Surgery for Plantar Fasciitis on both feet at once for extreme high arches

by Erica

I have "mega" arches...Like seriously! I always have and everyone freaks out when they see my feet... Well, I have had plantar fasciitis in both feet for about 9 months now.

I finally went to a Podiatrist because the pain has been getting worse and unbearable. After looking at my xrays she said that I probably fall into the 5% who will have no option other than surgery to correct my issues.

I also have a short Fascia so that is another issue. She is going to of course try the therapeutic route first because she is not a fan of rushing into surgery, but she said that more than likely it will not resolve the issues because my arches are just so extreme.

I was considering asking her if both feet can be operated on at once. I know that this will mean that I will be in a wheelchair and that I will need a lot of help to get around and stuff, but family is commited to helping me.

My son drives, my spouse works from home and luckily I have a desk job. My other children are all teenagers and so I have a great support system. I would just rather get them both done and out of the way at once as well as not fall into another year so that I do not have to pay another HUGE deductible on my insurance for the same surgery.

Also it will be done during the summer which would be much easier for me with 5 kids that I wont have to get around places for sports and such. Is the recovery much harder with both feet at once or is it about the same? I know my mobility is of course restricted more, but I have all that taken care of.

I also do not know if this is even something that they do because I wanted to research it before I brought the suggestion to my doctor.

Any advice would be greatly appreciated!


Joshua Answers:

Hi Erica.

I'm not a big fan of that 'probably' diagnosis.

So you have big arches. So what?

Have you had foot pain and problem all your life?

You have a 16 year old son, so while I'm making some assumptions, you're at least 30 years old.

And you've only had foot pain for 9 months. Yet you -have- to have surgery?

If I were in your shoes, I would want to know WHY surgery is 'probably' your only option? If it's your only option, why bother with therapeutic methods to see if they work? You either have feet that need surgery, or you don't, right?

So you have 'tight fascia'. Ok. So? WHY IS IT TIGHT? How is surgically cutting away the pillars that hold your feet up/together magically going to make the foot pain go away?

Tendonitis, of which Plantar Fasciitis is a member of, is a progressive mechanism of various factors getting a little more and a little more 'bad'.

See: What Is Tendonitis

Foot surgery doesn't not fix those factors. It just cuts the support structures of the foot.

If you naturally have a super high
arch, what exactly to you think is going to happen when the fascial structure that holds that mobile arch together is cut apart. That high arch is going to collapse when you put your weight on it.

Please ask your surgeon how that's going to beneficially affect your life.

It is my opinion that if you were born with an extremely high arch, then it's natural for you and only 'extreme' when compared to others.

If you tell me that you've had foot pain your entire life, then that's a different question.

Perhaps you can tell that I'm not a huge fan of surgery in your situation.

If that fascia is indeed 'short' and/or tight, it's tight for a reason(s), and that reason will not be fixed nor helped by surgery.

So, to answer your actual question: Yes, surgery on both feet at once is harder than a foot at a time.

When it's done a foot at a time, you can at least get around on one leg. When both feet are done, there is NO getting around on your feet for a good long while (depending).

But it sounds like you have a good support system and will be prepared for it, so all in all, I don't know that 'worse' for a shorter duration is much better than 'less worse' for a longer duration as one foot and then the other is done.

Ultimately, if you're prepared for it, however you do it is just fine.

Yes, they can and do do both feet at once, but they usually don't, partly to make it easier on a person (physically and life style) and partly to see if it at all helps the first foot.

My concern is always that you'll be worse off after the surgery than before.

Granted, people with successful surgeries generally don't go on the internet and tell their success story. But if you've looked through the titles/stories on the Plantar Fasciitis Surgery Stories page, you'll see a lot of instances of people who expected surgery to solve all their problems finding out it's anything but that.

For the record, I'm not steering you away from surgery, but I am saying that A. surgery doesn't fix the CAUSE of the pain/problem and B. surgery would be my last resort, by far, and I suspect that you haven't begun to adequately try methods that reliably reduce foot pain.

More questions, more answers (and very often, feed back you never asked for. :)

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 Surgery for Plantar Fasciitis on both feet at once for extreme high arches

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Dec 23, 2014
Been dealing with severe plantar fasciitis heel pain for 9 months now
by: Heather

I have been dealing with plantar fasciitis for about 9 months now. I have been to 4 Doctors now! I am going for an mri in 2 days and then surgery!

I am not sure which surgery to do though.

The doctor offered topaz surgery or plantar fascia release surgery. I'm so over the pain and dealing with these doctors.

Nobody will give me anything for pain and have been fighting like crazy to be put off work where I walk 7+ miles a day!


Joshua Comments:

Hi Heather.

How'd the surgery go?

What kind of surgery was performed?

How's recovery?

May 26, 2014
Joshua Replies to Faith - Have Plantar Fasciitis for almost 3 years, very severe but no surgery yet
by: The Tendonitis Expert


Joshua Answers:

Hello Faith.

1. You didn't leave your email address nor check the notifications box, I hope you find this.

2. Please give me an update on how you're doing/where you're at. You have had surgery, or you haven't had surgery?

3. What is your vitamin D level? If you don't know, find out asap.

4. How fast did you go from being pain free to bein prescribed a wheelchair?

5. What does a day in your dietary intake look like?

6. Answer the above and let's go from there. Maybe you got better, maybe you got worse, maybe y ou had surgery....but definitely your Pain Causing Dynamic is still active.

Other thoughts:

A. Yes, if you're in extreme pain, surgery is not a great option. That much pain means that your body is already so amped up on a Process of Inflammation and all the pain enhancing chemical it releases. The insult and injury caused by surgery likely wouldn't go well.

Definitely learn How To Reduce Inflammation

B. If icing hurts so much and there's no circulation happening, that makes me curious. Either your tissue is SO tight that circulation can't move, or there's nutritional issue such that your circulatory system is not working well. We need to investigate.

Also, don't dip. See the above link re: reducing inflammation.

C. I'm less interested in arch supports etc and interested in finding out why you have such inflammation etc going on.

D. Absolutely, overall as a generall answer, 'The Plantar Fasciitis Treatment That Works' DVD and the Quick Start Companion ebook that comes with it can help. It's the basis from which to start working.

Answer the above, we'll investigate, etc.

May 26, 2014
Have Plantar Fasciitis for almost 3 years, very severe but no surgery yet
by: Faith

Hello, I read many stories here, my pain level is somewhere close to your pain. I started having PF in May 2010 and my life has changed, my both heels pain got worse, my doctor precribed wheelchair for me and I quited school, quited job, I could not walk more than few steps and everyday just facing 4 walls in my room.

so for the last 3 years I have been to almost 20 doctors including several foot doctors, Western and Eastern medicine doctors but no one can help me. In 2011 I can walk but when I walked more than my feet can bear I have extreme pain for a week. my feet got worse over time, I could not walk any more in 2012. I have done everything that doctors recommended, I stretch 3 times a day 10 minutes each, at the beginning I iced almost 10 times a day then few times a day for a year, wear nightslint.....nothing help. Later I know that icing is only good for acute, but not for chronic inflammation like me. Icing make my feet super cold and no circulation at all, cannot bring blood and oxygen to my feet.

I have tried many shoes and insoles. some of them are Z-coil, New balance, Kuru, oofos, Crocs, Iroc.... now I am trying Orthaheel and Chungshi soft sandal. I feel lost, I still have lot of pain. I ask about surgery but my foot doctor said not for me because I have severe pain, so if I have surgery it will make me even have more pain. so many days and months I can not walk at all and many times I just want to kill myself, I wish I can die to end this pain and disability. I cannot find answer for my feet, I have tried everything but nothing work for me. Xray showed no spur but MRI showed edema and inflammation PF.

a friend told me that maybe my body is very acidic, so since Oct 2012 I started eating vegetable, fruit, beans, nuts, seeds which are alkaline and eliminate all meat and fish which are acidic. I am 35 years old, 5 " tall, i am a skinny person before I had PF. so after many months on alkaline food, now I underweight only 90 bls.

I think that the less weight my body, then less pressure on my feet. because when I carry for sth for few seconds I have extreme pain the next day. but maybe I am wrong, because now I still have a lot of pain. now I have to use a device LG quad combo I bought from LGMed supply for relieve pain, I use IF for 30 minutes then microcurrent for 15 minutes.

Joshua, is it ok if I use this IF and microcurrent everyday? do you have any recommendation for me? what shoes is good for me? can Orthaheel with hard arch support is good? do you think and are you sure your DVD and ebook for PF can help me and work for me? Thank you very much for any comment or idea.


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