[Eagle5US]

Caution when using medical terminology if you aren't exactly certain what it is you are saying. I am going to separate the following statements for clarity:

Your post is very confusing....
Recalcitrant Plantar Fasciitis? Or RECURRENT / REFRACTORY Plantar Fasciitis?

You mention considerable pain in the DORSAL (top) part of your calcaneous...if it were also POSTERIOR (to the BACK) that would be Achilles Tendonitis.

Pain to the inferior (bottom) anterior (front) of your calcaneous could be plantar fasciitis.

You stated you had Achilles Tendonitis in your ANKLE - Achilles Tendonitis does not occur in the ankle, it occurs on the POSTERIOR (BACK) of the foot.

You mention Ultrasound Tx of your heels...I am assuming you are talking about TENS or UltraSONIC treatments? Ultrasound has no effect on relieving inflammation.

A few clinical questions...
-Have you had any imaging done? X-Ray will probably demonstrate significant heel spurs to the anterior portion of your calcaneous in the event of Plantar Fasciitis and/or to the posterior portion of your calcaneous with Achiiles Tendonitis.

-Do you wear splints at night when you sleep?

-Is your pain THE WORST when you first step on the floor (first episode of weight bearing) in the morning, getting better throughout the day unless you sit down for an extended period?

-Is your pain on the BOTTOM of your foot, or the BACK of your foot.

Once you can clarify the above questions...they may lead to more questions, but I can probably provide some additional guidance for Tx and palliative therapy. For either / both conditions if refractory (Plantar Fasciitis and Achiiles Tendonitis with associated spurs...) after failure of more conservative measures, Podiatrists often can surgically shave the spurs and provide significant relief of symptoms.

Eagle