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The response to the question below was authored by Marc Mitnick DPM

Continued pain and nerve issues after surgery for plantar fasciitis

Last year I started walking for exercise. I walked 4-5 hours a week. I had heel pain but just powered through it. I finally went to the doctor 6 months later as it continued to get worse. He gave me orthotics, took an X-ray which showed a heel spur, and told me to always wear my shoes. He also gave me a cortisone injection. I ended up having three or four injections within a couple of months or so. The pain lessened near the the time of the shots but still continued. It eventually hurt 24/7! It became hard to drive, and I would often be crawling by nighttime. So four months ago, I had surgery for the plantar fasciitis and heel spur removal. He also did a topaz debridement. After the surgery, my pinky toe was no longer able to move out to the side. The incision became infected about a month later to which I was given a cream which did fix the problem. Two and a half months after the surgery, my foot was hurting more. I was given anti inflammatorys. The area where the topaz debridement was done was very swollen. After taking a bath (I don't even stand up to take a shower since I wear my shoes all the time), that area, the end of the arch near my heel, was touching the ground because it was swollen. A few weeks later another doctor at the office happened to see me. He said that I have tarsal tunnel syndrome. He gave me a steroid shot in my hip area and a steroid pack. I was back 5 days later with my son. My original doctor looked at my foot after I told him about being put on the steroids. He then did the deep tissue laser therapy. I had that done three times in one week. It made my foot more uncomfortable. A week later I explained that I was more uncomfortable and that I realized at times I do not have feeling in a portion of my foot. The doctor then gave me a cortisone shot which was unlike any I had before. I was screaming in pain! He said he went through adhesions which was why it was so painful. Then they did the laser therapy. I had the laser done again today. I'm scheduled to have another cortisone shot later this week but am going to cancel it and go get a second opinion. Right now my foot is either in pain or is feeling weird or uncomfortable 24/7. You name it, I feel it! I have shooting pains which sometimes wake me at night, it burns,

it tingles, it aches, it spasms, it loses feeling at times, and the pain can be in the heel all the way up to through the arch and up to the inside of the ankle bone. I'm wondering if I had something else going on before the surgery or if this is a complication from the surgery since tapping on or near the incision gives me that tingling feeling. Also, at this point I am unsure of the best course of action. I am a 43 year old mother of 4 children. I am getting more and more concerned about my future.



The best piece of advise I could give you would be to get a second opinion immediately. Based on your narrative it sounds like the doctors in this group are just "guessing" at this point.

You do not mention it, but I am wondering if you had an MRI prior to surgery. There are just too many conditions that cause heel pain and when it gets to the point of considering surgery, as far as I am concerned an MRI is mandatory to rule out things like a plantarfascial tear, heel fracture, or even a tumor in the heel bone (a remote possibility).

Additionally tarsal tunnel syndrome can cause heel pain as well as a heel neuroma, neither of which would have been resolved with the type of surgery you had. I am assuming you had the Topaz coblation on the bottom of the heel and so the small scar on the inside of your heel would suggest to me that you had an endoscopic plantarfasciotomy.

Now the fact that you cannot move your pinky toe outward, lack of feeling in part of the foot, the burning, tingling sensation you are getting is all nerve type problems. It could be a worsening of a tarsal tunnel, if that is what you actually have, or it could be nerve damage from the surgery.

Since you state when you tap on the incision and get a tingling sensation, that is very suggestive of a heel neuroma.

Complicating all the possibilities is the fact that you had surgery on the heel. Four months post op, I would not expect you to be doing cartwheels but I would have expected you to be getting better and better on a weekly basis; clearly you are not.

You need someone to isolate exactly what your problem is possibly through nerve conduction studies and an MRI and then it will be easier to proceed in a manner that will improve your situation. You cannot continue to have people keep guessing what is going on.

Marc Mitnick DPM

Comments for Continued pain and nerve issues after surgery for plantar fasciitis

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Oct 10, 2017
Bad surgery
by: frani

2016 had a bone spur and a little arthritis scraped off side of big toe. Also was to have toe nail removed due to ingrown toenail all the time but even listed as proceeded was not done. I was in er nite of surgery and numerous times after I asked for MRI because of pain and swelling for such small surgery. It shows bone poisoning and the surgeon says oh no the foot is deformed. My family dr sent me right to infectious disease dr from there to foot specialists where a second surgery was done 5 days later. It was a mess they said with cycts puss infection and a. Bone graft plate and screws were needed to try and fix my foot. The nerve pain began. I had to wear boot and two hard casts physical therapy a
Limp and permanent nerve damage and another surgery to remove hardware it's now oct 2017 and stitches came out about 4-5 weeks ago but the pain is so unbelievably bad I can't walk I don't sleep the bottom of my foot is severely callous that splits and bleeds I swell in foot and ankles ALL FOR A BONE SPUR can anyone help me

Mar 02, 2017
Having odd numbing pain after plantar release
by: Michellee

I had in step plantar fasciotomy exactly one week ago. When the doctor went to give me the nerve block shot she literally hit the nerve with the foot went flying and it felt like a GIANT electrical shock. Surgery went ok I think...but the following day I was in EXTREME pain. I wasn't able to walk on my heel as I was told and I literally had to crawl during those 24 hours. After that, the pain eased up. However today my foot feels strange. My toes feel tingly and my foot and calf are physically cold, much colder than my other leg. Did something happen when she hit that nerve? I had a follow 3 days ago and she said that it was possible my extreme pain for the one day had been caused by hitting the nerve but she wasn't sure and that pain like that wasn't common with this surgery. She also said she was just guessing since she had never actually hit a nerve before....I am not sure if any of this is a complication, if its normal for this surgery, etc...but my calf, foot and toes are almost freezing to the touch. The color is good but I am beginning to become worried.

The fact that your foot and lower leg is cold is not a normal sign. I would suggest that you call your doctor and insist that she take a look at your foot.

Marc Mitnick DPM

Jan 07, 2017
Thank you Dr
by: Dee

You are correct, Hi this is Dee from previous post 2016, Received second opinion and also had a 3T MRI which can see the small nerves in the foot. The second Dr. would say I had lateral nerve damage, I asked him how did this happen? was it from the He said he couldn't tell me that, even though I had none of this before the plantar fasciitis surgery, this began 2 days after my original surgery. I saw two other Dr's both said they didn't know how this could happen, I feel everyone covering for each other. I went to a famous hospital to see if a decompression would help with the pain. had surgery, tarsul tunnel release and decompression. 5 months later no change, still in excruciating pain. I went back to the second opinion Dr and he advised if the decompression surgery didn't help any, all he can tell me is that I am disabled now and I have permanent nerve damage to my foot. But still won't say it came from the original surgery. I tried to speak with a attorney. My life has been ruined and turned upside down, lost my job and unable to walk on the foot, or stand for more than 10 steps without being in excruciating pain, have not worn a shoe in over a year taking nothing but pain management meds. the second opinion dr said he can't help me anymore, no need for me to come back. I in a way understand he can't help me, but won't be honest and say it came from the first surgery, I have been without pay for over 1 year, no ltd , std, disability nothing, lost everything, loosing my home, no attorney will take the case, because they say no dr will say what it came from. I can't believe this Dr. was able to do this to me and I am using a cane and a rollator walker and I can't make him be accountable for what he has done and the dr's and attorneys are saying nothing can be done. I am just left disabled, disability won't approve because when they get dr's notes, the first dr never provided the notes where I have proof that I mentioned 2 days after the surgery and continued to mention to him the excruciating pain and all he did was push percocets, unbelievable, so no long term disability or ss disability, just loosing everything, depressed and going down. Thank you for your reply, it was the right thing to do even though that didn't work.

Jan 29, 2016
Same pain numbness burning
by: Dee

Hello I am reading the comments and I too am having the same problem October of 2015 I had plantar fasciitis surgery a week after the surgery I kept telling the doctor that I had a new pain and something else was going on I cannot put my foot under the sheets at night it has a excruciating pain for anything to touch my toes I have a lot of burning, tingling, numbness. Can't walk on my foot he kept saying all its just from the surgery two weeks later told him the same thing something else is going on this is a totally different type of a pain in a different area. he kept wanting to pump me up on percocets percocet percocet 9 weeks after the surgery I told him I think we need to have an MRI done because what I am feeling has nothing at all to do with the plantar fasciitis now I have a plantar plate tear and I have my regular doctor scheduling me for a EMG to get my nerves tested in my foot and toes. I don't understand why this doctor wouldn't listen to me and perform the MRI sooner and then he could have known what else was going on with my foot. I want to know did he cause this from his surgery. Did he pull my foot back too far or stretched something. In the meantime I cannot walk right now my job fired me I'm supposed to get long term disability through Cigna they are harassing me won't pay lying about everything. Making life so difficult so I'm having to go through more testing and see what I need to try and do next. I had asked the dr before I had my surgery. When I had the surgery will I be able to move my toes he's so yeah no problem we're not doing nothing with that here we are 10 weeks later I cannot move my toes. That is not a side effect of the surgery.

Your best bet would be to get a second opinion from another doctor who specializes in surgery of the foot. I would also suggest that you seek the opinion from someone who does not practice in the same immediate area as your first surgeon.
The second surgeon, if completely honest, should be able to answer all your questions.

Marc Mitnick DPM

Mar 14, 2015
I feel your pain.
by: Debi

I too have had foot pain. I was told it was plantar fasciitis. I did multiple rounds of cortisone shots which did not help at all. I was put into a night splint which also didn't help much. We could not try inserts due to a leg discrepancy from a total hip replacement. My podiatrist suggest I have topaz debridement procedure. He claimed it was less evasive and has had a great deal of success with it. I had the procedure done in December 2014. I was told it could take upto 4 months to recover from it. With in three days post surgery when they removed the bandage, I noticed 2 red marks on the top of my foot and my big toe and the toe next to it were numb. I asked about it and was told it will go away in time. If I touch the red marks in any way I get shooting electric shocks straight to the 2 toes that are numb. My dr.s response was that he had no idea what it could be. Since then I too have gotten a second opinion and they are concerned that there is now nerve damage with the possibly of RSD. I have to see neurology and pain management and I was told I have a long road ahead of me. Iihope you have better luck than me. I would like to talk to you in more detail to see if you had any results that seem to help. I know with my situation it makes sleeping very difficult. I wake up constantly in pain..

Oct 18, 2014
Thank you
by: Jodi

I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet! Anyways, I never had an MRI before or after surgery. You were right that the topaz coblation was on the bottom of my foot and that the small scar was from the endoscopic plantar fasciotomy. The new doctor that I saw on Thursday kind of reminded me of a politician. He'd agree with my questions and frustrations but then after minutes of talking would never actually answer my question. When I asked him about the MRI and nerve conduction study, he said he was all for testing but that there were a lot of false results from a nerve conduction study and that he was basically positive that I had tarsal tunnel syndrome. He gave me a cortisone injection above the nerve and wants me back in two weeks. Yesterday I called the office and said that I had talked to him about the tests and that I really would like to get them done. They left a note for the doctor. Hopefully, it'll work out, but, if not, I will try with my old doctor or try a new one. Again, thank you so, so much!

Your welcome and good luck

Marc Mitnick DPM

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I found your website and articles most interesting.


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(location unknown)
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Memphis, TN
Thanks again so much for the information in the article. Very interesting.


Great article. I have had plantar fasciitis since I was in high school……..

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(location unknown)
Dear Dr. Mitnick, The orthotics arrived four days ago and I slipped them into my shoes immediately. I was skeptical as to the usefulness of the item, they really didn't look very exotic. I have to say though, after using them for just four days, I have experienced grand relief from my foot pain. Even the very first day, I was able to do a lot of work while on my feet with at least a 75% reduction of pain. It has only gotten better every day, and I go nowhere without my shoes with the orthotics. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen. Since getting the orthotics, my life has returned to normal and I feel good again. Just wanted to say thanks for the recommendation for a very effective item, I had no idea what a change this item could affect.

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Thanks for the Response, you hit it on the head.


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Thank you for your time and expertise in answering my question…..


(location unknown)
First, thanks for putting together this website. Its the most informative site I have found dealing with foot problems. Last June I started having pain and swelling at …….


(location unknown)
First of all, thank you for having all this useful information available in one place. I've been through most of your website and based on my research, pain and evaluations I think I've narrowed things down quite a bit.

Pete M.

(location unknown)
Thank you for the best site I have found when researching foot pain.

Glenda B.

Madison, Alabama
Thanks for replying so quickly. I was a bit concerned. I think your website is great, and chock full of info.....


Denison, TX
Dr. Marc, Thank you so much for your reply which seemed to be right on. I have researched many sites but you put me on the right path to the possible answer. My foot pain may not rule the rest of my life after all! I believe I'll make a sign that reads, "THE END IS NEAR!" Thanks Very Much,


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Dear doubt you get positive comments re your site...May I please be added to the list of your admirers. In all of my years of web surfing I would say your site is right there with the very best. Thank you for taking the time to write the terrific info you provide and for putting things into laymen terms for us mere mortals. I pray you have much on going success and thank you again for a deed well done. As for me I did not find much help for my symptoms and will continue on my quest. Were you anywhere in the South I would make and appointment...Thanks again dear sir...m.e.

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Hi. This is a great site! I'm a healthy middle aged woman who is in good health, but.....


Just a wee word of thanks for your wonderful website...It is a terrific service...Thank you for providing your knowledge and help...With highest regards, m ebeling

Michael D. Ebeling

Tampa, Florida 33624

Thanks for a most interesting website, which has helped a lot.



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I thank you for putting together this incredible website.


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Mansfield Ctr, CT

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First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)


Unknown location

I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.

Ric J.

Unknown location

I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.

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Pacific Grove, CA

I used to work for a podiatrist (front desk) back during summers in college years ago, so I know the benefits of good care. Again, I want to thank you for an EXCELLENT website. It was so great to get to your site (top of google search) and actually find all the answers I needed EASILY and QUICKLY! Clearly you put a ton of work into it and I really appreciate it.

All the best,


Alameda, California

By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!


Thank you for your very interesting and informative site!


Hi. I come to your site often looking for information. It is really informative and I appreciate it very much. I have RA and have been having considerable amount of foot pain...... Dee RN

Thanks very much for the wonderful informative site.


New Zealand

Thank You for my answer! I have been schedule for a bone density scan, allingment, and I am in the process of getting orthotics made, and checking out the natural remedies. Thank again! What a great web site!



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I searched the internet everywhere for a clear description and illustration of my symptoms/problem. was where I ended my search with answers. If I lived in Jersey (left 30 years ago) and didn't live in Florida I would definetly make an appointment with Dr. Mitnick.

Thanks, Kathy

1st of all THANKS A LOT for your great site......


Thank you so much for your response. I will let you know how I am doing if you would like. Your website is awesome!


South Carolina
Hello! I want to thank you for such an informative website! I found you based on my ankle pain search and am happy to realize that there may be a relatively simple cause and solution....


unknown location

...Thanks for your fantastic service.


Arlington, VA

Thank you so very much, that would be much appreciated. I love those insoles, by the way. (referring to Superstep orthotics)

Kelly W.

San Clemente, CA

Dr Marc is fantastic...He seems to know exactly what you are feeling with the problems you are having. I wish he was in my home town so I could go to him with my problems!!!!!!!!!!!!!


location unknown

Great insights! Thanks Doc, you're the best.


location unknown

I have been experiencing foot pain of various sorts and am working to figure out what it is. I found this site and can only say BRAVO!! What an excellent site! The time it must have taken to put all this together must've been a daunting task! I am sure it has helped so many people. Thank you so very much for doing this.


location unknown

Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.


Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!


Staying at home after hallux surgery I spend quite a lot of time seaching info useful for avoiding problems which might come back. Today I found your site and I am .... delighted it happened. It's one of the best site I found last days.



Thanks for taking time to read and answer so many questions. It is truly a public service!


Seattle, WA

I just wanted to say that I am very greatful for this website!!


location unknown

Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.


New Jersey

Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.


location unknown

Wow, that is exactly the information needed!!! thank you thank you thank you!!! I appreciate this help so very much from Marc Mitnick DPM. Excellent information and help to improve One's life.


location unknown

Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!


Evansville, IA

Dear Marc

I just want to say thank you for the quick response and the good info. I find it amazing and a super nice thing that you do here by answering medical questions at no charge.

Russ W.

location unknown

Your website is full of a lot of helpful information, and I am very impressed with the time in which you responded to my post. Thank you again for your time and consideration in your response.


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Thank you very much for the information, I will consider it. Excellent web site.


San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!


Albany, NY

Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

location unknown



Whichita, KS

thanks again, this site is very helpful.


Boston, MA

Like others have stated...This site is amazing and I am so thankful that it was created.

....Keep up what your doing. Your a life saver.



Thanks again for the information provided on your site. It's easy for non-medical folk to understand your writing, and helps provide better communication between patient and doctor.



Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown
Again, I really appreciate that you responded to my inquiry, and that your mention of Parkinson's helped me to find my way to a diagnosis of this difficult to diagnose disease. Most patients see on average 16 doctors before they are diagnosed. I hope that you can help other people that ask for your expertise in the future.

Barb D.

I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......


location unknown
Again, Thank you from the bottom of my heart for taking the time to answer my question....your an angel!


Thank you for your response. You have provided some great insight (to my question)....


location unknown
Thank-you so very much for responding so quickly and in such detail to my question!! I will give my surgeon a call today!! This website is terrific!!!! Thank-you again!


North Carolina
Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...


location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown
Your webpage is excellent, I commend you on sharing your knowledge to the public.


New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

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I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!


Lenoir, NC

Thank you so much Doc for a quick and thorough response!


Bellevue, WA

I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!


location unknown

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