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Doctor insights on: Can Calcaneal Tendosis Be Healed Without Surgery

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After calcaneus non union can the heel be casted again to finally heal? Have had 4 ankle surgeries. Ankle is fused, calcaneus has not. Ma

After calcaneus non union can the heel be casted again to finally heal? Have had 4 ankle surgeries. Ankle is fused, calcaneus has not. Ma

Non union: If the calcaneus is not healed three months after injury it is not likely to heal with additional casting. A bone graft a bone stimulator may be required to get the bone to heal. ...Read more

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Will waiting two more weeks after the suggested surgery date to repair a fractured calcaneus bone not be an option? If not, why? Thank you!

Will waiting two more weeks after the suggested surgery date to repair a fractured calcaneus bone not be an option? If not, why? Thank you!

See below: The concern is that if the bone has already started to heal, particularly if it is healing in a bad position, it may be harder to fix and not have as good a result as if the timing was optimal. It might be ok to wait, but I would definitely discuss the pros and cons with your doctor. ...Read more

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Do calcaneal stress fractures ever require surgery? I think I have one but I'm scared I'll get told I need surgery as I just had surgery 4 months ago

Depends: Typically stress fractures of the calcaneus requires simple immobilization in a cast or a CAM walker with no weight placed on the foot. Your description of surgery 4 months prior is unclear. Was the surgery on the same heel? See your surgeon for re evaluation. ...Read more

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I have a large 4.8 x 3.0x 3. cm calcaneus lipoma. Minor pain , but worry about rupture. Lipoma growing slowly. Bone wall strength unknown. Surgery?

I have a large 4.8 x 3.0x 3. cm calcaneus lipoma. Minor  pain , but worry about rupture. Lipoma growing  slowly. Bone wall strength unknown. Surgery?

Research First.: The main reason for removing these types of lipomas is pain, however there is some consideration as to the ratio of the size of the lipoma to the size of the calcaneous. Lifestyle and activity level must also be considered. It would be wise to have several opinions as to technique, post operative protocols and most importantly, experience in performing this particular procedure. ...Read more

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In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

In general, post cavus surgery(calcaneal&dorsiflex osteotomies, cut plantar fascia, transfer longus to brevis), realistic everyday & sporting ability?

Yes: If the surgery is successful, you will be much better than you were before and as such should be able to participate in amucj higher activity level than before surgery. I would discuss your specific case with your surgeon. ...Read more

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I have a calcaneal spur. We have tried several dextrose injections, a walking boot and a soft cast and I am still in pain. Should I have the surgery?

I have a calcaneal spur.  We have tried several dextrose injections, a walking boot and a soft cast and I am still in pain.  Should I have the surgery?

What is a dextrose : Injection supposed to do? If the condition is purely biomechanical, conservative treatment should work, unless there is something else wrong like perhaps a partial tear of the plantar fascia or stress reaction or fracture of the heel bone. These latter diagnosis are made via MRI which is a good idea before contemplating a heel surgery. A nerve entrapment is another possibility. ...Read more

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G-daughter had 2 knee surgeries n < a yr 2 fix dislocated knee cap still limited n using knee w/o pain now has patellar tendonitis what % 4 future use?

G-daughter had 2 knee surgeries n < a yr 2 fix dislocated knee cap still limited n using knee w/o pain now has patellar tendonitis what % 4 future use?

Refer to answer: Usually patella tendonitis is due muscle power disproportion. Unfortunately what most physical therapist concentrate on quad exercise. Buy a pair of ankle weights of 20 lbs. Put it on her ankle. Lie on stomach and do back ward leg exercises 100 set per day. Twice a day each time for 15 minutes put ice pack on patella tendon. Cold lazer three secession helps it tremendously. ...Read more