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RE: Orthotripsy & Plantar Fascitis

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Charlie,

The two therapies that you mentioned are new to me. Here, we balance the

pelvis which allows us (usually) to lift the pedal navicular. And yes, I

have had one that was so chronic that it took about 10 months to begin to

affect it. Most others respond well to foot adjusting, once the pelvis is

balanced so the navicular can re-position.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 711 Country Club

Rd., #1A Eugene, Oregon 541-345-9436

Orthotripsy & Plantar Fascitis

> Orthotripsy aka extracorporeal shock wave therapy. Any body have

experience

> or knowledge of this tx for chronic plantar fascitis? Success rate?

>

> Dr. Charlie Caughlin DC

> 155 NW 1st Ave

> Day, Or 97845

> off 541-575-1063

> hm 541-575-1103

> fax 541-575-5554

>

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

However, it is against the rules of the listserve to copy, print, forward,

or otherwise distribute correspondence written by another member without his

or her consent, unless all personal identifiers have been removed.

>

>

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Don't forget the possibility of quality orthotics also.

Matt

Orthotripsy & Plantar Fascitis

>

>

> > Orthotripsy aka extracorporeal shock wave therapy. Any body have

> experience

> > or knowledge of this tx for chronic plantar fascitis? Success rate?

> >

> > Dr. Charlie Caughlin DC

> > 155 NW 1st Ave

> > Day, Or 97845

> > off 541-575-1063

> > hm 541-575-1103

> > fax 541-575-5554

> >

> >

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print, forward,

> or otherwise distribute correspondence written by another member without

his

> or her consent, unless all personal identifiers have been removed.

> >

> >

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As much as I reluct tooting own horn, I have to share with you the fabulous

(really) results achieved with Graston Manual Therapy. Yeah, the steel

tools. In 22 years of practice, I have done orthotics, stretches,

strengthening, US, cross friction (tough to do on the heel) AND, I too, have

felt the effects of my own plantar fasciitis when over training. Graston

has not failed in any case, absent a significant heel spur, and even then,

has yielded 50-60% improvement. I urge and encourage, as many of you that

care to, sign up for the courses. I can't kke up with the demand.

Art

========================================

Re: Orthotripsy & Plantar Fascitis

Don't forget the possibility of quality orthotics also.

Matt

Orthotripsy & Plantar Fascitis

>

>

> > Orthotripsy aka extracorporeal shock wave therapy. Any body have

> experience

> > or knowledge of this tx for chronic plantar fascitis? Success rate?

> >

> > Dr. Charlie Caughlin DC

> > 155 NW 1st Ave

> > Day, Or 97845

> > off 541-575-1063

> > hm 541-575-1103

> > fax 541-575-5554

> >

> >

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print, forward,

> or otherwise distribute correspondence written by another member without

his

> or her consent, unless all personal identifiers have been removed.

> >

> >

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Art, Those tools look scary. I don't think I would let anyone touch me with

one of those let alone somewhere where it hurts.

sharron fuchs dc

Re: Orthotripsy & Plantar Fascitis

Don't forget the possibility of quality orthotics also.

Matt

Orthotripsy & Plantar Fascitis

>

>

> > Orthotripsy aka extracorporeal shock wave therapy. Any body have

> experience

> > or knowledge of this tx for chronic plantar fascitis? Success rate?

> >

> > Dr. Charlie Caughlin DC

> > 155 NW 1st Ave

> > Day, Or 97845

> > off 541-575-1063

> > hm 541-575-1103

> > fax 541-575-5554

> >

> >

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print, forward,

> or otherwise distribute correspondence written by another member without

his

> or her consent, unless all personal identifiers have been removed.

> >

> >

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sharon, you better than anyone know looks can be deceiving, The fibrosis

eliciting the pain may not be in the area of complaint. Frinstance, plantar

fascitis requires not only work in the heel, but also soleus, probably

gastrocs and maybe even hams. I have worked on my slef and am no

automasochist (There's an opening, ).

; > )

Art

Re: Orthotripsy & Plantar Fascitis

Don't forget the possibility of quality orthotics also.

Matt

Orthotripsy & Plantar Fascitis

>

>

> > Orthotripsy aka extracorporeal shock wave therapy. Any body have

> experience

> > or knowledge of this tx for chronic plantar fascitis? Success rate?

> >

> > Dr. Charlie Caughlin DC

> > 155 NW 1st Ave

> > Day, Or 97845

> > off 541-575-1063

> > hm 541-575-1103

> > fax 541-575-5554

> >

> >

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print, forward,

> or otherwise distribute correspondence written by another member without

his

> or her consent, unless all personal identifiers have been removed.

> >

> >

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sharron:

I have had to resort to seeking out care for myofascial complications in my

stump, and those scary looking tools are the only thing that has kept me

ambulatory.....although they do seem to resemble some form of middle ages

gynecological implements......

perhaps you missed my post several months ago.......I wouldn't be walking

today if it weren't for the Graston technique.....

Jack Pedersen, DC

Orthotripsy & Plantar Fascitis

> >

> >

> > > Orthotripsy aka extracorporeal shock wave therapy. Any body have

> > experience

> > > or knowledge of this tx for chronic plantar fascitis? Success rate?

> > >

> > > Dr. Charlie Caughlin DC

> > > 155 NW 1st Ave

> > > Day, Or 97845

> > > off 541-575-1063

> > > hm 541-575-1103

> > > fax 541-575-5554

> > >

> > >

> > >

> > >

> > > OregonDCs rules:

> > > 1. Keep correspondence professional; the purpose of the listserve is

to

> > foster communication and collegiality. No personal attacks on listserve

> > members will be tolerated.

> > > 2. Always sign your e-mails with your first and last name.

> > > 3. The listserve is not secure; your e-mail could end up anywhere.

> > However, it is against the rules of the listserve to copy, print,

forward,

> > or otherwise distribute correspondence written by another member without

> his

> > or her consent, unless all personal identifiers have been removed.

> > >

> > >

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I have found some cases of what looked like classic plantar fascitis, only

to get great relief of the symptoms by addressing the tibialis posterior.

Check it out- can be a confounder in some.

Joyce McClure DC PC

Orthotripsy & Plantar Fascitis

> >

> >

> > > Orthotripsy aka extracorporeal shock wave therapy. Any body have

> > experience

> > > or knowledge of this tx for chronic plantar fascitis? Success rate?

> > >

> > > Dr. Charlie Caughlin DC

> > > 155 NW 1st Ave

> > > Day, Or 97845

> > > off 541-575-1063

> > > hm 541-575-1103

> > > fax 541-575-5554

> > >

> > >

> > >

> > >

> > > OregonDCs rules:

> > > 1. Keep correspondence professional; the purpose of the listserve is

to

> > foster communication and collegiality. No personal attacks on listserve

> > members will be tolerated.

> > > 2. Always sign your e-mails with your first and last name.

> > > 3. The listserve is not secure; your e-mail could end up anywhere.

> > However, it is against the rules of the listserve to copy, print,

forward,

> > or otherwise distribute correspondence written by another member without

> his

> > or her consent, unless all personal identifiers have been removed.

> > >

> > >

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Art, would you please clarify the availability of courses on the Graston

technique. (Yes this is an invitation for a sales pitch.. If this method

helped Jack's stump and your heel, I better look into it, there are some

things my Activator just doesn't fix entirely) Ron Johansen DC Portland

________________________________________________________________

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Only $14.95/ month - visit www.juno.com to sign up today!

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Art, et al,

I'm looking forward to taking Graston, in the meantime, I do all the usual.

The key things I know are to make sure the patient NEVER goes barefoot,

especially getting out of bed at night, and first thing in the morning, they

must get either into shoes with orthotics, or at least a clog or fairly high

heeled slipper with some arch support. Suddenly stretching the plantar

fascia when it is cold creates or aggravates the microavulsion at the

calcaneus.

The other major thing I do, when I find an exquisitely tender point at the

calcaneus, is use positional release, counter-strain, shortening the area

for 90 seconds to get rid of the tender spot, breaking up the aberrant

reflex.

Of course, the pelvis, the whole lower leg, and other foot subluxations are

important.

Marc Heller, DC

mheller@...

www.DrMarcHeller.com

Re: Orthotripsy & Plantar Fascitis

Don't forget the possibility of quality orthotics also.

Matt

Orthotripsy & Plantar Fascitis

>

>

> > Orthotripsy aka extracorporeal shock wave therapy. Any body have

> experience

> > or knowledge of this tx for chronic plantar fascitis? Success rate?

> >

> > Dr. Charlie Caughlin DC

> > 155 NW 1st Ave

> > Day, Or 97845

> > off 541-575-1063

> > hm 541-575-1103

> > fax 541-575-5554

> >

> >

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print, forward,

> or otherwise distribute correspondence written by another member without

his

> or her consent, unless all personal identifiers have been removed.

> >

> >

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Hey Chaz,

Heard it hurts like hell!!!! Sounds like a good treatment for a non-compliant person!!!!!. Guess the Lithotripter makes quite a stir at the perisoteum.....probably the same as the Graston instrument.

Don White, RN, DC

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I forgot to write that I have done all the usual txs adjusting. orthotics

(although from a podiatrist), and all the pt, and she has numerous other

conditions and is not relally compliant to the end, something always comes up

during tx and she discontinues. She asked my about this and i was just

curious about it

Dr. Charlie Caughlin DC

155 NW 1st Ave

Day, Or 97845

off 541-575-1063

hm 541-575-1103

fax 541-575-5554

----- Orthotripsy & Plantar Fascitis

> >

> >

> > > Orthotripsy aka extracorporeal shock wave therapy. Any body have

> > experience

> > > or knowledge of this tx for chronic plantar fascitis? Success rate?

> > >

> > > Dr. Charlie Caughlin DC

> > > 155 NW 1st Ave

> > > Day, Or 97845

> > > off 541-575-1063

> > > hm 541-575-1103

> > > fax 541-575-5554

> > >

> > >

> > >

> > >

> > > OregonDCs rules:

> > > 1. Keep correspondence professional; the purpose of the listserve is to

> > foster communication and collegiality. No personal attacks on listserve

> > members will be tolerated.

> > > 2. Always sign your e-mails with your first and last name.

> > > 3. The listserve is not secure; your e-mail could end up anywhere.

> > However, it is against the rules of the listserve to copy, print, forward,

> > or otherwise distribute correspondence written by another member without

> his

> > or her consent, unless all personal identifiers have been removed.

> > >

> > >

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I agree with Marc Heller about never going without and arch support. i

tell my pf patients to get a birkenstock type slipper and have it right

beside the bed when they get up at night. My protocol for pf includes

Activator adjustment, softthotics in the street shoes, arch support

slippers and NO BAREFOOT EVER. I also use my Microlite 830 cold laser on

most cases and this is extremely helpful. I seldom have to tape , but it

should be done in acute or stubborn cases. Ron Johansen DC Portland

On Sat, 6 Dec 2003 08:56:08 -0800 " Marc Heller " <mheller@...>

writes:

> Art, et al,

>

> I'm looking forward to taking Graston, in the meantime, I do all the

> usual.

>

> The key things I know are to make sure the patient NEVER goes

> barefoot,

> especially getting out of bed at night, and first thing in the

> morning, they

> must get either into shoes with orthotics, or at least a clog or

> fairly high

> heeled slipper with some arch support. Suddenly stretching the

> plantar

> fascia when it is cold creates or aggravates the microavulsion at

> the

> calcaneus.

>

> The other major thing I do, when I find an exquisitely tender point

> at the

> calcaneus, is use positional release, counter-strain, shortening the

> area

> for 90 seconds to get rid of the tender spot, breaking up the

> aberrant

> reflex.

> Of course, the pelvis, the whole lower leg, and other foot

> subluxations are

> important.

>

>

>

> Marc Heller, DC

> mheller@...

> www.DrMarcHeller.com

>

> Re: Orthotripsy & Plantar Fascitis

>

>

> Don't forget the possibility of quality orthotics also.

>

>

> Matt

> Orthotripsy & Plantar Fascitis

> >

> >

> > > Orthotripsy aka extracorporeal shock wave therapy. Any body

> have

> > experience

> > > or knowledge of this tx for chronic plantar fascitis? Success

> rate?

> > >

> > > Dr. Charlie Caughlin DC

> > > 155 NW 1st Ave

> > > Day, Or 97845

> > > off 541-575-1063

> > > hm 541-575-1103

> > > fax 541-575-5554

> > >

> > >

> > >

> > >

> > > OregonDCs rules:

> > > 1. Keep correspondence professional; the purpose of the

> listserve is to

> > foster communication and collegiality. No personal attacks on

> listserve

> > members will be tolerated.

> > > 2. Always sign your e-mails with your first and last name.

> > > 3. The listserve is not secure; your e-mail could end up

> anywhere.

> > However, it is against the rules of the listserve to copy, print,

> forward,

> > or otherwise distribute correspondence written by another member

> without

> his

> > or her consent, unless all personal identifiers have been

> removed.

> > >

> > >

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In a message dated 12/7/03 2:29:01 PM Central Standard Time,

drpsnell@... writes:

<<

BTW, did you guys hear that filming of Troy had to be stopped when Brad Pitt

injured, you guessed it, his achilles tendon? >>

2 people were struck by lightening during the filming of the new movie about

Jesus Christ by Mel Gibson according to TIME magazine. They printed the

statistics of the liklihood to be struck which is something like 1 in a million,

and

that 2 of the people were struck - if memory serves me it was the actor

playing Jesus and the producer.

Anglen

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It is believed in a bioenergetic sense (a la acupuncture) walking barefoot in

the grass in the Spring is one of the best ways to recharge ones meridians. I

believe it and have had my family do it regularly in the Spring.

Anglen

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I wanted to run that barefoot point by some of you guys. The notion of

instructing a patient to never walk barefoot seems an error to me. At toe

off, the calcaneus has opposing forces placed on it in the saggital plane.

On the distal end is the plantar fascia, on the other, the gastro-soleus

complex. As a person ages, becomes less active and spends 6-8 hrs/day

plantar flexed while sleeping, a tendency toward contracture occurs in the

calf muscles. This results ultimately in the lengthening of the opposing

plantar fascia beyond its elastic limits, hence the condition of fascitis.

It also accounts for the prevalence of achilles tendinitis/rupture in the

aging weekend warrior. Raising the base of the 1st met. passively via

orthotics will help to shorten the long. arch. Actively raising the base of

the first via Janda's short foot exercises will do it too, but compliance

issues make that a difficult row to hoe. However, when you can have a

patient bear weight on a supinated foot, and then reach for the floor with

the first met head, they can then usually stand without pain due to the now

shortened plantar fascia. This an empowering thing, allowing them to note

that they have control of the painful process if they follow-thru. I

advocate use of the orthotics for a period of time to relieve the offending

activity, normalize the biomechanics, and retrain the intrinsic muscles

proprioceptively. Incorporate yoga, tai chi, etc with the orthotics, then

barefoot. Roll a golf ball under the foot while at their desk to add more

proprio. feedback. I think of retraining the muscles controlling the arch

in much the same way as retraining the transversus abdominus or the lower

trapezius. To tell a patient that walking barefoot is something to always

avoid removes them from a basic connection to the earth (uh oh, here we

go!). Try this exercise on yourself. Walk barefoot across a gravel path,

and note how much easier it is if you relax your whole foot, allowing it to

conform to the surface it is presented with. Almost like engage, listen,

follow with every step, huh Marc? Even in uncalloused feet, you'll find it

to be much less painful. For those of you wondering, yes, I do have long

hair and hug the occassional tree; but I don't wear patchouli or have

dreadlocks.

BTW, did you guys hear that filming of Troy had to be stopped when Brad Pitt

injured, you guessed it, his achilles tendon?

>From: R Johansen <drjohansen@...>

>mheller@...

>CC: spine@...,

>Subject: Re: Orthotripsy & Plantar Fascitis

>Date: Sat, 6 Dec 2003 20:06:21 -0800

>

>I agree with Marc Heller about never going without and arch support. i

>tell my pf patients to get a birkenstock type slipper and have it right

>beside the bed when they get up at night. My protocol for pf includes

>Activator adjustment, softthotics in the street shoes, arch support

>slippers and NO BAREFOOT EVER. I also use my Microlite 830 cold laser on

>most cases and this is extremely helpful. I seldom have to tape , but it

>should be done in acute or stubborn cases. Ron Johansen DC Portland

>

>On Sat, 6 Dec 2003 08:56:08 -0800 " Marc Heller " <mheller@...>

>writes:

> > Art, et al,

> >

> > I'm looking forward to taking Graston, in the meantime, I do all the

> > usual.

> >

> > The key things I know are to make sure the patient NEVER goes

> > barefoot,

> > especially getting out of bed at night, and first thing in the

> > morning, they

> > must get either into shoes with orthotics, or at least a clog or

> > fairly high

> > heeled slipper with some arch support. Suddenly stretching the

> > plantar

> > fascia when it is cold creates or aggravates the microavulsion at

> > the

> > calcaneus.

> >

> > The other major thing I do, when I find an exquisitely tender point

> > at the

> > calcaneus, is use positional release, counter-strain, shortening the

> > area

> > for 90 seconds to get rid of the tender spot, breaking up the

> > aberrant

> > reflex.

> > Of course, the pelvis, the whole lower leg, and other foot

> > subluxations are

> > important.

> >

> >

> >

> > Marc Heller, DC

> > mheller@...

> > www.DrMarcHeller.com

> >

> > Re: Orthotripsy & Plantar Fascitis

> >

> >

> > Don't forget the possibility of quality orthotics also.

> >

> >

> > Matt

> > Orthotripsy & Plantar Fascitis

> > >

> > >

> > > > Orthotripsy aka extracorporeal shock wave therapy. Any body

> > have

> > > experience

> > > > or knowledge of this tx for chronic plantar fascitis? Success

> > rate?

> > > >

> > > > Dr. Charlie Caughlin DC

> > > > 155 NW 1st Ave

> > > > Day, Or 97845

> > > > off 541-575-1063

> > > > hm 541-575-1103

> > > > fax 541-575-5554

> > > >

> > > >

> > > >

> > > >

> > > > OregonDCs rules:

> > > > 1. Keep correspondence professional; the purpose of the

> > listserve is to

> > > foster communication and collegiality. No personal attacks on

> > listserve

> > > members will be tolerated.

> > > > 2. Always sign your e-mails with your first and last name.

> > > > 3. The listserve is not secure; your e-mail could end up

> > anywhere.

> > > However, it is against the rules of the listserve to copy, print,

> > forward,

> > > or otherwise distribute correspondence written by another member

> > without

> > his

> > > or her consent, unless all personal identifiers have been

> > removed.

> > > >

> > > >

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: Great post. I enjoyed the thoughtful insights. I have never

liked the notion of telling a patient they can " never " on much of anything

and especially bare feet. There is nothing like walking on the beach- hot

or cold weather with sand squishing through or feeling grass. I think we

need that stimulation of the feet probably more than any of us get for good

foot health. Ann Goldeen

Orthotripsy & Plantar Fascitis

> > > >

> > > >

> > > > > Orthotripsy aka extracorporeal shock wave therapy. Any body

> > > have

> > > > experience

> > > > > or knowledge of this tx for chronic plantar fascitis? Success

> > > rate?

> > > > >

> > > > > Dr. Charlie Caughlin DC

> > > > > 155 NW 1st Ave

> > > > > Day, Or 97845

> > > > > off 541-575-1063

> > > > > hm 541-575-1103

> > > > > fax 541-575-5554

> > > > >

> > > > >

> > > > >

> > > > >

> > > > > OregonDCs rules:

> > > > > 1. Keep correspondence professional; the purpose of the

> > > listserve is to

> > > > foster communication and collegiality. No personal attacks on

> > > listserve

> > > > members will be tolerated.

> > > > > 2. Always sign your e-mails with your first and last name.

> > > > > 3. The listserve is not secure; your e-mail could end up

> > > anywhere.

> > > > However, it is against the rules of the listserve to copy, print,

> > > forward,

> > > > or otherwise distribute correspondence written by another member

> > > without

> > > his

> > > > or her consent, unless all personal identifiers have been

> > > removed.

> > > > >

> > > > >

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Share on other sites

Re: Orthotripsy & Plantar Fascitis

: Great post. I enjoyed the thoughtful insights. I have never

liked the notion of telling a patient they can " never " on much of

anything

and especially bare feet. There is nothing like walking on the beach-

hot

or cold weather with sand squishing through or feeling grass. I think

we

need that stimulation of the feet probably more than any of us get for

good

foot health. Ann Goldeen

****************************

Walking barefoot AFTER warming up, not stepping out of bed cold to go to

the bathroom, is a good thing to do at least some of the time. It

stimulates all those nerve endings/reflexology points in the feet.

Terry Petty, D.C.

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I guess I agree that the avoiding barefoot thing is something that certainly

can be temporary for some people. All your arguments make sense.

My experience is that plantar fascitis is often longstanding, lasts months

and months, and it is key, during any level or irritation or inflammation,

to NOT stretch the plantar fascia when it is cold and not warmed up. thus,

the instruction to avoid getting out of bed barefoot.

Marc

Marc Heller, DC

mheller@...

www.DrMarcHeller.com

Re: Orthotripsy & Plantar Fascitis

> >

> >

> > Don't forget the possibility of quality orthotics also.

> >

> >

> > Matt

> > Orthotripsy & Plantar Fascitis

> > >

> > >

> > > > Orthotripsy aka extracorporeal shock wave therapy. Any body

> > have

> > > experience

> > > > or knowledge of this tx for chronic plantar fascitis? Success

> > rate?

> > > >

> > > > Dr. Charlie Caughlin DC

> > > > 155 NW 1st Ave

> > > > Day, Or 97845

> > > > off 541-575-1063

> > > > hm 541-575-1103

> > > > fax 541-575-5554

> > > >

> > > >

> > > >

> > > >

> > > > OregonDCs rules:

> > > > 1. Keep correspondence professional; the purpose of the

> > listserve is to

> > > foster communication and collegiality. No personal attacks on

> > listserve

> > > members will be tolerated.

> > > > 2. Always sign your e-mails with your first and last name.

> > > > 3. The listserve is not secure; your e-mail could end up

> > anywhere.

> > > However, it is against the rules of the listserve to copy, print,

> > forward,

> > > or otherwise distribute correspondence written by another member

> > without

> > his

> > > or her consent, unless all personal identifiers have been

> > removed.

> > > >

> > > >

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I'm going to see if I can talk my friend Warren Hammer into coming to

Portland to teach Graston,at the moment the closest class to the west coast

is Feb 21-22 in Las Vegas.

Marc Heller, DC

mheller@...

www.DrMarcHeller.com

Re: Orthotripsy & Plantar Fascitis

>

>

> Don't forget the possibility of quality orthotics also.

>

>

> Matt

> Orthotripsy & Plantar Fascitis

> >

> >

> > > Orthotripsy aka extracorporeal shock wave therapy. Any body

> have

> > experience

> > > or knowledge of this tx for chronic plantar fascitis? Success

> rate?

> > >

> > > Dr. Charlie Caughlin DC

> > > 155 NW 1st Ave

> > > Day, Or 97845

> > > off 541-575-1063

> > > hm 541-575-1103

> > > fax 541-575-5554

> > >

> > >

> > >

> > >

> > > OregonDCs rules:

> > > 1. Keep correspondence professional; the purpose of the

> listserve is to

> > foster communication and collegiality. No personal attacks on

> listserve

> > members will be tolerated.

> > > 2. Always sign your e-mails with your first and last name.

> > > 3. The listserve is not secure; your e-mail could end up

> anywhere.

> > However, it is against the rules of the listserve to copy, print,

> forward,

> > or otherwise distribute correspondence written by another member

> without

> his

> > or her consent, unless all personal identifiers have been

> removed.

> > >

> > >

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WOW!Go out of town for the weekend and 161 e-mail messages. I haven't caught up with all the PF messages yet. However, below is an excerpt form my chapter in the upcoming book Conservative Management of Athletic Injuries.

"Extracorporeal shock wave therapy (ESWT) was introduced with great promise. However, recent studies have reported less favorably results, and some report no effect (94, 95). Further complicating the prognosis, previous local steroid injection may have a negative effect on the results from ESWT (96)."

In addition, Tom Hyde, DC, DACBSP and myself will be teaching the Graston Seminar in Las Vegas February 21 and 22. I hope some of you can make it. I just got in from teaching a very short intro on Graston at the ProSport Symposium.

Ted

Ted Forcum, DC, DACBSP, FICC, CSCSBack In Motion Sports Injuries Clinic, LLC11385 SW Scholls Ferry RoadBeaverton, Oregon 97008ph 503.524.9040

On Sun, 7 Dec 2003 17:31:03 -0800 "Marc Heller" <mheller@...> writes:> I guess I agree that the avoiding barefoot thing is something that > certainly> can be temporary for some people. All your arguments make sense.> > My experience is that plantar fascitis is often longstanding, lasts > months> and months, and it is key, during any level or irritation or > inflammation,> to NOT stretch the plantar fascia when it is cold and not warmed up. > thus,> the instruction to avoid getting out of bed barefoot.> > Marc> > Marc Heller, DC> mheller@...> www.DrMarcHeller.com> > Re: Orthotripsy & Plantar Fascitis> > >> > >> > > Don't forget the possibility of quality orthotics also.> > >> > >> > > Matt> > > Orthotripsy & Plantar Fascitis> > > >> > > >> > > > > Orthotripsy aka extracorporeal shock wave therapy. Any body> > > have> > > > experience> > > > > or knowledge of this tx for chronic plantar fascitis? > Success> > > rate?> > > > >> > > > > Dr. Charlie Caughlin DC> > > > > 155 NW 1st Ave> > > > > Day, Or 97845> > > > > off 541-575-1063> > > > > hm 541-575-1103> > > > > fax 541-575-5554> > > > >> > > > >> > > > >> > > > >> > > > > OregonDCs rules:> > > > > 1. Keep correspondence professional; the purpose of the> > > listserve is to> > > > foster communication and collegiality. No personal attacks on> > > listserve> > > > members will be tolerated.> > > > > 2. Always sign your e-mails with your first and last name.> > > > > 3. The listserve is not secure; your e-mail could end up> > > anywhere.> > > > However, it is against the rules of the listserve to copy, > print,> > > forward,> > > > or otherwise distribute correspondence written by another > member> > > without> > > his> > > > or her consent, unless all personal identifiers have been> > > removed.> > > > >> > > > >

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Dear Dr. Snell:

Thank you for this biomechanical analysis. There are so many techniques that

relieve the pain; but, unless the patient adopts the biomechanics of

recovery and prevention, relapse is a certainty.

I have seen plantar fascitis recover with a wide variety of interventions

from self hypnosis to acupuncture to adjustment with orthotics with

nutrients and herbs and even occasionally with time. Thanks again for the

run through the calcaneal planes and the recognition that voluntary muscular

dysponetic patterns and their attendant gravitational strain need not stand

in the way of a solid recovery.

Sincerely,

Willard Bertrand

Re: Orthotripsy & Plantar Fascitis

> >

> >

> > Don't forget the possibility of quality orthotics also.

> >

> >

> > Matt

> > Orthotripsy & Plantar Fascitis

> > >

> > >

> > > > Orthotripsy aka extracorporeal shock wave therapy. Any body

> > have

> > > experience

> > > > or knowledge of this tx for chronic plantar fascitis? Success

> > rate?

> > > >

> > > > Dr. Charlie Caughlin DC

> > > > 155 NW 1st Ave

> > > > Day, Or 97845

> > > > off 541-575-1063

> > > > hm 541-575-1103

> > > > fax 541-575-5554

> > > >

> > > >

> > > >

> > > >

> > > > OregonDCs rules:

> > > > 1. Keep correspondence professional; the purpose of the

> > listserve is to

> > > foster communication and collegiality. No personal attacks on

> > listserve

> > > members will be tolerated.

> > > > 2. Always sign your e-mails with your first and last name.

> > > > 3. The listserve is not secure; your e-mail could end up

> > anywhere.

> > > However, it is against the rules of the listserve to copy, print,

> > forward,

> > > or otherwise distribute correspondence written by another member

> > without

> > his

> > > or her consent, unless all personal identifiers have been

> > removed.

> > > >

> > > >

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