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Searching file 26

Message Number 266123
Re: venting!!! View Thread
Posted by Dr. DSW on 7/08/10 at 06:48

I believe the best stretch is the non weight-bearing plantar fascia stretch discussed on this site. Click on the highlighted words and the stretch is explained in detail. I would highly recommend staying away from weight-bearing stretching, especially the 'stair' stretch, though this is often a highly recommended stretch.

Many doctors mix vitamin B-12 into their injections if they believe there is nerve involvement due to the reported benefits of B12 and nerve disorders.

Result number: 1

Message Number 265307

Hmm... now the nerves in the tops of my feet are tingling... View Thread
Posted by Stoney on 5/22/10 at 16:56

... that sure doesn't seem like neuroma to me. I've made a neurologist appointment; they podiatrist seems to think conventionally and considers my condition 'mechanical.' I don't think so any more.

It is getting worse daily, and is worse at the end of a day than the beginning. This morning upon rising it was worse than at the end of the day 2 weeks ago.

I'm adding B12 supplements (1g) and cutting back on Lamictal. I might try going off Zyprexa entirely (just guessing here, because when I was on much larger amounts I had minor toe tingling after taking a dose).

I need a medical detective!

Result number: 2

Message Number 265306

Diff diagnosis needed: several "neuromas" in both feet, think it must be systemic View Thread
Posted by Stoney on 5/22/10 at 16:50

I can barely walk now, not due to pain yet, but due to the feeling of mass across the entire ball of each foot that is finally starting to become painful... I don't want to aggrevate them further. I need a differential diagnosis -- it doesn't seem to be neuroma. It could be some sort of bilateral peripheral neuropathy.

It started as one 'bump' in the ball of each foot 3 months ago, but has expanded such that it feels as if all intertarsal spaces have neuromas. My toes tingle some and are a bit numb, all 5 toes in both feet. The bottom of my arches feel tight -- I think it is the nerves, not fascia. All the nerves in my soles feel sensitive if I push lightly, whether near the heel or into the arch. when I do this lightly, my foot nerves tingle for quite some time afterwards.

I can squeeze the foot without pain; same with pushing on it. The only pain I have is the nerves themselves... I can feel them and visualize them as I spread my toes. I've never 'felt my nerves' before. Joints feel fine. I don't run and am relatively sedentary aside from swimming, and some walking at work. I tried green superfeet and metatarsal pads under 2nd-4th, but didn't change the rate of worsening.

I think it is some sort of systemic process. Metabolic or autoimmune or side effects of meds. Sometimes I feel like the middle two fingers of each hand tingle slightly. One day I felt my noise was tingling slightly. However, I don't want to assume these are the same cause, and they are very minor. I also had sore sciatic nerves at times... again, no proof it is related, but maybe?

I am on medicines that may have side effects. I recently started Crestor, about the same time as symptoms appeared. But I'm afraid to stop it becaue it helped so much with cholesteral, and I've read that stopping a statin can present cardiovascular risk upon stopping. Years ago, Zocor caused pain in leg muscles. I'm also on Lamictal, effexor, zyprexa (2.5mg only), xanax XR (1mg only), for migraine prevention as well as BP II.

We're testing for B12 deficiency, for too much calcium. I also have a mother with osteoarthritis but I don't have evidence of that.

My feet are flat -- one entirely, the other almost. Never had any problem except rare, a tiny amount of plantar fasciitis that clears up when wearing blue Superfeet.

Help... I'm about to go on disability.

Result number: 3

Message Number 264773

Re: Haglund's Deformity View Thread
Posted by Brett W on 4/21/10 at 17:42

Brian, I also suffer from Haglund’s Deformity (going on 1.5 years now). Two different doctors confirmed it … the MRI confirms it … and the pain tells the rest of the story. I am one of those people that DOES NOT want to have surgery to remedy this issue and is looking for an alternative approach. The thought of detaching the achilles from my ankle, cutting away bone, and stapling it all back together seems messy and unnecessary. In the past two months, I have made several changes to my lifestyle to combat the pain and avoid surgery; and it seems to be working quite well.

I’m almost 100% pain free and I can run again without too much discomfort. Each day seems to get better and better. I can’t point to any one thing that I’ve done to bring about this change, but I can at least let you know what I’m doing. I’M NOT A DOCTOR, but maybe this information will help some of the people on this list that are contemplating surgery:

1 - I changed my diet by eliminating as much animal fat as possible.

2 – I added extra stretching and light weight training to my calves – my physical therapist has me doing this … especially before I start my run.

3 – I tossed my dress shoes in the trash and started wearing shoes less likely to rub my heels – this was a no-brainer.

4 – I started taking 2500 micograms (mcg) of vitamin B12 twice a day (the kind that dissolves under your tongue … sublingual – do not swallow the tablets whole). My pharmacist told me about the vitamin B12.

5 – I added Chia seeds to my diet – two tablespoons once a day. NOTE: Chia seeds are not for everyone. Do your research before adding these to your diet - http://www.methodsofhealing.com/what-are-chia-seeds-and-its-health-benefits/ .

The outcome, over the past two months, has been tremendous. I’ve gone from barely being able to walk after a run, to an almost 80% recovery. I’m running five miles at a time, 3 days a week. I truly believe that in another month my recover rate will be 90% or better. So I hope this helps.

Result number: 4

Message Number 264452

Re: for the docs View Thread
Posted by Anthony on 4/02/10 at 10:02

Yes there are many types of Neuropathies. There are neuropathies associated with autoimmune diseases (Lupus, Rheumatoid arthritis etc), Vitamin deficiencies, mainly B6 & B12, this could be due to diet or malabsorption (from Celiac disease or Inflammatory bowel disease for example), B12 deficiciencies can be caused by some medications including Metformin (great medication for diabetes, u should take extra B12 if on this) and long term use of proton pump inhibitors (omeprazole, nexium, protonix etc), could be associated with heavy metal exposure, Hepatitis B&C, HIV, Different types of gammaglobinopathies- Amyloidosis, certain Hereditary diseases Marie charcot tooth (think I spelled that right) also could be due to compression of peripheral nerves (Carpal tunnel & tarsal tunnel syndrome, hypothyroidism, COPD and many other causes if you would like an article from uptodate.com, send me an email to aarnott at floyd.org for more info. Hope this helps, also emedicine.com is a great website for medical information that is free.

Result number: 5

Message Number 264419

Re: MRI results of both feet View Thread
Posted by MarkF on 3/31/10 at 22:57

Here are the results of my MRI's on both feet:

MRI of left foot
1. Moderate to severe plantar fasciitis with heel spur.
2. No soleus or achilles abnormality.
3. There are reactive changes in the ostrigonum with disruption of the ostrigonum synchondrosis.

MRI of right foot
1. No calcaneal fracture.
2. There is moderate plantar fasciitis.
3. Moderate joint effusion posterior to the posterior facet of the subtalar joint.


My Vitamin D levels are way low. I just tested at 24.4 and last year my level was 25.6. The doctor stated that the normal range is 32 to 100. Last year, my B12 level was greater than 2,000 with the normal range being 211-911. I am scheduled to retest my B12 level tomorrow. How do you lower your B12 level if this test comes in high as well. The doctor would like to see both of these levels normalized before he will even consider surgery.

Result number: 6

Message Number 264418

Re: MRI results of both feet View Thread
Posted by MarkF on 3/31/10 at 22:55

Here are the results of my MRI's on both feet:

MRI of left foot
1. Moderate to severe plantar fasciitis with heel spur.
2. No soleus or achilles abnormality.
3. There are reactive changes in the ostrigonum with disruption of the ostrigonum synchondrosis.

MRI of right foot
1. No calcaneal fracture.
2. There is moderate plantar fasciitis.
3. Moderate joint effusion posterior to the posterior facet of the subtalar joint.


My Vitamin D levels are way low. I just tested at 24.4 and last year my level was 25.6. The doctor stated that the normal range is 32 to 100. Last year, my B12 level was greater than 2,000 with the normal range being 211-911. I am scheduled to retest my B12 level tomorrow. How do you lower your B12 level if this test comes in high as well. The doctor would like to see both of these levels normalized before he will even consider surgery.

Result number: 7

Message Number 263553

Re: TTS syndrome & recovery View Thread
Posted by Stu on 2/18/10 at 09:16

I have had the tingling and stabbing in both feet since I started a walking program in October with ill fitting shoes.

Lumbar screened, diabetes, B12, thyroid, SED rate. 15 more vials of blood taken for testing - results due in April. Neurologist says I do have neuropathy in the feet. Podiatrist has found a positive Tinel's sign, although Tarsal Tunnel has not been diagnosed yet.

I just wanted to comment on the lack of information out there on conservative treatment of Tarsal Tunnel, and also the amount of time it takes to diagnose it. I am 4 months in to the process now and very frustrated at how casually the docs seem to treat it. Present podiatrist has made me wait a month to cast my feet for orthotics and then add another 6-8 weeks to receive them. Needless to say, I won't be going back there.

At any rate, I wanted to tell you of a site called 'NeuroTalk'. There is a thread there on neuropathy - very helpful suggestions on dealing with nerve pain. Talks a lot about vitamin supplements - B vitamins, alpha lipoic acid, fish oil, COQ10, and some others.

Just an FYI and nice to meet you.

Result number: 8

Message Number 263546

Re: TTS syndrome & recovery View Thread
Posted by Cher on 2/18/10 at 00:04

It sounds like your massage therapist may be a naturalist. I would not feel guilty for having your surgery. When you get to the place we have been, no one else knows how desperate we are for relief.
Even though mine has not had a good response, I still know I made the best decision I could at the time, and I am not going to live my life regretting it. Am I ready to go back in to do the other foot? No, not at this point. But I'd of never known if I hadn't gone for it.
I am all for doing things as natural as possible, but I also believe God put drs here for a reason and there are times what they can do is useful as well (really not trying to get into any kind of controversial subject here--just trying to get you to not feel too confused or guilty about having done surgery).
Does this massage therapist know Tarsal Tunnel very well? My guess is 'no.' It is uncommon. She might know Carpal Tunnel , as mine did. She told me that with Carpal she's been able to massage the right areas to help it out of people.
Well, Tarsal is more complicated with weight bearing and all of that. I think she was surprised I did not have long term relief after several sessions with her.
I found out my B12 levels are good. Also B6 can be good, but I also read that too much can actually do nerve damage, so you really must be careful.
Please do not fear MS unless you have a really good reason for it. MS deals with the spine and brain as well. I can't remember what kind of tests you've had done. I had a nerve conductivity test, and the passage way up the spine to the brain was good.
Also, thank the LOrd my brain MRI turned out fine.
They did do an MRI now of my Lumbar region and there is some mild stuff going on there. I will be seeing a neurologist on Friday and hope to hear if he thinks there is enough damage in teh Lumbar area to affect my feet like this, or if he thinks 'for sure' just Tarsal Tunnel.
I'm sure you can find a lot of people unfamiliar with Tarsal Tunnel who will be willing to sell you some health product or exercises that will be your 'cure'. People on this board can probably list for you all of the money they've spent on things others told them was 'THE way' to their getting past this.
Unless someone is super familiar with Tarsal Tunnel, I say, be careful.
But, by all means, I'm sure that cutting out the white sugar and doing the exercises isn't going to hurt you, so if it makes you feel better, go for it.
Let us know how things go.

Result number: 9

Message Number 263088

Help me while I wait for diagnosis, please. View Thread
Posted by Stu55 on 1/28/10 at 15:27

Developed burning, tingling numbness in both feet after starting a walking program in October.

Screened for diabetes, thyroid, B12, Lumbar (MRI)- circulation probs, all negative.

Been trying to stay off my feet unless necessary.

Can't see my podiatrist until next week and just trying not to do anything more to damage myself.

I have been icing a couple of times a day and stretching. On Cymbalta and NSAID.

Mornings seem to be the worst for some reason.

I'm trying an ACE bandage tonight.

Hard to sleep, any suggestions appreciated.

Result number: 10

Message Number 262711

Heel spurs and numbness View Thread
Posted by Melanieg on 1/10/10 at 13:52

The past eight months I have been through the mill with tests. The E.R. and my family doc had me tested for MS, and thankfully those tests didn't conclude a Dx. I have seen two neuro's, MS specialist, and a rheumatologist. I have also seen a Pod Doc that injected a shot of cordisone shot it my left foot, and it the next day i was in extreme pain. The pain went away a few days later, but it only helped for a few weeks. The numbness is in my feet to my ankles. My right hand was numb for for about eight weeks, but then I got the feeling back little by little. My EMG was abnormal.

My rhem put me on Neurontin for the numbness, but I had to stop it because it made me feel like a zombie. I have an active four year old daughter so that wasn’t an option for me to get my body use to it. She also believes it may be due to a vitamin deficiency and a pinched nerve. The last time I was tested my b12 came up as “borderline low.”

I have done some research, but I don’t see any correlation between heel spurs and numbness. Also is it typical that heel spurs worsen during the menstral cycle? What can be done at this point?

Result number: 11

Message Number 262602

Global Rebound View Thread
Posted by marie:) on 1/04/10 at 20:08

Ok I saw local manufacturing beginning to pick up in October but it's nice to have the facts as well. One day at a time. Jobs still need to rebound but that won't happen until manufacturing feels secure. They'll run round the clock shifts 7 days a week until people wear out....then they'll hire.

http://online.wsj.com/article/SB126261702966614853.html
A jump in new orders spurred U.S. factories to step up production, with manufacturing expanding in December at its fastest pace in more than three years, according to a survey of U.S. purchasing managers released Monday. Similar reports in Asia and Europe also showed the pace of expansion quickened last month.

The mounting evidence of a global manufacturing rebound gave world stock markets a boost on its first trading day of the new year. The Dow Jones Industrial Average rose 155.91 points, or 1.5%, to 10583.96.

'It's looking very good and not just in the U.S.,' said Zach Pandl, an economist with Nomura Securities in New York. 'The economy has a lot of momentum right now -- it's a good sign that we're turning a corner.'

Result number: 12

Message Number 261350

Re: Alpha Lipoic Acid View Thread
Posted by Dr. Ed on 10/17/09 at 17:00

David - keep in mind that there are large numbers of patients on drugs to suppress hydrochloric acid production, proton pump inhibitors such as Nexium/Prilosec. Since both intrinsic factor and hydrocholoric acid are needed for B12 absorbtion, I would look more closely at such patients.

Also, more people are reducing the intake of foods containing B12 which tends to be found in animal products. Vegetarians as well as bean sprout, avocado eating Californians may have less consumption of red meat than Texans. ;) Here in Texas, dietary theory is fairly simple: the steer eat the vegetables and we eat them.

Ed

Result number: 13

Message Number 261225

Re: Alpha Lipoic Acid View Thread
Posted by D. on 10/10/09 at 22:01

Dr. DSW:

I went to the Metanx website to see why it is better to take it than B vitamins. It looks like it contains just B6, B12 and Folic Acid. So I still don't understand. What I do know, however, is that it is best to take B12 either by injection or sublingually, since so much is lost in the digestive system due to first pass metabolism.

Would you kindly explain the rationale to me?

PS - What a lot of people may not know is that B12 is much more effective if injected. It is available in preloaded syringes with a thin diabetic size needle. No prescription is necessary here in Canada.

Result number: 14

Message Number 260613

partial tear plantar fascia View Thread
Posted by mb1234 on 9/16/09 at 10:17

I have a partial tear plantar fascia at the dorsal aspect of the proximal attachment of the medial band of the plantar fascia.

Did physical therapy (whirlpool bath, electric stimulation for 6 weeks) My doctor recommended a walking boot. after 2 weeks in the boot, I completely threw out my back and was on bed rest for 1 1/2 weeks. After a second MRI- and minimal healing of the tear (1.0 cm from 1.6) I am unsure of what to do next? can anyone suggest?

platelet therapy?
ice and tape?
deep tissue massage?

Result number: 15

Message Number 260139

Re: Stimulus is working........ View Thread
Posted by marie:) on 8/27/09 at 17:00

John, the factories are getting orders. It's not going to move quickly, it'll move at the same pace that it began. It took years to get here and those at ground zero knew it then and they know it now. The factories are adding shifts back. It's started and like a virus it will grow across the country. ;) Thank you team Obama!

http://online.wsj.com/article/SB125139012927963961.html
Ford to Raise Output at Two Plants

http://www.reuters.com/article/smallBusinessTopNews/idUSN2730339820090827
Labor Department showed the number of U.S. workers filing new claims for jobless benefits fell by 10,000 to 570,000 last week, suggesting firms were not firing staff as aggressively as they did early in the year.

'Everything around the data indicates that we are in a normal recovery out of a deep recession. The recovery probably started this summer,' said Brett D'Arcy, chief investment officer at CBIZ Wealth Management in San Diego, California.

The U.S. economy appears to be emerging from its longest and deepest recession since the Great Depression of the 1930s.

Result number: 16

Message Number 260072

Stimulus is working........ View Thread
Posted by marie:) on 8/25/09 at 17:50

It's begun at ground zero. The factories are getting orders!!! The recession began in the midwest and spread like a virus and now the recovery will do the same. It'll be slow at first but it's started. Go team Obama!!!

http://www.reuters.com/article/ousivMolt/idUSTRE57O5V720090825
The $787 billion stimulus package passed in February will fuel a recovery in the moribund U.S. economy this year, Congress' non-partisan budget watchdog said on Tuesday.

'Economic activity will begin to rebound in the second half of 2009, largely the result of fiscal stimulus,' the Congressional Budget Office said in its assessment of the federal budget and U.S. economy.

The stimulus will boost gross domestic product between 1.4 percent and 3.8 percent in the fourth quarter of 2009 and between 1.1 percent and 3.4 percent in the fourth quarter of 2010, the budget experts said. By the end of 2013 its effect will be minimal.

http://www.nytimes.com/aponline/2009/08/21/business/AP-US-Home-Sales-Midwestern-Cities.html
Home sales in the Midwest surged 8.5 percent in July, the second straight annual increase, as new home buyers snapped up properties to take advantage of a temporary federal tax credit, the National Association of Realtors reported Friday.

http://online.wsj.com/article/SB125120927012356935.html
With signs growing that the recession has ended, U.S. consumer confidence rebounded in August, especially regarding expectations for the economy six months from now, a report released Tuesday said.

Result number: 17
Searching file 25

Message Number 259630

Is Obama's healthcare plan an HMO in sheeps clothing? View Thread
Posted by Dr. Ed on 8/11/09 at 20:49

Consider: http://online.wsj.com/article/SB124536864955329439.html#articleTabs%3Darticle

Ed

Result number: 18

Message Number 258618

Re: Dr Goldstein/Metanx View Thread
Posted by Dr. Ed on 7/04/09 at 13:58

Dorothy:
It is important to establish the reason for low B12 levels since B12 deficiency may be the result of difficulty with absorbtion. Two items required for B12 absorbtion are an adequately low stomach pH (stomach acid) and intrinsic factor. There is nothing wrong with using a B12 supplement and then measuring levels serum B12 levels though. The primary use of Metanx is for peripheral neuropathy but it can be used as a B12 supplement. Other options may include sublingual B12 tabs depending on your response.
Dr. Ed

Result number: 19

Message Number 258391

Foot Hypersensitivity View Thread
Posted by Bernadette on 6/26/09 at 01:13

I had surgery on Jan. 7, 2009 for the diagnosis of Baxter's Neuroma with plantar fasciitis. Now after 5 months I am beginning to regret the surgery as I had such discomfort shortly after the surgery. Could hardly walk on the foot so I was sent for physical therapy 3 x per week for about six weeks. I had to undergo a series of injections to break up the scar tissue which was causing so much discomfort when standing or walking barefoot. I was using scar cream after the stitches were taken out. My foot felt like it had a rope under it at all times. I have such hypersensivity in the foot. The arch area actually hurts more now than before the surgery. If I am out shopping for a couple of hours my foot starts hurting so much. Per my doctor, I have been putting Zostrix along the bottom outer side of my foot for weeks now and have started putting it below the ankle area. I do not know if this is even helping me. My doctor wanted me to take Lyrica but I do not want to take it due to the side effects and the fact that I am taking medication for hypertension. I need some guidance as to what approaches to take to resolve this issue. I want to hope that this will eventually fade but as time goes by I am beginning to lose hope. I should mention that I have started to take vitamin B12 in hopes that it may help this situation. Any suggestions or recommendations would be so helpful.

Result number: 20

Message Number 256797

Re: When will banks begin to make loans....? View Thread
Posted by marie:) on 4/10/09 at 07:58

I agree with you Dr. Z. :) When the TARP package was passed once again Paulsen assumed they would use it to continue lending.........and that is where the problem lies. We simply cannot assume people will do the right thing, we must require them to do the right thing. That's why we regulate certain industries. I think Obama is doing that with the automotive industry and the same heavy handedness should be applied to banking. Can Obama and his team change the TARP agreement passed under the Bush administration? I believe they are trying.

Can CNN make a difference? Maybe.....certainly worth exploring.

So what is the president up to with banking and lending? some of my concerns are being addressed.........is it enough? Does the plan require changes or are they just trying to encourage lending? How long before we see a difference? it looks like they aready to oust execs.,in 30 days money for small business loans will be available and encourage lending.

http://online.wsj.com/article/SB123896116444090481.html?mod=googlenews_wsj
Treasury Secretary Timothy Geithner said Sunday that the Obama administration would consider removing top management and boards at financial companies if the government were to offer 'exceptional' assistance to keep the firms operating.

http://www.bloomberg.com/apps/news?pid=20601103&sid=aylbeokVZaWo&refer=us
Obama Bank Policy Signals $1 Trillion in Writedowns

http://www.washingtonpost.com/wp-dyn/content/article/2009/04/08/AR2009040804138.html?wprss=rss_business
One item authorized by the stimulus bill, the Business Stabilization Loan Program, provides for loans of up to $35,000 to small businesses so they can make payments on their outstanding debt. The loans would be 100 percent guaranteed by SBA. The stimulus package also authorized the SBA to guarantee pools of small-business loans held by broker-dealers, and to set up a new program to help inject more money into lending markets.

http://online.wsj.com/article/SB123931996530606873.html
Some of the nation's biggest lenders, including Bank of America Corp., J.P. Morgan Chase & Co. and Wells Fargo & Co., are beginning to roll out a new program established by the Obama administration as part of its housing-rescue plan to help refinance homeowners who otherwise couldn't get new loans.

http://www.bloomberg.com/apps/news?pid=20601103&sid=a8RXZ9E8JWMU&refer=us
Banks are hoarding cash and driving up borrowing costs as Treasury Secretary Timothy Geithner seeks to spur them to resume lending by enticing private investors to buy troubled assets clogging their balance sheets.

Result number: 21

Message Number 256579

Home prices View Thread
Posted by wendyn on 4/03/09 at 08:53

And when might those home prices bottom out?

http://money.cnn.com/magazines/moneymag/moneymag_realestate/2009/snapshots/1.html


http://online.wsj.com/article/SB123853857749575441.html

Result number: 22

Message Number 255866

Hope I don't jinx it but......... View Thread
Posted by marie:) on 3/12/09 at 19:56

I think it's been nice to have 3 days of stock market gains. Not by very much but hey in these times you have to embrace good news. I almost hate to get excited because we've been disapointed before.

http://online.wsj.com/article/SB123672598122188369.html?mod=googlenews_wsj
Can Citigroup continue to lift the stock market?

Stocks soared Tuesday after Citi Chief Executive Vikram Pandit said the bank was profitable in the first two months of this year.

http://www.marketwatch.com/news/story/gm-has-enough-cash-make/story.aspx?guid={B36650D7-FC70-4A9A-830A-5E1DE15C3921}&dist=msr_7
General Motors Corp. shares extended this week's strong rally on Thursday, jumping another 17% after the automaker said it doesn't need the $2 billion of funding in March that it had originally requested from the U.S. government.

Result number: 23

Message Number 255298

Re: Home Owner Rescue Plan View Thread
Posted by Rick R on 2/20/09 at 07:53

John,

Here's the best article on the genesis of the crisiss that I have read to date. To prop up that which should not have been to begin with seems like the classic 'throwing good money after bad.'

http://online.wsj.com/article/SB123509667125829243.html

Rick

Result number: 24

Message Number 254936

Re: Decisions Making-The Science Of View Thread
Posted by Rick R on 2/09/09 at 14:59

John,

Here's a good article on the trail that led us here. While there is so much passion regarding how Bush got us into this mess, including our President telling us that it's the policies of the last 8 years, we are not facing up to the root cause. We are ready to spend a trillion dollars and we don't have the intellectual honesty to face up to the cause of why we are spending it? My country is too valuable to me to pull this decision our of a place that doesn't see a whole lot of day light.

Back to the high pressure sales feeling, I don't think some folks want a well thought out decision because they are afraid that we just might think it through and say no.

http://online.barrons.com/article_email/SB123396551669058895-lMyQjAxMDI5MzAzNzkwNjc1Wj.html#

Result number: 25

Message Number 253610

Re: bilateral TTS? View Thread
Posted by Cameron B. on 12/31/08 at 19:01

My blood work could not be more perfect. I have been tested with a GTT twice and B12 normal. As far as vascular goes, pulses are great and color/capillary refill normal. They do, however, get very cold at times even though they feel like they are burning. It's a sock-like pattern--feels like a rubberband where the calf meets the soleus. I am a P.A. by the way, so this is very difficult for me to understand. It came on very suddenly and I was a runner. Started like pebbles in both forefeet for 3 months, neuroma surgery then came burning and tingling progressing to medial heal, tarsal tunnel area and up back of achilles. Pretty much equal in both feet. I have recently had epidurals in my spine to see if that helped. The first relieved some pressure and 50% pain reduction and burning for one week, so they thought possibly a radiculopathy, however, the second which was today has done nothing so far. Thanks for your advice.

Result number: 26

Message Number 253603

Re: bilateral TTS? View Thread
Posted by Dr. Wedemeyer on 12/31/08 at 14:19

Has anyone considered diabetes, B12 deficiency or vascular concerns?

Result number: 27

Message Number 253518

Re: Orthotics question - please View Thread
Posted by Lillian on 12/27/08 at 17:17

Dr. Wedemeyer – Thank you for spending so much time with your response. I am grateful.

Where to start? I have had bi-lateral foot problems for at least 6 years. It started out as plantar fasciitis, but when I went to a podiatrist he prescribed very rigid orthotics and I couldn’t wear them. Luckily, I discovered that I could wear Birkenstock high arch sandals and clogs and so I happily wore that style shoe for several years and I was pain free. I have high arched, hypermobile feet.

At some point about two years ago, all of a sudden, the Birks didn’t work anymore and I started to have pain again - - only this time much worse. I went back to my original podiatrist and he diagnosed bi-lateral plantar fasciitis, bi-lateral tarsal tunnel, and bilateral neuromas. He told me the outcome of surgery for these conditions was not good and that he couldn’t help me. I was devastated.

Soon, I went to a very well-known, university orthopaedic surgeon and he told me I need to have a fasciotomy and release of the nerve that was causing the tarsal tunnel. I balked at news and I decided to seek another orthopeadic surgeon’s opinion. This second surgeon put me in a plaster cast on the left foot for a month to see if this helped – it didn’t.

Trying to avoid the surgery, I went to another prominent sports orthopaedic surgeon and he said he thought orthotics and PT would help. He prescribed very soft orthotics, which felt good, but didn’t really offer enough arch support for all day wear and I would return home from a day’s teaching with foot pain.

There is tingling and a little bit of numbness - - moreover there are odd, hyper-sensitive sensations on the sole of my feet. There is also some puffiness on the sides/bottom of my feet near the arch. This puffiness comes and goes but if I am on my feet for a while, it puffs up. There are definitely nerve sensations in this area. I do not have RSD, but I do have Reynaud’s.

Finally,just lately I decided to seek one more podiatrist’s opinion that was known for his biomechanical approach to PF and TT. This is the point where I am today. I told myself, if this didn't work I would have the surgery by the first doctor I mentioned above.

For the record, I do take half a gm. of synthroid for a goiter to keep it from growing although my thyroid levels are normal, I have had at least three rounds of nerve conduction and circulation tests and all were normal. I have had MRIs of my back and of my feet. I have no B12 deficiency, and I do not carry the gene for rheumatoid arthritis; I think I have some wear and tear arthritis in my feet somewhat, and elbows. The original surgeon I refer to above told me that he could tell that my fascia was thicker than normal by the MRI and it was probably pinching a nerve. And he saw this in both feet. I have tinel’s sign in both feet although it is not that 'strong' but more mild. He did recommend surgery.

The pain is worse at night or when I am on my feet for a long time. There is no pain while I am sitting or lying down. I do have issues with my L4, 5, and S1. I had three cortisone shots in my back, but prominent neurosurgeon says this has nothing to do with my feet pain.

I think I really need surgery on my feet but I am petrified. You can see that I keep hanging on to the idea that orthotics, or something, will help me. I can’t afford to become unable to do my job and I fear that the surgery would make me worse.

I have read so much and learned so much through this website and others. I know so much I think it freaks out the doctors when I have an office visit. This is what happened when I went for the current orthotics and that is why I am suspicious about the posting on one foot and not the other. I am probably a doctor’s nightmare – I ask so many questions about what they are proposing to do or have done, etc.

I never wrote this all out like this and I never fully realized the fear I have of surgery. But, maybe the orthotics will work? And that is why I wrote to you. I am aware that you cannot examine me - - but I still need help, which maybe I will get if I hang on with my current podiatrist and wait for the orthotics to be adjusted and give them time…………. This is where I am right now.

Result number: 28

Message Number 252345

GM Bailout View Thread
Posted by SteveG on 11/17/08 at 09:02

Excellent overview of why they should go bankrupt -


http://online.wsj.com/article/SB122688631448632421.html

Result number: 29

Message Number 252025

Re: Obama and Nancy Polosi View Thread
Posted by 313 on 11/09/08 at 14:02

I do not know anything about Nancy Pelosi and President-Elect Obama but John I am wondering why you express strong dislike of the NYT? How often do you read it? What columnists do you read? Have you noticed that William Kristol and David Brooks, both conservatives, have regular columns in the paper? Have you read much Thomas Friedman? Do you think he is too liberal? Do you think it is worthwhile to read the opinions of people like Paul Krugman, the Noble Prize winning economist?

You are a smart man so I would think that you read and appreciate many points of view and welcome the opportunity to grapple with complex layers of issues.

A huge part of the 40 year old culture war is an attack on complexity and a reliance on populist symbols. There are two great articles in current papers about this:

from the paper you seem to despise: 'The War On Brains' http://www.nytimes.com/2008/11/09/opinion/09kristof.html?hp

and from the Wall Street Journal: 'The Perils of Populist Chic' http://online.wsj.com/article/SB122610558004810243.html

I think the first step toward the sane and rational political discourse our country desperately needs is the ability to hear and read diverse points of view with respect. You demonstrate that ability here in almost every post.

Result number: 30

Message Number 251440

peripheral neuropathy??? View Thread
Posted by theresa g on 10/24/08 at 00:16

(this was posted on dr page, but reposted here in case anyone else has some input)

Went to see the ortho surgeon today. I asked about the weird vibrating feeling I've had in big toes/lateral and medial areas of both feet, over past 3 months, intermittent. Have been taking Cymbalta for past 4 months for chronic pain of metatarsalgia. This worked better the first 2 months than it is working now, but it's still better than not taking it.

His opinion is that I have peripheral neuropathy. Suggested I find and take pantothenic acid (B5) and gave me samples of lyrica. I had a B12 test run about 2 weeks ago and it was 170--low according to my lab. I started taking a supplement for that. I go back to doc in 3 weeks. My thinking is to take the B complex for 2 weeks to see if that helps first, then maybe start the lyrica. Opinions? Can it be TTS? Can this be tested for with EMG? SHOULD it be tested for with EMG? I am not diabetic, not even borderline, and I don't smoke. 51 yrs old, female.

Brief history: PF surgery in both feet. Chronic pain in all met heads bilaterally, with tight gastroc/achilles bilaterally. PT for 12 weeks with 12 ASTYM treatments at beginning of 2008. Custom orthotics and I only wear NB1062 shoes or birkenstock arizona. Job is in busy medical lab, on concrete, full time. Also take lortab when needed, usually daily. Right hip bursitis for 2 yrs, partially controlled with steroid injections.

Thanks in advance.

Result number: 31

Message Number 251378

peripheral neuropathy??? View Thread
Posted by theresa g on 10/22/08 at 01:31

Went to see the ortho surgeon today. I asked about the weird vibrating feeling I've had in big toes/lateral and medial areas of both feet, over past 3 months, intermittent. Have been taking Cymbalta for past 4 months for chronic pain of metatarsalgia. This worked better the first 2 months than it is working now, but it's still better than not taking it.

His opinion is that I have peripheral neuropathy. Suggested I find and take pantothenic acid (B5) and gave me samples of lyrica. I had a B12 test run about 2 weeks ago and it was 170--low according to my lab. I started taking a supplement for that. I go back to doc in 3 weeks. My thinking is to take the B complex for 2 weeks to see if that helps first, then maybe start the lyrica. Opinions? Can it be TTS? Can this be tested for with EMG? SHOULD it be tested for with EMG? I am not diabetic, not even borderline, and I don't smoke. 51 yrs old, female.

Brief history: PF surgery in both feet. Chronic pain in all met heads bilaterally, with tight gastroc/achilles bilaterally. PT for 12 weeks with 12 ASTYM treatments at beginning of 2008. Custom orthotics and I only wear NB1062 shoes or birkenstock arizona. Job is in busy medical lab, on concrete, full time. Also take lortab when needed, daily. Right hip bursitis for 2 yrs, partially controlled with steroid injections.

Thanks in advance.

Result number: 32

Message Number 251357

Re: NEWEST MEDICATION FOR TTS AND NEUROPATHY View Thread
Posted by Bo on 10/21/08 at 14:31

Dr. Wander,

I have been suffering from neuropathy caused by nasty drugs given me last fall through spring in Florida. Had Thalomid and Dexamethazone from late October though January 1. Changed oncologists to who doesn't use either which sounded good to me. Howewer, he started treatment with Velcade and Dex. It was effective in reducing protein levels but about 3 weeks after last treatment June) I 'lost' my legs and muscles and now use a walker. Am taking Neurotin, am in physical therapy and walk as much as possible but continue having pain in feet and legs. In reading about Metanx I notice the ingredients are Vitamins. A doctor in Florida recommends Vitamin B12 for neuropathy which I took before my current condition arose. Can I take vitamins indidually and get the results found in Metanx? Had taken 1cc B12 weekly by injection.

Thank you.

Bo V Florida and Ohio

Result number: 33

Message Number 251284

Stump Neuroma View Thread
Posted by PaulF on 10/18/08 at 11:01


Can this be treated with ultrasound-guided cryosurgery?

Result number: 34

Message Number 250998

Re: What is wrong with me...Dr. Wedemeyer View Thread
Posted by Sandra L on 10/09/08 at 18:09

Dr. Wedemeyer: In your opinion and with your expertise in the field what do you suggest as treatment for fasciosis? No one has mentioned fasciosis to me. My Dr. has been calling it a severe case of fasciitis, my podiatrist thought I might have some tarsel tunnel involvement, my Dr. disagrees with him, so where does that leave me. Saw a neurologist in 2006 who stated there was no nerve involvement at that time. Today I had my thirteenth injection in my right foot since this started July 2006. 3 regular cortisone, 6 total vit b12 and 4 mini cortisone doses that went along with the vit b12 injections. Had extracorpeal shockwave, casting, crutches, ongoing therapy at a sports rehab clinic, night splint, exercises, nsaiids and I am now back on crutches, can't tolerate weight bearing and finally had to go on narcotics.The pain went up into my back this summer and couldn't perserve it any longer. The pain is not relieved by the narcotics either. I asked my Dr. for another neurologist consult yesterday but he believes there's still no nerve involvement.Am scheduled to see another surgeon in Jan. The first one in 2006 told me that I had to win a lotto and not to let anyone take a knife to my foot. Where does this leave me except in total confusion with pain. Any help would be appreciated. I almost forgot, I have been in 575.00 orthotics since the beginning. Thanks

Result number: 35

Message Number 250910

Re: Itchy heel problem View Thread
Posted by Nicki W on 10/07/08 at 15:29

I have had the same problem, I suffered it at the beginning of the year and eventually someone suggested trying B12 drops (bought from your local health/nutriution store and some pharmacies)This worked!!

In saying that, it has just come back so I am now taking my daily B12 drops and I will never stop!

Apparently B12 helps with stress and the nervous system - Itchy heels and twitchy eyes can be a sympton of stress on the nervous system...

Of course I am just repeating what I have been told but Im guessing you are all like me and willing to try just about anything. Goodluck!

Result number: 36

Message Number 250505

polls, polls and even more polls View Thread
Posted by marie:) on 9/26/08 at 17:46

Irregardless of what a candidate declares publically they watch these polls like hawks. They make moves according to them...............and they also tell aids and staff well in advance to start looking for a job prior to the elections. Umm that's how DC knows what's up before election night.

Polls have their place and are not always the final indicator...........unless the candidate is 4-6 points ahead. More then that is even better.

How will the debates effect the polls? We'll see.

So here they are..................

http://abcnews.go.com/PollingUnit/Politics/story?id=5866046&page=1
Obama leads by more, 24 points, 57-33 percent, in better understanding the public's economic problems.

More economic worry, plus an Obama lead among those who express it, spells a lead for the Democrat: In a head-to-head-match-up he's now supported by 52 percent of likely voters vs. McCain's 43 percent, the first significant advantage for either candidate among likely voters in ABC/Post polls.

Add third-party candidates Ralph Nader and Bob Barr and it's essentially the same, 51-43 percent.

http://www.gallup.com/poll/110749/Gallup-Daily-Obama-48-McCain-45.aspx
PRINCETON, NJ -- Barack Obama has regained the edge over John McCain in Gallup Poll Daily tracking from Sept. 23-25, 48% to 45%.

http://firstread.msnbc.msn.com/archive/2008/09/26/1450944.aspx
Here’s a new round of All State/National Journal battleground polls… Obama is up eight points in Michigan (47%-39%), up one point in New Hampshire (44%-43%), and up two points in Pennsylvania (43%-41%).

http://online.wsj.com/article/SB122228902289272455.html
Overall, the race remains a statistical tie, with 48% favoring Sen. Obama and his running mate, Sen. Joe Biden, and 46% favoring Sen. McCain and his vice-presidential choice, Alaska Gov. Sarah Palin. In the latest Journal poll, two weeks ago, Sen. Obama had a one-point edge. The new poll had a margin of error of plus or minus three percentage points.

http://www.angus-reid.com/polls/view/30923/wisconsin_electoral_college_2008_x
Wisconsin: Obama 51%, McCain 47%

http://www.angus-reid.com/polls/view/30975/north_carolina_electoral_college_2008_x/
North Carolina: Obama 49%, McCain 47%

http://www.foxnews.com/story/0,2933,428501,00.html
There is a tie right now in the Gallup poll taking into consideration McCain's announcement, although we should note that this would be very close to include that tomorrow in the Gallup poll. You will get a better sense of the reflection of how all this is playing out for John McCain based on that decision. But 46-46 is a move. We have seen Barack Obama ahead by about three percent in that poll in recent days.

Result number: 37

Message Number 250491

Speculators Role In Fuel Prices View Thread
Posted by john h on 9/26/08 at 12:27

The Commodities Futures Trading Commission just completed a study that covered the period between Jan 1 and up until the near present. This was to see just what influence speculators had or the market, price of fuel, etc. Very surprising results for many:

http://online.wsj.com/article/SB122143397998234079.html?mod=opinion_main_review_and_outlooks

Result number: 38
Searching file 24

Message Number 249834

Re: burning feet View Thread
Posted by Julie B. on 9/03/08 at 20:31

Carolyn,
I had intense burning on the bottom of my feet and even into my toes. This was especially bad during prolonged sitting and prolonged standing. I was fortunate to get a referral to a podiatrist who is a thorough diagnostician and thinks about a bit outside the box. He ordered blood work to rule out a thyroid problem, Vitamin B12 deficiency and a rheumatoid condition. Another doctor had initially diagnosed TTS, but I did not have a positive Tinel's sign and EMG/NCV tests were normal. When I finally had two lumbar MRIs, the back problem was obvious.

Result number: 39

Message Number 249257

Re: foot pain View Thread
Posted by Sandra L on 8/14/08 at 21:28

Dan: 2 years ago when I developed pf for the first time I felt the rip. I was on nsaids for quite awhile. I was put into orthotics immediately had several ultrasound treatments initially. I was seen by an orthopedic surgeon who had a bout of pf himself while a resident. He placed me in a type of aircast (walking boot) for 3 months. After coming out of the cast totally I developed an achilles tendonitis along with the pf. It was agonizing. I believe it may have been precipitated by wearing the aircast boot which keeps your foot completely immobile.I read somewhere in a medical journal after that that they were no longer teaching residents in medical school to use casting as a treatment for pf.He advised me not to let anyone take a knife to my foot. I had a steroid injection. I did exercises, taping, more ultrasounds. I then went and had extracorpeal shockwave therapy. More physio and ultrasounds. I had a few bone scans, mri and I wasn't getting better. I finally had so much pain I couldn't stand up and I had to stop working (nurse on 12 hour shifts on my feet)Even though I was placed on modified work previous to stopping completely I wasn't getting better. I finally sought out private treatments that I had to pay for. It was a chronic pain sports therapy clinic. I was treated aggressively with intraferential current, ultrasound,accupuncture deep massage therapy (she couldn't manipulate my foot at all due to the pain but the idea is to break down the scar tissue with deep massage). She also instructed me to do contrast baths. Fill one bucket with hot water, one with cold and immerse back and forth to improve circulation and promote healing as the foot doesn't have the greatest of circulation. I saw her weekly for two months sometimes biweekly.She got me walking again and the pain started to lift. It cost alot but was worth it. I then followed with a chiropodist here in Ontario that gave me a series of injections weekly. It was a protocol derived from a California podiatrist. She injected a small dose of cortisone as well as an injection of Vit B12. It was to be done consecutively for three weeks. Into the second week she only did the vit b12 as well as the third week. Then miraculously 10 months into this whole ordeal my pain was totally gone. Unfortunately upon returning to work as a registered nurse in an emerg dept on 12 hour shifts it ended up being a big mistake on my part. I should have sought out a more sedentary job after all of this but I had 18 years full time in seniority which I didn't want to throw away and I was 50 years old at that time. I started with the pain again when I got to the 10 hour mark of a 12 hour shift on a trial I was suppose to be on. The hospital didn't care. They continued to make me work 12 hours and the rest is history. I am now back to square one but it is even worse this time around.Physio, ultrasounds, many more injections My advice to you. Be aggressive with conservative treatment first.I don't believe a surgeon will touch you until you have had it for at least 2 years. It was work that had to be done every day, exercises, taping, contrst baths but it worked for me the first time around and I was a tough case.As well I purchased a night splint at the beginning and I truly believe it is vital in your treatment so you don't reinjure the fascia every morning. I am back to the daily baths,physio, ultrasounds, exercises, taping etc.again so far I have not been improving but I am not a quitter. I will go back to the chronic pain sports centre again weekly or biweekly if needed in hopes that it may again help me as a first measure before I agree to any type of surgery. I already had a second round of weekly cortisone and vit b12 injections x 3. There is a wealth of information provided on this site by all those who post what has or has not helped them.You will learn a lot from other pf sufferers. I know that this site created by Scott was a saving grace for me the first time around and I am utilizing it faithfully again. I appreciate all the advice and support. Best of luck to you. Sandy

Result number: 40

Message Number 249238

Re: pain and Teva's View Thread
Posted by Sandra L on 8/14/08 at 19:13

Hi Jen: Yes I was in the trial as well but I am not able to wear them. I appreciated the opportunity to be in Dr. Kiper's trial. Is he no longer posting? I already wrote 2 lengthy posts with repect to my foot but due to thunderstorm activity here both posts were not accepted (lost internet connection) and I lost the messages that I was attempting to post. So short and sweet this time I appreciate any suggestions. My foot is worse than ever, pain unbearable despite all sorts of treatments. Am trying to avoid initiation of nacotics for pain. Gabapentin recently started. Have been referred to a second orthopedic specialist in Toronto by my podiatrist but the first advised me not to let anyone take a knife to my foot.Have also been referred to a pain control clinic by my physician Am now a disabled unemployed and unemployable (due to the pain, severe limping) nurse who was very active prior to the onset of pf 2 years ago. I even have to sit with my leg elevated or it's so painful.It's progressed to that state.Maybe nerve involvement. No one seems to know. Had MRI, emg , bone scans previously. Any suggestions welcomed. Have done exercises, taping,ice/hot watr contrast baths, numerous injections of cortisone and vit. b12, eswt, physio, ifc, ultrasound, orthotics, casting, crutches etc. It took 10 months of intensive therapy with 6 months off work to heal when it first occurred (felt the pop. rip) 2 years ago. Upon returning to my job as an emergency room R.N. after I was finally painfree,yes I was painfree... the pain reoccurred at the 10 hour level of a 12 hour shift and the rest of my story is history without a good ending...I am trying to keep my spirits up despite it all.........................................

Result number: 41

Message Number 248859

Re: Internist with TTS and Questions about Surgery View Thread
Posted by ashako on 8/02/08 at 20:00

Thanks Dr G. I already had steroid shots in my ankles and they only helped for about 10 days. Of course, I was working for 8 of those days. I already had B12, TSH, and basic labs, MRI of my spine/ankles, as well as EMG/NCS that were all negative. It is odd that it is bilateral. Regarding surgery...I dont have a Tinels sign. I have pain in that area to palpation, as well as my medial aspect of plantar feet (in addition to burning in my feet/big toes). From my own readings in the literature it seems surgery is only 30-50% effective, and only works for pt s with mass lesions/neuromas, etc. Thats why I'm really curious about surgery. Did you have this condition???

Result number: 42

Message Number 248699

Re: Ever Hear of Dr. Ira Shandles? They say he has a Cure... View Thread
Posted by Lee I on 7/25/08 at 09:34

I too saw this ad a few weeks ago and have suffered for over 4 years with heel pain. I figured 'why not?' and made an appointment. I have already had x-rays, MRIs, physical therapy, drugs, orthotics (on my second pair), and splints, boots...you name it...even unsccessful surgery! So, having nothing to lose I went in on Wednsday. I had to wait forever before I was called back but Dr. Shandles did something no other Dr. did: he took an ultrasound. There, on the bottom of both heels were 2 tumors..one the size of a golf ball. He injected B12 mixed with alcohol into each heel ad promised I would be as good as new. He did not offer me orthotics...yet; but I asked to see a pair from the receptionist and they are pretty much like the ones I own now. So, now you know what he injects into the feet...at least in my case.
A coworker from South Africa has a friend who had the same pain and had the same shot...in Ireland! It worked for her and though it is too early yet for me to see if this worked or not, I am holding onto hope. If you're like me and have tried everything, who knows, you might as well give it a shot (pun intended)!

Result number: 43

Message Number 244836

Re: Possible sciatica causing my foot pain? View Thread
Posted by Dr. Wedemeyer on 3/21/08 at 12:29

The fact that your symptoms are bilateral Alex suggests to me that further investigation and examination is warranted (especially given your lack of response to treatment).

Burning and aching are descriptive words that suggest both systemic illness such as diabetes and B12 neuropathy, as well as spinal stenosis be ruled out. You should see an orthopedic spinal specialist and a neurologist who communicate with one another.

Result number: 44

Message Number 244545

GOP Campaign Money Missing View Thread
Posted by marie:) on 3/14/08 at 14:34

Why am I not surprised about this???? ;)

http://online.wsj.com/article/SB120546400834935651.html?mod=googlenews_wsj
The National Republican Congressional Committee, which helps elect Republicans to the House, dismissed its longtime treasurer, Christopher Ward, Jan. 28 after it said it discovered he had been submitting bogus financial audits of the committee's accounts since 2002.

The committee previously said it had notified the Federal Bureau of Investigation of the false audits, and that it was cooperating with the FBI's criminal investigation.

Result number: 45

Message Number 244119

Re: First Podiatrist Appointment Today - help? View Thread
Posted by Dr. Wedemeyer on 3/04/08 at 18:58

Burning pain would be a symptom of diabetic neuropathy (among others such as B12 deficiency, heavy metal poisoning, alcoholism, certain blood disorders etc). Have you been through the battery of glucose tolerance, Schilling test etc? You mention 10 years with this and while neuropathy is a diagnosis it is not specific as to the cause.

Result number: 46

Message Number 243558

Re: vitamins that help??? View Thread
Posted by Barbara on 2/22/08 at 21:09

have been operated on for mortons neuroma, which was not enuf so injections were added to kill that nerve. then plantar faciitis developed so a topaz procedure was to cure the pain..no it did not. now it is tts & i have 2 possible alternatives...non or invasive. i hope the vites will do some good so i have been taking b6 but will increase to b12 also....geez this is a pain in the FOOT! thanks
barbara

Result number: 47

Message Number 243557

Re: vitamins that help??? View Thread
Posted by Barbara on 2/22/08 at 21:08

have been operated on for mortons neuroma, which was not enuf so injections were added to kill that nerve. then plantar faciitis developed so a topaz procedure was to cure the pain..no it did not. now it is tts & i have 2 possible alternatives...non or invasive. i hope the vites will do some good so i have been taking b6 but will increase to b12 also....geez this is a pain in the FOOT! thanks
barbara

Result number: 48

Message Number 243556

Re: vitamins that help??? View Thread
Posted by Barbara on 2/22/08 at 21:07

have been operated on for mortons neuroma, which was not enuf so injections were added to kill that nerve. then plantar faciitis developed so a topaz procedure was to cure the pain..no it did not. now it is tts & i have 2 possible alternatives...non or invasive. i hope the vites will do some good so i have been taking b6 but will increase to b12 also....geez this is a pain in the FOOT! thanks
barbara

Result number: 49

Message Number 243555

Re: vitamins that help??? View Thread
Posted by Barbara on 2/22/08 at 21:05

have been operated on for mortons neuroma, which was not enuf so injections were added to kill that nerve. then plantar faciitis developed so a topaz procedure was to cure the pain..no it did not. now it is tts & i have 2 possible alternatives...non or invasive. i hope the vites will do some good so i have been taking b6 but will increase to b12 also....geez this is a pain in the FOOT! thanks
barbara

Result number: 50

Message Number 243554

Re: vitamins that help??? View Thread
Posted by Barbara on 2/22/08 at 21:04

have been operated on for mortons neuroma, which was not enuf so injections were added to kill that nerve. then plantar faciitis developed so a topaz procedure was to cure the pain..no it did not. now it is tts & i have 2 possible alternatives...non or invasive. i hope the vites will do some good so i have been taking b6 but will increase to b12 also....geez this is a pain in the FOOT! thanks
barbara

Result number: 51

Message Number 243553

Re: vitamins that help??? View Thread
Posted by Barbara on 2/22/08 at 21:03

have been operated on for mortons neuroma, which was not enuf so injections were added to kill that nerve. then plantar faciitis developed so a topaz procedure was to cure the pain..no it did not. now it is tts & i have 2 possible alternatives...non or invasive. i hope the vites will do some good so i have been taking b6 but will increase to b12 also....geez this is a pain in the FOOT! thanks
barbara

Result number: 52

Message Number 243552

Re: vitamins that help??? View Thread
Posted by Barbara on 2/22/08 at 21:01

have been operated on for mortons neuroma, which was not enuf so injections were added to kill that nerve. then plantar faciitis developed so a topaz procedure was to cure the pain..no it did not. now it is tts & i have 2 possible alternatives...non or invasive. i hope the vites will do some good so i have been taking b6 but will increase to b12 also....geez this is a pain in the FOOT! thanks
barbara

Result number: 53

Message Number 243464

Re: vitamins that help??? View Thread
Posted by Jo on 2/21/08 at 15:40

I was prescribed Metanx which is a mixture folate, vitamin B6 and vitamin B12 which I think helps take the edge off of the pain. I'm still in pain but it's a little more tolerable plus I don't have side effects. I also take primrose oil which seems to help the blood flow. Maybe, it's all in my head but I believe it helps.

Result number: 54

Message Number 240386

Re: arches on orthotics View Thread
Posted by Dr Kiper on 12/07/07 at 16:18

This becomes a point of contention where traditional practitioners do not fully understand the length of time the healing process can take or even BEGIN AT ALL.

First of all, the goal was to simply fit the patient comfortably within the 90 day trial. This was accomplished successfully with the patient in question within 2-3 weeks. That said, the nature and role of “neutral position” which is the basis of the entire biomechanics theories and practice in the professional literature, Root and his colleagues derived their reference point from the relaxed calcaneal stance position of TWO subjects, in a study published by Wright 1964.13

Imagine, an entire concept of biomechanics and biomechanical control beginning with that. (NOTE,
While Dr Root misinterpreted this to mean “subtaler neutral” it was the accepted thesis by the entire profession at the time---here would begin the entire discussion of the evolution of podiatric biomechanics, fact and fiction)

It is my contention from over 15 years of empirical experience that once the patient is fit properly and wearing their orthotics comfortably, they’re on the “road to recovery.” Look at the patient in the SDO trial Sandra L.

Here is a reprint of her last post:

SDO Trial - Update
View full discussion posted to Insole/Orthotic/Shoe category
Posted by sandra l on 8/20/07 07:02 Poster's previous posts

I spoke with Dr. Kiper on Friday and he asked me to post an update from the silicone orthotic trial. One year after my onset, I have finally resumed a trial at work. I am a R.N. who works in an Emergency Dept. and my job encompasses 12 hours of heavy duty footwork. I am wearing the orthotics comfortably and tolerating the work trial thus far. The only discomfort so far, is an aching, gnawing feeling after several hours of footwork, which is tolerable and does not incapacitate me. No comparison to the discomfort and pain I had been feeling upon ambulating in the previous year; the debilitation of plantar fasciitis was awful! I have even tried golfing, with a cart of course and have tolerated that as well.I also received a total of two cortisone injections and 2 Vit B12 injections last May which appeared as well to put me on the road to recovery. I had a bad case of achilles tendinitis as well.I want to thank Dr. Kiper for including me in his silicone orthotic trial and to share my experience with plantar fasciitis. There is hope for recovery! Sandy L.

Result number: 55

Message Number 240146

Re: tendons vs. ligaments View Thread
Posted by Dr. Wedemeyer on 12/02/07 at 18:12

Jen what areas were the focus of the MRI, Xray and EMG studies? lower extremity or did they include the lumbar spine?

Did you have blood glucose testing, B12, a rheumatoid panel?

Do your legs cramp or feel weak when standing for long periods of time? Do you experience any numbness along with this and if so where? History of low back trauma or complaints?

You have had a lot of treatment and work up. Safe to say after ten years this is chronic alright.

What type of shoes do you wear?

Result number: 56
Searching file 23

Message Number 239545

Re: Foot Levelers Orthodics???? View Thread
Posted by CLN on 11/16/07 at 11:43

I have them and LOVE them-been wearing them for years-in fact bought my entire family a couple pairs.The soft are so much better then the hard-rigid ones I had before.This is a great company.

Result number: 57

Message Number 238636

Re: The pain is hard to deal with View Thread
Posted by Dr. Wedemeyer on 10/30/07 at 01:49

I have to comment that it is commendable how each of you share your stories and commiserate with each other on this site. I tip my hat to you all who contribute (the doctors and allied health providers as well).

Tressa the first issue is that of chiropractic specifically for TTS. I would never hold chiropractic out there as able to treat any systemic condition or peripheral neuropathy of a non-spinal origin. If a DC does this in my opinion you should seek a new provider. If you truly have a peripheral nerve entrapment then TECHNIQUES some chiropractor's (as well as PT's) such as Graston and ART MAY be helpful if this is a true peripheral nerve entrapment. Chiropractic manipulation will not have an effect on an extremity compression neuropathy, it will have an effect on one caused by compression of the nerve root arising from the spinal column.

Since your complaint is multifactorial, I would recommend that you see either another podiatrist or an orthopedic foot and ankle specialist and possibly a neurologist (I am certain the ortho would send you out for either a new EMG/NCV or read the current one). I cannot state strongly enough that a second opinion prior to surgery is a valid and reasonable request. This is not to demean your DPM nor impugn his authority over your care, merely the same advice I would give a family member in such a complex case.

My reasoning is that peripheral neuropathies can be very tricky to track down and diagnose appropriately. An example is what we call the double-crush phenomenon. I see this often enough with carpal tunnel complaints where the patient has a positive EMG/NCV in the extremity and after seeking another opinion comes to find out that they also have a positive EMG/NCV in the brachial plexus or a positive MRI of the cervical spine. The double-crush is when a proximal (closer to the brachial or cervical nerve roots) is compressed increasing the likelihood of a distal compression neuropathy in the carpal tunnel. The same can be very true with the tarsal tunnel in the lower extremity.

Some authorities place this phenomenon as high as 75%. I agree with these findings in that I have treated a number of patients who have had either tarsal tunnel or carpal tunnel release and were still symptomatic. A number of them after having the correct diagnosis went on to do very well with either my care or surgery depending on the severity of the proximal nerve root compression causing the distal synptoms.

Add thyroid concerns and arthritis and the need to rule out inflammatory arthritides, B12 polyneuropathy and DM seems reasonable before proceeding as well. If this is not a lumbar nerve root compression or systemic disorder, you could be evaluated for a plano pesvlagus forefoot and/or valgus hindfoot in which a properly constructed orthotic posted in the medial longitudinal column could provide a great deal of relief if it has not been tried.

I know this is a lot of information and a lengthy response but your complaint is not a simple one and deserves careful analysis and thought. Please keep us posted and I hope that one of the surgeons here will add to this since I am not a surgeon and very limited in reading neurodiagnostic latencies and cannot provide you much in the way of surgical advice.

Result number: 58

Message Number 238555

Re: TTS & History of Bulimia View Thread
Posted by Dr. Ed on 10/28/07 at 15:44

Dottie:

One thing to consider are vitamin deficiencies. Deficiencies of thiamine, B12 and folic acid may lead to peripheral neuropathies.

Dr. Ed

Result number: 59

Message Number 238552

Re: The pain is hard to deal with View Thread
Posted by Dr. Wedemeyer on 10/28/07 at 15:19

Tressa I practice in California.

In a case such as yours I would always send you out for a neuro consult (and the aforementioned labs) prior to committing to conservative treatment. It sounds s though you have already seen a neuro and have a confirmed TTS, did the neuro agree with the TTS diagnosis based on these studies? If the doctors do not agree on the TTS diagnosis, they should rule out a central disc and stenosis of the lumbar spine via lumbar MRI.

Yes they should check your thyroid, B12 and fasting blood glucose, the symptoms that you describe warrant it.

If both doctors agree you might want to discuss conservative treatment with your DPM and neuro prior to seeing the DC. Many entrapments do not respond to conservative treatment, especially if it is as a result of systemic disease. You need to weigh all of the factors with your doctors before proceeding.

Result number: 60

Message Number 238401

Re: NEWEST MEDICATION FOR TTS AND NEUROPATHY View Thread
Posted by catscratchfever on 10/24/07 at 17:20

by the time you buy all three folic acid, b12 and b6 you'll spend much more than for the prescription of Metanx,and probably get ripped off at GNC. and you'll have to take 10 -15 tablets when you can take one Metanx, My prescription for 30 tablets cost me only $30.00 hope this helps

Result number: 61

Message Number 237385

Re: NEWEST MEDICATION FOR TTS AND NEUROPATHY View Thread
Posted by sherry on 10/09/07 at 07:20

what is dhe difference in metanx and going to the vitamin shop and getting a b6 and b12 and folic acid there? It is cheaper for me to get it at the store. My insurance don't cover the rx. thank you sherry

Result number: 62

Message Number 234656

SDO Trial - Update View Thread
Posted by sandra l on 8/20/07 at 07:02

I spoke with Dr. Kiper on Friday and he asked me to post an update from the silicone orthotic trial. One year after my onset, I have finally resumed a trial at work. I am a R.N. who works in an Emergency Dept. and my job encompasses 12 hours of heavy duty footwork. I am wearing the orthotics comfortably and tolerating the work trial thus far. The only discomfort so far, is an aching, gnawing feeling after several hours of footwork, which is tolerable and does not incapacitate me. No comparison to the discomfort and pain I had been feeling upon ambulating in the previous year; the debilitation of plantar fasciitis was awful! I have even tried golfing, with a cart of course and have tolerated that as well.I also received a total of two cortisone injections and 2 Vit B12 injections last May which appeared as well to put me on the road to recovery. I had a bad case of achilles tendinitis as well.I want to thank Dr. Kiper for including me in his silicone orthotic trial and to share my experience with plantar fasciitis. There is hope for recovery! Sandy L.

Result number: 63

Message Number 234248

TTS worsens View Thread
Posted by wendyB on 8/11/07 at 00:09

I live in Dallas, Tx and was diagnosed with TTS 4 years ago. I did
PT, cortisone/B12 injections, have custom orthotics and the condition
continues to worsen. The lifestyle changes (to accomodate the pain
and numbness) have significantly affected my activity and mood. I am
working with a medical practice that has a podiatrist and ankle specialist. I feel like I need more help and would like a second opinion. Is this syndrome going to continue to get worse as time goes
by? Do people end up not being able to walk? I would like a referral
for a second opinion in Dallas or in Texas. As people who have TTS
know, you would be willing to go WHEREVER you have to to make things
better. Any suggestions? Is there an intervention that could help
other than surgery? Please help!
Wendy

Result number: 64

Message Number 233533

Re: Theta-Orthotics View Thread
Posted by Donna J on 7/25/07 at 07:08

I am trying Theta Orthotics. Has anyone out there had luck with Theta besides the people on their site? They sent me the mold to do a custom orthotic, said my arch was at 15% but sent me a 20% to start on. The ortho's go under the insole of your shoe and you are told that if your shoes goes up and down your heel the shoe is too small. My shoes never did that before the orthotic. I tried buying smaller shoes, got rubbed toes, in my size shoe I get rubbed and blistered heels. The price isn't cheap, and at this point my feet hurt so bad I'm not getting around to do anything, let alone try on 50 pairs of shoes at the shoe store to see if one works with the orthotic. I asked to go down to a 15 and still have arch pain and rubbed heels. I'd like to go to a full size insole with my 15 inside it but they advise me to get a 20. I can barely stand the 15, why would I want to go back up to the 20? Has anyone else been down this road?

Result number: 65

Message Number 232805

Re: I had plantar Fibromatosis Surgery 5 weeks ago and now there is hard, deep scar tissue where the lump was View Thread
Posted by Dr. Goldstein on 7/11/07 at 13:22

Dear heidi: first off any competant podiatris can do the injections under the scar into the hard tissue as dr. ed and i have mentioned. that is the way to start for about 2 months, then if no better I would entertain cryosurgery. Do not waste your time with Vitamin E as I will do nothing to whatever is underneath the skin as it will NOY penetrate that deeply. i am disappointed in the response and attitude your doctor has taken and the information he has stated. You may have to travel if you need cryosurgery and I unfortunately no nothing about your insurance plan.

Result number: 66

Message Number 232803

Re: just diagnosed with a plantar tumor. what is it?? View Thread
Posted by Dr. Goldstein on 7/11/07 at 13:16

I recommend and MRI to see if one could differentiate the mass. If not a biopsy would be indicated plain and simple'
dr. goldstein

Result number: 67

Message Number 232802

Re: To the Docs View Thread
Posted by Dr. Goldstein on 7/11/07 at 13:13

Jen: so sorry to hear that nothing has worked which only leads me to believe the wrong diagnosis has been made. Usually if the treatments do not work your treating the wrong thing. I know your are fairly young but problems from the lower back such as radiculopathy, stenosis, can mimic heel pain even when patients have no back pain. Still tarsal tunnel or medical calcaneal nerve entrapement also cause symptoms of PF. Please do not give up and maybe you should investigate somewhat further. Be well Dr. Goldstein

Result number: 68

Message Number 232452

Re: Cryosurgery for planter fibromas? View Thread
Posted by Dr. Goldstein on 7/03/07 at 18:45

Bess: The success rates have been so high for plantar fibromas using cryosurgery it is worth traveling somewhat to either totally reduce the fibromas or atleast decrease the size so their is no pain but it usually takes 2 treatments given 8 weeks apart. I recommend this option highly. Dr. goldstein

Result number: 69

Message Number 232451

Re: Cryosurgery for planter fibromas? View Thread
Posted by Dr. Goldstein on 7/03/07 at 18:45

Bess: The success rates have been so high for plantar fibromas using cryosurgery it is worth traveling somewhat to either totally reduce the fibromas or atleast decrease the size so their is no pain but it usually takes 2 treatments given 8 weeks apart. I recommend this option highly. Dr. goldstein

Result number: 70

Message Number 232447

Re: Dr Goldstein View Thread
Posted by Dr. Goldstein on 7/03/07 at 17:37

Todd: if he thinks you have an infection then did he place you on antibiotics or send you for a blood test?

Result number: 71

Message Number 232059

Re: Cryo and Stump Neuroma View Thread
Posted by Dr. Goldstein on 6/25/07 at 20:01

Ann: sorry to hear that the cryo did not work in your case like others this does and can happen. You have nothing to lose but only gain from try anyother non-invasive treatment, so i say go for it. It works for some and others get no help but worth a try
dr. goldstein

Result number: 72

Message Number 232058

Re: Cryosurgery for Atypical PF-- Is it possible? View Thread
Posted by Dr. Goldstein on 6/25/07 at 19:58

I appologize. No case is typical, meaning they are all different. The results are also different in each and every patient , so everyone is unique or atypical in their own way. hope this makes further sense. I treat every case as if it is unique or has its own difficulty level making none of them standard.
Dr. goldstein

Result number: 73

Message Number 232057

Re: cyroanalgesia for plantar fibromatosis View Thread
Posted by Dr. Goldstein on 6/25/07 at 19:55

Edna : i have been doing it for over 3 years and have performed over 40 cases with a satisfaction rate of near perfect. Either the tumors dissolve and disappear completely or if they do not fully disappear the pain is gone i refer you to the cryotechllc.com website where you can download a copy of an article i published over 2 years ago a CASE STUDY ON A PATIENT OR GO ONTO THE LEDDERHOSE.COM WEBSITE FOR RUTHER CRYOSURGERY BYTES

Result number: 74

Message Number 231814

morton's neuroma View Thread
Posted by Kathy G on 6/19/07 at 10:13

hi,

please excuse lack of capital letters. typing with one hand due to surgery on left hand. question about the big toe. had a neuroma in left foot over ten years ago and one symptom was electric shock pain in big toe. also had other pain in the foot, too.

this time it's the right toe. no pain but pf pain in heel but my toe is zapping me. is this a symptom of neuroma or could it be osteoarthritis setting into my toe?

i should be able to drive next week and could go to my pod. haven't been able to wear my custom orthotics which made original neuroma disappear because they cause oa in my back to act up. i suppose i could start wearing them again if i thought it was the neuroma. it's kind of like a game. pick your pain!

what do you think?

thanKs so much!

Result number: 75

Message Number 231712

Re: Cryosurgery for TTS View Thread
Posted by Dr. Goldstein on 6/17/07 at 13:05

It is not uncommon for increased numbness after the surgery until the nerve repairs itself 3-6 months time, I am not sure why the tinnels sign is more pronounced nowmaybe dr mowen has a better explanation for this and your decompression questions

Result number: 76

Message Number 231516

Re: Torn Fascia View Thread
Posted by Kathy G on 6/13/07 at 16:19


Steve Nelson of the NE Patriots says that retirement is just a bunch of days with nothing but pain. He's had a hip replacement as has Steve D'Ossi. They have constant pain and it's just become a part of their lives. They do have chiropactors, masseuses and doctors whom they see several times a month. Interestingly, neither of them said they regretted having done this to their bodies. I guess the love of the game is in some people's blood and they persevere. Some of them were paid a great deal of money but back in the days these guys played, they got very little, comparatively speaking.

Who am I to criticize? I do feel bad for the guys whose concussions weren't handled properly. My son has been an avid football fan since he was very young and his first hero was Roger Staubach. I remember stressing how smart Staubach was to voluntarily retire because he was getting so many concussions. I had no idea how big my son was going to be and if he was going to play football and I wanted to impress upon him the importance of protection of the body.

Luckily, he's only six feet and very slender. His sports were baseball, soccer, lacrosse, tennis and golf. He always demonstrated commmon sense and while he wasn't a wimp, he didn't play hurt, nor did he get hurt often, thank goodness.

I'm also a huge football fan and I cringe when I hear the announcers praise a player for going back into the game with an injury, sometimes risking permanent damage. That's when I question myself as to why I love this sport so much! But I suppose, like the players, watching the game is in my blood the same as playing it is in theirs.

Result number: 77

Message Number 231016

Re: foot drop secondary to casting post surgery View Thread
Posted by pattik on 6/03/07 at 12:17

thanks kiddo. in view of my ambulation issues of the opposing leg (congenital dislocation R hip) a brace that has some give is a good idea

Result number: 78

Message Number 231015

Re: TMJ and Acupuncture View Thread
Posted by Kathy G on 6/03/07 at 11:58


Very interesting and I shall share that with my doctor. I live in dread of getting trigeminal neuralgia. I haven't checked the latest studies but I know, back when they thought I might have it, that there wasn't much they could do. I believe they started injecting people with Botox, several years back, to help calm it down. I remember my first orthodontist, many years ago, asking me if I would be willing to have a shot of botulism in my temple. This was long before Botox and I told him I'd never met a doctor I trusted enough to inject Botulism into my temple!

How times have changed. I wonder if people even give any thought to the fact that they're having a deadly paralytic poison from shellfish injected into their faces and necks? Probably not now that Botox is so common.

I'm on day three of the antibiotic and it's the first day I've awakened without any facial pain. I truly believe I had an infection some place but it might be a coincidence. Maybe I didn't grind my teeth last night. We'll see how I am in the next few days. At any rate, I'm cautiously optimistic. And if I continue to respond, the next time I get an infection, my PCP will have to decide what kind of doctor I should see or if we can just treat it with antibiotics.

Oh, and in answer to your first question, since my sinus infections have always responded to antibiotics, it's always been believed that it was a bacterial infection. And yes, one part of me that is very healthy, other that the fact that I brux, is my teeth and gums so there isn't any way an infection could get in that way.

I have non-developed frontal sinuses but I don't think that's uncommong but my PCP thinks that there is a congenital disorder someplace that causes my sinuses to drain improperly. And I always have post nasal drip bad enough that when I went to the ENT when my paralyzed vocal cord that he also ordered a CT scan of my sinuses.

I truly believe that my body was one that was meant to be discontinued and the deities made an error and gave my mother me. There are so many parts of me that don't work right. And I inherited all the physical abnormalities I could from both my parents whereas my two sisters got very few. On the other hand, I didn't inherit my mother's tendency toward depression and they did so I still think I came out on top!

Thanks for the interest!

Result number: 79

Message Number 231014

Re: One more study View Thread
Posted by Kathy G on 6/03/07 at 11:40


Can you tell I was on the phone when I was writing the above? Sorry about the mistakes!

Result number: 80

Message Number 231013

Re: One more study View Thread
Posted by Kathy G on 6/03/07 at 11:35


My niece did her dissertation on the concept of convincing the media to promote the idea that women without tans as being beautiful. Her basic idea was that if we saw tans as being bad and being very untanned as being beautiful, it would translate to less skin cancer. The incidence of skind cancer is apparently higher in women. She's brilliant; I'm not, so I'm sure if she saw how I simplified her idea, she'd cringe.

At any rate, she was invited by some agency (I don't know who!) to spend a week in Australia and speak to different groups and schools to help promote the idea of staying out of the sun and using sunscreens with high SPF's. She said that they are working hard with children in elementary grades to teach them to protect themselves from the sun and wear hats and sunscreen daily. The incidence of skin cancer over there is mind boggling.

When my son lived there for a few months, he said he couldn't believe it. That was back in maybe 1998 or so. He said the Aussies he was freindly with were really nice people, educated in every other way, but they'd lay out in the sun and never use sunscreen and they laughed at him because he did. He said that, combined with the fact that they all smoked a great deal, led him to believe they might die of lung cancer before they got skin cancer! He also said that in all his travels (He traveled a great deal between college and grad school.), the people in Australia were the friendliest.

Result number: 81

Message Number 231011

Re: Have a job View Thread
Posted by Kathy G on 6/03/07 at 11:25



That's wonderful, Linda! And it sounds like a good job, too. It'll be so good for you to not have to stand on your job. Are you going to be on the phone a lot? If you are, I'd recommend getting a head set if they don't provide one. It's a lifesaver to me with the OA so bad in my hands and since sometimes people who have PF and the like seem to have muscular problems. No scientific evidence on that but it seems to be that way to me, from posting all these years on the boards. Anyhow, it will save your neck if you need to write or use the keyboard while you're on the phone.

So you live in Rhode Island? You're a fellow New Englander! My niece and her family live in Warwick and going through Providence is unbelievable. The city has undergone a marvelous transition but all the road construction and people not knowing where they're going makes it a real challenge.

Clothes that make you feel good are the first priority. Don't forget that you're overly critical of your body. Did you gain weight from being inactive? I did. And I was an idiot. I came home from the store with clothes that were about two sizes too big. That was my own image of my body because I hadn't changed sizes in years. It took me a while to become comfortable in the 'new' me. So bring a friend with you and make sure, above all, that you feel good in whatever you buy.

And then you can consider a smaller car that gets better gas mileage! I'm a huge Toyota fan and I've driven a Corolla since 1985. Prior to that I had Subarus and one Honda but Toyota beats them all, in my opinion. Are you looking at used or brand new?

How exciting for you! A whole new chapter of your life is beginning. I hope it's wonderful for you and that you continue your healing.

Keep us posted!

Result number: 82

Message Number 231005

Re: foot drop secondary to casting post surgery View Thread
Posted by pattik on 6/03/07 at 09:00

the VA has ordered a deep shoe and will build up by 1/2' to offset leg length discrepancy. A new AFO brace is to be made following the shoe fitting.

previous AFO brace, shoes, custom orthotics were not fit correctly by medicaid providers.

myoelectric not in my vocabulary. i will be prosthetically fitted soon. my most pressing issue is professional podiatry or foot ortho clinical stats regarding the incidence of foot drop secondary to compression artifact of post op casting.

Result number: 83

Message Number 230977

Re: foot drop secondary to casting post surgery View Thread
Posted by pattik on 6/02/07 at 19:18

ty for responding. the evidence thus far suggest damage to the peroneal by emg (one neurologist). i saw several podiatrists and compression was suggested by one. the second (and may i say total jerk) neurologist had no findings of peroneal damage or foot drop. he said i am suffering from dystonia of the posterior tibialis muscle secondary to compression and should be treated with botox. he admits to me that botox is often ineffective. my rheumatologist hit the ceiling.

the VA rating doctor has indicated (and the basis of my denial) that compression injuries are wnl of outcomes of repair subluxed tendon, secondary to fall, acute ankle sprain, oblique fx 5th metatarsal.

you, dr. g., and end my angst by giving me the party line regarding the prevalence of compression injury secondary to repair blah blah blah.

there is so much to this story. i served in the army with a congenital dislocation R hip...no acetabulum. i limped significantly prior to my foot surgery which is my opposing leg. the foot that was damaged during the fall/surgery, was the sole support of my 5'9' frame. i had the foot surgery in hopes it would stabilize my left ankle. (xrays, mris, stress testing all negative and i had no pain). i believe i wasnt even a realistic candidate for this procedure. i have made an issue of this in my VA claim.

i am weary of all this....but heartened to have a dialogue.

Result number: 84

Message Number 230939

Re: lateral column pain View Thread
Posted by Dr. Goldstein on 6/01/07 at 18:50

sometimes if too much of the fascia is cut, more than the medial band lateral column pain can occur although I am not implying this has happened. chronic ankle sprains can cause this as well as sinus tarsi syndrome.
if you have orthotics the rearfoot posrt either has to be neutral posted or VALGUS posted. almost all orthotics are VARUS posted which will exacerbate your problem ask your treating podiatrist about this very important
try an injection directly into the sinus tarsi as well if this helps then cryosurgery directly into the sinus tarsi will be of much benefit
dr. goldstein

Result number: 85

Message Number 230938

Re: Plantar Fasciitis View Thread
Posted by Dr. Goldstein on 6/01/07 at 18:44

Cora: when the surgery is performed only 14-16 mms. of the medial band of the fascia is cut/released and its purpose is to grow back together and scar tissue fills in the gap to lengthen the fascia. this happens early on after surgery not 4 years later so it is always possible to get recurrent heel pain. start ice, stretching, orthotics either prefabricated or custom
dr goldstein

Result number: 86

Message Number 230930

Re: TMJ and Acupuncture View Thread
Posted by Kathy G on 6/01/07 at 15:59



Well said, Dr. I have never experienced any poppingor clicking nor had any problems with opening my mouth. My family only wishes the latter! My problem is definitely nocturnal bruxism and had I not started wearing a night guard over thirty years ago, my dentist says I would have no teeth left now at all.

All those years ago, my problem started as pain in my face, right below my cheekbone, which was being treated as a sinus infection. Indeed, when I do get fairly regular sinus infections, the pain is always worst on that side of my head. I also experienced burning ears and neck pain. I actually discovered, thanks to my wonderful PCP, that taking Valium at night eliminated those symptoms for the most part. And going to my chiropractor has often alleviated any flare. And I never go without my night guard!

This time, no one is sure whether it's my TMJ or OA which has settled into the jaw. My belief is that it's an infection of some sort no matter what the CT scan said. I've opted for two things. One is that I'm going to take the antibiotic my PCP wrote for me even though the CT scan didn't indicate infection. It's my body and I've been in it for fifty-seven years and I usually know when I have infected sinuses. He gave me a double RX for the drug so I will take it for half the time. If it helps, I will continue on it and if it doesn't, I'll have taken a normal dose so I won't desensitize myself to the antibiotic.

And, I'm also going to my chiro on Monday morning because often he's the guy who can often best diagnose my problem. I always say that next to me, he knows my body the best. My husband sometimes takes umbrage at that but he really knows what I mean!

After I have the surgery on my hand, I'm going to give Acupuncture a try. It may help my arthritis pain and all the attendant conditions I have. Who knows? It can't hurt to try it.

Result number: 87

Message Number 230717

Re: Just now getting professional help..where am I headed? View Thread
Posted by Judy, M.T. (ASCP) on 5/29/07 at 00:44

If you had a CBC (complete blood count) done, your cell indices, in classic pernicious anemia (low B12) would show very large red blood cells. The MCV (mean corpuscular volume) of these cells would probably be 106 or higher (abnormally large).

http://web2.iadfw.net/uthman/lab_test.html - page down this site to the section on Hemoglobin, MCV, etc.

http://tinyurl.com/2wzwb3 - this page has some more information further down on B12 deficiency and lots of good information on nutritional anemias in general. There are many different types of anemia, iron deficiency being just one of many.

Dr. Ed Uthman is a clinical pathologist who posts on a couple of the lab boards I subscribe to. He states on his page that there are really only two reasons for B12 deficiency: dietary (if you are a vegan) and malabsorption due to a number of disease states.

If your MCV on your blood count is in the normal range (ask your doc for a copy of your blood work) and if you don't fall into the two categories above, you may want to get a second opinion on the B12 stuff. I believe that true pernicious anemia is not all that common.

I'm a medical technologist and can help you somewhat with the blood work - I'll leave the podiatry to the foot docs :-).

Result number: 88

Message Number 230590

Just now getting professional help..where am I headed? View Thread
Posted by Prae on 5/26/07 at 03:52

I am a 50 y/o female and have been, and still am self employed as a chef for the past 7 years. The last two years I have had excruciating pain in the bottom of my left foot..along the arch. In the mornings I cannot stand on my feet until several minutes have passed. I have begun putting shoes on straight out of bed..never going barefoot. Just these past 4 months now, my third and fourth toes are numb and the top of foot near that toe is tingly. I also notice when I tap the bottom of my foot near the toes, it tingles and feels prickly. I have purchased many different shoes...ones with good support (lace-ups) and have tried several different (non-professioanlly made) orthotics and inserts, much like many of the stories listed here, and have had no relief. I have tried the excercises too, but get frustrated when no relief results. Since I am self employed I cannot afford to be off my feet for more than a couple of days.

Just two weeks ago, I visited my family phys and told her of the symptoms I was having. After a panel of blood tests (some routine), she said my B12 was at 414. Eventhough it was in the average range, it was in the lower average, so she has recommended a B12 supplement of 1000mcg day. She thinks it could help with the numbness.

My question is does this sound like a reasonable place to start?

Result number: 89

Message Number 230316

Re: Social Security hearing next week! Help BrianG or anyone on SSD... View Thread
Posted by David G. Wedemeyer, DC on 5/22/07 at 15:16

You're very welcome Moonie. I believe it would be prudent to have your physician check your thyroid, B12 levels, fasting blood glucose and add a rheumatoid panel to the work-up. In the absence of clinical findings there I would suggest EMG/NCV to find the etiology of your neuropathy.

Any of these findings could lead your doctor (s) to suggest SSD benefits if they feel they are warranted and preclude you from working in your usual and customary occupation.

Good luck and keep us posted.

DW

Result number: 90

Message Number 230157

Re: Rep. Ron Paul introduces legislation to reign in the FDA View Thread
Posted by David G. Wedemeyer, DC on 5/18/07 at 18:21

Come on now we all know only analogues of natural substances created in a lab are safe and efficacious! WTH would the pharm lobby do if such reasonable legislation was enacted? Would it provide the impetus for intense further study by NHIC of complimentary and alternative (CAM) medicines at the behest of big pharm?

What galls me is how simple vitamins (which are a food or cofactors of our food) and supplementation were hailed as expensive urine and are still decried as quackery by many in the AMA. I can see the cogency in their argument when I think of iron deficiency anemia, B12 neuropathy polyneuropathy, neural tube defects due to folate insufficiency, scurvy due to vitamin C depletion......to name a few. It is amusing that almost every pharmaceutical company in business today has a supplement line for sale despite this bias.

I applaud Dr. Paul. The onus of proving an advertisement is false or misleading should be the task of the FDA and not assumed to be correct without all of the evidence. Likewise the company making the claim should be accountable for doing their due diligence through studies and clinical trials just like the drugs that are let into the market.

Rant over..

DW

Result number: 91
Searching file 22

Message Number 229747

Re: No pedestal View Thread
Posted by Kathy G on 5/13/07 at 09:12


I'd say please, let's all try to get along. Actually, I am saying it. But my post will be deleted for some reason.

I'm leaving the Boards for a while. I don't like to argue in real life unless it's absolutely necessary and it seldom is. I'm not going to read unpleasant posts on a Social Board. There must be lots of Social boards out there and while they might not support and help people with PF, I'm in hopes of finding something without continuous controversy.

Happy Summer to you all!

Result number: 92

Message Number 229569

Re: To the Head Researchers View Thread
Posted by Kathy G on 5/10/07 at 18:44


Thanks, Ralph! It's a bit more meaningful now that I have a grandson. Pretty cool, this being a grandmother. I highly recommend it. Not to you personally, of course, but to anyone of the right sex!

Result number: 93

Message Number 229568

I'm more confused than usual! View Thread
Posted by Kathy G on 5/10/07 at 18:43

Yes, I know none of you thought that was possible!

Well, I've reached a new high or a new low because two of my posts were deleted today. But they were deleted along with several other unnecessary posts so thank you to the person who did it.

Now, as to these new rules, where are they Scott? I guess I never saw them. Sorry to have offended but at the time, it seemed to be the right thing to do.

Oh, Duh! Just saw it. 'Do not discuss the message board or other posters.' So I can't say, 'That was a nice post, Harry?' Or we have someone who posts here who lives in backward New Hampshire and she might know something about wearing boots if you have PF? Or is it all right as long as I don't say, 'We have a jerk who posts here who might know something......blah....blah.'

Seriously, I'm not sure of the intent. Can I still tell someone on the PF board that they might find some moral support on the social board?

You mean that we shouldn't discuss the board or other posters in a negative way, right?

I know I sound like I'm being wise and you all know I often am but in this case, I'm not sure what is meant by the guidelines.

At any rate, I broke rule number two and for that, I apologize.

As for number three, I'm lucky if I can remember my name from day to day!

Result number: 94

Message Number 229500

Re: Banned by Dr. Wander View Thread
Posted by Kathy G on 5/10/07 at 09:00


Dr. Wander,

I jumped in without knowing the change in policy and I apologize to you. Those of us who have been around for years and managed to stay tend to stick together. I saw what I thought was a slight to my friend, John, and I came to his defense without knowing the facts.

Forgive me and please join me in trying to keep this situation in check so that a whole brouhaha doesn't result from this misunderstanding.

Result number: 95

Message Number 229499

The shoe sage continues so I ordered from Zappos.com View Thread
Posted by Kathy G on 5/10/07 at 08:56


They're going to think they've gotten a fantastic order. Over $600 in Clarks's sandals. Then they'll check my account and see that I ordered eight pairs of shoes right before my daughter's wedding and sent them all back. Luckily I have bought a couple of pairs of shoes from them that I've kept. Yes, the dreaded Asics running shoes that I've worn for years. But at least I've kept them.

My problem is that in the shoe store, I needed either the size that I wore pre-orthotics or 1/2 size up, which is what I wear in shoes with orthotics. We're going to Florida soon and I need some spiffy sandals so hopefully, one or two pair I ordered will fit me. Otherwise, Zappos' free return policy will be utilized again.

Their prices are a bit high but I figure they have to do that to make up for people like me who take out so many pairs at a time. But what a great place! I can't walk all over the place looking for shoes and they offer a great selection and I can try them on in the comfort of my own home.

Wait a minute, I sound like I'm doing an ad for them. Let me officially state: I am not related to Mr. Zappo or any of his employees. Though many people have wanted to zap me over the years, that has nothing to do with my shoe order.

Can't wait to get them. Maybe I can keep three pair! Whoopee! Shoes insted of Asics for the first time in ten years! See, there's a positive side to having chronic pain. One pain overshadows the other so much that you don't notice it. So you get to look almost normal!! Note I said 'almost.' I'm not asking for a miracle! :D

Result number: 96

Message Number 229498

For Heaven's sake, stop it! View Thread
Posted by Kathy G on 5/10/07 at 08:43



I've been posting forever. Well, make that about ten years. During that time, I've seen more than my share of crazy disagreements. What we appear to have here is the start of another misunderstanding that can only end up in hurt feelings and people not wanting to post on the boards. Let's nip it in the bud.

Apparently, the 'Ask the Doctors' board has become just that. Laymen ask questions and doctors respond. I wasn't aware of that but now I am. Actually, I seldom go to that particular Board. I have been very fortunate in that my Pod and PCP are both excellent so I haven't needed advice from other doctors. Some years ago, I read all the boards but I pretty much stick to the PF board and the Social/Support board because those have always been the most helpful to me and seem to be where I can be of the most help.

Let's not take sides here. From what I understand, John was one of the earliest posters on this board and we have all come to know and respect him. He offers support, common sense and along with that, a good deal of knowledge based on his own unwanted experiences with PF and its attendant problems. I don't speak for John but I believe that when he posts to the 'Ask the Doctors' board, he is doing what he has always done. He's sharing a patient's view of a medical procedure or condition. Often, patients are most reassured by hearing advice from someone who's experienced what they're experiencing or has tried a procedure they're thiking of trying. Apparently, John is supposed to share those experiences on the PF board now.

I would hate to see this disagreement become an ongoing discussion where hurtful words are exchanged and sides are taken. Certainly we've seen that kind of thing in the past and we know that no good can come of it.

Please drop it. Dr. Wander warned John. John didn't heed the warning. Let's leave it at that. Let's not let this erupt into another war of words. It would end in no good.

John is one of the pillars of these Boards. We want him to continue to post and we also want there to be a Doctor's Board for those who want to speak to doctors only. There's room for everyone here.

So, for Heaven's sake, stop it!!

Result number: 97

Message Number 229231

Silicone Orthtotic Trial View Thread
Posted by sandra l on 5/07/07 at 07:58

Weekly Report

1- Increased wearing time to 2 hours without any new discomfort
2- Orthotics felt comfortable.
3- Soreness is not orthotic related. Recent injection has added a different discomfort.
4- New onset of burning and achilles discomfort since injections.
5- Comfort level remains the same
6- Orthotic does not appear to be stimulating any new discomfort
8- I recently began a series of cortisone and vit.B12 injections. I have developed a burning and achilles discomfort but this is not orthotic related. I have increased my wearing time with no side effects.

Result number: 98

Message Number 229148

another insomniacs rant View Thread
Posted by james e on 5/05/07 at 07:04

man, this is bogus. i was hoping the stiffening/burning in my toes would stop, but a few days after it started, it hasnt. twitches are to bad but when they happen, they're deep and hurt. the foot is ICE cold and hard to wiggle my toes. i try to use my hands to warm it up, but anywhere i touch on the top of the foot makes that stiffening pain hurt more. its wierd, the foots cold, but inside of the toes feels like they're sunburnt.

6 more days man, it seems so far away :(

i stopped taking the vitamins b12 and glucausomine/chondro. they were having no effect

but on another note, i started doing girl style pushups (cant do em normal with the feet, it hurts to bad) i've done 3 sets of 10 the past 3 days, tryin to burn off energy. still not sleepin right though, and my appetite is all over one day i'm hungry and gorge myself. next day i dong get hungry and dont eat. sleep is very eradic. i try but get headaches. get 3 hours here up for 14, maybe get another 3.

i really hope this new doctor helps me, if not, it might break my spirit lol

best of health to all of u

Result number: 99

Message Number 229146

Re: Dr. Goldstein retiring from private practice View Thread
Posted by Dr. Goldstein on 5/05/07 at 06:24

Thank you both very much. I can be reached at stevefootdr1 at cs.com

Result number: 100

Message Number 229021

Re: Vitamin E View Thread
Posted by Kathy G on 5/03/07 at 07:40


I think you're right, Scott. I've often heard it said that people were cured by Ben-Gay. But I really think, other than the fact that they got momentary relief from some of the ingredients, it was the rubbing and making the blood come to the area that caused the relief.

Result number: 101

Message Number 229017

Airboot Cast? Candidate for surgery? View Thread
Posted by Gina on 5/03/07 at 02:38

Hi. I posted about my issue but basically I have severe inner ankle/foot pain little calf in the back pain and tight feeling. I have tingling,burning and stabbing sometimes on the bottom of foot. that has kept me in bed for 3 months with a good day a few errands. I have been to every doc neuro,ortho,gp,foot/ankle.Every test two mri,emg,bone scans,xrays. I had 2 nerve shots with no relief and same with meds.Still no dx but waiting for the result of mri of foot/ankle and nutrient bloodwork back.The other mri was of my brain/spine which was fine. The ortho thought though the tests didn't show TTS but thought right now not a candidate for surgery but were discusing on Tues cause of my level of pain. Do you know why not a candate? Anyhow I have been in an air boot for 3 months I do take it off at night. Each doc right now since undiagnosed says for me to go with how I feel when using it. Is there any way its making things worse? I was also given a shoe that people use after surgery but lacks ankle support. The neuro who sent me for pt once and it made things way worse sugessted a ankle wrap but I fear that or a shoe making it worse. I go back to the neuro tomorrow and ortho next week but any ideas.Thank you

Result number: 102

Message Number 228902

Re: In Bed for 2 Months w/Pain and Surgery? View Thread
Posted by Gina on 5/01/07 at 04:24

Thanks. I'm going to a pm clinic but not for 2 weeks. I have another mri today of my foot/ankle this time. I had another set of blood work for deficiencies. I have another ? I have been in air boot for 3 months and have asked every doc I have seen but all say its trial and error right now. Anyhow is there any way that the airboot is making things worse. I fear the shoe. The foot/ankle specialist also gave me a shoe that people use after surgery but I fear that too. I'm so afraid of making things worse like after pt the one time I could barely move for a few days.I'm in worse pain then when this started and all the tests are still showing nothing.So will see with these next apts. I even called and sent my records to a specialist in denver who said he couldn't help. I'm so frustrated. Thank you for any ideas.

Result number: 103

Message Number 228875

Re: last night was rough View Thread
Posted by james e on 4/30/07 at 19:17

tks for the input. im feeling better now, the foot is anyway. i went back to sleep again for another 3 hours, but the headache is bad when i wake up. its one of those that are in the back part of the head, almost down by the top of the neck.

lol my bodies clock is SCREWED. no matter what i do, i cannot adjust it back to normal. like i'll try again tonight, i'll stay up all the way till tomorrow night, so i can get back to normal, but come tomorrow night i still wont sleep. not till way in the a.m. i just dont get tired. i have reduced drinkin pop for a few weeks now and drink v8 fruit juice. cut down on smoking cigarettes. still no other drugs. no change. still takin the vitamin b12 caps and the glucausimine/chondroition (sp?) for about 3 weeks now, no change.

i dont know why the hospital wont do anything. i have gone there alot in the past 6 months and they were nice the first few times. then they started goin on like 'ya, we know ur in pain buddy, but u have to wait till u see a doctor' lol its taken me 2 months to get into ric. 2 long painful months. and honestly its partially my fault, a few of the times i told them 'i refuse medicine, i want a diagnosis and a permanent solution' i dont want to be seen as a drug seeker. and the pain killers honestly didnt neutralize the pain, and i told them this too. they only provide slight distraction from it only cause they make u high. so its really not healthy for me to take them anyway. but at what point i wonder, can the decision be made, where comfort and distraction is the only the available, and will get it.

i dont want to be some guy strung out on pain killers, i want a permanent solution. if they tried to offer me anything stronger like in the morphine category i would refuse off the bat, i hated being on morphine when the surgery happened, its disqusting.

whats gonna happen is one of these days real soon, i will be FORCED to start hackin away at the foot. i know its not sane to talk like that, but my backs against a BIG wall here. im tired of it. i really think i'd be better without the foot. but like the specialist said, 'as long as it has good blood flow, u'd be hard pressed to find anyone to take it off, any operation will cause u more pain and its not critical enough yet to warrant such action' then the old 'learn to live with it speech'

i think age plays a big role as well. if i were 50, they'd give me pain meds and sleep meds no questions asked. i guess they figure im young, relatively healthy cept for the foot, 26 is too young to be put on drugs for the rest of my life.

but, with this fce thing comin up, they will decide better plans for my future. i have alot of paper work to fill out. a little scared. i dont wanna be disabled lol. i think untill someone calls me that i'm not. even though i havent done anything fun in years lol. i just dont wanna accept it. maybe i'm crazy. its the foots fault, he made me mad. as long as my son is on this planet though, i will never give up my will to live, EVER. i have his pictures posted on the wall next to my bed so he's the first thing i see when i wake up. lol i gotta show u ppl some, and will post em up tomorrow. on the brief occasion i do go out with them, we get stopped by dang near evreyone 'o he's adorable, ur the father? ur a lucky man' the kid is a genetic freak too. he is 20 months, and strong as an ox. he already carries in groceries. can hold a full gallon of milk over his head, has been able to for a few months. everyone who knows him including his doctor says theres something different about him than other kids. he's always been more alert than other babies, and waaaaaaaaaaayyyy to strong for his age. he's bigger (not fat, this boy is ripped, gotta six pack and pectoral muscles) than 3 year olds. all of us swear at night when everyones sleeping he does push ups and pull ups. one thing i dont like though, is he has a 'you cant stop me' attitude. he's a daredevil. i know most kids are like that, but even the doc says, he's one of the most unique babies he's seen strenght wise. wait 20 years till he's a man, u'll see the name david evans either in the nfl, or something. i hope i make it that long lol. just wish i could forbid him to play basketball, me no likey that game anymore lol

Result number: 104

Message Number 228689

Re: Rosie View Thread
Posted by Kathy G on 4/27/07 at 13:58


Ironically, I have just set the DVR to start recording 'The View.' I watched it a few times before Rosie was on and enjoyed it. I really like Meredith Vierra (sp?). My problem is that I don't think to turn on television during the day.

And as liberal as I am, I must admit I thought that Rosie went over the line several times.

Can't wait to see who replaces her!

Result number: 105

Message Number 228686

Re: 4th Joke of the Day View Thread
Posted by Kathy G on 4/27/07 at 13:55


I liked the one about the golfer better, John. I agree on everything except Obama. I'm still waiting to get to know him. But you know me, your bleeding-heart liberal friend in Cow Hampshire! :)

Result number: 106

Message Number 228685

Re: Message to Esther re: Gerd - FS View Thread
Posted by Kathy G on 4/27/07 at 13:53

FS

I have a friend who has had an eMachine for five years and has never had a bit of trouble with it. Two computer whizzes, one an engineer making a huge salary because of his knowledge, told us that at this point, all computers are identical inside. I truly believe I got a lemon. They just don't do a good job of backing their product.

I'm thinking it will work fine when we get the refurbished one but my husband is thinking it will still be a problem. Who knows?

Sorry you are having such a bad time with your GERD. I'm not familiar with your particular drug but I know that all these drugs for GERD destroy the Intrinsic Factor in our stomachs and we are unable to absorb calcium and even Iron as easily. I already have Pernicious Anemia and that means I don't absorb Vitamin B12 so I take it sublingually. I should have to get it by injection but the sublingual is working fine so I'm sticking to it. Because of the PA, my Intrinsic Factor was pretty much gone anyway.

I don't drink - I'm allergic to alcohol. Yes, it's strange but even a slight amount of alcohol will make me start to vomit. And I know what you're thinking and I, too, pray they threw out the mold when they made me! :)

At any rate, I've never snuck any wine.

As for my new grandson, he makes everything go away! In my life, my three happiest events have been falling in love and then marrying my husband; having my children, and now, having a beautiful grandchild. The peaceful feeling I get when I hold him just makes every other problem just melt away. I never understood it but now I do!

Thanks for the kind words. And I hope your new drug works for you. keep us posted!

Result number: 107

Message Number 228682

Re: Another question about computers - Ed View Thread
Posted by Kathy G on 4/27/07 at 13:44


You had no problem switching over your thinking? Nothing in the Apple system made sense to me. Maybe my mind is getting old and I should go right back and get an Apple and force myself to learn it. It still makes the most sense.

I used a friend's computer with Vista and it drove me crazy but I read in PC Magazine how to turn off all those stupid pop-up questions it has. I don't know. I definitely know I don't want a laptop.

Despite what John said, if I buy a desktop, you're right, I can always adjust the height of the monitor and if they're right, and my neck gets even worse, that will be a major consideration.

I'll keep you posted on my big decision!

Result number: 108

Message Number 228680

Re: Judy View Thread
Posted by Kathy G on 4/27/07 at 13:35


Hawking is amazing. As for me, my family already knows that if I'm ever diagnosed with ALS or Alzheimers, before I'm too advanced, I will commit suicide. My daughter said, 'But what if they come up with a cure for it the next day?' My answer: 'That will be my tough luck.'

So, I truly admire anyone who suffers from a disease like that and then contributes to the world as Hawking has.

I freely admit I'd take the chicken way out but I just couldn't do it to myself or especially to my family.

Back to Lost. Since everyone loses their ailments there, I would build myself a lean-to, learn to like fish (I don't now.) and live the rest of my life there. Of course, having Saide (I know that's spelled wrong.), Jack and Sawyer would be a requirement. And I wouldn't mind having John around either. I rather like his way of looking at things and he always can get out of a jam. Since I haven't seen the recordings of this weeks or last weeks episodes yet, I don't know where he is but we all know that John, like our own John h, would never desert them! The rest of them could all work to get off the island but I'd stay, painfree, with those guys!

Seriously, one of the most beautiful programs to watch on HD TV is Lost. Makes me wonder why my husband and I didn't just get a loan and go to visit my sister when she lived in Hawaii!

Result number: 109

Message Number 228679

Re: Judy View Thread
Posted by Kathy G on 4/27/07 at 13:35


Hawking is amazing. As for me, my family already knows that if I'm ever diagnosed with ALS or Alzheimers, before I'm too advanced, I will commit suicide. My daughter said, 'But what if they come up with a cure for it the next day?' My answer: 'That will be my tough luck.'

So, I truly admire anyone who suffers from a disease like that and then contributes to the world as Hawking has.

I freely admit I'd take the chicken way out but I just couldn't do it to myself or especially to my family.

Back to Lost. Since everyone loses their ailments there, I would build myself a lean-to, learn to like fish (I don't now.) and live the rest of my life there. Of course, having Saide (I know that's spelled wrong.), Jack and Sawyer would be a requirement. And I wouldn't mind having John around either. I rather like his way of looking at things and he always can get out of a jam. Since I haven't seen the recordings of this weeks or last weeks episodes yet, I don't know where he is but we all know that John, like our own John h, would never desert them! The rest of them could all work to get off the island but I'd stay, painfree, with those guys!

Seriously, one of the most beautiful programs to watch on HD TV is Lost. Makes me wonder why my husband and I didn't just get a loan and go to visit my sister when she lived in Hawaii!

Result number: 110

Message Number 228678

Re: Judy View Thread
Posted by Kathy G on 4/27/07 at 13:19

I'm still two episodes behind on Lost. I got so that I didn't like it for a while because they appeared to be stretching. As if the whole idea isn't stretching!!! Anyhow, the more recent episodes have been excellent. I'm so pleased. I love the show!

Result number: 111

Message Number 228677

Re: Cellulites - any hospitals in Orlando? Fred and Ginger need help View Thread
Posted by Kathy G on 4/27/07 at 13:17


What a shame! My positive thoughts and prayers are with you and Fred and Ginger. I'm sure they have hospitals that could do the drip but I'm wondering if the insurance company would take forever to arrange for it.

Don't forget. Disney will still be there. You have to take care of yourself but every now and then, like now, a little self pity is allowed. Not too much but after all you've been through, a little is acceptable. Sometimes it's just not possible to see the silver lining in some situations because there are none.

My fingers and my toes on Fred and Ginger's counterparts are crossed for you!

Result number: 112

Message Number 228579

Re: NBC News 2 hours ago: "Doctors still taking drug company freebies" View Thread
Posted by Kathy G on 4/26/07 at 10:42


I didn't read Susan's links because I read a similar article in the Boston Globe this morning. I find it very interesting. My daughter has been temporarily working as a pharamacy tech in a hospital and the drug reps are always bringing them in pizza, meals from nearby restaurants, etc. Makes very little sense in a hospital pharmacy since they dispense only what the doctors write for. Of course, they can influence a pharmacist to order a certain brand of a generic drug if they are so inclined. Most pharmacists I know are too moral to let a free lunch influence them. They order what they believe to be the best drug.

Pharmacy salesmen almost never call on chain pharmacists any more and most of our pharmacies are chains. The chains don't like it although I don't know as any have forbidden it.

As for doctors, one of the fields my daughter was interested in was pharmaceutical sales. The problem? Now that the reps can't give the doctors meals, pens, calendars, etc., the doctors don't see them at all. They sit around for hours waiting to see a nurse to whom they can give their samples and any literature on new drugs. Many reps said it's a very tough field and lots are getting out of it.

As for a friend of mine who's a doctor, he no longer gets any free meals or anything else free from the pharmaceutical companies. If he has the time, he sees the reps because he likes to be informed about new drugs. But I can tell you that I would be amazed if he, or my own PCP, ever has written for a drug based on anything they have received from the drug companies.

And most pharmacists and doctors I know wish they'd stop advertising prescription medication because the ads are so misleading and people are misinformed.

Of course, having said all that, I'm sure there are some doctors who can be bought and will write for the drug whose company has bought him the best meal. Some people can be bought whether they are doctors or truck drivers.

Result number: 113

Message Number 228576

Message to Esther re: Gerd View Thread
Posted by Kathy G on 4/26/07 at 10:30


Hi Esther,

I was away when you posted on GERD and I wanted to give you my take on it. I've had it since 1998. I started on OTC Pecid and it did nothing for me. Then my doctor put me on prescription Prilosec, now available in the generic form as Omeprazole. (The OTC form isn't the same.) I actually have to take two in the morning and two at night and I'm fine. My insurance company balked at that because it's more than the usual dose but my doctor appealed it and they agreed to let me get it. I don't have problems at night so the head of my bed isn't raised but my late mother had it and she found that really helped her. Also, not eating for at least an hour before bedtime is very wise. In that I'm very strange, mine was always worst in the morning! By the way, there must be a familial link as both my sisters have it, too.

I think it was Lisa who told you that if you've taken Nexium and it doesn't work and the Protonix did, your doctor can appeal it with your insurance company. Problem is, you'll end up paying the higher copay. But, rather than getting erosions of the esophagus, it's well worth it. That's what happens when GERD is untreated or gets severe.
There was no such group of drugs when my mother was alive and that's what happened to her.

They say it heals in eight weeks but I've been on Omeprazole on a regular basis all these years and so have my two sisters. I find that no particular food makes mine worse or better but I've never liked spicy things anyway. I do find if I don't eat enough, it's bound to act up so I think the idea of six small meals is a good idea until you get stabilized.

By the way, I've tried lowering my dosage and not taking it all. The stupid GERD always acts up. Last time I tried it, I forgot I had and I couldn't figure out what was wrong with me. DUH!! :D

Good luck at the doctor's and may you see some relief soon. You need a break!

Result number: 114

Message Number 228574

Re: Another question about computers View Thread
Posted by Kathy G on 4/26/07 at 10:14


Interesting point, Ed. And since my neck isn't working so well these day, a very serious consideration.

How are you enjoying your Apple computer? I wish I could have converted my thinking over but honestly, I just don't think I could have. Well, I could have but I didn't want to.

I'm still on the fence but thinking maybe the HP desktop is the way to go. My husband has a laptop which I don't like but he under bought and he'll be replacing it one of these days, I'm sure.

I'm such a creature of habit. And my motto is 'If it ain't broke, don't fix it.' I still think finding just the right combination desk and chair is my best move, and continuing with a desktop. The HP he has his eye on is on sale this week but no doubt, will be on sale again.

Thanks for the input!

Result number: 115

Message Number 228521

Re: "Experiment shows medical doctors to be glorified drug dealers, easily manipulated by drug companies" View Thread
Posted by Kathy G on 4/25/07 at 19:29


It's another point of view - radical and flawed but a point of view. I just want to know who finds doctors and tells them what drugs to write for. My doctor wouldn't give me a drug because I saw an ad for it and requested it. Any drugs he writes for are drugs he believes I need. Frequently we go through what I'm taking and analyze if I could lower the dosage or eliminate a drug I'm taking.

Yes, one should choose their doctor with care but face it, arsenic is natural. Does that make it safe?

Result number: 116

Message Number 228519

Another question about computers View Thread
Posted by Kathy G on 4/25/07 at 19:23


Hi Fellow Foot Achers,

As you know, I have been arguing with eMachine for several months and have finally won! They are sending me a 'new' computer but of course, when one reads the warranty, it states that one of equal value or a refurbished unit so I don't know what I'll be getting. At least I've bought myself ninety days more of warranty time and the original warranty period is up on June 4th.

Here's my question. My husband thinks this 'new' computer will turn out to be as lousy as the orginal so he thinks we should buy an HP desktop. The problem is that I've developed a pesky muscle spasm across the thoracic area of my back, where my osteoarthritis is really settling in. I thought I was going to be able to tell you all how amazingly the Magnesium supplement I have added to my vitamin regime has reduced the spasms but after a few weeks of working, it doesn't seem to be helping any more. I still suspect, although I'm not positive, that using the desktop computer is what is aggravating it. The Chiro did think three days of lifting my tiny little grandson who's all of eight pounds, out of and into the crib, may have made it worse but who knows?

My specific question: Do you have laptops or desktops? Do you find a difference, in term of muscle fatigue, with either of them? If you have a laptop, can you get used to the cramped (or at least I think it is) keyboard? I know that most stores sell ten laptops to every desktop but the desktops will always be around because so many businesses and home businesses need them. At least for a while. And I am really partial to a desktop.

Although it's not currently installed, we have a Linksys so I can go wireless so that's not a problem.

Any suggestions? Obviously, a new body would take care of everything but after 57 years, I don't think I can get much for it! Heck, I don't even want it!

Thanks for any input you may have.

Result number: 117

Message Number 228459

Re: Cortisone and Vit B12 View Thread
Posted by sandra l on 4/25/07 at 07:18

Thank you Dr. G. Sandra

Result number: 118

Message Number 228456

Re: Cortisone and Vit B12 View Thread
Posted by dr.g on 4/25/07 at 03:48

Cocktail injections are often used for PF/neuritis problems. The feeling is the B12 will actually cause some sclerosing of the nerve endings and this helps dec pain. The type and amount of cortisone can vary widely so the 'safe' amount will vary as well. In most cases, 3 injections would be reasonable.

Result number: 119

Message Number 228396

Cortisone and Vit B12 View Thread
Posted by sandra l on 4/24/07 at 06:28

Am wondering if anyone has had cortisone injections with Vit B12 for Pf, along with a suspected plantar neuritis? Any advice would be helpful. Thanks Sandy

Result number: 120

Message Number 228395

Cortisone and Vit B12 View Thread
Posted by sandra l on 4/24/07 at 06:19

Am wondering if anyone is familiar with 3 consecutive subcu cortisone injections, along with Vit B12 for pf and possibly plantar nerve neuritis? Any advice would be appreciated. I had one cortisone injection done by an orthopedic surgeon last Sept. with no results. I have had pf for 10 months, and had all other treatments done. ie ESWT, casting, physio, etc. If I undertake this Rx. it will be a total of 4 cortisone injections. Is that wise? Sandy

Result number: 121

Message Number 227878

Why I'll never be asked to join Mensa View Thread
Posted by KathyG on 4/16/07 at 12:26


We're having a Northeaster. Yesterday was snow but last night and now, it's rain. Lots and lots of rain.

Our cellar flooded when we first moved into our house, 28 years ago, but my husband put gutters on and we seldom get much water, if any, since. Until my new neighbor had her driveway redone and diverted the water that used to go down her yard so that it would go into ours. Now, on occasion, we get a bit of water.

Today we have almost three inches in the cellar, more than we've ever had. I ran a portable sump pump a couple of times but you can't run it too long or it will get too hot or something. I don't know. Sump pumps are not my specialty and my husband is at work. I've never even had to run it before.

Our spare refrigerator started making strange noises so I turned it off. Our Christmas tree, which is on a pallet, still got wet and I can't move the box although I don't suppose that would make much difference now. I suspect our freezer, on a higher pallet, may have sustained damage as the pallet is wet. I didn't open it because what can I do if it's gone?

So, yours truly decided that, arthritis or not, I was going to use our shop vac to suck up some of the water. I attempted to bring the first batch outside but it really hurt. No matter how much you argue with your body, it has a mind of its own. The second time I filled it up, I just poured it into our washing machine. That's what I've done in the past when we've gotten enough water to have to have to use the vac. Then I put the third batch into the washing machine. And of course, since we now have a front loader, it all came pouring out! DUH! I thought if I closed the door it would stay in but the door wouldn't close! So I ended up vacuuming water out of the washing machine!

Needless to say, I quit! If I can find any store that has another sump pump, I'll go buy one but it's highly unlikely there are any left. Roads are closed. The National Guard has been brought out and has been activated in a small town nearby. Less than a mile from me, a main road has been closed due to a landslide. This is really unbelievable. We really have nothing to complain about but I wanted to do something about the water!

While most people wouldn't admit they were stupid enough to do what I did, I figure people who use this board are in pain. And laughter is the best therapy for pain. So laugh away at my stupidity! I am! :D

Result number: 122

Message Number 227815

Re: foot pain and knee pain View Thread
Posted by KathyG on 4/15/07 at 14:51


Wow, Julie, you are really extraordinary. We all know you write well but I didn't realize you also are a gifted photographer.

You and I, as you know, share that love of the water and I'm glad to hear that Dorothy does as well. People think I'm kind of strange because even though I'm quite limited as to my swimming, I still do it anyway. Toward the end of last summer, even using my snorkel and mask would make my neck hurt. I don't mind the neck hurting but I really minded the cervical headache I got from it.

So, I floated a great deal. And I fooled around with positions that felt right to my body. Since my osteoarthritis or this disease we all love to call Kathyitis is progressing, I know that I will have more problems this year. It's fine; I'll find some way to get myself submerged. You did such a great job of describing it, Julie. I, too, learned to swim even younger than you did, and it was my father who loved the water so much. He swam right up until he died at age 78. And, interestingly, water is my favorite drink. It's a joke in my family that I'm so boring that all I want is water! That feeling of weightlessness and just suspending yourself in calm water can't be described. Unfortunately my days of riding the waves are over but that is a totally different kind of feeling and equally as wonderful. I never wade in and get wet gradually. I wade in until I have enough water to hold me and just go for it. What a fantastic feeling!

I was so fortunate that my mother and father, who were far from well off, believed vacation was one of the most important things in our lives. More than one year, they actually got a bank loan to go on vacation. And every summer, during my whole life, we spent at least two weeks at a beach in Maine. Some good years, we stayed for a month. One of my proudest days was the day I announced that I had been paying the owner of the cottage we rented all year so that the whole family could stay for a full month. In retrospect, I don't know how I did it because I was still in college and working part time but I did. And like Camelot, that month it rained just one time and it was at night.

This is way off subject but I just had to thank you for putting to words some of the wonder of the ocean and water in general. Of all the things I've lost because of my OA, swimming is the one I miss most. But, as with many things in life, where there's a will, there's a way!

Result number: 123

Message Number 227811

Re: Saturday a Violent Day In Iraq View Thread
Posted by KathyG on 4/15/07 at 14:08


During the war in Vietnam, the number of casualties was the lead story on every news program. Those flag-draped coffins made a huge impression on us. Due to this president's change of policy, we don't see those coffins any more. And as for the press? They like to lead with stories about Don Imus and Anna Nicole's father.

Are they dummying down the news because we're letting them do it or are the majority of Americans not noticing how it's changed in the last eight or nine years?

And who is in whose pocket? The press is supposed to be liberal. So why aren't they reporting about the war first? It's what's on everyone's minds these days.

It's most frustrating.

Result number: 124

Message Number 227747

Re: nonfused big toe joint View Thread
Posted by Dr.Goldstein on 4/14/07 at 17:23

If you are talking about fusion of the first metatarsophalangeal joint after removal of a titanium implant the joing should have been fixated with screws across it or a metal plate. In additional this would be a perfect indicational for the use of an electrical bone stimulator such as Exogen by Smith and nephew or the EBI unit

Result number: 125

Message Number 227434

Re: Cryo treatment & provider questions for Dr. G View Thread
Posted by Dr.Goldstein on 4/11/07 at 08:37

you can absolutely treat more than one spot
it can be done without regards to the cortisone shots
I do notwhat insurances others docs partake with

Result number: 126

Message Number 226945

Re: Morton's neuroma complications View Thread
Posted by Dr.Goldstein on 4/06/07 at 17:01

from your comments I am not convinced that a metatarsal osteotomy is the answer to your problem you may still have a neuroma or stump neuroma do you still have any tingling in your toes or electric shooting pains? metatrsal surgery may make the next metatarsal a new problem and like the domino effect you screw up all the metatarsals further testing such as MRI mnaybe needed.

Result number: 127

Message Number 226778

Re: IS NERVE DECOMPRESSION SURGERY HELPFULL View Thread
Posted by Dr.Goldstein on 4/04/07 at 17:27

David: it just goes to show how we all have our opinions as I remember defending cryosurgery to the hilt early on and do understand it cannot fix everything. when there is financial gain by doing surgery one has to wonder whether it is done even if one feels the procedure may not help. I am not implying dr dellon motive is money but at 5000-10,000 per case or more does one loose their objectivity?

Result number: 128

Message Number 226768

It's a Boy! View Thread
Posted by Kathy G on 4/04/07 at 16:04


Hi Everyone,

I am the proud, and hopefully not obnoxious, grandmother of a seven pound, four ounce baby boy! The birth didn't go quite as expected as the baby was in the posterior postition so they had to do a C section but I'm happy to say that both mother and child are fine.

And my son did quite well, too! Pretty good for someone who thought he fainted at the sight of blood.

I've gotten many congratulatory phone calls and I'm kind of tired so I'm going to lie down but just wanted to share my happy news with you all!

Result number: 129

Message Number 226749

Re: MBTs for foot pain--cautiously optimistic-but still have metatarsal pain View Thread
Posted by Dr.Goldstein on 4/04/07 at 13:04

Theresa: I have seen the MBT's and although the concept sounds good I think they are way over priced but the same could be said for custom orthotics depending upon what part of the counrty one lives in. Some patients think they are great while others say no big deal. The MBT's are supposed to help PF patients and one would think they are good for metatarsalgia but it does not seem as if they have solved your problems. There is a new med for restless leg syndrome called requip ask your doctor comes in 1,2,3,and 4 mg strengths. Night splints are for PF and achilles tendonitis not metatarsalgia. A softer orthotic diabetic type strictly for cushioning maybe better for your metatarsal pain

Result number: 130

Message Number 226746

Re: Nerve Damage after my partial plantar fasciatomy? View Thread
Posted by Dr.Goldstein on 4/04/07 at 12:38

See the neurolgist get tested, see if you have a medical plantar nerve entrapement, baxter's nerve entrapment which is not uncommon with the type of surgery you had then you maybe a candidate for cryosurgery which has worked fairly well for this problems.

Result number: 131

Message Number 225386

Re: Recoverying from Tarsal Tunnel Surgery!! View Thread
Posted by Dr. Goldstein on 3/18/07 at 14:49

During this prolonged healing phase you may want to try Lyrica to deal with the nerve pain burning, tingling, etc but this does have side effects otherwise try Metanx a prescription vitamin for neuropathy that has folic acid , b6, and b12 take 2 daily for the next few months this has no ill effects dr goldstein

Result number: 132

Message Number 225337

Re: What's in the mix? View Thread
Posted by Dr. Goldstein on 3/17/07 at 19:04

I have never seen a brown colored liquid in a syringe that is a steroid. i mix vitamin b12 alot and the would be reddish or pink not brown. i would request an explanation from your doctor to tell you exactly what was in the syringe

Result number: 133

Message Number 225279

Re: What's in the mix? View Thread
Posted by Dr. Z on 3/16/07 at 16:59

Hi
Might be Vit B12 mixed with a steriod. I am really not sure about this one. I am sure if you ask him you are conconcerned about the color being brown and that you never saw a brown steriod before, he or she will tell you what the medication is. Wait a minute are you sure that the BOTTLE wasn't brown ? Dexamethisone is in a brown bottle.

Result number: 134

Message Number 223432

Re: My husband's unsuccessful surgery View Thread
Posted by jim on 2/23/07 at 07:08

Erin,

I am a pilot in the Army, so I must wear boots, but after my surgery, I have been unable to even put boots on my feet much less walk with them. I have been wearing Crocks with a memory foam insert that cost about $10.00 at Walgreens. I just threw those away 3 days ago when Dr Kiper's Orthotics arrived. They fit in any shoe, unlike many orthotics that require you to buy bigger shoes in order for them to fit. I have lived on my couch since September of 2005 and I am just now starting to get moving again. Your DPM can prescribe Metanx. It is a presciption grade B6, B12, and folic acid compound that helps heal the nerves. The liga-tend (it is a shark cartilige supplement)can be bought online at herbs-pro. They were half the price of the other stores. It was only $13.00 for a months supply. I found out about is from a guy that had tarsal Tunnel Surgery and said it really helped him recover. I take 2 Metanx a day, 3 liga-tend, and 2 Hydrocodone. I used to be on Fentanyl patches, Lyrica, and Hydrocodone just for pain. I think at the time it was necessary, but you should not take it for long. I forgot to tell you I also take a Nature's Own fish oil supplement once a day. The biggest thing he needs right now is hope.

Let me know if you have any other questions.

Jim

Result number: 135

Message Number 221438

Re: Anyone have nerve damage after foot surgery? View Thread
Posted by Dr.Goldstein on 2/02/07 at 19:46

Dear Lisa: I have almost never heard of a patient having nerve damage to the digit after hammertoe surgery and I have practicex for 26 years. Again the cortisone/vitaminb12 injection may prove beneficial as well as the oral Lyrica for the nerve pain. I do not think ice or heat will make any real difference but maybe some of the other physicians can comment as well

Result number: 136

Message Number 221410

Re: Anyone have nerve damage after foot surgery? View Thread
Posted by Dr.Goldstein on 2/02/07 at 16:02

If you had a soft tissue release for your hammertoe at what level was the release done ? in the toe on top or bottom or further back as the metatarsaophalangeal joint level? I would certainly try a shot of local anesthetic, cortisone and vitaminb12 combo to see if you get any relief. Also of one believes it is nerve pain I would add oral Lyrica into the mix as well.

Result number: 137

Message Number 220760

Re: b12/folate View Thread
Posted by Dr. Ed on 1/26/07 at 12:57

lynn:
I believe what you are reading is that your B12 and folate levels are above the normal range as opposed to being "too high." If you are on Metanx, that is not unexpecred and not something to be concerned about.
Dr. Ed

Result number: 138

Message Number 220736

b12/folate View Thread
Posted by lynn on 1/26/07 at 10:30

I obtained copies of my lab work for my records and it says my folic acid/folate and b12 are both high but no one mentioned this before. Can too high of the Bs cause nerve problems as well or just too low? Should i ask my doctor about stopping metanx?

Result number: 139
Searching file 21

Message Number 219913

Re: Teen bulimia lead to TTS/neuropathy in later life? View Thread
Posted by opteg on 1/16/07 at 14:56

I actually developed mild peripheral neuropathy from a nutritional deficiency and I am still recovering. No doctor could diagnose me because they looked at a fat guy and said nope, must be something else. If you get blood work now, it will not show a vitamin deficiency unless you haven't been eating close to proper for awhile.

Vitamin B1 can cause peripheral neuropathy if the deficiency is prolonged, and can cause CNS degradation if the deficiency is abrupt. If this was a B1 deficiency, the best thing to do is to ge Benfotiamine and Thiamine supplements, which will quickly replenish your thiamine stores. Thiamine deficient patients who go to a hospital are given a magnesium injection also because magnesium is needed for thiamine to become thiamine pyrophosphate. It's best to get magnesium citrate and take that with your thiamine dose.

Vitamin B12 can cause neuropathy too, but this is rare since it is stored for years in the liver. This is mainly reserved for those lacking an intrinsic factor for B12 absorption.

In any event, it is likely that you will get a full recovery, but it will be long and painful. Estimation anywhere from one month to a full year, and some physical therapy may even be necessary to get the muscles/tendons working properly again. Axonal regeneration takes quite awhile, at the rate of something like 1mm/day. Hope this helps.

Result number: 140

Message Number 219575

Re: Teen bulimia lead to TTS/neuropathy in later life? View Thread
Posted by dr g. on 1/12/07 at 20:46

All patients with neuropathy should have some basic blood work, at least including thiamine,(b1) and B12 levels. Eatng disorders can be considered similar to celiac d., chrons d. alcoholism and beri beri. These disorders all tend to have b deficiency. Also have a1c to measure your blood sugar over 3 mo. period. Lastly, have lyme and thryoid test.

Result number: 141

Message Number 219084

Re: Dr Goldstein/Metanx View Thread
Posted by Dr. David S. Wander on 1/07/07 at 18:43

Below is some information that I believe may have been the study/article that prompted many of the cardiologists to stop prescribing Foltx/Metanx. It was from the New England Journal of Medicine and the NORVIT trials and HOPE 2 trials:

Remember, this is NOT my opinion, so don't shoot the messenger.


Published on-line in the prestigious New England Journal of Medicine (doi: 10.1056/NEJMoa060900), the HOPE 2 trial randomly assigned 5522 patients with heart disease or diabetes to receive either a combination of 2.5 mg of folic acid, 50 mg of vitamin B6 and 1mg of vitamin B12, or a placebo.

3982 patients were from Canada and the US (countries with folate fortification programs) and 1540 patients were from Western Europe, Brazil and Slovakia (countries with no compulsory fortification program).

Mandatory fortification of certain food with folic acid was introduced in the US and Canada to reduce the occurrence of birth defects, and has been successful in cutting the number of children born with neural tube defects by over 25 per cent.

Patients were tested every six months for five years, with blood samples taken at the start, after two years, and at the end of the study.

“In our study, daily administration of the combination of folic acid, vitamin B6, and vitamin B12 lowered homocysteine levels significantly but did not reduce the incidence of death from cardiovascular causes, myocardial infarction, and stroke,” wrote lead author Eva Lonn from Hamilton General Hospital in Ontario, Canada.

Blood levels of homocysteine decreased by 2.4 micromoles per litre (0.3 milligrams per litre) during the five years of supplementation, while the placebo group’s homocysteine levels increased by 0.8 micromoles per litre (0.1 milligrams per litre) during the same period.

Despite decreases in homocysteine levels for the supplementation group, no link was found between B-vitamin intake and the risk of death.

“The risk of death from any cause was similar in the active-[supplement] group and the placebo group,” said Lonn.

The NORVIT trial reported similar results for the 3749 patients who had suffered an acute heart attack within a week of the start of the randomised trial.

Supporting the results of the HOPE 2 trial, the supplementation with B vitamins did not affect the risks of death from recurrent cardiovascular disease or death. Indeed, taking vitamin B6 alone was linked to a 17 per cent increase in further heart attack.

The main conclusion to draw from the studies appears that the combination of B vitamins for these high risk groups cannot be recommended.

Joseph Loscalzo from Brigham and Women’s Hospital in Boston stated the same in an accompanying editorial: “The results lead to the unequivocal conclusion that there is no clinical benefit of the use of folic acid and vitamin B12 (with or without the addition of vitamin B6) in patients with established vascular disease.”

The studies also draw into question the link between homocysteine and the risk of CVD, a question raised by Loscalzo. The HOPE 2 researchers proposed that “homocysteine could be a marker, but not a cause, of vascular disease.”



Result number: 142

Message Number 219029

Re: Dr Goldstein/Metanx View Thread
Posted by Dr.Goldstein on 1/07/07 at 05:44

William : due to the nature of the product being a B 6, b12, folic acid combo, this is a relatively safe, harmless product as B vitamins are water soluable and excreted in the urine. They are not stored in the liver like A,D,E,&K. I think you have nothing to loose but much to gain if it works. I have diabetic neuropathy and take 2 daily. You may want to start with one tab and try it for 2 weeks if no improvement up the dosage to 2 daily. I have heard some docs speak that some patients need up to 4 a day. You will need a prescription to get it though.

Result number: 143

Message Number 210374

Re: B12 injections and plantar fasciitis View Thread
Posted by Dr. David S. Wander on 9/15/06 at 15:47

No

Result number: 144

Message Number 210335

B12 injections and plantar fasciitis View Thread
Posted by NanSea on 9/14/06 at 22:56

Are there any studies to indicate that a regimen of intramuscular B12 shots can improve / reverse pain from plantar fasciitis?

Result number: 145

Message Number 210033

Looking for truth in all the right places! View Thread
Posted by marie on 9/11/06 at 17:07

Some you'll like and some not so much. :)

PDF: http://www.ctc.usma.edu/aq/Harmony%20and%20Disharmony%20--%20CTC.pdf
2006 Pentagon Study:
...the study did not look specifically at allegations of Iraq's ties to al-Qaeda, it did analyze papers that offer insight into the history of the movement and tensions among the leadership. In particular, it found evidence that al-Qaeda jihadists had viewed Saddam as an "infidel" and cautioned against working with him. (See Timeline, February 14 2006).

http://www.gpoaccess.gov/serialset/creports/iraq.html
Congressional Reports: Report of the Select Committee on Intelligence on the U.S. Intelligence Community’s Prewar Intelligence Assessments on Iraq

"The Intelligence Community has no credible information that Baghdad had foreknowledge of the 11 September attacks or any other al-Qaida strike, but continues to pursue all leads."

http://intelligence.senate.gov/press.htm

http://www.gwu.edu/~nsarchiv/NSAEBB/NSAEBB80/NIC%20Speeches%20-%20Iraq's%20WMD%20Programs.htm
Iraq's WMD Programs: Culling Hard Facts from Soft Myths

http://www.whitehouse.gov/news/releases/2003/02/20030205-1.html

http://www.washingtonpost.com/wp-dyn/articles/A38650-2004Jul9.html
transcript of report

http://www.gwu.edu/~nsarchiv/NSAEBB/NSAEBB129/
National Security Archive
CIA Whites Out Controversial Estimate on Iraq Weapons

http://www.gwu.edu/~nsarchiv/special/iraq/
The Saddam Hussein Sourcebook

http://www.prospect.org/web/page.ww?section=root&name=ViewWeb&articleId=10446
The Report They Forgot

President Bush Outlines Iraqi Threat
http://www.whitehouse.gov/news/releases/2002/10/20021007-8.html

No proof links Iraq, al-Qaida, Powell says
http://www.msnbc.msn.com/ID/3909150/

From Israel
http://www.foxnews.com/story/0,2933,77248,00.html

Result number: 146
Searching file 20

Message Number 208625

Re: I'm 15 and just got told 1 week ago i have tarsal tunnel. View Thread
Posted by Anne G on 8/27/06 at 23:13

If your problem seems to be due to nerves be sure that your doctor checks for thyroid problems and also vitamin B12 level as these can cause nerve problems that can be easily treated. Just hang in there and don't give up.

Result number: 147

Message Number 207948

Re: tomorrow's the day View Thread
Posted by Anne G on 8/20/06 at 13:36

Great advice about checking the thyroid. It can cause so many problems and is often overlooked. Vitamin B12 is also important for our nerves and can cause problems such as we all have. Best of luck tomorrow. Prayers are with you.

Result number: 148

Message Number 207562

Re: So, would just taking those sublingual B vitamins do just as well as.... View Thread
Posted by Bob V on 8/17/06 at 05:22

Lisa

Here is another non prescription food based vitamin B6, B12 and Folate. It cost about a third of Metanx. I have noticed some improvement since taking it for a few months.

http://www.doctorsresearch.com/prod_vitb12.html

Result number: 149

Message Number 205824

Tarsal Tunnel? View Thread
Posted by Mikki on 7/31/06 at 06:19

I have a job that requires me to walk around with heavy items. Our shifts are 10 hours 4 days a week and much overtime. My feet hurt a lot at the end of a shift. I have been doing this job for 8 years, and around 9 months ago I my ankles would be stiff when I woke up in the morning with pains in my ankles that weren't constant. I developed numbness in both ankles that moved to the arch of both feet which is worse when I get up in the morning. Now it is constant. My primary care doctor ruled out diabetes and B12 deficiency and I don't have an injured back. I saw a foot doctor and he confirmed the numbness with a nerve conduction test but said he doesn't know what is causing it. Could this be Tarsal Tunnnel? Would a nerve conduction test rule it out? Any help would be greatly appreciated as I feel like I'm semi crippled and I'm use to being very active.
Thanks in advance.

Result number: 150
Searching file 19

Message Number 199034

Re: Dr. Zuckerman and others :) View Thread
Posted by Shirl M on 5/13/06 at 17:28

Thanks, I started with fam. dr. who did blood work up and all tests came back normal, RH Sed rate, B12, diabetis, etc...Then went to Pod and she is treating me for PF, ordered me orthotics and so far no improvement, also had Nerve Conduction Test, Doppler Ultrasound on both legs, my md wanted me to see a orthopedist then to Neuro. Dr. But I don't have that first-step pain on heel, only when standing on....Shirl

Result number: 151

Message Number 198512

Re: Multiple entrapments View Thread
Posted by calla on 5/03/06 at 16:27

I would ask for blood tests to rule out Lupus, diabetes, vitamin deficiency (such as b12), thyroid functioning and rheumatoid arthritis. good luck to you.

Result number: 152

Message Number 195895

TTS developed when wearing orthotics View Thread
Posted by cmarie on 3/21/06 at 15:51

I had a pair of custom orthotics made and developed TTS during the first two weeks. I was given a shot of b12 and something else. It seemed to help so I continued to wear the orthotics. The symptoms are back but not quite as intense. I have decided not to wear the orthotic for a while. Is it possible the problem will go away on its own if it was the orthotics that caused this flare up?

Result number: 153

Message Number 195535

Re: Vitamin B shots View Thread
Posted by Janet S. on 3/15/06 at 03:32

I have severe burning,stinging,cramping with numbness in pads of both feet.Had xrays done showing I have tarsal tunnel,heelspurs and bunions in BOTH feet.This has been going on for almost 3yrs..Have had surgery(June 2003)on right tarsal tunnel with no relief.Also had back surgery(slipped disc in f3) which relieved the back pain but no relief in feet.I am in constant daily pain!I take neurontin,morphine,B12 Complex and a muscle relaxer with some to no relief.

Result number: 154

Message Number 195142

Re: Any Advice for a 26 year old? View Thread
Posted by pyrotess on 3/08/06 at 15:52

Lynn, i'm so sorry that you're in so much pain. I hope that the anodyne works, please keep me posted my doctor is thinking about it because of the posts here. I'm just taking over the counter B12 (250mg) to see if it helps. It's so hard to know if something does because sometimes I'll have a good day and the pain isn't so bad then the next day I can barely walk. I can tell that the Lycria works for about 40mins. after I take it then it's right back to before. I'm taking about 225mg per day and if the pain is really bad then I take another pill and that's 300mg. I really don't care for it as I feel kinda medicine headed on it, but the pain is worse without it and I work in retail so I have to do what I can to run my store.

Result number: 155

Message Number 195068

Re: Any Advice for a 26 year old? View Thread
Posted by Dr. Goldstein on 3/07/06 at 19:12

Christie: I like a drug called mentax which is a combination of folic acid, B6 and b12 used for diabetic neuropathy but I have been using it on some of my TT patients with some degree of success you need a Rx to get it. Lyrica is another prescription drug FDA approved for diabetic neuropathy which we are also using for patients with nerve pain related to TT also. This one can cause dizziness, drowsiness, disorientation so start off at 50 mgs week one then 100 mgs week 2 then if you can tolerate 150 mgs week three do not start off at full dose as side effects are much worse if you do this.

Result number: 156

Message Number 195043

Re: Any Advice for a 26 year old? View Thread
Posted by Christie on 3/07/06 at 10:43

what kind of B12s are you taking and how many mg per day? sounds like that might be promising. also, what is lycria, and has it helped at all?

Result number: 157

Message Number 195022

Re: Any Advice for a 26 year old? View Thread
Posted by pyrotess on 3/07/06 at 01:21

I'm 28 and just found out in July that I have this condition. Corisole did nothing for me but I'm on 75mg 3 times a day of lycria and also starting to take B12 viatimin's it seems to have helped the past 2 or 3 days. I also have the insoles although they don't seem to help much.

Result number: 158

Message Number 194550

Re: Question for all doctors performing TTS open surgery METANX not available in UK??? View Thread
Posted by Bambi/Helen Tap4TTS.co.uk on 3/02/06 at 06:45

Hi Dr Goldstein,

I saw my pain specialist yesterday. He has not heard of Metanx but said B12 vitamins can be helpful with Neuropathic Pain. My pharmacist called his suppliers and they said Metanx is not available in UK. Typical! My pain specialist is hoping that by using The External Neuromodulation Device (When I get one) will help me enough to cut down or even stop my medication. He has asked me if I would mind being on TV and talking about my conditions/machine, The BBC are filming a programme about the machine and Neuropathic Pain. Of course I said yes, Nerve Pain awareness is very important to me!

Helen.
www.Tap4TTS.co.uk

Result number: 159

Message Number 194422

Re: Question for all doctors performing TTS open surgery View Thread
Posted by Dr. Goldstein on 2/28/06 at 20:12

Metanx is a prescription vitamin consisting of L methyfolate ( the active form of folkic acid) B6 and B12 it is indicated for diabetic neuropathy however other people with nerve pain from other conditions have been helped by this i take 2 per day and it has helped my tremendously but everyone gets a different level of relief atleast being a water soluable vitamin it does not have side effects like lyrica or cymbalta certain worth a try
dr g

Result number: 160

Message Number 194407

Re: Question for all doctors performing TTS open surgery View Thread
Posted by Dr. Goldstein on 2/28/06 at 19:23

Dear helen: I have diabetic neuropathy and the metanx has worked extremely well for me it is a combination of folic acid b6 and b12 although diabetic neuropathy is its main indication we have tried it for patients with other nerve problems such as TTS and other nerve damage with help it is b vitamins no real drugs it is always worth a try and it does not have the potential side effects of lyrica or cymbalta. helen i want to take a moment to thank you for all the support and help youb give to others while going through some really rough times yourself, you are an inspiration to me!
dr goldstein

Result number: 161

Message Number 194403

Re: questions on tts View Thread
Posted by Dr. Goldstein on 2/28/06 at 19:13

I mix a steroid plus vitamin b12 into my injection once the local anesthetic waers off but the cortisone and b12 kick in and you get relief this is a good indicator that you may have TTS if it does not provide any relief something else may be the cause of the problem

Result number: 162

Message Number 193385

Re: Metanx may help you View Thread
Posted by Sheila S on 2/13/06 at 04:51

Dr. Goldstein, What do you think of the Metanx when Folates and B6 are normal? Mine are all mid-range of the spectrum, except B12 which had dropped to 228. I have read that excessive B6 can cause nerve pain as well, so my concern is getting too much while still not having enough B12.

After 3 different doctors ignored my B12 numbers continuously dropping (even after I brought it to their attention - they said "228 is still in the normal range") I began, on my own, a sublingual B12 1000mcg daily, and after awhile my PN symptoms were significantly better (a few months later, my B12 was up from 228 to 748!) . Last fall I began having some stomach problems and feared anything by mouth so began monthly B12 shots. My pain has steadily increased so I asked my GP to run a blood test last week, just before another B12 injection, to see what my current number is...I hope to find out today.

Just wanted your thoughts on the Metanx when most numbers were normal.
Thanks!
Sheila

Result number: 163

Message Number 193219

Re: Hi guys, my situation now & my personal aims for ALL sufferers View Thread
Posted by Elizabeth on 2/10/06 at 09:33

Helen,
I am going to talk to my doctor about those test. I'm already getting blood work done for something else. My insurance co. probably won't pay for the B12 test but I'll pay for it myself if I have to. Thanks for the info.

Result number: 164

Message Number 193087

Re: Hi guys, my situation now & my personal aims for ALL sufferers View Thread
Posted by Bambi/Helen Tap4TTS.co.uk on 2/08/06 at 12:24

I AM NOT A DOCTOR

Hi Elizabeth,


I had vitamin B12 deficiency test and thyroid T3 & t4 & TSH .

I am also going to have...

SpectraCell - FIA test ( A Function Intracellular Analysis test)checks for deficiences in your lymphocytes.

Hypothyroidism can cause PN & Entrapment neuropathies. There is a connection between Hypothyroidism and B12 deficiency.

ANA test

ATA test (Antithyroid Antibodies)
People with Hypothyroidism (ADRENAL FATIGUE)often have entrampment neuropathies.

Cortisol levels & ACTH checked?
Cortisol needs to be checked at least 2 points in the day, as levels drop low in the evenings.

I just want to know that I am doing everything possible to help myself. I have had numerous tests in the past before my ops and when my website was up and running I receievd an email from Everett (from here) asking if I have had these tests. I put it to my consultants and well...it can't hurt to make sure all is ok. I will let you know if I find anything.

Best wishes,

Helen.

Result number: 165

Message Number 191982

Re: NEWEST MEDICATION FOR TTS AND NEUROPATHY View Thread
Posted by Dr. Goldstein on 1/23/06 at 18:42

David: The folic acid portion of the drug acts upon the homocysteine levels while the B6 and B12 compnents still are involved with overall nerve damage in helping the nerve repair itself so it is certainly worth a shot. With all the adverse effects seen with lyrica and Cymbalta, we do not have alt of choices left. With a water soluable vitamin with a very low side effect profile, patients seem more amenable to this form of therapy. As I use the drug more and more and on myself i will see if it really works. I have not been as excited with the results of the other 2 so far. Anything that gives patients hope is a plus in my book but the jury is still out. Steve

Result number: 166

Message Number 191845

NEWEST MEDICATION FOR TTS AND NEUROPATHY View Thread
Posted by Dr. S . Goldstein on 1/21/06 at 11:05

For all of you who have not had success with the lyricas cymbaltas neurontins elevail. the newest treatment is called METANX it is a prescription vitamin consisting of active forms of folate, vitamin B6 and B12 which are directly involved in homocysteine metabolism. Patients with neuropathy have been shown to have high homocysteine levels which are detremental to nerve repair and function. These vitamin decrease the levels of homocysteine and helps with neuropathic pain and patients with TTS. take 2 tablets per day. it is a water soluable vitamin so it DOES NOT get stored in the liver like vitamins A, D, E, and K. No side effects like the other mentioned drugs certainly worth trying. I am doing a study in my office presently. you can get more info at www.metanx.com or parent company www.pamlab.com
Dr. Goldstein

Result number: 167

Message Number 191499

Re: TTS, capsilitis and treatment - Please Help View Thread
Posted by Meg S on 1/15/06 at 18:01

I wear my orthotics all the time. No, I have not had surgery for the TTS. Because of low functioning thyroid I don't heal well - form to much scar tissue. Right now I take 100 mg. of celebrex, vitamin B12, levoxyl, cytomel.
Can the TTS cause the capsilitis?
Thank you for your quick response!!!

Result number: 168
Searching file 18

Message Number 188755

Re: Vitamin B after eswt View Thread
Posted by Dorothy on 12/02/05 at 14:22

Frank R - I am not a doctor and you posted on Ask the
Foot Doctors, but while you are waiting for a reply from doctors, I can tell you what I have learned over the years about the B-vitamins. The B-vitamins are a COMPLEX of vitamins, not just one. There is no "Vitamin B", but there are Vitamin B1, B3, B6, B12, folic acid/folacin, etc.
They work together and it is generally recommended that they be taken together, in their full complex, with some exceptions for specific conditions - B-12, for example, is given singly as an injection for pernicious anemia, but that is the exception to the "rule". I am posting a link here to a site that has clear, easy to understand information about the B-vitamin complex and the answer you seek may be there. B6 is often recommended for nerve/neural problems such as neuropathies and people will often take it singly, but B6 carries some risk for nerve damage if taken in excess or for prolonged periods of time. I hope this and the link help. http://home.howstuffworks.com/vitamin-b.htm

Result number: 169

Message Number 188716

Re: Tarsal Tunnel Syndrome View Thread
Posted by Bob Vee on 12/02/05 at 07:30

Helen

I live in the US and I am 55 years old. I just recently began to investigate TTS on the internet. Up until that time all my friends and family have said that it is probably nothing to worry about. A lot of investigation has changed this mindset.

I read that vitamin B6 is good for carpal tunnel and TTS. I take 200mgs a day. I've read that taking more then that could cause nerve damage. A friend who studies a lot about nutrient because of his type 2 diabetes said that Omega 3 oils are also good for the nerves. a good source of Omega 3 is salmon. I take 3 Omega pills a day which contain fish oil . Thanks for the heads up about olive oil and vitamin b12.

I've read your website and will continue to reference it in the future.

Thanx

Bob

Result number: 170

Message Number 188705

Re: Tarsal Tunnel Syndrome View Thread
Posted by Dorothy on 12/02/05 at 01:37

Bambi -
I believe it is an EXCESS of B6 that has the potential to cause some nerve damage. It would not be accurate to say "B vitamin" since there are several of the B vitamins, including B12 which you mention. Someone will correct me if I am wrong or incomplete in this information but I do know that at least B6 can have this effect.

Result number: 171

Message Number 188697

New (to me) footwear View Thread
Posted by Steve L. on 12/01/05 at 21:05

I haven't been here in ages, so this may be old news to most of you.
Recently a friend turned me on to a shoe called "Z-Coil". My case is permanent (irreversable), yet these shoes make my times out of the wheelchair much more tolerable. Please take the time to check these shoes out at www.zcoil.com,or call them at 1-800-268- 6239. Best wishes, Steve

Result number: 172

Message Number 188669

Re: Tarsal Tunnel Syndrome View Thread
Posted by BambiWhassup@aol.com on 12/01/05 at 18:47

Hi Bob, Thanks for your kind words. I am allergic to Anti-Inflammatories which is unfortunate as it would help with the swelling. To my knowledge vitiam B12 is vital for nerve fibres but too much vitamin B can apparently make PN worse. If it can make PN worse than there is a possibility it can also make TTS worse too so be sure to not over dose! Olive-oil is said to be able to take inflammation down, but doesn't contain the same good-ness when used in cooking. Maybe it's worth trying regularly on a nice salad?!

If you wouldn't mind me asking..just for my own research..do you live in the UK? and what age group do you fall into? Please keep an eye on my website www.Tap4TTS.co.uk

Best Wishes, Helen.

Result number: 173

Message Number 188283

Re: Surgery View Thread
Posted by GDDC on 11/27/05 at 17:48

For about a year or so I had this very strange sensation in both feet that was hard to describe. There was diminished sensation,but not actual numbness. Gradually I was more and more aware of a strange sense of not being able to tell if my feet were covered, if they were hot or cold and not feeling pin pricks as keenly as I should have when I tested them.
This summer, I started having discomfort around the ankles that moved up the leg to just past the calf. There was not so much actual pain as just discomfort. I became very concerned and went to my primary care physician who ran all the usual blood tests, but found nothing.

In the meantime, I was able to see my regular Orthopaedic doctor. He had my folate and B12 levels checked. No problem there. He then arranged for me to have nerve conduction testing by one of his associates. This confirmed the diagnosis of TTS.

My doctor then explained to me about TTS and gave me literature to read and study (Wilemon,W.K.:Orthop.Rev.8:111,1979) At this point, I was referred to the "foot specialist" in the same group of orthopeadic surgeons.


Dr. Paul Bednarz of Greensboro Orthopaedics in Greensboro, NC decided to do both feet at the same time and performed the surgery at Health South Surgical Center in Greensboro.

I apologize if this is more information that you wanted or needed.

Result number: 174

Message Number 187906

Re: Seeking information on B Vit. and accupuncture View Thread
Posted by Ed Davis, DPM on 11/21/05 at 14:23

Ralph:
The B vitamins are water soluble. That means that taking "too much" usually just results in the excess being "washed out" in the urine. The one B vitamin that one can take too much of is niacin which can be hard on the liver. A good way to take vitamin B12 is with the sublingual (dissolve under the tounge) lozenges.
Ed

Result number: 175

Message Number 187789

Re: to chele View Thread
Posted by chele on 11/19/05 at 10:09

Fernando,
I actually do not have the numbers as to what my level was. I went in for my year post op appointment regarding my bypass surgery and they told me the level was very low and to start taking Vitamin B12 TABLETS along with my Multivitamin TAB. BUT since my TTS surgery I have realized that I probably am not absorbing the vitamins since I have malabsorption. Time to talk to my doctor!!!

Result number: 176

Message Number 187622

Soldier Needs Advice - No MAS View Thread
Posted by Gena P on 11/17/05 at 02:39

Back in June I posted a message. I had a severe case of Plantar Fascitis in both feet. I had Xrays, MRIs, took Relafin, 3 months of Physical Therapy where they did the tens, ankle exercises, balancing excericses. Needless to say, the Physical therapy was a waste of money. It wasn't until my Dr. injected the nerves in my feet with an anti-inflamatory and a shot of Vitamin B12 that I noticed results. That was in July. Prior to the shot, I couldn't run for 2 min without hurting and not being able to walk the next day. It is now November, and I am up to running 3 miles every other day PAIN FREE. I just wanted to share my story, maybe it could help someone else out. Good Luck, hope you have the same results I'm having, "WITHOUT SURGERY." Now I'm just trying to RUN off the weight that I've gained. lol Gena

Result number: 177

Message Number 187620

Re: Preventing "overdoing" with exercise View Thread
Posted by Gena P on 11/17/05 at 02:24

I think that you can continue to increase your time and MPH as long as you aren't in any pain, and if you don't feel any pain after you exercise or the next day. I had nerve entrapment, my Podiatrist shot me with a shot of Vitamin B12 and an anti-inflammatory in both heals. The next day, I went out and ran 3 miles. Before that, I couldn't even run 5 minutes without having to stop. The next day, I also couldn't walk. So maybe you can continue to increase until you find your comfort zone. Good Luck

Result number: 178

Message Number 187596

Re: peripheral neuropathy View Thread
Posted by Ed Davis, DPM on 11/16/05 at 17:22

critterz:
How much has been found out about the cause of the neuropathy: NCV (nerve conduction velocity test) , possible blood tests to check thyroid, vitamin B12 and folate absorbtion, a "sensorimotor panel" to look for hereditary neuropathies, heavy metal screening, etc.?
Dr. Ed

Result number: 179

Message Number 187591

to chele View Thread
Posted by fernando on 11/16/05 at 15:52

chele, what was yor vitamin B12 level ??? mine was 232 ( normal is 180 - 914 )...I don't know how low is that in terms on being the cause of my nerve problem...

Fernando.

Result number: 180

Message Number 187537

Re: TTS and Gastric Bypass Surgery-hmm View Thread
Posted by Ed Davis, DPM on 11/15/05 at 22:20

Anne:
A vitamin cure may imply that the problem was not true tarsal tunnel syndrome but a vitamin deficiency. A common deficiency after gastric bypass is Vitamin B12. Lcukily, it is fairly common to find B12 tablets that dissolves under the tounge. It may be a good idea for all considering gastric bypass to be ready to supplement with the sublingual (under the tongue) B12.
Dr. Ed

Result number: 181

Message Number 187464

TTS and Gastric Bypass Surgery-hmm View Thread
Posted by chele on 11/15/05 at 13:37

Hi. Has anyone else out there had Gastric Bypass Surgery and now been diagnosed with TTS or know of someone who has?
Before my Bypass surgery, I did not have foot problems other than having extremly flat feet and needing to wear orthotics. They helped. Since the surgery my eating has changed as well as now having malabsorption. This issue regarding a Vitamin B12 deficiency has got me very curious!!! My B12 level was low with the normal tests and I have to take B12 vitmins.
I had my TTS surgery last tuesday. Just yesterday a friend who also had bypass surgery complained of the same symptoms I had and she is going to ask her doctor about TTS.
Can anyone help me out and let me know where I can find some more information regarding the vitamin deficiency related to TTS?
Thanks Much!!! Michele

Result number: 182

Message Number 187221

Re: Three Questions on TTS - Hypothyroid, Twitching, Orthotics View Thread
Posted by Anne G on 11/12/05 at 19:49

Everett - To answer your questions - I have been taking B12 injections monthly for over 10 years and have been taking synthroid and later the generic levothyroxine for about 19 years. I started with the TTS problems about 5 years ago. I've never heard about adrenal fatigue and thought your information on B12 levels interesting. You sure are well informed on the physiological details! I've heard that Lyme disease can cause these problems too. I was tested for that - negative. Like I said, I had surgery on one foot last year with no improvement so am trying to decide in which direction to go now to try to find some relief.

Result number: 183

Message Number 187213

Re: Three Questions on TTS - Hypothyroid, Twitching, Orthotics View Thread
Posted by EverettL on 11/12/05 at 15:46

Hi Anne,

Thanks for your response. What do you take for your B12 def. and hypothyroidism? I have just started taking B12 injections and Armour Thyroid. I've read that it can sometimes take many months for nerves that are damaged from B12 deficiency to heal. How long have you been on your treatments? Have you noticed any improvement?

The other link I'm investigating is hypoadrenalism. My morning cortisol is OK, but my evening level is very low. This is characteristic of adrenal fatigue, a controversal syndrome to be sure, but I'm starting to believe in it. Some people have hypoadrenalism and hypothyroid. Although I've never found any reference to hypoadrenalism directly causing neurological problems, I have read that hypoadrenalism can further block absorption of thyroid hormones (T4, I think). Hypothyroidism on its own can cause neurological problems, and it can also cause a B12 deficiency. So, in an indirect way, it seems that hypoadrenalism can contribute to neurological problems.

One thing I have read (I will try to find the source if anyone's interested - I can't put my finger on it at the moment) is that traditional B12 testing of your serum can be misleading. Low serum levels will always be present in someone who is B12 deficient because of diet (such as malnourished children in impoverished regions or some strict vegans), but people with malapsorption problems (which is most non-vegans in the developed world) may have high levels in their serum which is going unused by their bodies. There can be things that you consume that can falsely inflate your serum B12, and there can be reasons why you're not absorbing it. Some tests that can help are homocysteine and MMA, as these will often be elevated in people with B12 deficiency. There is also a Spectracell test that measure the functional intracellular deficiency of B12 in your lymphocytes.

Result number: 184

Message Number 187197

Re: Three Questions on TTS - Hypothyroid, Twitching, Orthotics View Thread
Posted by Anne G on 11/12/05 at 08:18

Hi Everett. Your questions caught my attention because they describe my condition. I have been diagnosed with TTS and neuropathy. I had TTS surgery a year ago which was unsuccessful. I have both hypothyroidism and vitamin B12 deficiency but take meds and shots for both conditions which make my levels read normal in blood work. I get the fasciculations in one of my calves and they are rapid and constant. None of my doctors seemed too concerned with them so I never knew what they were from. I tried orthotics (along with meds, PT, etc.,)and found no relief. If you read more about the B12, thyroid link please share your info with this board. Good luck.
Anne G.

Result number: 185

Message Number 187136

Three Questions on TTS - Hypothyroid, Twitching, Orthotics View Thread
Posted by EverettL on 11/11/05 at 11:19

Hi,

I am new to this board. I have been struggling with a number of peripheral nerve problems for about six months, including symptoms of TTS and CTS, although my feet are much more severe than my hands. I have been diagnosed with hypothyroidism as well as a B12 deficiency (which are apparently often related). A few questions I have"

1) Does anyone else here with TTS have hypothyroidism and/or B12 deficiency?

2) My TTS symptoms get much worse with use (duh!), but so do these mild fasciculations (twitches/spasms) that I get along the arch area of my foot and the inside of my calf. My podiatrist said that this is caused by muscle fatigue from my body trying to compensate for my sever overpronation (which I have always had, but it only recently has been this painful).

3) I recently tried hard, plastic orthotics, but they made my feet feel MUCH worse. I have since swtiched to flexible orthotics made by a professor of physical therapy. I would love to hear others' opinions on orthotics, especially rigid vs. flexible.

Thanks!
-Everett

Result number: 186

Message Number 186390

Re: 10 days post surgery View Thread
Posted by Dr. S . Goldstein on 11/01/05 at 11:41

even my patient i did cryo for tarsal tunnel last week is still having pains. i just had her complete a dose of oral steroids now i am placing her onn LYRICA 75 mg. BID and may give her a vitb12 shot into the tarsal cannal as well anytime you do nerve surgery and touch a nerve or manipulate it it is not uncommon to have nerve pain for a period of time that can last 6-8 weeks or so. i cannot advise you on what meds to take because i am not your docotr so I hope you can appreciate this. all the nerve surgery is difficult for both the patient and docotr alike because nerve pain is quite intense. good luck to you dr goldstein

Result number: 187

Message Number 186108

thank you Doctors.......calcaneal nerve entrapment View Thread
Posted by fernando on 10/29/05 at 10:03

I had an EMG two months ago but it showed nothing, the pain in the ball of the foot( and toes sometimes ) is burning, an sometimes I feel like my feet are completly freezeing, it does not hurt at all if I press even really hard, I noticed I have more pain when I go to bed( not sleeping ) and after I wake up in the morning, no pain while sleeping, no pain around the ankle area and very little numbness, but the burning pain and freezing sensation is terrible ( 9/10 ).
Walking or running does not make it worse.
the only place that hurts if I pressed down is about three inches below the ankle ( inside of the foot )and the pain s a dull type. I got a cortisone shot three months ago and it helped a lot, but the symptoms came back.
symptoms in both feet and usually they hurt both at the same time. I had boold tests and everything was normal, the vitamin B12 level was 232 ( normal is betwen 180 - 914 )I'm not sure if this is really low. The day I had the EMG I had no pain, and it was a few days after the cortisone shot, maybe that has something to do with the results.
I want to make sure I get the right diagnose before try any treatment.

thank you again doctors

fernando

Result number: 188

Message Number 185241

PN for 11 years-TTS Maybe View Thread
Posted by Suzy D on 10/20/05 at 10:16

Good information at the neuropathy site. Good information in your post. I am now on the new med Lyrcia, just started using for PN. Too early to tell if there are any good results. The Cymbalta lessened the pain a little, but it continued to make me tired and nonfunctional. Still looking for answers. Thanks for the information about the B12. Has anyone heard of a lipolic acid drip to help PN pain? Thanks lots. Suzy

Result number: 189

Message Number 185087

Re: 15+ Years With TTS View Thread
Posted by Linda51 on 10/18/05 at 13:38

Thanks Marty. Your response was great. I'm sorry you've had this for so long. I just checked my latest blood work, and there was nothing for B12! Surprised me. Thought everything would be in there. Next time, I'll ask specifically for it. I do take an extra B12 supplement cause I thought it'd be a good idea. My neurologist just diagnosed, that's it. And as far as meds...I've always tried to avoid them. Hated pills ever since I was little. But, since they are helping you quite a bit, that gets me a bit "perked". What are you taking? And you mentioned a patch? If I'm getting to personal, say so. Some things might be none of my business. My doctor just figures since I'm "dealing with it," it's all good. Thanks again Marty, you hang in there. And good luck with the other surgery. Sure hope it helps. That would be fantastic. Again, take care. Linda

Result number: 190

Message Number 184019

How many dogs does it take to screw in a light bulb? View Thread
Posted by marie on 10/03/05 at 18:18

1. Golden Retriever: The sun is shining, the day is young, we've got our whole lives ahead of us, and you're inside worrying about a stupid burned out bulb?

2. Border Collie: Just one. And then I'll replace any wiring that's not up to code.

3. Dachshund: You know I can't reach that stupid lamp!

4. Rottweiler: Make me.

5. Boxer: Who cares? I can still play with my squeaky toys in the dark.

6. Lab: Oh, me, me!!!!! Pleeeeeeeeeze let me change the light bulb! Can I? Can I? Huh? Huh? Huh? Can I? Pleeeeeeeeeze, please, please, please!

7. German Shepherd: I'll change it as soon as I've led these people from the dark, check to make sure I haven't missed any, and make just one more perimeter patrol to see that no one has tried to take advantage of the situation.

8. Jack Russell Terrier: I'll just pop it in while I'm bouncing off the walls and furniture.

9. Old English Sheep Dog: Light bulb? I'm sorry, but I don't see a light bulb!

10. Cocker Spaniel: Why change it? I can still pee on the carpet in the dark.

11. Chihuahua: "We don't need no stinking light bulb."

12. Greyhound: It isn't moving. Who cares?

13. Australian Shepherd: First, I'll put all the light bulbs in a little circle...

14. Poodle: I'll just blow in the Border Collie's ear and he'll do it. By the time he finishes rewiring the house, my nails will be dry.

How Many Cats Does It Take To Change A Light Bulb?

Cats do not change light bulbs. People change light bulbs. So, the real question is:

"How long will it be before I can expect some light, some dinner, and a massage?"

Result number: 191

Message Number 183801

Re: TTS - What Gives You Relief View Thread
Posted by Todd on 9/29/05 at 17:39

B6? Not B12?

Result number: 192
Searching file 17

Message Number 179760

Calcium View Thread
Posted by paulpa on 8/02/05 at 18:08

Doctor, would calcium tablets that I see advertised on the internet be a good alternate for bone spurs

Result number: 193

Message Number 178368

Re: pf and sciatic nerve View Thread
Posted by Martin on 7/14/05 at 03:47

Hi Tamin,

I suffer form very similar problems. I don't wish to worry you, but you should get checked out with a rheumatologist for spondyloarthropathy (a type of arthritis) as this often starts with symptoms you describe. But, I stress, this doesn't mean that you do have it! If so, check out www.kickas.org for more info.

In my case after many tests they decided I didn't have a spondyloarthropathy, but some sort of neuropathic sensitization... for this I'm trying high doses of vitamin B1, B6 and B12 (which I'm also now trying for nerve problems) which you could consider.

Good luck,

Martin

Result number: 194

Message Number 178002

Re: ESWT questions for Dr.'s View Thread
Posted by Walkingirl on 7/07/05 at 10:36

Jennifer:

I am not a doctor. I am a PF sufferer who has also had some nerve damage from wearing fins while swimming.

For the nerve pain, my doctor prescribed Foltex which is Folic Acid, Vitamin B6 and B12. I also take Wobenzyme (actually W-Zmyes by Michaels). The Vitamin Bs promote nerve health. The Wobenzymes are a natural anti-inflammatory (you can read about it online). Taking the Vitamin B supplements helped the nerve pain only. I took the Foltex about 2 months before I noticed a real difference in nerve pain. It did not help the PF. The Wobenzymes help the PF but does not cure it, it is just an aid.

My doctor said she cured a elderly woman who had a stroke and was left with nerve pain in her leg. The woman was in constant pain and was crying over it all the time. The doctor prescribed her Foltex and had her take L-Arginine. You can get L-Arginine at a health food or vitamin store. From what I have read, L-Arginine releases anti-oxidants into the body so you should take L-Lysine while taking L-Arginine to offset this side of it. A good vitamin supplement wouldn't hurt either.

At work a young man said that his wife had PF from overworking on a new dance routine (she's a professional dancer). The Dance company sent her to a person who performs Trigger Point Therapy. So, I ordered a book from the library on this subject. I just received it, and started reading it last night. I think it's called Trigger Point Therepy Workbook. Last night I had my husband do a few trigger points on me before a walk on one leg/foot. Then when we got to where we were going I noticed quite a difference in the way the treated foot felt and the way the untreated felt. The untreated foot felt tight in my steps. So I had him trigger the other foot/leg. The walk home was a lot more comfortable. It's not an overnight miracle. I think, in my case, that I will have to work with this therapy diligently for awhile before I start realizing lasting result because I have had PF for almost 9 years.

My best advise to you is educate to yourself on all your issues. Read, read, read.

I have never dealt with edema. I am not a doctor or any kind of medical professional. So, if you consider trying any of these things, speak with your doctor first. Good Luck to you Jennifer. Hang in there...something good is going to happen.

Result number: 195

Message Number 177620

Re: Everything tunnel View Thread
Posted by Angela on 7/01/05 at 00:56

Kris, I have a similar problem and have been searching for answers too. My problems developed over about the last 5 years though. I have bilateral carpal tunnel, cubital tunnel and tarsal tunnel. I had symptoms long before my EMG's turned positive. I just had my first tarsal tunnel surgery last week, don't know how it will turn out. Had surgery on everything else except one cubital tunnel which is still very mild. I understand your frustation completely. Check with older family members who may have thought (wrongly) they had circulation problems when they experienced hands or feet "falling asleep" to see if you may have a hereditary problem. I have just had the blood test for HNPP, results are not back. It costs about $300 if you go through Athena Diagnostics Patient Advocate Program. Insurance may not cover HNPP or CMT genetic testing which Athena also does. You might want to check to see if you have had a basic rheumatology workup and tests for B12, thyroid, diabetes and folic acid too. Your neurologist most likely has done all the latter tests. I hope you are able to find answers.

Result number: 196

Message Number 177616

Re: Vitamin B shots View Thread
Posted by B12 user on 7/01/05 at 00:02

My orthopedic surgeon had me take B12 shots 2-3 times a week, 1000mcg each time. It did help, although I di not appreciate how much until I missed a few of them.

Result number: 197

Message Number 176892

Re: Vienna ESWT Conference View Thread
Posted by Walkingirl on 6/15/05 at 17:55

I am not a doctor. I have been documenting my experience with ESWT. I need to update since I haven't done it in almost a month. You will find it at "Documenting My ESWT Beginning 04-28-05." There are alot of experiences on this site to search.

My doc has prescribed Foltex which is a Vitamin B Complex of Folic Acid, B6 & B12. I think it helps. Also, I take Wobenzyme which are enzymes that act like anti-inflammortories, but are not harmful. Drink water, water, water for your muscles, etc. Also, I massage the arch, archilles, and calfs every day.

Post treatment you are not supposed to take anti-inflammatories for about 6 weeks so you may not want to use Wobenzyme during that period. Heat is good, and the stretches outlined on this site. Also, I took Tylenol post treatment as it does not have anti-inflammory properties. Slowly, slowly, slowly, I have been stretching the back of the leg all the way up to my hips. It's all connected. Be careful to not overstretch. Also, I wear New Balance tennis shoes all the time with custom orthotic inserts. My feet never touch the floor without shoes/orthotics.

I am at Week 7 post treatment. I have a desk job. I have rested my feet a lot during the 1st month. I have been walking more this last couple of weeks. Last week was wonderful. This week has been more pain. In fact for the 1st time since treatment the treated heel has had that ole time feeling...feels like a big pebble is in the heel spur area. However, I am expecting the up and downs. This is how EWSTS Post Treatment works for some people. Good then not so good until you start getting good days more and more. Hope this helps. Some days I just wanna cry; other days I have hope because there is no pain and I feel like I can take on the world.

Result number: 198

Message Number 176891

Re: Vienna ESWT Conference View Thread
Posted by Walkingirl on 6/15/05 at 17:55

I am not a doctor. I have been documenting my experience with ESWT. I need to update since I haven't done it in almost a month. You will find it at "Documenting My ESWT Beginning 04-28-05." There are alot of experiences on this site to search.

My doc has prescribed Foltex which is a Vitamin B Complex of Folic Acid, B6 & B12. I think it helps. Also, I take Wobenzyme which are enzymes that act like anti-inflammortories, but are not harmful. Drink water, water, water for your muscles, etc. Also, I massage the arch, archilles, and calfs every day.

Post treatment you are not supposed to take anti-inflammatories for about 6 weeks so you may not want to use Wobenzyme during that period. Heat is good, and the stretches outlined on this site. Also, I took Tylenol post treatment as it does not have anti-inflammory properties. Slowly, slowly, slowly, I have been stretching the back of the leg all the way up to my hips. It's all connected. Be careful to not overstretch. Also, I wear New Balance tennis shoes all the time with custom orthotic inserts. My feet never touch the floor without shoes/orthotics.

I am at Week 7 post treatment. I have a desk job. I have rested my feet a lot during the 1st month. I have been walking more this last couple of weeks. Last week was wonderful. This week has been more pain. In fact for the 1st time since treatment the treated heel has had that ole time feeling...feels like a big pebble is in the heel spur area. However, I am expecting the up and downs. This is how EWSTS Post Treatment works for some people. Good then not so good until you start getting good days more and more. Hope this helps. Some days I just wanna cry; other days I have hope because there is no pain and I feel like I can take on the world.

Result number: 199

Message Number 176297

Re: Vitamin B shots View Thread
Posted by Ed Davis, DPM on 6/08/05 at 00:11

I am familiar with a podiatrist at American Lake Veterans Administration hsopital in Tacoma, WA who uses B12 injections for neuropathic pain. his name is Dr. Barney Yanklowitz. he is a nice guy and am sure he would talk to you if you make the effort to track him down.
Ed

Result number: 200

Message Number 175642

Re: Post ESWT - a year and a half View Thread
Posted by Walkingirl on 5/24/05 at 17:20

I am a fellow sufferer, I am not a doctor. I have had pain in that area. Taking Foltex (prescription B6, B12, and Folic Acid), W-Zymes (Wobenzymes) and L-Arginine (amino acid) took care of that problem (nerve health). Now I only have the pf pain.

Result number: 201

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