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re: geauxt's podiatry corner - plantar fasciitis (long, sorry)

Posted on 11/3/17 at 11:47 am to
Posted by GEAUXT
Member since Nov 2007
29303 posts
Posted on 11/3/17 at 11:47 am to
quote:

Do you order MRIs on your PF patients?


I only do MRIs on patients who have not responded to long term conservative care, and who I'm considering doing surgery on.

MRI can also be helpful in confirming the diagnosis of a stress fracture of the calcaneus (heel bone). Those can sometimes present with symptoms similar to plantar fasciitis.
Posted by LZ83
La
Member since Sep 2016
17406 posts
Posted on 11/3/17 at 11:48 am to
Also heel spurs formed by the PF.

I have been trying to get our 2 local DPMs to order more even when they know what the diagnosis is.
Posted by epbart
new york city
Member since Mar 2005
2928 posts
Posted on 11/3/17 at 12:28 pm to
Thoughtful thread.

I had a rough stretch at work for a few years. On my feet running around all the time in a suit w/ dress shoes. Sometimes at the office for 20+ hours or overnight into the next day. Plantar fasciitis set in as I wasn't getting adequate rest/sleep/time off my feet to recover.

I did a little research and went to a shoe store where I tried on a pair of those kind of goofy looking MBT shoes with the curved sole. I could tell the moment I put them on that they would help. I only wear them in the office where I don't particularly care that they look weird. But they helped immensely.

A few years later, I'm not 100% healed, but I only rarely get a flare up of pain in my heel if I have a couple or more straight days of long hours on my feet at work.

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