Re: Why am I always dealing with pain??

On May 28, 6:37 am, LauraM <fingerso...@xxxxxxxxx> wrote:
On May 27, 11:29 pm, Hawaiian Wayne <birdie...@xxxxxxxxxxx> wrote:



On May 27, 6:01 pm, "LoriB.o.B." <banjob...@xxxxxxxxxxx> wrote:

On May 27, 6:29 pm, LauraM <fingerso...@xxxxxxxxx> wrote:

Since the year 2000, I've had one serious problem after the other.
All, for some reason, have to do with musculoskeletal issues. Now I'm
dealing with plantar fasciitis....and a horrible case of it I might
add.

Sometimes I feel like I'm going to go crazy in my mind when I try to
think about how to deal with all these physical issues. No one else
can understand, and I'm finding that no one really cares if you're
feeling well or not. There's the initial "I'm sorry you're feeling
bad" but after that it seems no one cares.

Just when I get positive and think I'm getting over something, another
problem pops up. I'm sure there are others here that are experiencing
the same pattern. How on earth do you keep sane? I'm really having a
problem lately.

Hi & Welcome Laura!
Well u sure found a really great place here for understanding cp &
some of us have something very similar to the horrid pain u have. I
have RSD/Neuropathy & there are quite a few others here w/same. We
come here to support, vent, learn, share...if u can go to the top of
the page where it says "Search Group" & type in neuropathy u will
find posts on it there. Also, do the same on google, u will find some
pretty amazing groups. These are the 2 best as far as rsd,
neuropathic pain (which to my understanding is what u have w/your
condition, smack me if I'm wrong!), anyway found these thanks to
Rene' (pashmina) ... http://rsds.org/2/related_sites/index.html &http://www.rsdhope.org/ also a group I'm absolutely in love w/has an
answer for u as to why u r always in pain...it's the War On Drugs &
Pain Drs...so check this out & please subscribe, it's free &
nonprofit. That's the Pain Relief Network (kudos to Siobhan
Reynolds!)http://www.painreliefnetwork.org/prn/category/mainpage/
Hope to see u both here & there & there's also a thread here on what
helps pain...someone made a list...I'd post here for you but my husb.
is bootin' me off the puter cuz he needs it! lol! Hang in there!
We're here
Kindly,
LoriBoB

Aloha Laura!

Sorry Lori.. **smack**, unfortunately, this is how I read and felt
after reading her post (nothing personal, just another person not
knowing the different kinds of pain):

Well, geez Laura! You've got one of the most common causes of heel
pain in your foot. Heel pain is about to drive you insane? You'd like
to know how I and others here manage to keep our sanity from day to
day and you're sure this group has others experiencing a pattern of
having ACUTE pain in one area, then when it fades, another shows up in
a different area to replace it?

I don't really mean to sound so fully facetious in the above
paragraph; however, I can't help but wonder how many members had the
same reaction as I did after reading your post? First, I had to look
up "plantar fasciitis" because I'd never heard of such a thing causing
CHRONIC pain before. I kind of figure I've heard at least MOST of the
reasons that MOST people suffer CHRONIC pain since I'm now in my 12
year (and counting) of it due to sloppy surgeries and/or difficult to
repair/replace discs. Yes, of course I'm still learning something new
every day about living the kind of existence, which is nearly
NONexistent.

I'm so full of doubt about whether you really know the difference
between acute and chronic pain since you say this "musculoskeletal"
pain keeps 'changing'. Guess what? I'd be more than happy to TRADE
you my severe chronic pain for your heel pain that you know will
probably go away just like all the others. Perhaps you haven't been
proactive enough with your doctor or doctors to get them to be more
serious about your condition. It seems to me that you may have
something more like a disease that is making different parts of you
hurt like heck; something similar to Epsein-Barr Syndrome or the like.
My wife contracted EBS about 3 months ago and she was having extremely
severe pain in a different lymph node type gland every week or two. It
was pure hell for her because she is one who rarely, and I mean RARELY
gets sick with anything. It did ONE thing that I was happy to see; it
made her realize just how hard I have to "try to look healthy" and not
in pain. However, with your pain being more in the bone/muscles, I
highly doubt you have that.

As Lori said though, of course you are welcomed here as we welcome
anyone struggling with pain. I was writing this as Lori was hers and
before I posted mine, I noticed she finished long before me (I'm
easily distracted lately and can't type and chew gum at the same time
- LOL LOL!).

Aloha Just For Now,
Hawaiian Wayne- Hide quoted text -

- Show quoted text -

You are an ASS. I have two steel rods in my neck, two knees with no
cartiledge, mysterious groin pains, rashes that even UCSF couldn't
diagnose, trigeminal neuralgia, and the list goes on. Why don't you
just shut up before answering me like that!!!!
*********************

Hi again Laura,
Actually, Wayne is a very compassionate guy, imo! Anyway, I had asked
for the "smack" cuz I thought I remembered what plantar fasciaitis was
but was bein' lazy not lookin it up. Now I looked it up so here is
what Wikipedia says.
Also, a ? for you Laura, do u use splints and all that crap they
suggest?? I am trying them for my RSD. My mom has trigeminal
neuralgia & I can't imagine having that nerve pain right in your face
all the time. Not much is helping her ...she was opiod fearful & now
finds 80mg oxycontin a day isn't even cutting it. sigh. makes me
sad. Best of luck to you in your search for relief & check out those
links I posted, u should find something good there, at least really
good (besides the great support available here) support ...trigeminal
neuralgia and the plantar fasc. condition alone needs all the support
u can find, imo!
Kindly,
LoriBoB
**********************

Plantar fasciitis
From Wikipedia, the free encyclopedia
• Have questions? Find out how to ask questions and get answers. •
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Plantar fasciitis
Classification and external resources
Location of pain from an online survey of 2655 people.[1]
ICD-10 M72.2
ICD-9 728.71
DiseasesDB 10114
MedlinePlus 007021
eMedicine pmr/107

Plantar fasciitis, formerly called "a dog's heel" in the United
Kingdom, sometimes known as "flip-flop disease" among US podiatrists,
is a painful inflammatory condition caused by excessive wear to the
plantar fascia of the foot or biomechanical faults that cause abnormal
pronation of the foot.[1] The pain usually is felt on the underside of
the heel, and is often most intense with the first steps of the day.
It is commonly associated with long periods of weight bearing or
sudden changes in weight bearing or activity. Obesity, weight gain,
jobs that require a lot of walking on hard surfaces, shoes with little
or no arch support, and inactivity are also associated with the
condition. This condition often results in a heel spur on the
calcaneus, in which case it is the underlying condition, and not the
spur itself, which produces the pain.[1]
Contents
[hide]

* 1 Treatment
o 1.1 Surgery
* 2 References
* 3 External links

[edit] Treatment

Many different treatments have been effective, and although it
typically takes six to eighteen months to find a favorable resolution,
[2] plantar fasciitis has a generally good long-term prognosis. The
mainstays of treatment are stretching the Achilles tendon and plantar
fascia, resting, keeping off the foot as much as possible,
discontinuing aggravating activity, cold compression therapy, contrast
bath therapy, weight loss, arch support and heel lifts, and taping.
Care should be taken to wear supportive and stable shoes. Patients
should avoid open-back shoes, sandals, "flip-flops", and any shoes
without a raised heel. To relieve pain and inflammation, nonsteroidal
anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen are
often used but are of limited benefit.[3] Patients should be
encouraged to lessen activities which place more pressure on the balls
of their feet because it increases tension in the plantar fascia. This
is counter-intuitive because the pain is in the heel, and the heel is
often sensitive to pressure which causes some patients to walk on the
balls of their feet.

Local injection of corticosteroids often gives temporary or permanent
relief, but may be painful, especially if not combined with a local
anesthetic and injected slowly with a small-diameter needle.[4]
Recurrence rates may be lower if injection is performed under
ultrasound guidance.[5] Repeated steroid injections may result in
rupture of the plantar fascia. This may actually improve pain
initially, but has deleterious long-term consequences.

In cases of chronic plantar fasciitis of at least 10 months duration,
one recent study has shown high success rates with a stretch of the
plantar fascia.[6]

Pain with first steps of the day can be markedly reduced by stretching
the plantar fascia and Achilles tendon before getting out of bed.
Night splints can be used to keep the foot in a dorsi-flexed position
during sleep to improve calf muscle flexibility and decrease morning
pain. These have many different designs, some of which may be hard and
may press on the origin of the plantar fascia. Softer, custom devices,
of plastizote, poron, or leather, may be more helpful. Orthoses should
always be broken in slowly.

Therapeutic ultrasound has been shown in a controlled study to be
ineffective as a treatment for plantar fasciitis.[7] More recently,
however, extracorporeal shockwave therapy (ESWT) has been used with
some success in patients with symptoms lasting more than 6 months.[8]
The treatment is a nonsurgical procedure, but is painful, and ideally
should be done either under sedation, or local anaesthesia either with
or without intravenous sedation (twilight sedation). Local anaesthesia
by injection of drugs into the area can also be painful, and may incur
the risks of neuritis, bleeding, and infection. ESWT re-inflames the
area and in doing so increases blood flow to the area as a means to
heal the area. It can take as long as six months following the
procedure to see results. Like any procedure there are varying degrees
of success.

Most patients should improve within one year of beginning non-surgical
treatment, without any long-term problems. A few patients, however,
will require surgery. Over 95% will then be relieved of their heel
pain.

[edit] Surgery

Surgery carries the risk of nerve injury, infection, rupture of the
plantar fascia, and failure of the pain to improve. [9] Surgical
procedures, such as plantar fascia release, are a last resort, and
often lead to further complications such as a lowering of the arch and
pain in the supero-lateral side of the foot due to compression of the
cuboid bone.[10] An ultrasound guided needle fasciotomy can be used as
a minimally invasive surgical intervention for Plantar Fasciitis. A
needle is inserted into the Plantar Fascia and moved back and forwards
to disrupt the fibrous tissue.[11]

[edit] References

1. ^ a b Barrett, Stephen L.; Robert O'Malley (1999). "Plantar
fasciitis and other causes of heel pain". American Family Physician 59
(8): 2200-6. PMID 10221305.
2. ^ Young, Craig C.; Rutherford, Darin S. and Mark W. Niedfeldt
(2001). "Treatment of Plantar Fasciitis". American Family Physician 63
(3): 467-74,477-8.
3. ^ Lynch, D.; Goforth, W., Martin, J., Odom, R., Preece, C., &
Kottor M. (1998). "Conservative treatment of plantar fasciitis. A
prospective study". Journal of the American Podiatric Medical
Association 88 (8): 375–380. PMID 9735623.
4. ^ Genc, Hakan; Meryem Saracoglu, Bans Nacir, Hatice Rana Erdem
and Mahmut Kacar (2005). "Long-term ultrasonographic follow-up of
plantar fasciitis patients treated with steroid injection". Joint Bone
Spine 72 (1): 61-5. PMID 15681250.
5. ^ Tsai, Wen-Chung; Chih-Chin Hsu, Carl P. C. Chen, Max J. L.
Chen, Tung-Yang Yu, Ying-Jen Chen (2006). "Plantar fasciitis treated
with local steroid injection: comparison between sonographic and
palpation guidance". Journal of Clinical Ultrasound 34 (1): 12-16.
PMID 16353228.
6. ^ Digiovanni, Benedict F.; Deborah A. Nawoczenski, Daniel P.
Malay, Petra A. Graci, Taryn T. Williams, Gregory E. Wilding, and
Judith F. Baumhauer (2006). "Plantar fascia-specific stretching
exercise improves outcomes in patients with chronic plantar fasciitis.
A prospective clinical trial with two-year follow-up". The Journal of
bone and joint surgery (American) 88 (8): 1775-81. PMID 16882901.
7. ^ Crawford, F (2004). "Plantar heel pain and fasciitis".
Clinical Evidence (11): 1589–602. PMID 15652071.
8. ^ Norris, Donald M.; Kimberly M. Eickmeier and Bruce R. Werber
(2005). "Effectiveness of Extracorporeal Shockwave Treatment in 353
Patients with Chronic Plantar Fasciitis". Journal of the American
Podiatric Medical Association 95 (6): 517–524. PMID 16291842.
9. ^ Kauffman, Jeffrey (2006-09-21). Plantar fasciitis. MedlinePlus
Medical Encyclopedia. National Institutes of Health.
10. ^ Endoscopic Plantar Fasciotomies / Heel Pain. FootLaw.com.
11. ^ Treatment of recalcitrant plantar fasciitis by sonographically-
guided needle fasciotomy. Am College of Foot and Ankle Surgeons.

[edit] External links

* Plantar fasciitis at the Open Directory Project


[hide]
v • d • e
Diseases of the musculoskeletal system and connective tissue (M,
710-739)
Arthropathies
Arthritis (Septic arthritis, Reactive arthritis, Rheumatoid arthritis,
Psoriatic arthritis, Felty's syndrome, Juvenile idiopathic arthritis,
Still's disease) - crystal (Gout, Chondrocalcinosis) - Osteoarthritis
(Heberden's node, Bouchard's nodes)

acquired deformities of fingers and toes (Boutonniere deformity,
Bunion, Hallux rigidus, Hallux varus, Hammer toe) - other acquired
deformities of limbs (Valgus deformity, Varus deformity, Wrist drop,
Foot drop, Flat feet, Club foot, Unequal leg length, Winged scapula)

patella (Luxating patella, Chondromalacia patellae)
Protrusio acetabuli - Hemarthrosis - Arthralgia - Osteophyte
Systemic CT disorders
vasculitis: Polyarteritis nodosa - Churg-Strauss syndrome - Kawasaki
disease - Hypersensitivity vasculitis - Goodpasture's syndrome -
Wegener's granulomatosis - Arteritis (Takayasu's arteritis, Temporal
arteritis) - Microscopic polyangiitis
Systemic lupus erythematosus (Drug-induced) - Dermatomyositis
(Juvenile dermatomyositis) - Polymyositis - Scleroderma - Sjögren's
syndrome - Behçet's disease - Polymyalgia rheumatica - Eosinophilic
fasciitis - Hypermobility
Dorsopathies
Kyphosis - Lordosis - Scoliosis - Scheuermann's disease -
Spondylolysis - Torticollis - Spondylolisthesis
Spondylopathies (Ankylosing spondylitis, Spondylosis, Spinal stenosis)
- Schmorl's nodes - Degenerative disc disease - Coccydynia - Back pain
(Radiculopathy, Neck pain, Sciatica, Low back pain)
Soft tissue disorders
muscle: Myositis (Pyomyositis) - Myositis ossificans (Fibrodysplasia
ossificans progressiva)

synovium and tendon: Synovitis/Tenosynovitis (Calcific tendinitis,
Stenosing tenosynovitis, Trigger finger, DeQuervain's syndrome) -
Irritable hip - Ganglion cyst

bursa: bursitis (Olecranon, Prepatellar, Trochanteric) - Baker's cyst

fibroblastic disorders: Dupuytren's contracture - Fasciitis (Plantar
fasciitis, Nodular fasciitis, Necrotizing fasciitis) - Fibromatosis

shoulder lesions: Adhesive capsulitis - Rotator cuff tear -
Subacromial bursitis

enthesis: enthesopathies (Iliotibial band syndrome, Achilles
tendinitis, Patellar tendinitis, Golfer's elbow, Tennis elbow,
Metatarsalgia, Bone spur, Tendinitis)
other, NEC: Muscle weakness - Rheumatism - Myalgia - Neuralgia -
Neuritis - Panniculitis - Fibromyalgia
Osteopathies
disorders of bone density and structure: Osteoporosis - Osteomalacia -
continuity of bone (Pseudarthrosis, Stress fracture) - Monostotic
fibrous dysplasia - Skeletal fluorosis - Aneurysmal bone cyst -
Hyperostosis - Osteosclerosis
Osteomyelitis - Avascular necrosis - Paget's disease of bone -
Algoneurodystrophy - Osteolysis - Infantile cortical hyperostosis
Chondropathies
Juvenile osteochondrosis (Legg-Calvé-Perthes syndrome, Osgood-
Schlatter disease, Köhler disease, Sever's disease) - Osteochondritis
- Tietze's syndrome - Relapsing polychondritis
See also congenital conditions (Q65-Q79, 754-756)
Retrieved from "http://en.wikipedia.org/wiki/Plantar_fasciitis";
Categories: Inflammations | Diseases involving the fasciae | Overuse
injuries | Orthopedics | Obesity | Podiatry | Foot diseases
.

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