Plantar Fasciitis is back after Topaz surgery, with more pain and lump

by Bishop

I had been having foot problems for nearly 2 years.

I had anti-inflammatories then opted to have cortisone injections. After the first injection, I had really no pain at all but after the next two it really made difference to pain levels. However, after the 3rd my consultant said I could not continue having injections and recommended Topaz surgery.

I went in to hospital as day patient in July 2010. I had anesthetic and went to theatre at 10.20am, I remember walking in recovery at 11.00am. There was no after pain at all. I did not take one painkiller. I wore a large aircast for 3 weeks and went back to hospital for check up. Everything felt fine and I was walking okay.

Six months down the line things were okay, but just about 1 week ago I felt pain in foot and slight lump at area of operation. The lump has got larger and is really painful (it is like walking with a marble in my heel). The pain is so bad and very tender to touch. I am now walking on my toes as I can't walk with the pain and lump.

I would say, however, that I am now sorry about having the surgery and I would have it again to take away this lump. I think it is a heel spur. Probably, I have just been unlucky, but I am not down in the dumps over it.


Joshua Answers:

Hi Bishop.

You didn't check the notifications box, so I hope you see this response.

Topaz surgery pokes lots of little holes in your tissue.

If there's lots of scar tissue, that's a good thing because scar tissue blocks blood flow and blocks nervous system communication.

But it doesn't help the CAUSE of the Plantar Fasciitis problem, which is TOO TIGHT muscles and connective tissue in the lower leg.

Doctors go after the SYMPTOMS of Tendonitis, but not the cause.

Plantar Fasciitis Symptoms show up for a reason. And that reason is the tendonitis dynamic.

See: What Is Tendonitis?

So it's likely that the Topaz surgery did a good thing and gave you great results.....except that all the reasons that you had pain and problem in the first place didn't get dealt with, so those very same factors that caused your pain were still doing their thing and they robbed you of all the benefit of the surgery.

I'm curious if you now have a bone spur, or if that lump you describe is just scar tissue build up.

Please reply using the comment link below. Do not submit a new submission to answer/reply, it's too hard for me to find where it's supposed to go.

And, comments have a 3,000 character limit so you may have to comment twice.

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

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Comments for Plantar Fasciitis is back after Topaz surgery, with more pain and lump

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Jun 21, 2016
1 year in after plantar fasciitis and bone spur, had Topaz surgery 5 weeks ago
by: Joel

Almost a year ago to the day..maybe a few weeks more than a year, what began as what I assumed to be just general tightness from standing long hours at my place of employment was something much greater and painful looming.

I would come home not knowing I had the onset of what would become plantar fasciitus, and the initial stages of a bone spur and achilles tendonitus. I would stretch it, soak before work, and would be enough. Then the stretching didn't seem to be as effective and the soaking and now icing became less effective.

Ignored it as stiffness..and bad shoes and began researching new work shoes. Purchasing some on amazon and found them to offer some level of comfort.

Weeks would roll by and it steadily months with a noticeable limp. I loved my job so would "power thru" and pay dearly.

I am one year from that point or so, xray shows huge spur..tendinitis has calmed and had topaz surgery 5 weeks ago. Painful as ever..sometimes worse. Different for everyone I realize..but in a rut.


Joshua Comments:

Hi Joel.

Ruts are no fun.

Where exactly is the bone spur?

What did the doctors give you for self care post-Topaz surgery?

Why did they do Topaz but nothing for the bone spur?

Jun 01, 2016
TOPAZ procedure with amniox
by: Kristie

I had the Topaz procedure for plantar fasciitis with amniox on 4/14/16. Was told on 4/18/16 that I could return to work (i'm a nurse and on my feet all day) no restrictions other than to listen to my foot. Even left the office in my tennis shoe.

I was in such pain after working all day on 4/19/16 that I only worked 1/2 day on 4/20. I stayed home the rest of the week.

Went to the doctor that Monday 4/25. Explained that the pain was not in the plantar fascia area but more the my big toe and the ball of my foot. I get a zing in that area.

The doctor said my nerves are inflamed and to stay off of it for 2 weeks. I am scheduled to go back in 5/9/16. Anybody have any similar experience and is there light at the end of this tunnel?

Oct 29, 2014
ouch my heel still hurts after Topaz surgery
by: Robert

So I've had the topaz surgery and I have a lump on my right heel did the removal work? I'm sick of not being able to give my full at what I do.


Joshua Comments:

Hi Robert.

If all you had was Topaz surgery then there was no 'removal'.

So...I don't know. Tell me more about what things look like over there.

Apr 03, 2014
Post topaz
by: hmm


I did have a hard "marble" like lump (two of them) that showed up after my topaz procedure. Ended up being an inclusion cyst. Had it removed, twice, because it came back. After the second removal they did not return. My foot feels great now. I've had the Topaz procedure done twice, on each foot. I am, currently, recovering from the second one (on my right foot) now.

Best of luck!

Dec 03, 2013
Topaz surgery worked on one foot only
by: Bill from Michigan

My wife had Topaz surgery in May, 2013 on both feet after trying stretching, PT, shots etc. It worked on her left foot but not on her right foot. She also recently wore a boot for about 3-4 weeks but that did not work either.

I am interested in knowing what next steps we should explore..........thanks.


Joshua Comments:

Hi Bill. Sorry to hear about the wife.

The quick answer is, do what's in 'The Plantar Fasciitis Treatment That Works' DVD and the Quick Start Companion ebook that comes with it.

Well, actually that contains the long answer.

Basically, you need to reverse the original problem. Doing that is the same things that will help reduce the downsides of the surgery.

The plantar fasciitis problem showed up for a certain set of reasons, and those reasons are still in place even after surgery. So that's great that the surgery 'worked' on one side.

But if nothing else, she's still having pain and problem in the other foot. So you need to deal with the muscle and connective tissue tightness, the inflammation, and the nutritional insufficiency.

Nov 21, 2013
5 yrs. of PF pain and now 5 weeks after Topaz Surgery still in pain and unsure what to expect.
by: Yvonne

1. I was mis-diagnosed with PF the 1st 2 years, thought related to a back injury. After my back injury, meds, lack of movement, depression, and isolation helped me gain 60 lbs in 3 mos. After 2 yrs of not knowing it was PF, then suffered and tried conservative methods, acupuncture, shots, boots, and orthotics for 3 yrs.

Acupuncture really helped and left foot almost pain free for a little while, P.T. did ASTYM for 15 sessions which helped for a little while, until doc said Topaz surgery is a must.

2. The pain was so severe that after work I could not walk in the evenings to get enough healing to face the next day. There were days I had to crawl to the toilet and back to bed. The last year my job requires steel toed boots and the pain is just un-bareable.

My life has drastically changed, my social life has ended, if I am not suffering through a work day, I am laid up, icing my feet, to get enough energy to work the next day.

3. Topaz surgery on both feet and achilles tendons went well. Left foot heel was worse than right heel. Right achilles tendon was worse than left.

4. 5 weeks post surgery. week 1; laid up, pain free. medicated. week 2; laid up itchy but getting better feeling no pain. week 3; doc says start moving more. week 4; moved too much and worse than ever. burning, and sore. Laid up again.. too much pain from walking in week 3.

Week 5; started physical therapy.. got new pair of support walking shoes, tripped and fell. still in pain.

5. The recovery is painful and 5 weeks later, still can't walk and scared. Very scared not healing. Not sure P.T. are doing the best they can for my feet. Not sure what I should be doing to best optimize my recovery. Scared and living in FEAR. Doc said may have to re-consider a career change...


Joshua Comments:

Yi Yvonne.

Get The Plantar Fasciitis Treatment That Works Dvd (and the ebook that comes with it).

You need a plan, and you need to get to work.

Doctors tell you you need a career change (which I think is somehow better than 'the pain is all in your head') when they fail to help.

Having said all the above, 5 weeks after a surgery is not a very long timeline, and expecting to be pain free or close to it is not particularly realistic.

You are the best judge of how you feel. If things are still 'bad' and not getting worse, like I said, it's time to get to work.

Also see: Still Pain After Topaz Surgery In My Left Foot

Nov 21, 2013
Mailman with bad left foot and Topaz procedure
by: Scott

I am a mailman, age 39, and have been battling plantar fasciitis for 2 years. This condition is a direct result of my job.

I have done the whole list of noninvasive treatments with no relief. I just had Topaz surgery done in august with no relief. If I elect to have the last resort surgery, then will I eventually be able to go back to work as I was before?

Or am I doomed at this point and I will need to think of a different line of work, with the best outcome being an improved quality of life than what I have now?

I am weighing all possible outcomes at this moment. Without my feet I am useless to my job and my quality of life has been bad up to this point.


Joshua Comments:

Hi Scott.

Yeah, I definitely get that your job etc relies on working feet....

So. What's your doctor's track record so far? I'm thinking he's got a 0% success rate so far. Which has me ask, what are the chances that the 'last ditch surgery effort' is going to help?

Surgery is injury to the foot structures? I don't see the logic in expecting magical outcomes from that.

Along those lines, what has your surgeon identified as THE PROBLEM with your foot, how is surgery going to FIX that? And if the plantar fascia really is the problem (it's not), then what is the CAUSE of that problem? How is cutting the structure going to make you pain free and structurally healthy?

These are good questions to ask.

The good news is that your job has nothing to do with your pain/problem (not directly, anyway).

The Pain Causing Dynamic is the cause of Plantar Fasciitis.

Various factors are at play. If you don't reverse those factors, the chances of pain going away, and/or going away for very long, is not large. (Also, just recovering from foot surgery takes, at best, months. And takes work. So might as well do work and avoid the surgery, IMHO.)

Also see: Topaz Procedure On My Plantar Fasciitis Is It Normal To Still Have Sharp Burning Pain 6 Weeks Later?

More questions, more answers.

Jun 22, 2011
similar story, Topaz surgery, pain and lump back and worse than before
by: ERL

Interesting. I also had the topaz procedure, but the lump and pain appeared in my foot within a few weeks of the surgery. It is now about 6 months post-surgery and the pain in my foot is still worse than BEFORE the surgery. I have been doing physical therapy quite religiously for at least 3 months - stretching and strengthening exercises.

Sometimes my foot is better, sometimes worse - but I have to limit my lower body workouts (elliptical, pilates, or walking) to once every 4 days or else the pain gets a lot worse. I am 41...

May 17, 2011
So painful, and looking at another surgery because it still hurts
by: Bishop

Just an update on lump on foot after topaz surgery. Seen consultant today, he says he does not know what the problem is.

I had another ultrasound with cortizone injection about 6 weeks ago but no relief. They then put me in a plaster cast for 3 weeks still no relief.

However, today he is going to operate (open surgery) this time to remove the lump and release planter again. He says he will also remove this very very painful lump. I have never felt pain like it in my foot so I am happy to find out what the problem is.

I will keep you updated.


Joshua Comments:

Hi Bishop.

Please do keep us updated.

Also, next time you see him, ask your doctor -why- the lump is happening, and -why- the first surgery didn't work.

Feb 28, 2011
plantar problem
by: Anonymous

Hi Joshua

Went back to ortho department and saw two specialized podiatrists, both did not know what the problem was and said they had never seen this before after Topaz surgery.

They have referred me for an ultrasound scan which is due this Friday and then I have to return to Ortho Department for results.

I will be glad to find out what the problem is and I will post comment when I find out.


Joshua Comments:

Yes, please do let us know what they say. And we'll go from there.

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