Plantar Fasciitis
Can you help me to understand a little about this condition.
I slipped wrong off of a curb and my podiatrist said he thinks I have injured this tissue. I have done some research on the internet and understand this band of tissue runs along the heel to the toes. Mine hurts mid foot in the arch area. I have been in an aircast for 4 weeks and he has just said if I wanted an MRI I can have one since I am still not able to take the cast off.Can you tell me what I can expect from the MRI as well as expected healing time. I know it probaly depends on how much damage has been done but it seems like I should be feeling somewhat better after 4 weeks right?…trying to be patient but just seeking an alternate opinion….any insite you could provide would be appreciated.
2 comments
Anna
Thank you very much, it does help. I have been doing exactly that. I never take the boot off other than to shower and I do sleep in it. I have followed the instructions to the letter as I am very active and trying to heal as quick as I can. Some days it seems like its feeling better and then for a few days the bottom of my foot burns and feels tight as though it hasn’t progressed at all. I keep the boot as tight as I am comfortable with so hopefully I am doing everything right.Sould I be doing anything different, such as icing or oputting heat of any kind? I am looking forward to getting the results of my MRI to see exactly what I am looking at… Thanks again
Vivian Abrams DPM
The plantar fascia can tear when there is a sudden jerking or tearing motion. This is often more toward the middle rather than where the plantar fascia inserts into the heel, but that is not hard and fast. I usually use my diagnostic ultrasound to determine if the band is torn. A MRI is moreclear and certainly more comprehensive, but a whole lot more expensive too. Usually it involves sending the patient elsewhere and it usually takes about 45 minutes for the MRI of the foot. I would use a MRI if:
(a) I don’t have a ultrasound machine and
(b) I need to see the depth of the tear.Immobilization is always indicated.
If there is any motion allowed, pain persists. I do not allow the patient to take the cast boot off other than for a quick shower. They must sleep in it. If there is any complaining, I remind them I can always put a fiberglass cast on. The length of time vaires with the patient but usually 6-8 weeks.
Since I don’t have any info on your particular problem, I really can’t give you any more information than the generic stuff. Hope it helps.