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The response to the question below was authored by Marc Mitnick DPM
Injured in the Army told I have Plantar fasciitis but now they think it is nerve related..
(Moorpark, CA, USA)
I remember streching when I was in the Army I felt something pull on the bottom of both feet and ever since I have had pain. The pain has never been in the morning and only gets worse after using my feet. Usually taking 20 min of standing to cause acke pain in both feet on the bottom arches. The more I do on my feet the worse it got. I have done it all, tried it all and NOTHING worked. This is what I have lived with for years the pain radiates and travels to the top of my feet to my toes and varies from sharp cry out loud any time of the day/night pain to acke all the time to no pain at all. I thought I was going to get the Extracorporeal Shock Wave Therapy but then yesterday the VA said they have a wait list for that and those on the list usally take themselves off due to other treament being effective and they can't just have one person on the list. ?? They have to call someone in who has the equipment and they can't just come for one person. Anyway, now they are saying it could be nerve pain. I have had pain since 1996 I am only 36 years old! Now I walk funny even with arch supports all the time by the way, my lower back hurts constantly (dull pain). It hurts to drive sometimes I have so much sharp pain It is hard to drive and I'm crying in pain. I have seen podiatrists outside of the VA and different VA centers in different states. No one has been able to help me. I never belived I had Plantar Fasciitis but what could it be? I read all the listed possible foot problems you have on this website and can't seem to find any that fit my situation. Please Help.
Based on your "story" my first thought would be a heel neuroma, or possibly a tarsal tunnel as your pain seems to be all over the heel area and traveling.
Have you had an MRI? Have you had nerve conduction studies? If not, I would recommend you go in that direction.
Once properly diagnosed, your condition may require an invasive procedure in order to rectify it since it seems conservative care has not helped at all.
Marc Mitnick DPM
Johns Hopkins Medicine
University of Rochester Medical Center
American Academy of Pediatrics
Penn State Medical Center
National Institutes of Health
Columbia University Department of Rehabilitation
Stanford Health Care
Illinois Bone and Joint Institute
Mount Sinai Hospital
Institute for Chronic Pain
University of Florida Health
American Family Physician
University of Maryland Medical Center