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Sports Medicine/Heel spur/plantar faciatis

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Question
Dr
I came down with plantar faciitis in the Fall, probably as a result of cheap runners on pavement. I had it once before in the same foot, and an ex-ray revealed a small heel spur.
I have used a night sock to eliminate morning stiffness, and three cortisone shots killed most of the pain. My doc says now I have to wait a few months to get another if I need it.
I can only walk for a few minutes and cant run , so its really affecting my ability to exercise.
I wanted to try acupuncture as it worked well for a knee meniscus tear, but the clinic I called recommended I start with shock wave therapy.
What do you think? Thanks for your thoughts!

Answer
Hi Bud- first of all- couple of points- heel spur indicative of persistent attachment scarring of plantar fascia-
1. You need custom orthotics for long term success- must stop chronic pull on plantar fascia attachment to heel
2. Cortisone injections shouldn't be more than 3 in yr period- can be degenerative
3. Have seen good success with both acupuncture & shockwave so consider them-- if previous help with acupuncture might try initially, it's judgement call- physical therapy another weapon.
Make sure you are in proper shoes for your foot type but AGAIN - you must include orthotics -- see a good sports podiatrist- success rate over 90% when orthotics added to mix. Good luck, hope this helpful... Dr. Bob Weil

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Dr. Bob Weil

Expertise

Diagnosis & treatment & PREVENTION of foot & foot related lower extremity sports related problems. Indications & uses of prescription in shoe orthotics. Foot, ankle functional exercises for injury prevention & enhanced performance. Specific specialty in orthotic use in figure skating & hockey. Access to all topics re sports medicine at sportsdoctorradio.com- radio shows & articles re "the physical & mental challenges of the high performance youth athlete.

Experience


Publications
Podiatry Management Magazine, 9/10/10, "Hitting the Airwaves- this podiatrist uses his own radio show to promote Podiatry Podiatry Management Mag-6/-7/2010, "Figure Skating, Olympic Gold, & Podiatry Lower Extremity Review,7/2012, Pediatric Obesity weighs on Bones & Joints Numerous articles,"the sports doctor"- listed sportsdoctorradio.com- news articles 3 years of weekly radio shows, "the sports doctor", listed sportsdoctorradio.com-radio shows

Education/Credentials
BA degree science Univ. Louisville, Doctor Podiatric Medicine, Scholls College Podiatric Medicine, Chicago, Ill.

Past/Present Clients
Treated many athletes in all sports, tennis- John McEnroe, Tracy Austin, numerous members of 85 Super Bowl Bears Evan Lysacek, 2010 men's Olympic Gold Medal figure skating champion.

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