I just got off the phone to my specialist for a 4 month review.

what is tenex.

Tenex for plantar fasciitis is a minimally invasive procedure used when heel pain has not improved after months of treatments such as stretching, physical therapy, orthotics, or injections. During the procedure, the doctor uses ultrasound guidance to insert a tiny probe through a small incision. The probe uses high-frequency ultrasonic energy to break up and remove damaged, degenerative tissue in the plantar fascia while preserving healthy tissue. The goal is to allow the plantar fascia to heal more normally, reduce chronic pain, and improve function without the larger incision and longer recovery associated with traditional surgery. Most procedures are done under local anesthesia in an outpatient setting, and patients typically wear a walking boot afterward before gradually returning to normal activities over several weeks. It’ also covered by insurance.

i did the multiple treatment with the hand-held one. They have to be careful because of the tear

From what I understand, there are only 4 doctors in the country that do this procedure. It’s not covered by insurance 😠 but it has an extremely high success rate. Dr. Staschiak at Mid-Ohio Foot & Ankle. Here’s a link to one of his videos, but there are several.

My thickness was 7.1 & I thought that was bad! Normal adult is between 2.5-3.5…should never be thicker than 4. I had massive calcification in my heal…Dr referred to it as my “golf ball” because that’s kind of what it looked like on the ultrasound. I did the high intensity version…took about 2.5 hours for total appointment. Amazing difference in Before & After. I don’t think the other version is effective.

I've responded to shockwave treatment given over a number of treatments (with some laser too). Was a game changer for me granted it took about 4 weeks for big gains

Yes, getting rid of the calcification is critical to re-establishing blood flow…and now stretching my calves every day, multiple times a day.

what kind of doctor are you seeing? I’m trying to land in the right place.

did you have a tear?

I've got a plantar tear /avulsion on l foot that also had pf and a mortons neuroma. All the problems!

did the Shockwave help with the tear?

not sure yet its helped with the pf. Treatment ongoing its early days still

dit it with him last year my pain came back months later.

Did you contact him? He’ll do a 2nd treatment at no charge. Also, are you still doing the stretching exercises?

planing of going there soon.

Id live to know how your recovery goes.

scheduled for September 1st. Am hoping second time is a charm.

how long after the treatment where you pain free? Did you get the stemcells injection too?

I had a little setback (not due to the procedure) so it’s hard for me to gauge. I’m still recovering, not pain free, but the pain is WAY less than before the procedure. I’m also dealing with arthritis in my ankle, which now is definitely worse pain than my PF. I didn’t get the stem cells due to cost, but I’m seriously considering it now for the arthritis.

makes perfect sense. And can cause blood clots through lack of movement.

A few years ago I had ankle surgery and was in a boot for about 4 months

so what does the sports medicine doc suggest then???

yes but that is totally different than this. My sister smashed both her ankles in a rock climbing accident and was in a boot off and on having had 8-10 surgeries on them. Being in a boot healing broken bones and healing from surgical procedures is not the same weak foot muscles and tight calf muscles are what create and contribute to almost all PF Being in a boot weakens and tightens things further.

use my feet. If pain is 4 or under keep moving. Above a 4 rest and go again. Stretch and massage calves before getting out of bed First few steps up and down the hall on balls of your feet-keeps from re tearing micro tears every morning Wear decent shoes that fit your feet with a wide toe box- for me that’s Birkenstocks, Merrells and Altras Don’t wear tight socks Spread and strengthen toes Walk through every step pushing off big toe (stop limping and bouncing off painful heels trying not to put weight on them) Massage massage massage Heat not ice- promotes blood flow and healing. Ice does the opposite Quit rolling your foot on balls and water bottles etc. it continues to micro tears things and continues the cycle If you never needed orthotics before you don’t need them now Stay out of cushy shoes and boots and special shoes that keep you from using your feet Get back to walking like your body was made to. Open toe ankle compression socks over night also help blood flow and healing. Once I shifted to this mindset everything turned around. That was after 14 brutal months of doing all the old stuff. New research says strengthen and use your feet Find Dr Angela on YouTube

since foing prp and shock wave. It has helped. As I can stand on my foot for a few hours a day

many be try another prp. People get up to 4 shots sometimes.

oh no. How long did you have it before you did surgery and was it as bad as mine

How thick was your plantar fascia. And how is it now

I had it for 5 years before the surgery. I spent 3k on inserts that were supposed to "heal" it... never did. I have spent $100's on shoes. I've done PT and wore braces at night. It just doesn't seem to go away 😔 it flares up some days so bad I don't even want to walk on them. Soaking my feet in apple cider vinager helps relieve the inflammation. Cortisone shots only work for 6 months but hey it's 6 months pain free

i stood on a sharp rock. Not sure if that made the tear or walking on the sore foot from that for 3 months did it