything post surgery. They do the surgery, and 'good luck to you!'



Aug 23, 2016
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Recovery
by: Fretful

I am at week 4 and 4 days. Still in bed 70% of the time.

I have scooted myself on my rear out to my balcony and pulled myself up in the swing with my foot in a chair with cushions. I cannot stand for my heel to touch anything.

If my foot us down for a few minutes it becomes numb. Morse so than the numbness from my little toe down the middle of my foot. I have stairs. I slide down them and crawl back up. My knees are killing me. I have a lot of pain and burning in my achilles and my heel.

I side of the arch the incisions was not closed after the stitches came out and became infected. The incision down the tendon is still sore and the bone.

The surgeon informed me that he cut 99% of the bone. I love to can my own garden vegetables but cannot this year. I believe my foot hurts more now than after the surgery.

My arches on both feet broke when I was in the Army. A lot of my problems with my feet are due to the injuries. I can it put a regular shoe on my foot nor walk just a few steps. When I do the pain increases.

Bathing, let's just say you have to get inventive. When will the numbness finally leave and my foot heals enough to walk. Need to hire someone to clean my house. This surgery either will cure OCD or send you to a nut house.


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Joshua Comments:

Hi Fretful.

It's 4 weeks and the inciscions still haven't healed?

That's a big problem. (Also, you would be well advised not to take any fluoroquinolone antibiotic like Cipro, Levaquin, ciprofloxacin, levofloxacin, avelox, etc for any infection.)


What does "cut 99% of the bone" mean? Does that mean he removed 99% of the bone spur?

Where was the bone spur? What did the procedure involve?




Jul 10, 2016
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Biggest mistake I made
by: Jackie

Had bone spur removed surgeon went in through inside of my foot. Surgery was 11 months ago!! I STILL have pain but now it affects my ankle and calf muscle.

Physical therapy helped a bit but once your insurance caps out, I was out the door even though I was not any better.

Went back to orthopedic who did surgery and was like WTF!! He sent me back for more therapy. If this don't help he said my next move is cortisone injections. I have constant pain and stiffness. It makes me irritated.

I cannot do simple things like shopping because after an hour my ankle hurts. It's brutal!! Biggest mistake I ever made. Thinking of getting another opinion!!

Any suggestions is appreciated!!


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Joshua Comments:

Hi Jackie.

Sorry to hear that.

What have you done for self care so far, over those 11 months, aside from PT?



May 12, 2016
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Group ex instructor
by: Anonymous

I also teach and taught group exercise prior to double foot surgery of heel Spurs and fascia release. You were lol definitely be back within 6 months.

May 12, 2016
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Achilles tendonitis/heel spur surgery
by: Sheri

I'm a 56 yr old group exercise instructor & I've been teaching high & low intensity group fitness classes for over 26 years.

Needless to say after 26 years of teaching 3-4 classes daily I developed a heel spur on the back of my heel which attributed to my Achilles tendonitis.

I wore a boot for 8 weeks, & did physical therapy 2x a week for 6 weeks prior to my surgery.

The physical therapy helped to some degree & I was able to strengthen my good leg which has helped me after surgery.

I elected to do surgery because of my job. Surgery went well, and I wore a soft cast for 2 weeks. I have been in a boot for 2 weeks n have another 6 weeks to go.

I started walking in my boot at the 1 month from surgery mark. Physical therapy will start in 2 weeks. I have a wedge in my boot n will reduce the wedge size has I get stronger n can walk w/my heel all the way to the ground.

I recommend an orthopedic surgeon not a podiatrist. They seem to know the ins & outs of how the muscles tendons and joints all work together & they are a little more sensitive to your everyday needs.

I know I am just staring the rehabilitation back to normalcy. I was told within 6-8 months I would be back to 92-96%. I'm shooting for the 6 month mark. Am I being realistic with this time period.


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Joshua Comments:

Hi Sheri.

'Realistic' is very relative. If you are overall healthy, and very positive and motivated, that increases your odds. If your physical therapist is good, that increases the odds.

My bias is to deal with the factors that caused the bone spur in the first place (because surgery doesn't get rid of those and can make those factors worse).

It's definitively possible to be back in action at six months, but it definitely takes some time and effort (and some efforts have better outcomes than others...)


Let me know if you have any questions and keep us updated on your progress.






May 09, 2016
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Recovery wasnt that bad for me.
by: Anonymous

I was back on my feet 3 days after i had my surgeries. No pain meds taken. I was back in regular shoes and back to life and work in three weeks.



Apr 15, 2016
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Gastrocnemius release one year to know results
by: Anonymous

Post op 4 weeks today. Pain started back in my arch yesterday. My calve muscle is feeling better but the first 3 weeks was incredibly painful.

Idk if I would do it again or not.

Dr said results could take upto a year to know.



Mar 25, 2016
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Long recovery
by: Famousshoelady

This site so awesome. Just 4 week post op surgery on rt foor- bone spur and repaired the tendon. In a boot for 4 weeks then therapy. Only thing that bothering me now is the incision. The boot rubs on it.

Anyone that has this surgery done I do recommend that you have people help you. Thank God I have the most amazing husband and kids to help their helpless mama! Good luck on your recovery! ♡



Mar 25, 2016
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Two Infections and Wound Dihesence from dissolovable stitches
by: Anonymous

My surgery was 2/5. I'm now about 7 weeks post op and back to nwb.

I've developed two infections due to a complication no one warned me about-wound dihesence.

I was expecting the usual three weeks down maybe 1-2 weeks in the boot but never thought I would be here this long. My body is rejecting the dissolvable stitches which is adding to the problem.

As you consider this surgery I encourage you to discuss all possible complications with your doctor as I didn't get this and never really saw anything about in the forums and blogs.

Try all alternative treatments first, unfortunately none of those worked for me and my spur continued to grow and my pain was unbearable most days before I finally gave in to surgery.

Good luck to those considering this option and well wishes to those in recovery.

Mar 14, 2016
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Recovery time from Heel Spur Surgery
by: Anonymous

There is no definite answers to the recovery time of the Heel Spur surgery. What the doctors do not tell you is recovery time and most of the time they say is long recovery and recovery is indeed LONG.

I had the surgery to remove of the Heel Spur in Feb 2015 from my right foot. I followed all post surgery instructions from the doctor (was off weight for almost 2.5 months, did PT for months, iced daily, changed shoes).

It's more than a year now and I still have pain.

It is getting better slowly but I'm not sure if the pain would go away completely. My case seems to be that my nerves got cut during the surgery and that is taking a long time to heal, together with the internal scaring where the incision was made.

My advice would be if you can afford not to have the surgery and take care of the pain otherwise (wear right shoes, lots of icing every day to keep the inflammation and lot of rest) then do so. For some people it has worked but not for me.

I have the heel Spur in the other feet but lot of resting and listening to my body as when to get off the feet has helped. I don't think I would go for the next feet. I can't do a lot if things that I could do before.

Hope this help someone who is planning to go for this Surgery. All the best.











Feb 28, 2016
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Achilles Tendon Repair
by: KD

I had Achilles Tendon repair on on July 17, 15, had PT, then pain started again a few months later.

Dr claims my body was rejecting the hardware he used to anchor the Achilles' tendon. He performed calcaneus surgery in November 15 to removed the screws. My pain today is severe and way worst than even before the first surgery.

I am a runner and now I can't even walk without crying out in pain. The Doctor keeps telling me that my body is just taking long to heel, but this to me is not normal.

He has ordered a bone stimulator and prescribe Methylprednisolone for inflammation along with more pain medication. Nothing seems to work. I need help and I'm located in South Florida.


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Joshua Comments:

Hi KD.

1. What does 'Achilles tendon repair' mean, specifically in your case?

2. What is your vitamin D level (no, being a runner in florida doesn't guarantee your levels are up where they should be)? If your vit D is low that is, long story short, going to affect a lot of things including how well/fast your bone can heal.


Let's start there.



Feb 08, 2016
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Not ready for surgery yet
by: Anonymous

What types of orthotics have been the most helpful in relieving heel pain? I've bought inserts from the good feet store and they have been somewhat helpful but not good enough.


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Joshua Comments:

Hello Anonymous.

I don't have orthotics recommendations as I don't deal with them as I focus on 'fixes' to problems.

Having said that, they help a lot of people.

Hopefully you'll get feedback here.





Jan 18, 2016
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Choose your doctor carefully
by: Karen

I commented well over a year ago about struggling with my recovery and I wanted to update you.

I had a bone spur removed and fascia release in July 2014. My surgery was done by a podiatrist.

I didn't heal, in fact I was still worse 10 months later.

The podiatrist was rather condescending when I told him that I felt worse than before surgery.

I got a second opinion from a well regarded foot and ankle orthopedist. He did an MRI ( which my podiatrist had never ordered, neither before or after surgery) and my Achilles' tendon was a mess.

It hadn't properly attached so there was a lot it thickening where it had and it was shredded looking in others, and bone had grown from the irritation in several places.

I had surgery again in March. It was not easy to go through a revision, to miss 3 more months of work, to start PT all over again and do it for 7 more months.

I'm now 10 months out. I don't limp anymore. I can go for walks if I stay off concrete. I still shop online because concrete floors hurt after a while.

My foot is still a little swollen. I can wear athletic shoes or some good, lacing ankle boots only.

I still ice at the end of the day, but I'm still improving. My surgeon told me to expect all this. He said I would heal for 12 months plus, since it was a complicated revision of a surgery done differently than he would have done it.

My bottom line is this: go and see a foot and ankle orthopedic surgeon, not a podiatrist.

This is a very complex surgery. The recovery is long, and you need to have a surgeon who does a lot of these surgeries.

In my experience, a podiatrist is not that.

Once I told the podiatrist that I got a second opinion and needed surgery again, my formerly nice podiatrist became quite unlikable, even though I called him as a courtesy and was not angry or in anyway threatening, he refused to get on the phone with me. I had been his patient for 10 years.

This is not a surgery to be entered into lightly. Get a second and third opinion. Do PT ( my podiatrist said it was unnecessary). Expect a very long haul.

I am only just now doing more than working and coming home.

Good-luck to all of you.


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Joshua Comments:

Hi Karen.

Thanks for the update and the words of wisdom.

Despite the long haul and the necessary second surgery, I''m glad you're finally doing better!



Jan 07, 2016
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Taking forever after plantar fascia surgery on 11/9/15
by: Anonymous

I had surgery 11/9/15 and just started pt yesterday. It's like learning to walk again.

How long did it take you to feel fully recovered?

I feel like it's taking forever but in reality it's only been 2 months.

I wear the boot sometimes when the foot feels overworked or is painful, otherwise I'm wearing regular shoes and doing ok. The foot still hurts a lot more than before the surgery. I guess that's my biggest concern.

Going through this and it not working would be awful. The plan was to do the other foot after the first one was healed enough, now I'm not so sure.



Nov 01, 2015
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Concerns about post operative plan - Bi lateral surgery
by: Anonymous

I had both feet done on Oct. 23rd. Both legs were put in fiberglass casts.

It's day 8 post op and I am in my Lazy Boy 24/7 having both legs elevated on pillows, except to scoot my butt to the wheelchair to go to the bathroom.

I have a walker in the BR and take at best 3 to 4 steps.Basically I walk with 'toe touch' as it hurts too bad if I attempt to walk full footed. I have 'cast shoes'for better balance.

I am a small woman only weighing 107 pounds - until I've been eating all the Halloween candy ;-) so my weight is not a big factor, I'd think . I am still having pain and am not sleeping well.

I see the Dr. next week which will be only 12 days post op. My concern is that he'll want to take the casts off and put me in a walking boot. Even though the casts are a royal pain I'd like opinions about casts vs boot for immobilization and hopefully a more positive result from the surgery.

Dr had said preop 3 weeks in casts again concern is that long enough for healing.

I'd really appreciate any input from ones that have gone though this.


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Joshua Comments:

Hi Anonymous.

You had major, traumatic surgery on the weight bearing structures of your body 8 days ago.

Yes, you should still be hurting. Or at least, it's incredibly unsurprising that you are still hurting/can't walk, etc.

3 weeks may or may not be enough time, depending on how much damage was inflicted on your feet. But I would definitely factor in 3 weeks of down time.

Keep your toes and ankles moving just a little bit while in bed/chair, just to keep things moving and muscles/nerves firing. Immobilization isn't great, so keep thing's moving even -just- a little.

I imagine that you didn't get any effective self-care from your surgeon, so make sure to read this entire thread and follow all the links.



Sep 30, 2015
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2 weeks post surgery
by: April

Hello

Today is Sept 30, 2015 and I had surgery on Sept 16th. Here is the list of things that were done to me.
1. Bone fragments removed from tendons along the arch of my foot, tendon repair.
2. Bone spur removed/shaved.
3. Achilles tendon removed, calf muscle extended to my foot.
4. Achilles tendon re-attached.

I'm not in much pain although my heel is very tender. I was sent home in a partial cast, but a week and a half later had to switch to a walking boot (with a heel wedge) because the cast was rubbing the bottom side of the heel. OUCH! I have been putting weight on my foot but at the same time using 2 crutches. Shouldn't my achilles be hurting more than my heel? I wear my boot all the time except for in bed. Could I have done something to my heel or is this normal because a bone has been shaved down?

Thanks!
April


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Joshua Comments:
Hi April.

What doe this mean? "Achilles tendon removed, calf muscle extended to my foot."

They surely didn't remove the entirety of the achilles tendon.

Does the heel hurt where they removed the bone spur? If so, then no it's not surprising that that hurts more. Damage to bone is painful stuff.

See the 'bone spur' link down the thread.






Sep 19, 2015
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I had both feet done and was told to go to work the next day
by: maryann

Oh my. I had both feet done on same day.

Dr told me to get right back to work. No pain no gain. Never said a word about therapy. I am so upset.

I've lost my :/ because I went back after 1 days which I knew was too soon.

I went with stitches in both feet. Oh my I get like I was gonna die.

I had surgery the fourth of this month. It's now the 19th. My feet are numb. It hurts to walk. I finally got a hold oh Dr office asking for pain meds. He refused to etc me have them.

Said to use anti inflammatory meds.I have sharp pains. I walk a little then stop. I went to work on the 15th. That was the day I decided enough. W

ork has told me they want to put me on a different shift. I'm a can. If I can't walk on one shift, how can I walk on any other. So I've called in. After the first call in I was told my call ins are adding up. So I think I'm about t be fired. For trying to better myself. I ruined my career.


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Joshua Comments:

Hi Maryann.

Surgery on both feet and told to go to work the next day??

That's crazy.

I'm no legal expert, but you may have a very good malpractice case there. Both feet on same day (regularly done, no big deal), told to go back to work the next day (crazy), told to go back to work with stitches in feet (the very next day what??), no therapy or post-surgery advise? (really?), etc.

I of course hope you don't lose your job, but you REALLY need to stay off your feet, ice dip to help lower pain levels, etc.

Surgery causes WOUNDS. Walking on fresh wounds is a bad idea. I don't know what that doctor was thinking, even minor surgery (which plantar fascia release is not) requires rest/recover/NOT putting all your weight on top of the wound.

Maybe consider seeing another doctor to get a note to 'excuse' calling in from work (not sure how that works so you'll need to investigate).

Did he actually say 'no pain no gain'?





Sep 06, 2015
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2 foot surgeries and debridement, still in pain months later
by: A.P.

Had 2surgeries in 8mnths. I'm so relieved to hear other stories from other people.

I feel alone, & would love to hear from others in the same situation.

I was in pain before the surgeries & now it seems endless. My first surgery, was removal & a little debriding of a spur& tendon.

The 2nd, was complete smoothing of the heel bone& and taking a big toe tendon to lengthen the Achilles. I am now a little over 2 months of the 2nd surgery, & it's been the hardest thing to get through.

I'm not making much progress.

Not, sure if I should've done this at all. Any body have a similar experience????


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Joshua Comments:

Hi A.P.

That's no good!

What are you doing for post-surgery self care?

What is the dr. saying about the surgery incision not healing? It should be.

The surgery you had is a major trauma to the body, so pain etc is to be expected, and for a good long while.

But if your incisions still aren't healing after 2+ months, you need to see your doctor about that.

And increase your nutrition, overall. If you don't have what your body needs, then it can't heal very well.

Get your Vitamin D level checked while you're at it.



Sep 06, 2015
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Achilles tendinitis surgery
by: A.P.

I my self have had 2surgeries, within 8 months. I am in pain & have no idea what to do.

My first surgery nov. 10,14'. Removal and debriding of tendon & bone spur.

June 18th, 15', shaving down heel bone & taking tendon from big toe to lengthen Achilles' tendon.

This has changed my life. I was miserable before, & miserable now. I googled & found this site.

Please, anybody, that is in this same situation please, let me know.

My incision hasent healed, completely, & I am so stiff. I feel like my life is over. I have a family, & I want to work & a life to live.

Any comments would be so helpful.



Jul 30, 2015
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Still in pain with numbness several months post plantar fascia surgery
by: pam

I am several months post op..my foot is still numb I still have pain I am clueless on what to do.


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Joshua Comments:

Hello Pam.

I'm so sorry to hear that!

1. Read this entire thread, and follow the links you find here (and read those pages).

2. Describe your pre-surgery scenario.

3. What exactly did they do during surgery?

4. What did they tell you do post-surgery?



Jul 29, 2015
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Z Coil shoes work!!!
by: Susan

I had a failed plantar fascia release heel spur surgery two years ago. I got a painful neuroma in the bottom of my foot and could hardly walk on both feet. It feels like I'm walking in glass shards.

After trying many type of heel spur shoes, I bought slightly used Z Coil tennis shoes on Ebay. They are supposed to be fitted to you but I got lucky, they are amazing!

I can walk much longer than before with almost zero pain. I highly recommend trying them.

They do run 1/2 size small, so ordered up.



Jul 29, 2015
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Ended up having surgery
by: Jean

I have dealt with planter faciatia and heal Spurs for a while. Had surgery on my left foot many years ago.

I just recently In May 2015 had surgery on my right foot. Surgery went well, about 45 minutes. Was given the boot when I left the surgery center mainly to keep it from being bumped. I opted to only take off one week from work and then return. Mostly desk work after my surgery. Used the boot and crutches for 3 1/2 weeks.

I just went for my 4th post op visit and doctor cleared me to try a shoe some along with the boot. It's a little difficult and painful. My foot is still swelling by end of day.

I have another post op visit in three weeks.


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Joshua Comments:

Hi Jean.

Keep us updated!



Jul 19, 2015
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Calcaneal Osteotomy and plantar fasciotomy
by: Val

I had a calcaneal osteotomy and plantar fasciotomy in January 2014. I strongly recommend against doing this. My foot is way worse.

I not only have cramping in my foot and calf, but also my heal pain worsened and now have pain in the joint of my big toe.

I can only be on my feet for 30 or so minutes before I have pain in the heal. My foot is way worse.

Avoid surgery if you can!!!



Jun 08, 2015
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I'm lucky
by: Anonymous

I had both feet done in July, 2013, bone spurs in both and fascia release.

I was cleared to workout after 2 days with no weight bearing.

I was cleared to ride the bike after one week. And was teaching full fitness classes after 5 weeks.

The first day was unbelievably painful, but on day 2, I was walking in my boots. I put my feet up on a furniture dolly and pulled myself around the house on my hands.

I couldn't shower until the incisions closed and that was quite some time due to having an allergy to the internal stitches.

My body rejected them leaving the wounds open longer than normal and pushing the stitches to the surface. After 2 years, I still have numbness in my heels, but my surgeon said that was normal.

Good luck to everyone having surgery. I hope you all are as lucky with recovery as I was. :)



Jun 07, 2015
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plantar facia reease and heel spurs removal in both feet
by: lynda

Had plantar facia release and heel spur removal in both feet 7 weeks ago, still in a lot of pain don't feel any better pain in heels are still there and plantar facia is still stiff.

I can't walk properly or put heels down without pain has anyone else had this done and had problems still feel like the heel spurs are still there.




May 26, 2015
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help
by: pam

I had Achilles graft in Nov. 2 weeks ago I had bone spur removed from heal.

I can't walk without shoe on and have a large numb spot anyone else have issues.

May 20, 2015
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Prayers for You!
by: Angelia

I have had excruciating pain in my heels (both) for a month now. Can't put either of them on the ground for very long.

I have Fibromyalgia, osteoarthritis, and a few other ailments and thought this was just chronic pain.

I can tell it's different. It's as if someone shoved a stick in my heels and just left it there. Hurts all the time but worse when I'm trying to rest them.

I ice them several times a day and use over the counter pain meds. No help really. Reading this terrifies me to even go to the dr! Praying you have healed by now and are doing ok!



Apr 02, 2015
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Help! I had plantar Fascititis release and heel bone spur Jan 30th
by: Barbara P.

Jan. 30th I had surgery to do Plantar Fasciitis release and bone spur.

I was in a temporary splint after surgery for 2 days. The second day I was in the worst pain imaginable. It was burning.

Called the Dr. And he told me to loosen up the splint because it was to tight.

The next morning a cast was put on my foot. The skin on my foot was dark purple and agreed it was to tight. I called the Dr the next day of having my cast on and told him I was in so much pain and just said it was caused by swelling.

I elevated my foot , no weight bearing. I just got up to go to the bathroom, I keep calling the Dr about the cast my top of my foot was numb and it was having burning sensations.

He told me it was cast anxiety. This went on for 4 1/2 weeks. The day my cast came off the dark purple/brown on the top of my foot was still there. He pulled the skin off my foot and told me to put my shoe on and walk.

I thought he was crazy. I had been on a knee scooter this whole time. So I got up with my shoe on and almost feel on my face. Told to start walking. By the time it got home I had blisters on the top of my foot and I was in very bad pain.

I called the Dr. And he acted like I was crazy. He did prescribe medication. I have done all exercises, stretches . I still have numbness 9 weeks post op. Severe burning in my whole foot, swelling my heel is twice the size of my other heel and is very painful.

I'm at my wits end and don't know what to do?


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Joshua Comments:

Hi Barbara.

Ouch.

Well, the question is, is the numbness from damage done during the surgery (cut a nerve, or resulting inflammation/compression), or is it from swelling/inflammation/compression from the too tight cast?

Was it the temp cast that was too tight that caused the black and blue, or?

Was the black and blue there from the surgery?

Was the black and blue from the NEW cast being too tight?



Jan 28, 2015
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Advice for post-op?
by: TexasChick

I've had Plantars Fasciitis on and off for seven years, generally aggravated by being on my feet for the full day. For the past seven months, and more so during the past four months the pain has there more often that not. I've tried the night splint, lacrosse/golf balls, slant board, elastic bands, shoe inserts, deep issue massage, icing - everything.

Today I went to a foot/ankle surgeon. Turns out I do have Plantars, but I also have a large heel spur and two entrapped nerves (Baxter's nerve, and a carpal-something nerve). He was surprised that I had not moved beyond non-invasive treatments long before now.

So.. .surgery is scheduled for Monday and you would know my spouse leaves town on Tuesday for two days. Our nanny can help me during the day, but I'm wondering what I should do/buy to prepare for recovery.

I'm definitely getting a leg elevator thing because I want my foot to stay put and not fall of a stack of pillows. Is it worth it to get a "scooter"? The nurse said I won't be icing it - is that true?

I'm 48yo, could lose 10lb but not hugely overweight, in good health, no major problems (except my foot!). I'm generally NOT a good patient as I can't sit still and don't like feeling "trapped". (I need to get over that, big time.)

Any advice?


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Joshua Comments:

Hi TexasChick.

I could have sworn I already answered this....did you see something from me somewhere else?

If not, let's start over. How'd the surgery go?



Jan 14, 2015
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A different experience after surgery on my right foot
by: Casey

Reading through the forum, I feeling nervous, but lucky. I had surgery one week ago on my right foot.

I had a general anesthetic and was in/out of surgery in 45 min.

I was wrapped up (not casted) and told I could walk with boot 5min/hour with ice 30min on/off I went back to work two days later (drove myself w/ boot).

Within 4 days i was back to doing short spurts of housework and dinner prep. I was even able to manuever the stairs to take the dog out for some fetch.

I had first post-op appt where they changed the bandages and gave a 30 min/hour up/down with ice as needed. I

was cleared for upper body workouts. No physical therapy was recommended.

I was yelled at for driving.

I recieved on anti-inflammatory/pain pill which helped a bunch. I get stitches out next week. I got a waterproof cast cover from CVS so I can take a shower and hope to swim for exercise after stitches are removed.



Dec 30, 2014
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Foot Surgery in June, 4 months later severe foot pain is back
by: Mandy

I went years with severe foot pain and tendon problems. Finally last year (2013) I began the process of plantar fasciitis recovery.

I was diagnosed with PF August 2013. By June 2014 I was having surgery on my right foot. I did exactly what was told of me. I kept the cast on for 3 weeks with NO weigh on it. And did a month of Physical Therapy after. I wore the correct shoes and kept the PT exercises going.

Then October 2014 roughly 4 months out of surgery my foot started hurting worse then before surgery.

That's when I noticed a HUGE lump under my incision.

It is terrible pain, I'm walking with a limp again, it shoots fire pain throughout my foot and now starts tingling if I am done elevate it 24/7. And the bottom of my foot around it bruises.


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Joshua Comments:

Hi Mandy.

That huge lump is likely (hopefully) scar tissue. Sometimes for a variety of reasons the body lays down way too much.

That might require a new surgery to scrape off all that new growth. It might be necessary as that ball of tissue is problematic when you put weight on it and it presses into your foot in ways it's not supposed to.

Granted, that depends on -where- that lump is. In the arch of the foot, or on/close to the heel.

Either way, your foot isn't working right, and that is likely going to need to be addressed.

What are you doing for self care?



Dec 28, 2014
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no post op care after having plantar fasciitis release and bone spurs removal on both feet
by: sharon

Soaking my feet twice a day In hot Epsom salt water to help with the soreness, walking to rebuild my strength and taking Aleve.

I need suggestions on in home physical therapy that would improve my walking abilities, my strengthening, and getting back on regular grounds to get back to work.

Suggestions please.


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Joshua Comments:

Hi Sharon.

I'd start by reading through the thread and following the 'how to reduce inflammation' link, the 'magnesium for tendonitis' link, and the 'inflammation causes b6 deficiency' links.



Dec 28, 2014
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plantar fasciattis and heel spur removable both feet
by: sharon

I'm 5 weeks post op after having plantar fasciattis release and heel spurs removed from both feet and was not given physical therapy papers and was not advised to wear orthotics just told to start wearing a good arch support tennis shoes.

My doctor is good but after reading all the other blogs I'm wondering if my doctor should have recommended physical therapy because my right foot was worst than my right and is still very painful.

Suggestions anyone?


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Joshua Comments:

Hi Sharon.

Damage to the bone hurts, and hurts for a longish amount of time.

Plantar Fasciitis 'release' means they partially or fully sever a big sheet of fascia that helps hold the foot structure together.

5 weeks of pain isn't surprising, especially if you weren't given an effective self care plan. It doesn't sound like you were given ANY plan.

What have you been doing post-surgery?




Dec 20, 2014
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Overweight, severe heel pain, bone spurs, 3 hour surgery
by: Murphy

I had been having severe heel pain for a long time. I had chalked it up to being over weight, working on cement floors (retail), and just tired. But my best freind pushed me to have it check into.

I did a lot of research on my own prior toi the dr visit. I went in and I had 2 heel spurs on my left foot and 1 on my right. I was told of my options, whic I already knew. Inserts for my shoes, shots or surgery. I opted out of the first 2. Lets just go to the source and fix it.

My surgery went very smothly. In and out in about 4-5 hours... prep time and recovery. Not bad at all.. Surgery was actually 3 hours. I went home with pain meds every 4 hours and I took them faithfully. I wanted no pain. I will say I haven't experience any really during the whole time (10 weeks so far).

I have never been casted. Which I don't know is good or bad. The incision on the back of my leg has healed pretty well. Not going to be a leg model anytime soon. I never expected to with this surgery. I do have a big problem with the actual heel part. I have a half dollar size wound that is about 1/2 in to 1 inch deep. It has gotten infected. 3 types of bacteria (so I am told). It has caused a lot of extra visits to the dr. Antibiotics-3 rd dose started. And some discomfort.

I am still not supposed to put weight on it. No physical therapy either. I am in a holding pattern T THIS POINT. They want the wound to heak before we go any farther. Not confident with this. I also have still got a lot of swelling. I am told its due to the amount of work that was done to that area. Once again, not real confident.

I am planning on having the same surgery done to my right foot in the late fall. It will most likely NOT be with the Dr. that has done my left foot. Not sure who yet. But it will def not be him.

I feel so far that it has been worth while to do this. Like I said earlier...very minimal pain.

But I did stay in front of the pain also. pro active approach. I was told this would be a 12-16 week recovery process. It will be a full 16 weeks plus, I am thinking. Crossing my fingers that it won't be too much longer than that. Murphy's Law......... My last name is Murphy... Go figure.


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Joshua Comments:

Hi Murphy.

You didn't leave your email or check the notification box.

If you find this, give us an update on how it goes/how it went.



Nov 24, 2014
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Getting worried, big heel spur taken off and still pain 4 weeks later
by: Karen

I've had the facia release and heel spur surgery 4 weeks ago. I can not put my heel down on the floor at all. It's like my leg is shorter!!

Is this normal?

I'm still non weight bearing for 6 more weeks. Heel spur was very large and I've got a pretty long incision.
Getting worried


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Joshua Comments:

Hi Karen.

If you had a big heel spur removed, then it's entirely unsurprising (plus you weren't given a helpful self care routing to speed recovery).

Basically, they ground off a big chunk of your bone. Bones do NOT like this. Bone damage, bone bruise, etc. It's a major wound, really (well, maybe I should say it's a major trauma, as it's not a particularly big 'wound').

And depending on what they did with the plantar fascia (cut it a little or totally severed it), that -is- a major wound.

So I'm not surprised you're still hurting 4 weeks later, with another 6 weeks of non-weight bearing.

If you're in a boot and not a cast, I'd start ice dipping to help lower pain levels. See the 'How To Reduce Inflammation' link elsewhere in this thread (and read this entire thread).



Nov 12, 2014
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plantar surgery cast and recovery kids helped a lot with chores
by: Anonymous

Hi my name is latonjo I just had the same surgery.

I have a cast on mine the first two days I could not use my crutches the third day I could the second week things have gotten better instead of crutches I am using the walker one for exercise and two so I can build strength in my legs.

Next I have a little mini tricycle to peddle everyday so I can get the fill of things I have been sleeping in my bed since the third day of my surgery now on Nov.18,2014.

Waiting to go to my doctor appointment because now I have good range of motion and I owe it all to the prayers that have been answered from the lord,my husband and our two children the help each other out very well.

The first 4 days they we're lost but I had written out every chore that needed done each day and what day to wash clothes' and who ironed,w ho washed dished had the children we're reward on game days and it is working out ok, I'm up just not up working much as I want I fold clothes.

I just try to stay encouraged. Along the journey.



Oct 04, 2014
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Thank you
by: Anonymous

Will definitely check these out, thank you.



Sep 26, 2014
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Answering your questions
by: Karen

Thanks for responding. I feel a bit reassured that you aren't surprised that my foot still hurts.

I have pretty significant arthritis in my back, as well as having had two knee replacements by age 52.

I'm doing the ice bath that you suggested and elevating my foot throughout the day, as my work allows.

I'm doing the stretching that my doctor told me to do. I've been on an anti-inflammatory diet in the past and it wasn't helpful. I was on it for 3 years, so I think I gave it a fair shot.

I can't take anti-inflammatory pills long term because I only have one kidney. I draw to relax and keep my mind off of my foot in the evenings.

Are you suggesting that I do something else? I'm open to suggestions.


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Joshua Comments:

Hi Karen.

My overall suggestion is my Reversing Achilles Tendonitis ebook as it's a complete plan that is relevant before and after surgery.

Aside from that, I suspect the following would be very important for you:

Magnesium For Tendonitis

Inflammation Causes Vitamin B6 Deficiency





Sep 21, 2014
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update from karen about achilles tendon bone spur removal
by: Karen

Hi, thanks for your suggestion about the ice bath after I posted a month after my surgery. I had a bone spur removed that was under my Achilles tendon.

At just after 2 months, I'm back at work in the Cam boot, but still in pretty significant discomfort walking and even sitting. Other than having the wound, that is irritated by the boot, I'm probably still not at my pre-surgery pain level yet. My work is pretty active.

I'm up and down stairs, parking and walking to several appointments a day, walking around the office, etc..I also drive a lot which hurts. I am still icing and elevating in the evenings.

My doctor told me I would be glad I had the surgery at about 3 months, so perhaps I'm just being impatient.

I had knee replacements that I recovered from more quickly. I feel like doctors always downplay the post surgery pain, and he did warn me that it would be a long recovery, but I'm starting to worry that I don't feel better.

Is my experience typical?

I am doing the exercises he gave me, but the bottom of my foot hurts too much to think about walking without the boot and my ankle really aches. I'm hoping that is referred pain, not another problem.

Thanks for any input.
karen


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Joshua Comments:

Hi Karen.

Is it typical? Unfortunately, probably yes. Doctors do tend to downplay the aftereffects of surgery.

How long to broken bones hurt? Now imagine grinding a section of your bone away...that would take longer to stop hurting...which is what grinding off a bone spur is. It's a big bone injury and bone bruise(basically).

If you had knee replacement surgery, then that is a clue of a few negative factors at play (chronic nutritional insufficiency, chronic inflammation, etc.)

What are you doing for self care aside from icing (how are you icing?) and elevation to help recovery to arrive by month 3?




Sep 20, 2014
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Want to get back to running after Plantar Fasciitis Surgery, 3 weeks out
by: David

I had Plantar Fasciitis for about 8 months before I had the PF surgery. It's been almost 3 weeks and I think it's going pretty good.

Week one was non weight bearing, I had no pain at all that first week. The second week the doc had me wear a shoe and begin weight bearing I had some pain while walking but none when I take the weight off my foot.

At the end of week 2 the doctor removed the sutures was happy with the progress. It's now week 3 and walking is getting better.

I still feel the same pain when I get out of bed in the morning that goes away after 10 to 15 steps, is this normal for post PF surgery?

Thanks


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Joshua Comments:

Hi David.

Plantar fasciitis surgery is a significant wound.

So if you're happy with your recovery so far at 3 weeks, I'd go with that 'It's progressing nicely.'

Keep at it. Keep it moving at rest. Walk on it some but don't overdo it.

Ice dip it. Massage coconut oil into/onto the surgery wound area.


See related: Plantar Fasciitis Surgery IN Both Feet Best Decision I Made So Far

See related: Smart Tips For Plantar Fasciitis Surgery


Aug 15, 2014
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My experience with plantar fasciitis surgery and several bone spurs removed
by: Karen

I wish I had found this before my surgery!

I just had my 4 week check-up. I had several bone spurs removed from my right heel, under my Achilles tendon.

The first four weeks I was was told not to put any weight on my foot. The recovery was boring, but not too painful.

Now I am in a walking cast and the scooter has gone back to the shop. The first day was terrible, but today, with the help of crutches, I am putting some weight on my foot.

I hope to go back to work, at least part-time, at the 6 week point. I am stretching and strengthening with a band, icing and taking Tylenol.

Because the post surgery pain was minimal, I have taken a couple of pain pills to help keep me moving. I thin I am pretty well on track. I did call someone to come and clean the house. That is beyond me at this point.

Thanks!


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Joshua Comments:

Hi Karen.

I wish you'd have found this info first too!

1. Ice dip!!!!! Learn How To Reduce Inflammation

2. As you're laying there, start moving your ankle and toes around. Doesn't have to be a lot, but get the joint(s) moving and create shortness and length of the attached structures.

As opposed to the first movement the get being under full/partial body weight.

The body LOVES movement, and you've been stuck for a good long while.




Jun 28, 2014
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Plantar Fasciotomy two weeks ago
by: Anonymous

I just had a plantar fasciotomy two weeks ago yesterday, but no heel spur. It was an open surgery. No crutches, immediate weight bearing in a post op shoe. Was able to shower and walk with minimal limitations. Stitches came out yesterday and were painful coming out, but I feel even better now.

I walk a bit slow but have had none of the pain I had before, only pain from the incision which is much more bearable than the pain I had before the surgery. Still wearing a post op shoe for the next few days to work toward getting back into a regular shoe.

I am sorry that yours was a bit rough and hope that ultimately you get to a pain free (at least mostly) state.



May 28, 2014
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Partial Plantar Fasciectomy a tarsal tunnel release and bone spur removed on my big toe.
by: Kim

I have had heel pain for seven years and have tried everything I could learn that might help: rolling a tennis ball or frozen water bottle with my heel, then anti-inflammatories, stretching, wearing the walking boot, steroids, finally cortisone shots and finally surgery on Dec.18, 2013.

The pain in my heel got progressively worse leading to extreme sensitivity where I couldn't rest it on the bed or anything else for that matter. I work a job that keeps me on my feet a lot and for long hours. Finally, surgery was suggested.

After surgery, I was bandaged and non-weight bearing for 5 weeks. During that time I had no heel pain the first time in years. Once I was given the ok to begin putting weight back on it again, my good results began dwindling. I've been back since then and had a pressure cast put on for a week and didn't walk on it.

During that time the pain receded but again, once I started walking again the pain in my heel has come back with a vengeance. I also have outside ankle pain, like a bad sprain along with swelling. Today, my heel, ankle, arch, top of my foot all hurt. My foot is so swollen and it feels like a sock is waded under my toes and a 3/4" pipe is under my arch. As before, I can't put my heel down when I stand, sit or walk so I'm fairly certain that's not good on my other joints.

I'm so tired of hurting and just want to be normal again. I'm 49 and still have a lot I want to do.
Kim


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Joshua Comments:

Hi Kim.

I'm sorry to hear all that. No fun, no fun at all.

1. The bone spur was on your big toe? Hmm. Usually, they're around the heel. What I'm about to say applies in general to heel or toe spurs: So they cut that off. And that's going to be a big source of pain...bones don't like being damaged.

Big source of inflammation/pain.


2. Not surprised the boot and the injections didn't work. They don't. Not surprised surgery was next...that's just how it goes.


3. So you're 5 weeks out of surgerin and in a lot of pain. That's not surprising. You essentially had a lot of trauma applied to your foot. Stabbed a bunch of times.

The body does not like that.

My point is, 5 weeks of pain isn't surprising. But it isn't a good omen, is it?


So thus I ask:

What are you doing for self care to minimize the pain, minimize the inflammation, speed healing, etc?



See related: Endoscopic Plantar Fasciotomy 2 Months Ago Still Pain In Heel

See related: I Still Have Foot Pain 2 Years After My Plantar Fasciotomy




May 26, 2014
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Joshua Replies to Tammy - Severe swelling while in recovery from plantar fasciitis surgery
by: The Tendonitis Expert

-CONTINUED FROM LAST SECTION-

That sounds like a traumatic experience, through and through. Post surgery falls, weight on the foot, torn stiches (bad news), exposed ligaments, a more extensive second surgery, etc.

One can expect a long painful recovery. At best you can speed it up with the right methods.

For instance, after the wound seals, learn How To Reduce Inflammation


Is the swelling normal? Yes, it sounds like it. You have had some major injury and trauma to the foot there, plus all the chronic previous pain and inflammation mechanism at play.

Plus surgery doesn't fix any of the causes of your previous ongoing pain.

Plantar Fasciitis Symptoms show up for very specific reasons. And then someone takes a sharp object to your body and roots around multiple times....the body DOES NOT like that.




May 26, 2014
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Severe swelling while in recovery from plantar fasciitis surgery
by: Tammy

This is an overview of my story. I am trying to be as brief as possible while getting to the main points. I would like to know if swelling is normal after my cast was removed.

Start of surgery: 11/02/12
Cast removed : 1/10/13
Present status: still in revovery.

Foot problem: approxmately eight years. Several corotoze shots. Up until the surgery, i felt lke was walking on rocks with sharp points. I had severe calcium deposit build-up; that caused a large buldge from my heel. I have screws in my heels.



I had plantar fasciitis surgery on November 2nd, 2012; removal or repair of the heel spur, and reattachment and extension of the ligament, and calcium deposit removal. The ligament was grafted or wrapped (I hope that I am using the correct terminology) with a medically approved material (I forgot the name). At some point during my recovery, the stitches broke and the ligament was exposed.

I was not aware of the injury until I returned to my physician during my two week visit. Let me add, I fell twice; so I could have injured myself during the fall.

I was later informed that I would need grafting to cover the wound; however the grafting procedure was dismissed because of the bulge that would continue to be visibly extending from the Achilles tendon.

Basically, the tendon was wrapped with a material that was too thick, so it broke through the stitches.

Okay, with this being the case; I was scheduled for surgery to redo the wrapping on the tendon. The second surgery was on November 23rd, 2012. My doctor informed me that there was some additional damage to the already repaired tendon. The entire surgery was two hours, longer than the first.

Unlike the first surgery, I was put in a heavy cement type cast. The first surgery I was in a fiberglass half cast. I remained hospitalized for five days-under observation.

During my weekly follow-up visits, my cast was changed along with the normal medical procedure. I was in the cast for approximately seven weeks. The cast is finally removed, no swelling. The foot looks normal, the wound is closed. I was informed that I can put some weight bearing on the affected foot. Of course being anxious to walk, I use the affected foot a little and with the assistance of the crutches and the boot.

My problem now-- is that I am experiencing severe swelling. I am trying to keep the foot elevated. I am also having pain when I land on the foot, I would think that this is normal. Other than that, I have no pain.

I would like to know if this swelling is normal, even though there was none when the cast came off?

How long does it last? I do not want to go through another surgery.


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Joshua Comments:

Hi Tammy.

You didn't leave an email or check the notifications box, so I hope you find this.


-CONTINUED IN NEXT SECTION-




May 26, 2014
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Ouch Why Doesn't The Corticosteroid shot work?
by: Anonymous

My doc gave me a steroid injection last month which gave me pain relief for 12 days; had another shot three days ago and so far nothing but more pain and swelling. d oc says takes 2-3 days to start working but my foot hurts worse than ever.

Why doesn't the shot work? I am icing but there is much pain upon walking . Will a third shot work or not? He only gives three -I don't know what to do:(


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Joshua Comments:

Because corticosteroid injections don't help or fix tendonitis.

See: Corticosteroid Injections



Apr 29, 2014
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2 weeks post op after plantar fasciitis release and bone spur removal
by: Tobin

I am 2 weeks post op having had the release and bone spur removed from my heel.

This post scared me pre op but I will say I have had ALMOST no pain! I also got a scooter and it is worth every penny. I was back to work in 1 week. I cannot drive yet but the stitches are out and I have a lot of flexibility.

I do have some numbness but I can hardly wait to be able to run. Just trying to take it slow!

Good luck!


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Joshua Comments:

Hi Tobin.

Nothing about this site is meant to scare anyone, but sometimes when people see the downsides that are possible it's frightening.

I consider fear to be a great motivator.

That's great you're experience/recovery has been pretty traumaless. It just all depends on what exactly the surgeon does in there, your overall state of health, your specific pain dynamic, pain tolerance levels, nutritional status, etc.

Scooters and such are a GREAT idea post surgery to keep people off their feet (lots of people get hurt when stumbling on crutches and suddenly accidentally bring all their weight down on their post-surgery foot...bad news).

Please keep us updated on your recovery.



Mar 18, 2014
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Plantar Fascia release and heel spur removal 2 weeks agoi
by: Karen

I am 43, I had Plantar Fascia release and heel spur removal just 2 weeks ago. I go in today & hopefully get my stitches out.

I HIGHLY recommend anyone getting this surgery to invest in renting a knee scooter, I paid $80 for a month and it has increased my ability to recover & help myself by 100%.

My husband is a physical therapist and has been surprised at how much I am able to do since the surgery. Just the ease of getting to & from the bathroom without the hassle of crutches has been worth it.

However, don't do what I did, WEAR you boot ALWAYS when moving,I kept it off because of swelling & it was very uncomfortable, then on a late night from the couch to bathroom I lost my balance 1 1/2 week post surgery and put weight down on the foot, HOLY COW electric shock, the pain increased the next 4 days and I was so afraid I screwed something up.

Today it is feeling better & will let dr know what I did. Anyway, 1 week total bed rest & pain meds for me, by beginning of week 2 off pain meds, still some throbbing pain but swelling is all but gone. I have been able to drive myself a few times(right foot in boot, no problem)and then crutch into the store and use the cruiser cart they have and it has worked well.

I have used my knee scooter all over my house, by beginning of week two my husband had a hard time finding me because I was all over the place and doing everything I could to stay active and for myself.(luckily no stairs in house) I think if I didn't have the knee scooter I would have been so much more miserable, using crutches is exhausting,

I am so glad I rented the knee scooter. I have not tried walking yet, I know each time I put my foot down without the boot on it "lights up" I guess that it the nerve pain I am afraid of walking on it & my guess is today the dr will say start using crutches and walking with boot lightly.

Will see, but long story short recovery has been pretty quick for me as far as getting around and being able to do things on my own for the most part.


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Joshua Comments:

1. Yep, scooters etc a good idea. Nobody is in crutches shape, and the easier one's mobility is, the better one's life/recovery is.

2. Boot on, yes. Sudden force/impact to severed tissue can be BAD news. Doesn't have to be, but it's better NOT to tear recently separated tissue.




Oct 31, 2013
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Gave in and had achilles lengthening surgery and heel spur removal
by: Anonymous

Like most people I have tried everything to relieve the chronic debilitating pain of plantar fasciitis, bone spur and tight Achilles' tendon. I have done:
accupunture,
3 painful cortisone injunctions,
CAM boot,
custom orthotics (and any I could buy in the stores)
6 months of physical therapy,
2 chryo surgeries (first one helped a bit so tried a second to knock out the remaining pain... Didn't work and seemed to reverse the first surgery).
Scooter for non weight trial (3weeks)
X-rays, MRI
3 different doctors (2 podiatrists, 1 orthopedic surgeon)
Shoes- a fortune to try and find anything I could walk in
Night splints or CAM boot every night for a year.

The orthopedic surgeon suggested casting it for 6 months and allow the tendons to settle down. Other doctors said it was time for surgery.

Surgery was my last option because I wanted to give it my best effort to avoid surgery. Finally, I felt I had no other option as the pain was so bad, I only went to work and could stand for only 10 minutes. Then after sitting it was excruciating to get up and walk again.

My surgery was 2 1/2 weeks ago. I had a partial fascia release (cutting 2 tendons of the three on the fascia) this prevents possible arch collapse. Bone spur removed (I insisted on this) because I had a noticeable exterior lump on my heal that i couldn't put any pressure on.

Then the Achilles lengthened (mine was so thight I would have snapped the remaining fascia tendon that was connected to my heal (this is done in the upper part of the calf, DONT do the lower calf). 1-3/4 hour surgery.

Recovery:
3 weeks in bed with no weight on my foot (scooter), pain meds, antibiotic to prevent infection. You will need tons of help during this time to mend properly. Scooter to get to bathroom. 2 weeks in the splint from surgery, 1 week in CAM boot.

I am at the end of three weeks and will have my stitches removed this week. I can move my toes with little pain (couldn't do that before), numbness on outside of foot and part of the leg (normal).

I do feel encouraged though. Just to have that painful bone spur out is a blessing. I haven't stepped on my foot yet....so we will see how that goes. I will probably be in the boot for 6-8 weeks and on the scooter for 6 weeks after surgery.

The pain now is mainly nerve (electric) sensations. It can be very intense though. But that should go in time to, maybe 6 months.

My suggestions on how to find a good doctor is:
Ask people who they recommend
Ask physical therapy staff
Do background research online
Ask pharmisists (people that have contact with doctors)
Pray

Good luck to us all






Sep 26, 2013
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Do cep socks help with plantar fasciitis or bone spurs?
by: pg

Do cep socks help with plantarfascitis or spurs?


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Joshua Comments:

Hello PG.

No, they don't.

These sports/compression 'socks' seem to increase bloodflow and reduce inflammation, and for the purposes of your question let's say they do. But that's not going to reverse the structural components or the Pain Causing Dyanamic enough to fix, reverse, or even 'help' a Plantar Fasciitis or Bone Spur scenario.



Aug 21, 2013
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Bone Spur Removal
by: Anonymous

I'm having my bone spur removed on my right foot. I'm 43 and playing Ultimate Frisbee 3 times a week and i only feel my heel pain when playing and especially after.

When I jog, not too bad. The cutting back and forth is killing me. Eventually, i will probably need to fix my spur in my left foot too, but not till next year. It's not as bad.

I'm not overweight, it's just the spur on that right foot that is the problem. I also do the Insanity workouts with no real pain. I have always had spur problems, but last year i hurt my heel, pushing off before a run. It has never been the same since.

I wonder if the spur was already there and caused the injury or vice versa. Going in for surgery in October. I will give you heads up.

Any advice you have, would be appreciated. thanks


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Joshua Comments:

Hi AnonyFrisbee.

It may seem self serving, but my overall advice is in my Reversing Achilles Tendonitis ebook. That will definitely help your surgery recovery.

Combined with:

How To Reduce Inflammation (good for pre surgery and post surgery)

Magnesium For Tendonitis (good for pre and post surgery)

And read the Bone Spur page too.

(I didn't add links in here as there are already a few on this thread and I don't want too many links to the same pages.)





Aug 11, 2013
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Tried cortisone injections too
by: Anonymous

Oh, I forgot - I tried those horribly painful cortisone injections in both feet, too. Didn't help AT ALL. Now I just limp around and if I walk a lot, I can't walk the next day much at all. Its so frustrating. I tried getting a 2nd opinion but all that podiatrist would say is he never touches a 2nd surgery if another surgeon did it first. Nice, huh? Wouldn't even give an opinion on the neuroma.



Aug 08, 2013
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help, surgery made me much worse
by: Anonymous

I tried everything before undergoing the first surgery - stretching, physical therapy, ultrasound, ice, etc. NOTHING helped for more than a day. The pain kept getting worse. I had the first surgery just cutting the ligaments and it made me a lot worse. Now I have to have the heel spur removed, the neuroma removed AND my other foot done - how do you find a good surgeon? My first one obviously isn't.


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Joshua Comments:

Well, you tried what you tried. You didn't try everything.

I'm certainly not going to argue that your surgeon was good, as I certainly don't know, but it's safe to say that if surgery can't fix a problem, then performing the surgery is a bad idea.

I've never understood how 'cutting the ligaments' was a good idea for anything but destroying the structural integrity of a foot. Thus the guy gets my vote for being a bad surgeon, but technically he might have done it by the book.

That's my long answer to 'I don't know how to find a good surgeon'.



Aug 07, 2013
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Foot surgery last resort
by: Anonymous

Hi everyone, love the comments.
I have dealt with a heel spur & plantar fasciitis in my right foot for the last 2 years. Have tried physio, podiatry, orthotics, heel gel inserts, cam boot, stretching therapy, cortisone injections.

I had an MRI done & went to my orthopeadic (foot/ankle) surgeon. He suggests that I now have surgery (endoscopic) & he won't do anything to the spur. I am reluctant to do it but may have to anyway due to the impact on my life & constant pain. As a last resort to delay surgery I have now started having acupuncture treatment.

Can anyone advise if they have had success with acupuncture? Or any other treatment I could try?

Thanks


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Joshua Comments:

In my experience, acupuncture is either helpful or it's not (sounds obvious, but I mean that you'll either get benefit, or you won't).

It did great things for my knees once upon a time, but didn't do a thing for my back. It just all depends on who's doing it and what you have going on.

Will it fix a bone spur? No. Will it fix plantar fasciitis? I've never heard of it doing such. Will it fix a magnesium or vitamin d or Vitamin B insufficiency? No.


So...if the surgeon isn't going to remove the heel spur, then it makes sense that the heel spur isn't the problem.

So the question for the doctor is, how is surgery going to help? What exactly is it going to fix?

We are taught in this society to think of surgery as the last fix. But that's assuming it is an actual fix, that it will fix the problem all the other things didn't. But there's a reason those other things the doctor prescribed failed to fix the problem. So the doctor with a 0 for (insert number of failed treatment options) record is now recommending surgery.

Great. How is it going to help?

Here are some questions for your doctor: Quiz Your Doc




Aug 04, 2013
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Help, can barely walk 10 months after surgery
by: Susan

I had a plantar fascia release in 10/12. The surgeon refused to remove the spur at my request because we own horses, which made no sense at all to me. The surgery did not work and not only made the pain a lot worse, but the surgeon cut the nerve to the bottom of my foot and I couldn't feel it for months.

It finally grew back, but now there is a painful lump in the middle of the bottom of my foot. Since this is the 2nd failed surgery by this surgeon, I won't go back.

He said it was a neuro-something and it hurts like crazy - if I rub my foot to make it better, it hurts so much worse, all night long. I didn't sleep at all last night.

Can anything be done about it? I need the same surgery on my other foot, too and am really afraid now.


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Joshua Comments:

Well, if a neuroma (nerve bundle, nerve scar) developed, there's not much to do about that but cut it out and hope for the best.

So that certainly may be a factor, if that's what that lump/bump is.

The downside to plantar fasciitis surgery is that it doesn't fix the factors causing the pain in the first place, and, as you've experienced, there are some risks.

What have you done for self care? What have you tried to help the side now 'needing' surgery?



Aug 02, 2013
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I had both feet done and was doing Pilates with the Boots on 2 days later
by: Anonymous

I had surgery on both feet 2 weeks ago and have been walking around like a champ. Except for a little soreness in my feet, I have been doing great. I was working out, doing Pilates, with my boots, 2 days after surgery.

I think this post is a little ridiculous as I was only in bed for 2 days after having both feet done and was back on my bike after one week. I walked without crutches 4 days after surgery. I still have numbness in my heels and am hoping that goes away before too long. But, I was, in NO WAY, confined to my bed for more than 2 days.


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Joshua Comments:

You were doing pilates with the Boots on?

Ha! That's awesome. I wish I had pics!


Having said that, you think this original post/thread is ridiculous because YOUR particular singular experience was that you were only down for 2 days after foot surgery?

To judge people in pain that are forced to NOT be able to be on their feet for weeks or longer because of the damage done to their feet from invasive surgery (and pre-existing ecology thst lead to the surgery still in place as well), is, well, it's a lot of things.

But I'll just call it ridiculous for now.

Don't get me wrong, I'm glad your recovery so far has been speedy, thsat's great. But every body want to have that experience, and only a few do.

Whether you SHOULD have been so active so soon is a different query altogether, but it just all depends on what you had going on and what exactly the surgeons did in there.







Jun 26, 2013
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Help me to have a better life than this
by: Virginia

I have a huge heel spur on my right heel and I am currenly suffering as I have no income and am going out of my mind. The cortizone shots don't work the shoe insets what a joke. My heel spur is massive and I have become so depressed help......my doctor says no to surgery and I wanna just tell him where he can go. I live n Canada...Saskatoon Sk. Help!


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Joshua Comments:

Hi Virginia.

I'm sorry to hear all that.

1. Why does your doctor say no to surgery?

2. Where is the bone spur, exactly (details please)

3. How long has the bone spur been developing?

4. When did the bone spur start hurting, in relation to question #3 above.



May 07, 2013
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pain after surgery
by: Dawn

I had my surgery in Dec 12..
I still have some pain, and weakness and swelling at the incision site. They say its scar tissue and to try to massage it, as for the weakness, I think it will take time.



Apr 29, 2013
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Pain control after bone spur removal
by: Renee

So I have been having pain symptoms for nearly two years with an increase in severity last October and another increase in severity about 2 months ago. I went to the podiatrist and of course low and behold I have a HUGE bone spur which I have lovingly nicknamed Captain Hook! The podiatrist gave me a cortisone injection which lasted all of 4 days...yippie.

Now I am back to square one plus one and after exercises, shoe inserts and this cortisone shot am considering parting ways with my buddy Mr. Hook.

Thing I am having a hard time understanding is I have been to three doctors now and after telling them what is going on each one tells me how understand the severe pain I am in but not a one has given me anything to control the pain while we try these "conservative" measures. Is this normal???

I ask because even taking a step on this thing is excruciating at times let alone rubbing and stretching it. Worried how they control the pain after the surgery.


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Joshua Comments:

Unhelpful care from multiple doctors? Yes, unfortunately, that's entirel common.

The question is, is it the bone spur causing the pain? Lots of people have bone spurs with no pain.

Or is it the factors that are causing the bone spur that is causing the pain.

Will removing the bone spur make the pain go away?

Also, NO SURGERY is 'like a session of physio'. A sharp instrument is going to cut, possibly sever a tendon (I HIGHLY suggest that you don't let a surgeon sever a tendon. That's on the criminal side of silly.)

I too am concerned how they're going to control the pain post surgery. They're going to go in an saw off a chunk of new bone from your bone, and depending on where the bone spur is and what's attached to it, are going to have to sever the attachments and reattach. That's a serious invasive surgery.

Also because I don't see a link to it on this page: Bone Spur




Apr 21, 2013
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Plantar Fasciitis, surgeon wants to cut tendons, says it's jut like a PT session
by: denise

Thank you for the reply Joshua....The sugeon has said she is going to cut at top of back leg below knee,to release tendons as i have been walking on my ball of my foot as the pain in heel has been unbearable when pain killers are no longer taking pain away,so my calf is really tight. She said this operation is like a session of physio!

Also i am not having a boot/plaster as she wants me to walk on it straight away. She has said this will take the pain away from my heel! (i so hope so) I will be off work for at least 6 weeks she said. I stand up all day in my job.



Apr 19, 2013
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PAIN in heel months after surgery
by: Anonymous

Well I had surgery in Dec. As posted but am having really bad pain in my heel in April. Went to the Doctor and they say it's just scar tissue that I have pulled, and to wear the boot again. So upsetting. I just want the pain to end.



Apr 16, 2013
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Plantar Fasciitis surgery at the top of the calves
by: denise

I am due in to have my Plantar fasciitis operation at the end of this month after would you believe 13 years of on and off pain,in the last 14 months constant pain and stinging in my heel. I have read your comments which have been helpful.

Has anyone had their operation at the top back of their right leg as my consultant has said this is what he is doing so to release my calf tendons so then it release's my foot tendons and this will hopefully stop the pain.

How long will i be off work?


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Joshua Comments:

So they're going to cut structures at the top of the lower leg?

Why don't you/they just do effective massage etc to lengthen the structures?

How is that surgery going to magically fix the CAUSE of the problem?

As far as recovery, that just all depends on what they do, how invasive the surgery is, your nutritional status, how well your body does with trauma, the kind of post-surgery self care you do, etc.

So unfortunately, I have no predictions for time of recovery. Perhaps others will chip in with their experiences.

Apr 10, 2013
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Not that bad
by: Thief

I'm in my 5th week post-op and I started back to work this week. I am a waitress. The surgery really isn't all that bad. The recovery isn't all that bad either. I had 2 weeks of no weight bearing but could use my crutches and knee scooter to get around. I elevated my leg anytime I wasn't up using the bathroom or sponge bathing. Then they put my boot on and I could slowly start walking on it. I believe that my recovery went really well and maybe even fast than normal. I also think it depends on your surgeon as well. I had an amazing surgeon and I followed all of his instructions to the letter and have had no problems. For the ones that said they will be not walking or up for 2 months-wont happen. It will be sooner than that. You play a big part in your recovery. Doing everything your doctors tell you and keeping a good attitude will be everything to you and your recovery.


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Joshua Comments:

Keep us updated on how it goes.




Mar 22, 2013
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removal of 2 heel spurs this coming April
by: Lesa

I Am Having Heel Spur Surgery In Mid April. So Far I Am Completely Lost About This Surgery. Until I Go Back To My Foot Doc Before Surgery. Was Wondering If You Get Sedated During This Surgery? And Also I Have 2 Heel Spurs One On The right side of my heel & 1 on the left.

So Is Heel Spur Surgery Called Plantar Fasciitis?

I See that alot of comments show some people have alot of pain & swelling after the surgery. I Guess the more weight you have on you makes it worse on the healing process.

What is the Length of time to be completely healed?

Any comments is welcome i need to know everything. all your comments has helped alot.

Thanks, Lesa


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Joshua Comments:

Hi Lesa.

Here are some questions to ask your Doctor: Quiz Your Doc

What your surgery is called depends on who you're talking to, and what all they're going to do while you're under the knife. Get really clear about what they plan on doing.

There are a variety of sedation options, different doctors/hospitals/clinics have different protocols so it just all depends. It also depends on how intrusive the surgeon plans on being.

Healing times depend on your specific scenario, the specifics of the surgery, your post surgery self care, your overall health, your nutritional status, etc.





Mar 19, 2013
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7 weeks post op
by: Anonymous

I'm 7 weeks post op. Just got my hard cast off last week and am now in a walking boot but very limited weight bearing. I had two spurs removed and also tendon lengthening. I had almost no pain until this last week or so, but it seems that's fairly normal. I start PT next week and have a feeling that's when the real pain and work will start. I've dealt with this for around 10 years before finally having the surgery. Hope this is the answer to my prayers!


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Joshua Comments:

I hope so too!




Mar 17, 2013
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surgery on both feet and broken wrist from falling with the crutches
by: PM

Ok had the surgery on nov 21st on the eight fiit which is healing well I broke my wrist in the process on my crutches it took about 8wks before I really began to walk but on march 13th did the left foot I knew they both they needed done but wanted to get this over with to get my life back will keep you all posted on the recovery.


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Joshua Comments:

Keep us posted!

And no more falls off the crutches!




Mar 16, 2013
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time for a vacation?
by: Anonymous

I am having my heel spur removed March 19th. My surgeon said it would be 2 months before I could put full weight on it. It sounds accurate according to what I have been reading.



Feb 26, 2013
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Wasn't too bad?
by: Scott

I had my surgery on Jan 31st, (Heel spur & planter cut) its now Feb 26th and I'm in my 4th week of healing. First 3 weeks was alot and I mean alot of laying around.

This 4th week I decided to go to the mall with my family and what a big mistake. Middle of my foot started hurting real bad, called the Dr. and he said I just over did it. Went back to resting the foot again and feel much better. Something they won't tell you but make sure you do it is to use ice.

My Dr. was dead against ice but it makes a big difference after the 3rd week. While reading this page I was getting really scared I may not heal, but so far everything is going well.

I wish I had done it earlier, as I was having this pain for about a year prior to the surgery. I start back to work this coming Friday and wonder if I 'll be ok or not. I did go out and buy a pair of Rockports, hoping they'll make my feet feel better at work.

Got a follow up appointment on March 5th, and If needed the Dr. said he'll pull me out again. He doesn't see it being a problem but only time will tell. I'll let you know how the next few weeks go once I get back to work.


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Joshua Comments:

Keep us updated.

And ice ice ice!



Feb 23, 2013
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My surgery created a bump bigger than the original
by: Dawn

Had surgery on Dec 4, 2012. Outpatient. No pain. NO weight bearing for 3 weeks. I had to have my Achilles Tendon repaired. 50% weight after that with the boot on all time. Finally about a month after surgery, I started PT. I think it was 6 weeks when I could do PT out of the boot. I was off work 9 weeks.

I have a large lump in the spot the spur (Haglunds Deformity) was removed. I think this bump is bigger than the lump they removed. Doc says its scar tissue..ice and massage the area. Not sure I would ever do this again.



Dec 21, 2012
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What am I doing for self care
by: Anonymous

I am resting. I do have a knee scooter which is helping. I am using ice every few hours and keeping it up. I have a removable air case, which I have on all the time only off to ice, and change dressing.

I even sleep with the air case (walkable boot) At night I try to keep my leg more straight but I must admit that takes some work it really pulls. Today I have more energy, so I guess everyday will get better.


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Joshua Comments:

Yes, healing from a surgery definitely takes something, and idealy one gets a little better day by day.

Icing is great. I recommend ice dipping as seen on the How To Reduce Inflammation page.

Definitely learn about Magnesium For Tendonitis



Dec 18, 2012
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Dec 11, 2012 (surgery)
by: Anonymous

Well I had lots of stuff at one time and the pain is OMG. I had a heel spur removed, plantars facia released and Calf lengthing on the right leg. My calf is feeling like I ran a marathon, and the bottom of my foot were the Stiches are hurt so bad and think wow, I have to wait 2 more wks before they are taken out. UGH. Makes me wonder if I really will be able to drive on week 4? any thoughts ?

Thanks

BETH


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Joshua Comments:

Hi Beth.

Sure, I have lots of thoughts.

The first one is, what are you doing for self care?



Dec 13, 2012
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Follow up to foot surgeron appt
by: Anonymous

Well had my foot srgeon appt this morning, thought it would go the way I wanted it to go, but nope it didn't. All he said is to have physical therapy for 3 months and it will get better, does physical therapy take away the heel spur? I would say NO it does not!! So all that's going to do is take the pain away temporarily.

I got home & made an appt for a 2nd opinion on 12/31/12. I sure hope it goes better than today's appt.


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Joshua Comments:

Physical therapy will not remove a heel spur.

Hopefully it will bring your body to a place where there is not pain. (One can have a heel spur and no pain, so it's not necessarily the heel spur causing your pain.)

Let us know how the 2nd opinion goes.


Dec 12, 2012
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Foot Surgeon Tomorrow
by: Robin

Hi everyone, love the comments from everyone. I have dealt with a heel spur in my left foot for the last 10 years at least, tried walking boots, stretching therapy, everything except shots which I refuse to get because most of the time that is just a temp relief.

I had an MRI done last week & went to my orthopeadic Dr. this morning, he suggested I meet with a foot/ankle surgeron & my appt is tomorrow morning. He said he might give me some options before doing surgery but I don't want any options, I just want it done. I hope he goes with my request.

I think I hve dealt with this long enough and I am hoping surgery takes care of it.


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Joshua Comments:

Hi Robin.

Please let us know what happens/how it goes.





Dec 09, 2012
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operation scheduled Jan 16
by: Dinanand

I love this site and appreciate all comments. I am wondering if some had different types of operations? I will be having endoscopic surgery (release) in Jan '13 on my right foot.

Can any one estimate how long until I could drive (right foot is going to be operated on). I live pretty far from work.

I had planter fasciitis in my left foot for two years - cortisone and physical therapy finally addressed it. Two years later my right foot just isn't getting better (phys therapy 2 sets of orthotics shots and so on).

thanks!



Dec 08, 2012
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My Foot doc doing surgery in his office
by: mawmaw

Is it normal for the ACTUAL Podiatrist to do the surgery in his office? Or should I be contacting a surgeon?


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Joshua Comments:

If the podiatrist is a surgeon that's probably fine, as long as his office has an actual surgical suite.

I'd definitely investigate that.






Dec 06, 2012
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plantar fascitis surgery after 2 years of pain
by: PM

I had surgery after two yrs of pain, it took me 4 doctors before I found someone who would listen. I had done corticosteroid injection shots, orthotics a few pair, physical therapy, steroids by mouth, stretching, icing,heating,....etc you name it I did it.

Finally the surgery november of this year I had a cast on just got it removed along with the stitches, feeling some numbness in the tires periodically but now are pulling the yours, back, to me I'm in a walking boot but still have to use crutches. I figure I have to be doing better now than before surgery.


Lets just say I had no life couldn't exercise,walk, was mean and moody due to chronic pain.

The incision isn't the best and still have some swelling but its only been two wks. Will keep you posted, and I to was on the verge if losing my job I couldn't stand which is my job, and started in severe pain, the left ft have it to but nothing like the rt. The lft could have been taken most of the wght and may clear up as the rt clears up. I well keep you posted.


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Joshua Comments:

Hi PM.

Definitely please do keep us updated on your recovery.




Nov 16, 2012
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Release of Plantar Fascia
by: Jen

I had surgery in October 2008 for release of the plantar fascia. Experience was good - off my foot for 2-3 days then I was in a walking cast for 3 weeks and a boot for 1 more. (The cast was much more comfortable than the boot) I wore a compression sock for several months after that and could tell a difference if I didn't have it on.

My foot was tender for awhile but so much better than before surgery. It took about 8-12 months until I was completely "pain" free - I wouldn't describe it as pain really, but more like uncomfortable first thing in the morning.

4 years later and I have had no issues. I still wear only good, supportive shoes 95% of the time and always have my custom orthodics in my tennis shoes. If I wear non-arch supporting shoes for too long I can feel it, but I am usually okay to wear dress shoes to church or a wedding and not have pain afterwards.


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Joshua Comments:

Hi Jen.

Thanks for sharing.

Your recovery is on the 'best' end of the spectrum. I'm glad it's worked out so well!



Nov 01, 2012
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Plantar Facia Release endoscopically
by: Steve

Folks, I had the endoscopic surgical procedure three weeks ago and it was the best thing I have done for myself in a long time. Foot pain is gone and i'm getting close to being back to normal.

I'm still wearing my boot most of the day, but when I get home from work it comes off and I'm wearing my Croc flip flops the rest of the evening.

I am having some discomfort relating to foot swelling, but I believe that is related to the compression sock, ace bandage and CAM boot - not the surgical procedure itself.


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Joshua Comments:

Keep us updated!





Aug 03, 2012
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calcification
by: Sandra

After reading all the comments I am terrified. Have to vet MRI tomorrow to find out extent of calcification in my Achilles Tendon. Surgery had been mentioned and that will be my last resort. I teach fitness classes at our community college. Surgery and recovery would mean no income. I am open to suggestions.


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Joshua Comments:

Hi Sandra.

Pain and limitation is, indeed, scary....until you learn how to reverse the process.

Start here:

Achilles Tendonitis

Bone Spur



Jul 01, 2012
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Walking On A Bed Of Nails after foot surgery
by: Deborah

This is just my story 5 years ago I was diagnosed with heel spurs and plantar fasciitis and after two years of trying everything to help reduce the pain. Doctors felt surgery would be best but did not mention a word that it could also make matter worse and more pain.

If perhaps the fear of god about how much more pain I could endure after surgery would of been told to me I would of put the kibash on that idea really fast.

It has been five years now and my feet have never gotten any better I am in constant pain all the time.

I would never tell anyone to have this surgery.



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Joshua Comments:

Hi Deborah.

5 years of pain that's never gotten any better. I'm SO sorry to hear that. Yikes.

Thanks for sharing.

Bone Spur is a growth of bone. Assuming that you had the surgery that includes sawing off the bone spur....the body does not like that injury.

Bone injuries are painful and slow to heal. And removal of a bone spur doesn't fix the problem that caused the bone spur to heal in the first place.

I of course am always curious what people have done self care-wise after surgery to recover/rehab.

What helps, what doesn't?




Jun 22, 2012
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Not bad so far
by: Chris

I had my surgery for plantar fascial release 3 weeks and 2 days ago.

My experience wasn't nearly as traumatic as the one discussed above. My doctor had me wear a walking shoe instead of a boot.

He is a firm believer in getting up on the foot the day after surgery. The sooner you are up and on in, the less scar tissue will form to cause future discomfort. I did take a pill for pain for the first two days, not because I was having pain, but just to keep ahead of it.

I sat in a recliner for most of the first two days with my foot up and iced regularly. After that, I was able to be up and around as tolerated. I was never on bed rest. After one week, I went in to have my dressing changed and was told I could take quick showers, but not soak the incision yet.

Three weeks after surgery, the stitches were removed and I was able to bathe in a tub. The incision looks rough, with a small gap still there. I am told that is normal and healing will continue for quite some time. The incision area is still tender with internal swelling underneath.

I am comfortable wearing flip-flops or other shoes with no arch support on the inside of the foot. Any other shoes rub on the incision and are too painful to wear. This morning I was actually able to go walk my dog and I've been running errands all week for a few hours at at time. I do not have any of the plantar fasciitis pain that I had before the surgery; just discomfort around the incision and from the swelling, which will probably go away in the next month or so.

At this point, I can say that I am glad I had the surgery.


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Joshua Comments:

That's great Chris.

Keep us updated!



May 20, 2012
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heel spur surgery
by: Teresa

I had my surgery on 11-30-11 I didn't do very well with crutches so I got a knee scotter did better after my surgery I did not go back to work until April 2012 now I am in more pain with my foot since before my surgery I use my boot off and on but this pain is getting worse where I can hardly make it to my chair at work. Any suggestions.


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Joshua Comments:

Hi Teresa.

Lots of suggestions, yes.

1. Read around the site. Lots of information relevant to you.

2. See: Process of Inflammation

3. See: How To Reduce Inflammation

4. See the Magnesium For Tendonitis link in this thread.



Apr 27, 2012
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little electrical shocks
by: diana d

I have little electrical shocks in my hands, wrists, arms sometimes legs, with all over fatigue. When tired, my jaw gets stiff. I just had foot surgery 4 and a half months go, and I had to go up and down the stairs on my backside(casted 8 weeks)

Could thast have brought on the above because of stress on the hands and wrists?


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Joshua Comments:

Hi Diana.

The answer to your question, ultimately, is 'YES'.

See: Magnesium for Tendonitis

Tight muscles deplete your body of magnesium. Stress (like surgery and recovery etc) deplete your body of magnesium. You were already short of it in the first place.

What you describe is (among other less likely options) a side effect of magnesium insufficiency/deficiency.





Jul 20, 2011
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To PJ (July 6 Post)
by: Kathy

I am having exact same problem. My incision has not healed so I just went for another MRI to see what is going on. My surgery was March 27. Still pain after being on it all day and swelling beyond belief. I am on the verge of losing my job if I keep on missing work.

How can you stay positive when you are not getting any better and are in pain? I am sick of pills, etc. I ICE several times a day. People are starting to think its in my head.

However, you should see my foot. PJ if you want to correspond via email contact me via email at ocfun at mchsi dot com. I could really use the advice/friendship of someone who is having the same problems.



Jul 20, 2011
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Ankle spur removal
by: Lisa

I had my bone spur removed 5 weeks ago,after having so much pain for over 3 years.

It as been the best thing i ever had done started walking today without the boot.I am a little confused as to why some of you seem to stay in bed for so long,as long as i used the crutches i was up after 2 days.

I could not weight bare on it for 10 days.

I was so positive about having the surgery which as really helped,as most of you seem to live in the USA and i live in ENGLAND it looks like your after care and advice is so different.One thing i will say do the ice it helps more than the tablets to take the swelling down.

And please stay POSITIVE it will get better.



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Joshua Comments:

Hey Lisa, thanks for sharing.

Positive attitude absolutely helps!

You asked why people stay in bed....

Everybody's pain tolerance is different. Everybody's attitude is different. Everybody's health is different, speed of healing is different, nutritional status is different, etc.

Any damaging invasion of the body that doesn't let you put weight on your foot for 10+ days is a significant trauma to the body.

And as you mention, the aftercare advice is usually lacking, if they get any at all other than 'rest and anti-inflammatories'.

Which is always a bummer to me.



Jul 06, 2011
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HELP!
by: PJ

May 20th I had a heel spur removed, Tarsal Tunnel Release & Fasciotomy (and I know my spelling is way off here)
I am back to work now 6 weeks later but I'm in SO MUCH PAIN! I work 2 jobs so I'm gone 14 hrs a day. I have my foot "up" on a stool in my day job - nothing avail at night. Both are computer jobs. I was crying like a baby when I got home last night.

I've tried anti-inflammatory meds and still have my pain meds avail to me - but when does the shooting/stabbing pain where the nerve was cut go away? When I touch my foot (right) it feels like electric shocks are going thru it and just sitting here typing it hurts!! :(


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Joshua Comments:

Hi PJ.

OUCH! That doesn't sound fun at all.

1. Was the nerve cut? That's bad news if so.....

2. You have a huge Process of Inflammation at play. That explains at least some of your pain and symptoms.

3. Learn How To Reduce Inflammation and instead of putting your foot up at work, ice dip it regularly throughout your shift, if they'll let you.


In your situation, I'd get either the 'small gun', my Reversing Achilles Tendonitis ebook or the 'big gun', The ARPwave System.

It just all depends on how motivated you are....

The Ice Dipping will help, without a doubt. You want to do as many dips a day as possible.

And, there's more to it, and other variables. When I say 'it depends on how motivated' you are, I really mean how fast to you want to heal and get out of pain.

It matters of course what exactly you have going on as compared to your various options i.e. ice dipping, Reversing Achilles Tendonitis ebook, The Arpwave System.

And you have had major trauma to your feet from the surgery. OF COURSE you're in major pain!

And unfortunately, the surgeries didn't actually fix the CAUSE of your pains that resulted in surgery.


More questions, more answers

Jun 01, 2011
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Still in pain after Gastroc lengthening
by: Tina

Hi There....I had a heel spur surgically removed from the back of my heel 4 months ago along with gastesosis (spelt wrong) lengthening, and I am still in a lot of pain with a large bump where my surgery was, still tender to the touch and a lot of pain when walking, was getting better but now worse. Bump seems to get very red and swollen the more I walk on it with swelling some times going up to my ankle?? Help? any suggestions, had to stop physical therapy because I couldn't afford, but still did exercises I was shown.


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Joshua Comments:

Hi Tina.

One of the huge problems with any surgery is the Process of Inflammation caused by the injury the surgery causes.

My immediate suggestion is for you to learn How To Reduce Inflammation.

Get all the Pain Enhancing Chemical that Inflammation releases out of there and pain immediately decreases. Do know that the body will continue to pump out pain enhancing chemical, so it's a tug of war.

Let me know how that goes.






Apr 19, 2011
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Hi Kathy...sorry :(
by: April

Hi Kathy, I'm sorry you are having such problems! Ask your doctor for a cam walker boot and crutches. That way, at least maybe you can go to work (depending on what you do). When you are home, keep your foot elevated, and keep ice at your knee and ankle.

It really should get better soon! I wasn't able to wear a shoe until a couple of weeks after the stitches were taken out.

My heel and incision are still numb. Apparently it's permanent. I wish I had better news about that. It's bothering me less and less as time goes on.



Apr 19, 2011
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I would say yes, David
by: April

Hi David, my doctor told me to keep the boot on at night...and I was stubborn and didn't do it. Now, less than a year later, I believe my fascia tendon healed itself...not a good thing.

I know it's more comfortable without the boot, but in the long run, you'll be glad you did it. Even now, my physical therapist told me to keep using my night splint. I'm sorry to say that sometimes it's an ongoing thing..



Apr 19, 2011
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Recovery Time
by: Kathy

Week 4 after surgery: I am having so much trouble trying to put weight on my right foot again. Had heel spur removed and plantar cut.

I have been putting most of my weight on my toes and outer foot as habit and now my outer ankle swells and constantly aches to the point I just cry. It feels like i can feel my heel move under the bone. And my whole heel is completely numb along with incision which is about 3 inches. Start PT tomorrow.

When can I expect some relief. I am starting to be really depressed along with being financially ruined. I was told I would only miss one week of work. Any suggestions?

And I was only given a surgical shoe and told I can start using my own shoes now. There is absolutely no way that is possible.


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Joshua Comments:

Sounds like crutches are what you need, so you can get around etc.

If you can't put weight on your foot, you can't put weight on your foot.

The heel spur removal generally isn't that big a deal, other than the pain from the bone bruise that causes. But if the surgeon cut the sheet of plantar fascia, and your foot structure NEEDED that sheet of connective tissue to support said flexible structure, then it is entirely possible that your heel bone -is- moving more than it ever has before.

It's kind of like cutting a couple bridge supports....

So, when can you expect some pain relief? I'm sorry but I can't say.

It just all depends on what the surgeon did in there, the current state of your foot structure, how much inflammation you have going on, what self care you're doing to help your foot heal, your nutritional health, your protein intake, etc.

What -are- you doing for rehab self care?



Feb 13, 2011
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do i have to wear boot during nightime sleep
by: david

I had the heel spur surgery and had a question please...i had a splint for about a week then given a boot to wear..I have no pain except my lower back from being in bed..I do wonder if I have to wear this cumbersome boot in bed at night...seems the foot does better without it during sleep..i keep the foot bandaged with a bandaged outside protection..thanks


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Joshua Comments:

Hi David.

Before I answer that:

1. Where exactly was the heel spur?

2. What were your symptoms/problems, overall? Details please.

3. Did the doc say why s/he wanted you to wear the boot 24/7?




Jan 05, 2011
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To Rikki
by: April

Hi Rikki - all I can suggest is that you try to wear the night splint or boot as much as possible (icing is great, too!) because it is possible for the fibers in your foot to re-attach.

I didn't know this, and I wish I had worn my boot more. Maybe "fibers" isn't the right word, but you understand. You need to keep your foot/ankle at a 90 degree angle as much as possible.

Jan 05, 2011
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agree with April
by: Anonymous

Hi April, you are so right Doctor do not give all the information what would you expect after the surgery.

Actually I was told I will be able to go back to work 2 weeks after surgery. I had surgery 2 weeks ago. Last night I was in so much in pain I thought I might have to go to ER.

If I put my foot down for a min it feels like burning from swell and pain.

I recommend to think twice before you have surgery.

Dec 24, 2010
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Walking boot after plantar fasciitis surgery
by: Rikki

I just had plantar fasciitis surgery 11 days ago.

Got my Cam walker 4 days ago but I'm not sure how long I have to wear the boot each day? I try to wear it as much as possible but should I try to wear it through the pain, all the time, at night?

Right now I wear it a couple hours and have to take it off and ice then I try to put it back on.


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Joshua Comments:

Hi Rikki.

You're going to have to ask your surgeon about that.

Having said that, taking off the boot and icing repeatedly throughout the day is a BRILLIANT strategy.

The more you can ice dip to get the Inflammation Process dialed down, the better.



Nov 22, 2010
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To Lola - What should I do about my plantar fasciitis pain?
by: April

Hi there Lola,
I'm not an expert - all I know is my experience.

As far as sitting at school, after about 2 weeks, I was able to sit up for a half day without my foot swelling up. Keeping your foot elevated is really important for about a month. Plus, walking from class to class would be tough, even with the cam walker (boot). You'll be on crutches for a week or two. If you must have surgery, you might consider having it in the summer.

Your doctor should be able to tell you if your plantar fasciitis is going to get better...or if it's bad enough for surgery. I just had the surgery - and I'm 35. I'm not sure I would have the surgery at the age of 14..

It's been 3 months, and I'm still experiencing just a few problems like numbness in my heel and big toe. However, some of my problems are due to WAITING to have the surgery I needed. I spent 2 years walking funny before surgery, so my calf and ankle muscles are under-developed.

Have you asked your doctor about physical therapy, and a night splint? Even now, those are the things that are making the biggest difference in my recovery.



Nov 17, 2010
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what should i do about my plantar fasciitis pain?
by: lola

i am 14 and have had plantar pain for about 4 years. I have tried everything. should i get the surgery? should i be able to sit at school? would really appreciate your opinion.


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Joshua Comments:

Hello Lola.

I certainly don't know and can't say whether you should get surgery or not.

I promise you though, you haven't tried everything.

What you you mean, 'can I sit down at school'?




Sep 22, 2010
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Whoops!
by: April

Yea! This morning I got up and I had this HUGE gap in the incision. It scared me, but on further investigation, it was just dead skin, which was easily pulled back to reveal a very light scar and completely healed skin!



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Joshua Comments:

New skin is GOOD!!!




Sep 21, 2010
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Incision and specifics
by: April

Hi Joshua, the incision is about 1.5 inches long, on the inside of my right heel. They released some of the facia tendon, and removed the spur that it had caused.

My heel is still in quite a lot of pain, (the pain is not in the same place as pre-surgery - it's directly on the bottom of my heel now).

However, I have noticed that I have greater range of motion in my toes. Before surgery, I had a hard time straightening them, and my foot always felt "curled under". It's much looser now.

I hope that's a good thing!


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Joshua Comments:

Don't get me wrong April, sometimes surgery works out and/or helps.

If you're slowly progressing, GREAT! And, help that progression along!




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