Orthopedics/trying again

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Question
Hello Dr. me again, I wrote you awhile back and you said since the question wasn't public you didn't answer.  I'm sorry, but I only did that because you were the only Podiatrist available.  there about 2 who haven't been available for a yr. or more, so I thought it was OK to put private.  I'd like to ask again if I may.    I found I have plantar faciliitis (sp), and I have some orthotic inserts, and I was told about 2 execises to use.  I don't know how many times a day, but I'm doing them 2 to  3 times a day.   What I'm most curious about is why is it, I've had some aching like a toothach, on and off, and yet there are days I get out of bed with minimal pain. even though that's when it was at its worse. And there are times I can go almost all day with almost nothing.  I have looked up info. re; this condition and read what a woman wrote saying there is nothing that can be done, orthotics, exercises, podiatrists etc, and people will just spend money for nothing. Of course this made me feel mildly depressed for a moment that's when I decided to go to  an expert.  I have fatty deposits on the outside of my ankles, as did my mother.  I'm not overweight, maybe a few pounds but nothing I would consider heavy, and again I guess not much I can do about that.  Just wanted your thoughts on it.  Like I said I'm most curious about why it isn't all that painful at times.  Whatever the reason I'd like to know why as not to have any real discomfort...thank you for your time.

Answer
Dear Tyrone,

This Orthopedic Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618, Elmhurst 60126 & Bartlett 60103 says...
Plantar fasciitis is a mechanical issue. The plantar fascia & other tissues pull and tear the periosteum (bone tissue)at the calcaneus. This happens when there is too much weight or activity is placed on the foot. This gets worse if you have tight calves. The best treatment is weight loss, decrease of activity levels, stretching of the plantar fascia & calves two times daily.
Wear a shoes with a little bit of a heel to help take some strain off the plantar fascia. The reason you have good days & bad days is dependent on the activity & shoes worn the day before.
See http://anklenfoot.com/Education/YourFeet/Heel/tabid/102/Default.aspx
Orthotics will help, but the above advice will help more. The fatty tissue that you are talking about on the sides of the ankle is a cosmetic issue. The fatty tissue can be removed-but not recommended.
The Chicago Podiatrists of AnkleNFootCenters.com are specialists in orthopedics and sports medicine.
We are located in Chicago & Elmhurst

Dr George Tsatsos,Svetlana Zats & Dr Mariano Rivera
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661


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Dr George Tsatsos

Expertise

All questions related to orthopedics of the Lower Extremities-with a specialization in Foot & Ankle Orthopedics & Surgery-Adults & Children Sports Medicine questions of the lower extremities-including runner's injuries. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating to foot and ankle problems in Children, Sports medicine of the foot and ankle Runner's and walking problems

Experience

Board Certified in Surgery & Orthopedics of the Foot & Ankle. PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, since1980. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, since 2008 Organizations

Organizations
Member American & Illinois Podiatric Medical Association Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

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