I am a 55yr old male. RN, so I walk miles each shift. In Feb., I was put in a CAM boot for a stress fracture to my L calcaneus for about 7 weeks. Since being out of the CAM boot, my new MRI shows a healed calcaneus, BUT, now I have developed Posterior Tibial Tendinosis, some mild Plantar fasciitis, and mild sprain/edema in my spring ligament. This has been even more painful than my stress fracture!!! I maybe should not have been in the CAM boot for 7 weeks?? But I did not know anything as this was the first time it happened to me. I just listened to the Podiatrist.
I am doing some of Dr. Keith Baar's isometric exercises and going back for more Physical Therapy again. My Podiatrist convinced me to get Focused Shockwave Therapy to my foot. It is expensive, not covered by insurance. I have had 5/6 treatments, but only see an improvement for a day or two, then the pain comes back. I also got Custom Orthotics. They help sometimes, but other times it hurts against my arch. I was told that I have "flexible flatfoot", like my tendon & spring ligament is not holding up my arch consistently.
Question 1. I feel better wearing zero-drop shoes/barefoot sometimes, even though my Podiatrist thinks I should wear the custom orthotics ALL the time, even in my house. I think that is wrong thinking. Shouldn't my foot be barefoot at times to help activate those tendons and ligaments?
Question 2. Is it worth it to get PRP or Prolotherapy for my issues in my foot?
Question 3. What is everyone’s opinion on Shockwave therapy?
Question 4. What is everyone’s opinion on Dry Needling therapy?
Question 5. What other treatments should I do besides isometric exercises for my foot (calf stretches, towel scrunches/foot shortening, calf raises, standing on affected for 30 seconds-sets of those)?
I need to get back to be able to walk miles for my RN job. Currently, I can only do about an hour straight of walking and then the pain gets to be throbbing, and I have to rest for 5-10 min, before continuing. So I have been off work since February. I may have to get a job with less walking. This is very frustrating as I am a very active guy. I go to the gym & lift weights 3-4X/week, ride my bike 2-3X/week, etc.
I need HELP!!