Use this search box to search our site
Not what you're looking for? CLICK HERE INSTEAD
The response to the question below was authored by Marc Mitnick DPM
I have been struggling with plantar fasciitis for the past 5 months and had it both feet. It started in my right foot and progressed in my good foot due to me limping and putting all the pressure on the left. So I got cortisone shot/one in each foot. It lasted 4-5 days and most of the pain came back but not as bad as it was before the shot. Still, I was in a lot of pain and had to go for a MRI and found I had a partial tear of the Achilles tendon. I go to physical therapy which helps a lot. My doctor said no to any more cortisone because it did not work for me 6 weeks ago and probably would do more harm then good. He is right or I just did not get enough the first time. I cannot take any more ibuprofen it is just ripping up my stomach and I have been taken it for the last 6 weeks since I finally found out I had plantar fasciitis. In the beginning of all this choas I waited for the pain to go away and it did not. I first went to a podiatrist who said I was fine and to stay off my feet. Two more doctors said pretty much the same until I went to an orthopaedic doctor/surgeon who has been helping me to this day. I am still in pain, it more like stiffness and achy, sore feeling and hard to walk a full stride. My arches are sore and stiff-the insides. I am getting orthotics and are not ready yet. My doctor said the first day he saw me that is was abnormal to see plantar fasciitis in both feet and there may be another factor involved ? I am a waitress 44 yrs old and in great shape 5'4 and 109lbs and try to eat a lot of organic foods not a lot of junk food. I never had foot/ankle problems and no major health issues untl now. I can't understand any of this-why me? Any thoughts?
First of all it is ridiculous to think that if one cortisone injection did not work, additional ones won't be helpful. Most doctors I know give three as each subsequent injection builds on the progress of the previous one.
However, even tho you are in great shape, you do have an occupation that may make you prone to this type of condition and I think orthotics may ultimately be your best bet.
Start in with the orthotics, if they do not initially give you the type of relief you are looking for, I would supplement them with a second or even third cortisone injection. If that does not fully do the trick, I would then suggest physical therapy which over the years has greatly helped many of my patients when orthotics alone did not.
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