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Message Number 261818
the pain... View Thread
Posted by Janann on 11/08/09 at 00:34

i was diagnosed 3 years ago with this crap. Had surgery in 2007 on left foot, doing ok then out of the blue 3 weeks ago BOTH of my feet start going numb--my toes especially. sharp pains in the toes, like I am being jabbed by some foreign object. Horrible pain. My feet also feel like they are frostbitten--always hold, but they like burn. My friend has diabetic neuropathy and she has these similiar symptoms...is this that or is this my TTS??? my legs would even hurt. It got so bad i was put on Neurotin and darvocet til i could see my podiatrist. this is very very painful even with the meds at times...please help this girl feel better. thanks..

Result number: 1

Message Number 261767

question on recovery time View Thread
Posted by fosterf on 11/05/09 at 16:01

Hi I am having a ganglion cyst removed from the side of my foot near the ankle (for the third time)by a podiatrist this time. It has also been recommended that I have the fifth toe on each foot corrected (hammertoes) My question is if I have all three procedures done, am very very careful to stay off my feet etc when can I expect to return to work? The main concern is that I am a waitress so will naturally be spending considerable time on my feet. I appreciate your assistance.

Result number: 2

Message Number 261722

Tarsal Tunnel Hell View Thread
Posted by Josh M. on 11/04/09 at 09:34

HI everyone,

I just wanted to share my story. I was hit from behind by a small vehicle in summer of 08 and my right leg/ankle started twisting under the cart and I was able to twist myself out before I went completely under the cart. I ended up with a high/low ankle sprain. I did about 19 physical therapy sessions and by the end of that I felt something else was wrong.

My doctor ordered an MRI and found a newly formed Ganglion cyst attached to my tendon. I tried shots, drainage with no relief. He finally surgically removed the ganglion cyst off of my tendon. Well, 2 weeks later it was back. SO again, he tried to drain it. It didnt work.

I had another surgery to remove it. And again it came back. But another problem arose. Tingling of the bottom of my foot, especially if you tap the inside of my ankle. The bottom of my toes go numb along with a silver dollar size numb spot located at the bottom of my foot just under my arch. My foot throbs and throbs. Im starting to have issues with my calf for some reason. Walking makes it much worse or standing does also.

My doctor diagnosed me with TTS. I was hurt at work and WC has yet to approve the surgery for TTR that was set up 5 months ago. My condition has gotten worse and worse.

I do have lawyers and I hope to have TTR within the next 2 months.

Im just worried that the longer Worker Comp waits to approve the surgery, the less of a chance of it being better after surgery.

Thanks

Result number: 3

Message Number 261692

Re: Proper Fitting Shoes View Thread
Posted by Jeremy L, C Ped on 11/02/09 at 21:45

Good lord. That story really disappoints me, particularly since Foot Solutions lauds that location of theirs.

As for your lesser toe deformities, that probably has less to do with your SAS shoes, and more to do with your history of PTTD and collapsing medial arch. When the medial column fails, the lesser toes are forced to compensate by clawing. Maintaining sole integrity, secure mid and rearfoot fit, and a solid heel counter should all help reduce the problem, in conjunction with your inserts. You may also want to discuss with your doctor a custom made insert that has a deeper heel cup than what you presently wear.

As for shoes, there are various brands and models that possess characteristics you describe. The easiest to find are New Balance shoes built on their SL-2 last (811, 577, 883, etc). Others in which I commonly have success are the 'E' lasted shoes from Kumfs, contour lasted shoes from PW Minor, the Blazer from Drew. You can also consider most of the trail category shoes from Garmont.

Please keep in mind that most quality, supportive shoes are also going to have a fairly firm sole when brand new. Until you finalize the sole's flex position, there will very likely be some amount of initial heel slippage. I encourage you NOT to discard a new shoe that matches your midfoot and forefoot well simply because it's not tightly gripping your heel at first.

Result number: 4

Message Number 261682

NEED HELP, i took off my cast after 8 weeks and i have brown on my foot View Thread
Posted by will on 11/02/09 at 09:57

i have plantar fasciitis and i have been in a cast for 8 weeks. there are super white ovals with brown surronding them. it looks like its from to much moisture. i put some lotion on my foot but im scared to use it because i havent used it at all. some of my toes also had brown stuff on the outside of them. i could scrap most of it off.

the cast i have is a removable aircast that goes up my leg and right below my knee.

should i take the cast off and let my foot air out??? i dont know what to do so i just put it back on my foot with a new sock and lotion.

Result number: 5

Message Number 261658

tts View Thread
Posted by kathyc on 10/31/09 at 18:20

I had tts year and half ago. since then I can barely walk my foot feels like it is to small for my skin. I could seperate my toes before surgery can no longer do it. still have pain in heal and along scare. I have been to 3 different foot Doc with no help. Had an MRI it stated I have severe cronic pf, also had a stress fracture. I am very frustated and do not know where to turn. Foot is still swollen.

Result number: 6

Message Number 261652

Proper Fitting Shoes View Thread
Posted by Oneda on 10/31/09 at 11:19

I am having difficulty finding a good fitting shoe. I have a wide foot, high and long arch, and a narrow heel. Several years ago I had plantar faciitis and posterior tibial tendonitis, but those issue for the most part have resolved due to therapy and wearing Powerstep supports. However, improper fitting SAS shoes have caused my once perfectly straight toes to begin turning to fit the curve of the shoe my doctor recommended. This past summer I put my Powersteps inside an older pair of Clarks Sunbeat sandals to give my toes some freedom, but I still did not have the proper ankle support that I needed. Now fall is here and I need to wear a closed shoe, but have absolutely no idea where to begin. At the beginning of September I went to a podiatrist and asked his opinion. He agreed my arches are dropping and told me to continue wearing the arch supports, but said he could not recommend a shoe; that I would just need to keep looking at different shoe stores. Last week I went to the Foot Solutions headquarters in Marietta, Ga and the consultant there was unable to fit me in a shoe. She said I needed an oblique toe box, but that they had only a few in their store, and those did not work. She suggested I try searching the internet. I would welcome any recommendations you may have.

Result number: 7

Message Number 261616

Re: my toes View Thread
Posted by Dr. DSW on 10/30/09 at 06:05

Pick up your phone and make an appointment with a foot/ankle specialist for an evaluation and for his/her recommendations.

Result number: 8

Message Number 261612

my toes View Thread
Posted by jerry t on 10/29/09 at 19:39

I went to the hospital because I droped a transmition on my foot they took an xray of it.the doctor/specialist said I broke my toe the one next to my big one.but when he reset it he never asked or looked at my other foot.because if he did he would have noticed that my second toe is longer than my big toe.so of course he jamed it in where he thought it should be.so when I said some thing to him he just looked at me funny.so what can I do about getting it fixed.It hurts to walk on it and at the end of the day my foot is swolen

Result number: 9

Message Number 261603

Re: Solutions to PF View Thread
Posted by EstherH on 10/28/09 at 23:08

I have always felt like over stretching made it worse. When I say over stretching, I mean pulling back too far, and doing it too many times during the day. If I barley pull back and point the toes up and then down 3 or 4 times, only about 1 time a day, I think it is helpful. Beyond that, and it makes it worse! IMHO

Result number: 10

Message Number 261601

Re: Plantar FXT by Swede-O View Thread
Posted by EstherH on 10/28/09 at 23:02

I've used this sock before when I had trouble in my left foot. I was noticing that I'd wake up with my toes asleep and tingling. I ended up putting a sandal inside the sock to keep my toes from pulling back. This seemed to help. I think it sounds like maybe you pulled too tight. Is your PF feeling better?

Result number: 11

Message Number 261554

Re: still in pain View Thread
Posted by gayleh on 10/27/09 at 02:07

Hi Sharon,

I certainly sympathize with you. I wish that I never had surgery #5 in May 2008 and could go back to my pain level after surgery #4 since the pain is so much greater now. On a scale of 1-10 my pain level prior to surgery #5 was a 6, and now it is an 8 (of course I really hate this scale system and recognize that our pain recalibrates after some interventions, etc.). I, too, have had all that you mention and have found that the low profile MBT's are better than the higher (and older) profile soles. The one sneaker that I now wear all the time (and bought 6 pairs in case I can't find them anymore) is the Reebok DMX Crosstown walking shoe. It is available at Kohls.com in more sizes than you will find in their stores. The 'pods' at the bottom of the shoe act in a similar fashion as a rocker bottom shoe and helps keep pressure off of the forefoot. This model Reebok has more natural padding inside than the MBT's. I have a wide foot, so many other makes of shoes that may work for some will not work for me.

My first podiatrist could not admit that his operation did not fix me. Surgeries 2-4 were done by an instructor at a local podiatry school. He thought that my issue was solvable, and sent me to a plastic surgeon to do a more intensive surgery. I see my pain doctor more frequently than I see my new podiatrist. I have just finished an 8 week program at a pain clinic. I understand chronic pain a lot more, but I still don't want to accept it.

So the sneaker is all that I can recommend right now. I am about to have another MRI (have not had one since surgery #3), to see why a recent lidocaine-type (can't remember the exact name) injection into the 2nd-3rd metatarsal space traveled up and then around the bottom of my foot out to the base of my pinky toe. Not what the doctor was expecting, but totally validating where my pain is under my foot. My second and third toes are now splaying, indicative of another neuroma (and why he injected there). If the diagnostic tests confirm a neuroma anywhere in my foot I will concede to another operation as I am not handling this pain well at all. I realize that I am very lucky not to have RSD after having so many surgeries, but the risk for me is worth it.

Result number: 12

Message Number 261539

Re: Valgus, Medial Foot Swelling, Tingling; Is that TTS? View Thread
Posted by Dr. Wedemeyer on 10/26/09 at 19:38

We may have been typing at the same time Dr. DSW. I defer to your years of greater experience and training in answering this question. I didn't mean to 'step on your toes'.

Result number: 13

Message Number 261509

Tarsal Tunnel or Os Trigonum? View Thread
Posted by TonyD on 10/25/09 at 19:26

Both of the bottoms of my feet burn and when prolonged standing or walking my big toes go numb and burning gets worse.I can pull up my little toe and I feel pain below my ankle.At times I get like electrical shocks going toward big toe on bottom of my feet.My first Podiatrist told me it was TTS and I got an EMG and then a MRI which the radiologist confirmed I have TTS. So now I go to a foot surgeon for TTS and he now tells me I have Os Trigonum. Who is correct? I dont know who to believe now!

Result number: 14

Message Number 261469

pain View Thread
Posted by Candy R on 10/22/09 at 17:30

I had plantar release right in the doctors office june 2006. My foot was in extreme pain even with physical therapy rehab. In November of 2006 I had plantar faciitis surgery out patient surgery. My foot hurts every day of my life, 24 hours a day. I hav e switched foot doctors twice since then. Nobody wants to be bothered with me they just want to keep giving me shots, I've had about 15 shots. My chiropractor {of all people} tells me I have excessive scar tissue and nerve problems. Do you have any suggestions? I did have an emg and nerve conduction a couple years ago; they said I didn't have a nerve problem. My foot hurts just pass the arch and on top just pass my third and fourth toes every day.

Result number: 15

Message Number 261454

Re: Bunions/pain on underside of big toes View Thread
Posted by Dr. Wedemeyer on 10/22/09 at 10:56

You really need to see a foot & ankle specialist and ash him/her these questions Rachel. It sounds like crossover toe from Hallux Valgus but there is no way we can know this via the internet. Make an appointment with a specialist.

Result number: 16

Message Number 261427

Bunions/pain on underside of big toes View Thread
Posted by rachelb on 10/20/09 at 22:00

I have bunions on both of my big toes. Originally my right foot hurt really bad but now my left foot hurts just as bad if not worse. Both my big toes turn in and overlap my other toes. I now have been experiencing pain on the back side of my big toes & every shoe i wear makes my feet hurt even worse.I haven't seen a doctor but am beginning to realize i need to. Any idea what could be causing this horrible pain on the backside of my toes? Also what shoes will not hurt my feet? Anything to alleviate the pain at least temporarily?

Result number: 17

Message Number 261398

Re: cheilectomy recovery timetable? View Thread
Posted by DEANK on 10/19/09 at 22:31

Had cheilectomy to both great toes as well had a debridement of the right ankle three days ago. Stopped taking pain killers the day after surgery feel pretty good. I can alredy feel that i have more motion in my toes, ankle a bit stiff. Can't wait to get the bandages off and stitches out. I was fortunate to have a surgeon who specializes in the foot as he has also done several ankle replacements. As far as time he figures i will be able to resume light duty in a couple of weeks, time will tell.

Result number: 18

Message Number 261388

Re: Pain on the underside of toes View Thread
Posted by Dr. Wedemeyer on 10/19/09 at 19:46

In that 3-4 months have you seen a doctor for this complaint?

Result number: 19

Message Number 261377

Pain on the underside of toes View Thread
Posted by Robert on 10/19/09 at 07:32

Dear Dr,
I have burning sensation/pain on the region under my big toe and second toe when i wake up in the mornings. I would like to know a probable cause & suitable remedy for this. I am not a person who involves in too much walking/running daily. This pain started occurring about 3-4 months back.I am 40 years old.

Result number: 20

Message Number 261294

Re: in remission again !!! View Thread
Posted by Zen on 10/14/09 at 13:44

HI, I'm not sure but I think I may have RSD. I got diagnosed by a Pain Specialist. I don't have all the symptoms but I had a surgery in my ankle and it has just caused me pain and suffering. My toes twitch like crazy now and I was shaking. I thought I was having seizures. Unfortunately my ankle still isn't right. I've lost like 50% of my motion. Ligaments and tendons just should not be touched.
I did try hyperbaric on MOnday and it helped stop the shaking in my hands. I want to do more treatements but it is very expensive and insurance doesn't cover it. I got a nerve block last month but it kept me up for 3 days. I just couldn't sleep. It kind of helped the other symptoms a bit but I was scared to get another one. The other posts make me feel good that maybe it could stop with nerve blocks so i'm gonna go for another one.

Result number: 21

Message Number 261263

Re: from pf to a nascent bunion and hammertoe View Thread
Posted by Dr. DSW on 10/13/09 at 06:28

Many years ago, even when I was in school, it was often taught that 'bunions' were caused by mechanical faults, heredity, arthritic disorders, neurological disorders, etc., and NOT by foot wear.

Of course now the tide has turned and we know that foot wear definitely contributes to the formation of 'hallux abducto valgus', aka 'bunions'.

In the absence of specific neurological diseases or deforming arthritic conditions, the majority of bunions are caused by a combination of heredity, foot mechanics and foot wear.

A lack of strength of the peroneus longus tendon is really not the problem. Although your question regarding strengthening the p. longus tendon is a good question, I'm afraid it's not that simple. It's really not a matter of the tendon/muscle being weak, but it is a matter of the tendon losing it's vector of pull when pronatory forces are in action.

In a pronated foot, the peroneus longus loses it's mechanical advantage, and no longer acts as a muscle that stabilizes the first metatarsal against the ground, but actually becomes a deforming force in the development of a bunion. Therefore, it's theorized that the actual pronation should be controlled, i.e. orthoses or supportive shoes.

Additionally, if a foot, which is 'relatively' square is constantly placed in a shoe that is shaped like a diamond in front (pointy shoes), the foot will eventually adapt and the large toe will lean into the 2nd toe and the development of a bunion will progress in the right patient. The soft tissue structures begin to adapt. Tissue on one side of the joint tightens and the other side of the joint stretches and the deformity progresses, etc, etc.

Therefore, the best shoes provide support and ample toe room and don't jam the toes forward. In addition to having adequate length in the shoe, you should have adequate width across the 'toe box'.

Naturally, for women if you have to 'dress up' occasionally wearing that fashionable shoe will not cause a bunion overnight, but you may not feel 'great' the next day! Your feet may rebel and let you know they weren't happy with your choice of shoes for that wedding, party, etc.

Listen to your body, it's usually correct.

Result number: 22

Message Number 261259

Re: from pf to a nascent bunion and hammertoe View Thread
Posted by Dr. DSW on 10/12/09 at 19:43

You ask excellent questions.

First of all, please do not waste your money on 'Yoga toes'. I can see no long term therapeutic value of this device. The only value I can see this product providing is some temporary relief when you place them in the freezer and utilize them at the end of a long day. The cold will simply 'feel good'.

Otherwise, in my opinion the claims that are made are pure b.s.

The question regarding custom orthoses and the prevention of bunion formation or the prevention of bunion progression is excellent and controversial. In theory, the use use of orthoses will decrease pronatory forces and support the peroneus longus tendon which can be a contributing factor in the progression of a bunion. When the peroneus longus tendon loses it's vector of pull, it no longer stabilizes the first metatarsal and then becomes a deforming force. This occurs with pronation, and if pronation is controlled with custom orthoses, this in THEORY should halt the progression of bunion formation.

HOWEVER, I am not aware of any valid studies that can support that custom orthoses will prevent bunions or decrease the progression of bunions. So although the theory exists, I don't believe that there are any peer reviewed studies to support the theory or validate the theory.

Therefore, my recommendation would be to wear a supportive shoe with ample toe room that does not contribute to any deforming forces that place pressure on the first metatarsal phalangeal joint and does not push the large toe toward the 2nd toe.

Result number: 23

Message Number 261256

from pf to a nascent bunion and hammertoe View Thread
Posted by cwk on 10/12/09 at 16:53

I am 51 and have very high arches. For years I experienced pf like foot discomfort and pain altho I never had the traditional pf symptoms of first step pain or pain at insertion. I resolved my pain with Powersteps in my running and hiking shoes and stretching. I wear healthy shoes 99% of the time except on rare formal occasions. I never, ever wear anything too short or too narrow. I exercise regularly by either running on a treadmill or hiking 3 miles a day. Now, when I look at my foot, (my right more than my left) I see that me great toe is turning in just a bit and I have a very slight hammertoe on my second toe. The only pain I have is on vigorous massage of my great toe joint. I can walk and run with no pain at all but I worry that the bunion will get worse. Powersteps dress orthotics don't work in most of my shoes and since I don't have pain I have been reluctant to buy an entire new footwear wardrobe to accommodate them. But I do want to act early to prevent future problems.

My ?'s are'
Can doctor perscribed orthotics or other prophylactic devices prevent bunions? If the answer is yes I will make an appointment tomorrow.
Are over the counter device like Yoga-Toes effective in preventing bunions? If so what do you recommend?

I am years away from needing surgery and want to avoid any invasive procedures if possible. Most of all I want to remain active for at least the next 40 years.
Next steps?
CWK

Result number: 24

Message Number 261226

very warm foot View Thread
Posted by Brenda C on 10/11/09 at 02:31

I recently posted about being diagnosed with PF in my left foot/undergoing treatment while also getting treatment for a stress fracture to the tibia in my right leg. I had a short leg cast on for six weeks. During the first three weeks my casted foot/toes would occasionally get puffy, red, very warm. I asked the dr about it and they told me it was basically me flexing the muscles in my leg and foot while in the cast would push blood down into my foot especially if I didn't have it elevated and just wouldn't have a chance to drain out properly. I went back this last friday to get a new cast put on and they x-rayed it and discovered I have an OCD lesion on the talus.

The PA who I've been seeing for the stress fracture told me I'd have to consult with the surgeon (same office), so that appt is tues. In the meantime he left the cast off and put me in a walking boot and said no weight bearing. I can remove the boot to sleep, shower. My question is my foot is still red, a bit puffy, and very warm to touch. So what causes the redness and other symptoms? Is it because I'm not walking on it? I feel like I should walk on my foot and get the circulation going. It is stiff from being in a cast for three weeks which I expected, but is this a normal reaction (red, puffy, warm) to being in a cast? I've never had a cast before so I'm not sure. It also feels a bit tingly. Not numb, no burning, just tingly. I really hope this is not the beginning of tarsal tunnel syndrome. From what I've read so far about TTS, I didn't see any mention of red puffy feet. I will ask the surgeon about it, but I'm a little worried I have something else starting too. I want to prevent anymore issues. I've never had this many problems with my feet before. Thank you for any advice.

Brenda

Result number: 25

Message Number 261173

Is there such a thing as a powerstep for wide widths View Thread
Posted by Donna on 10/09/09 at 08:35

I have the powerstep insoles and many others but one problem I usually have is that the insole isn't as wide as my wide shoes. That leaves that tiny space that runs along either the outer edge or the inner edge and rubs against the toes. This can make your foot sore and causes me to hold my feet oddly once they get irritated. This doesn't help an already bad foot problem.

Result number: 26

Message Number 261146

years of foot pain View Thread
Posted by Jewel on 10/07/09 at 23:31

First let me say that I have some sort of autoimmune disease. I've been to many doctors and none of them agree. The latest being where 2 highly regarded rheumatologists took a look at my records and gave their determination and both completely contradicted each other. The possible diagnosises are RA, Undifferentiated Spondy, CPPD, Reiters/Reactive arthritis, Lupus and fibromyalgia. So, really who knows. I'm partial to the spondyloarthoapathies due to my foot problems.

I've gotten this foot pain on and off since 97. It has come and gone of it's own accord despite treatment. But now, I've had pain in feet constant for the last 5 years. Terrible, excrutiating pain that has now rendered me immobile. No, I wasn't overweight when it started, yes I am now. The one podiatrist I went to kept saying it was PF. I did the stretching, PT, night splints, injections, custom oththodics and none of it worked. He finally said he couldn't help me. Yes, I do have heel spurs - quite large ones. Floated between several other doctors, had EMG's = negative. Finally the one I have now has Dx'd a haglunds (doesn't hurt unless you press on it) and achillies insertion tendonitis. PT isn't really helping much.

The pain is in the back heel in a horse shoe shape - just along the edge of the foot. Yes it hurts when you squeeze the heel. In addition, there's a bone on the side of the foot by the tarsals on one side of the 'tuberosity' and according to the PT and Podiatrist it's where another tendon attaches and its super painful too. The achillies is sore in the ankle areas going up the ankle sides into the calf. The peroneous tendons (?) are very sore from the foot all the way up to the knee.

The ball of the R foot has issues. Podiatrist thought there was a neuroma between toes 2 & 3 as it was super painful too. He injected it there 3 times now (cortisone, over the past 1.5yrs) and it has helped. However, MRI showed no neuroma. Now toe 2 has very quickly deformed curving toward the big toe and hammering out. The last time I was at the podiatrist he mentioned capsulitis in that toe. So, could it really be the autoimmune arthritis and not a neuroma? I don't know whether to let him cut me open or not.

Went to an orthopedic doctor who specializes in feet/ankle. He said I have tendonitis all over my foot/feet. Took an xray of the R foot ball and you can see that the toe has hammered, said he couldn't do surgery due to the inflammation in the feet = too much scar tissue would develope in my current state. I asked him if he ever saw something like this before. He said 'just a couple times and that I need to tell my rheumatologist to get my inflammation under control.'

Result number: 27

Message Number 261131

Re: What nerve pain feels like View Thread
Posted by Mary L on 10/07/09 at 16:15

The pains I have/had feels like hot fireworks firing in the bottom of my foot most of the time. Other times it's like hot bees in my ankle buzzing up to my toes.
Every so often I get a real zinger (like a sharp lightening bolt inside) that catches me off guard that will bring me right off the chair.
The achiness and muscle soreness is just there all the time. Even the bed sheets make my foot tingle and causes pain after awhile.
Also my foot gets really cold a lot.
Hope this helps!

Result number: 28

Message Number 261123

Re: Service Industry GROWS..... View Thread
Posted by john h on 10/07/09 at 11:50

As a Lessor to many many small businesses I have not talked to one who back the various health care reforms so far presented. These people, by far, are the most important job creators in our economy and day after day I see these businesses shut there doors for perhaps ever. I am not talking about start up small business but people who have been at it for a lifetime. If you Marie think the health care plans out there are going to help small business you are dreaming. Most of these I deal with do not furnish insurance as they have only 5-10 employees. They simply do not make enough money to pay for health care. Under the various plans they may end up paying a 8% penalty tax for each employee they do not furnish insurance to. If the health insurance bill passes like that you will see tens of thousands of small business go under. Hopefully the bill will be refined to limit that tax/penalty to those businesses who can really afford it. Most of these people are hanging on by their toes as it is.

Only 47% of small business owners provide health insurance for their employees according to NFIB. Under a proposed Obama plan any company with a payroll of $500,000 or more will pay an 8% payroll tax on any employee not covered by the employer paid health insurance. If you are one of the 47% who do not furnish insurance you are suddenly faced with an immediate increase in overhead of 8% of payroll. It does not take many employees to have a $500,000 payroll. Some employers will find it best to stay under that number and pay no payroll tax at all. Of course this loop hole may be closed and the number lowered. An employer's first responsibility is to make a profit not to furnish insurance or else he will go out of business.

For some companies the new health plan will make sense but for most it will not. We have not even seen the details of these plans which will likely make them more onerous.

Step back and look at what we are trying to do.

PROBLEM: WE ARE TRYING TO INSURE APPROXINMATELY 35 MILLION UNINSURED PEOPLE WITHOUT INCREASING TAXES.

At the same time we are trying to lower health care cost while adding 35 million new insureds at no cost to the tax payers. . THE ONLY WAY I SEE THIS CAN BE DONE IS TO REDUCE THE QUALITY AND or QUANTITY OF HEALTH CARE. The governments problem is to disguise the solution in such a manner that the people do not understand what is happening. So far they have not succeeded but have the numbers to do it anyway.

Result number: 29

Message Number 261105

Re: Problems from plantar fasciitis surgery View Thread
Posted by viv m on 10/06/09 at 11:53

I had Plantar Fascitis Surgery May 2006. Since then I have had a muscle cramp in my foot which causes my toes to curl with pain in my ankle and down the right side of my right foot. My doctor says he doesnt know why my toes are curling and says I have Calcanealcuboid Symdrome. Is this true. I am in a lot of pain and have orthotics now. Still having the pain its been 2 weeks since i had the orthotics. My toes still curl also. I can not wear sandals, or dress shoee. Wearing sandals or dress shoes makes it worse.

Result number: 30

Message Number 261091

cortisone shot View Thread
Posted by lora on 10/05/09 at 21:49

can any one tell me were on your foot they give you the injections?I had tree in my toes about six wees ago that have now wore off,what amount of time pain free do you usually get.

Result number: 31

Message Number 261086

Re: Barefoot Running View Thread
Posted by Dr. DSW on 10/05/09 at 18:31

Jav,

I simply don't have time to link to the article to read it, but I'm very familiar with the current 'trend'. It's really not that new.

Nike came out with the Nike Free a few years ago, then Vibram came out with the 'Five Fingers' (Five Toes) and now Ecco has a similar minimalist type running shoe. The idea is that many of today's running shoes have TOO much motion control and are un-natural and don't allow the body to adapt and accommodate and as a result the muscles don't build or function properly.

A group of runners took it a step further and instead of running in minimalistic shoes, they simply run barefoot.

Naturally, there are those that can get away with this biomechanically, and there are those that will end up with severe injuries.

There is an interesting running style/philosophy called the POSE method, which is based on landing on the ball of the foot/toes rather than heel strike. It is also based on a completely different posture. You may want to check out the website or do a google search.

Hope this answers some of your questions.

Result number: 32

Message Number 261053

heel fracture,nerve damage View Thread
Posted by DEuten on 10/04/09 at 23:05

At first I was treated for planter facilitis, then xray showed two heel spurs, I had a cortisone injection, 2 weeks later, I was worse than before, then MRI showed calcaneus heel fracture, 6 week later wearing a cast still no better. Changed Dr., he put me in therapy which has helped movement. My heel is still numb and I still cant put any pressure on heel. I am wearing a boot, walking with crutches, putting most of my weight on my toes, Dr. thinks I have nerve damage, taking Lyerica, this has some very weird side effects, I have been out of work for over 2 months and still cant put weight on my heel. 2nd MRI showed fracture still not heeling,this was a month ago. Should I get another opinion? I am scared my heel has permanet nerve damage, if you put pressure below my ankles, it feels like a piece of glass coming out of my heel. What to do? My bone density test came back excellant. I am 53 yrs. old, white female. Great health. Help me. you can email me at deuten at bellsouth.net

Result number: 33

Message Number 261052

heel fracture,nerve damage View Thread
Posted by DEuten on 10/04/09 at 23:01

At first I was treated for planter facilitis, then xray showed two heel spurs, I had a cortisone injection, 2 weeks later, I was worse than before, then MRI showed calcaneus heel fracture, 6 week later wearing a cast still no better. Changed Dr., he put me in therapy which has helped movement. My heel is still numb and I still cant put any pressure on heel. I am wearing a boot, walking with crutches, putting most of my weight on my toes, Dr. thinks I have nerve damage, taking Lyerica, this has some very weird side effects, I have been out of work for over 2 months and still cant put weight on my heel. 2nd MRI showed fracture still not heeling,this was a month ago. Should I get another opinion? I am scared my heel has permanet nerve damage, if you put pressure below my ankles, it feels like a piece of glass coming out of my heel. What to do? My bone density test came back excellant. I am 53 yrs. old, white female. Great health. Help me. you can email me at deuten at bellsouth.net

Result number: 34

Message Number 261049

Toe Walking and Achillis Tendonitis View Thread
Posted by Little Sara on 10/04/09 at 21:24

Hey,

Since I was a baby I have been walking on my toes. My feet barely make it to a 90 degree angle and that is with someone pushing. The left one never bothers me, but the right has been a pain. Always twisting it, swelling, bruising. Anyway, after a long trip in Europe with lots of walking I have Achillis Tendonitis that is just not going away. Since I was 8 doctors have suggested either an Achillis lengthening or gastroc slide. No one can pick and no one seems to be all for either choice. The pain is getting worse as I get older. I am 25 and don't want to be hobbling by the time I am 30. How do I make this decision? I am in Dallas, Texas. Any good doctors that specialize in this around here?

Result number: 35

Message Number 261039

complicated..... View Thread
Posted by Jewel on 10/04/09 at 14:10

Hello Doctors!

Gosh am I glad I found you. First let me say that I have some sort of autoimmune disease. I've been to many doctors and none of them agree. The latest being where 2 highly regarded rheumatologists took a look at my records and gave their determination and both completely contradicted each other. The possible diagnosises are RA, Undifferentiated Spondy, CPPD, Reiters/Reactive arthritis, Lupus and fibromyalgia. So, really who knows. I'm partial to the spondyloarthoapathies due to my foot problems.

I've gotten this foot pain on and off since 97. It has come and gone of it's own accord despite treatment. But now, I've had pain in feet constant for the last 5 years. Terrible, excrutiating pain that has now rendered me immobile. No, I wasn't overweight when it started, yes I am now. The one podiatrist I went to kept saying it was PF. I did the stretching, PT, night splints, injections, custom oththodics and none of it worked. He finally said he couldn't help me. Yes, I do have heel spurs - quite large ones. Floated between several other doctors, had EMG's = negative. Finally the one I have now has Dx'd a haglunds (doesn't hurt unless you press on it) and achillies insertion tendonitis. PT isn't really helping much.

The pain is in the back heel in a horse shoe shape - just along the edge of the foot. Yes it hurts when you squeeze the heel. In addition, there's a bone on the side of the foot by the tarsals on one side of the 'tuberosity' and according to the PT and Podiatrist it's where another tendon attaches and its super painful too. The achillies is sore in the ankle areas going up the ankle sides into the calf. The peroneous tendons (?) are very sore from the foot all the way up to the knee.

The ball of the R foot has issues. Podiatrist thought there was a neuroma between toes 2 & 3 as it was super painful too. He injected it there 3 times now (cortisone, over the past 1.5yrs) and it has helped. However, MRI showed no neuroma. Now toe 2 has very quickly deformed curving toward the big toe and hammering out. The last time I was at the podiatrist he mentioned capsulitis in that toe. So, could it really be the autoimmune arthritis and not a neuroma? I don't know whether to let him cut me open or not.

Went to an orthopedic doctor who specializes in feet/ankle. He said I have tendonitis all over my foot/feet. Took an xray of the R foot ball and you can see that the toe has hammered, said he couldn't do surgery due to the inflammation in the feet = too much scar tissue would develope in my current state. I asked him if he ever saw something like this before. He said 'just a couple times and that I need to tell my rheumatologist to get my inflammation under control.'

I don't know what to do. I've lost my ability to walk. The wheelchair/scooter people came on Friday..... I'm hoping you can help.

Thank you,
Jewel

Result number: 36

Message Number 261004

New to orthotics, is pain normal? View Thread
Posted by JoG on 10/02/09 at 08:59

Hello. This is my first time posting but I have read many of the excellent articles and Q&A on the site. I hope you can help.

I had a really painful heel last year, combined with achilles tendonitis. I live in France and walk a lot, every day, often on uneven surfaces. This sudden change in lifestyle and in carrying heavy shopping is what brought on my PF. (So I've been led to understand.) I was truly miserable last winter, as none of my shoes alleviated the pain.

I went to my doctor after having read all the boards, as my French isn't so good, and wanted to be able to explain my problem. He prescribed an ibuprofen gel which actually did go some way to helping the tendonitis, but not entirely. Then summer came, and I wore Fitflops for 6 months. They were truly amazing - all of my pain disappeared - I was able to walk literally miles and miles in them - zero pain, achilles tendonitis disappeared. So now, it is Autumn and obviously I can't wear fitflops anymore, so I went to the podiatrist and had custom orthotics made - couldn't bear the thought of another painful winter. I picked them up on Tuesday and find them incredibly uncomfortable in the painful foot only, and also, they make all my shoes much smaller, so that my heel slips out, or, if I lace them tighter, my toes go numb. One pair of boots are completely unwearable as the orthotics make them really too small.

Now, I find that I have pain on the outside of my foot, and also across the BACK of my heel just below my ankle, where I didn't have pain before. I realise it may take time to wear them in and get used to them (I have been wearing them gradually every day), but is it normal for them to be so uncomfortable, and how long should I give it?

I have an appointment in a month for them to adjust them if necessary but I don't know if I can bear to wear them that long. Also they podiatrist here, while he had all the high tech equipment, seemed to fit me extremely quickly.

I also do yoga daily and power plate twice a week, which I think has helped manage the pain and keep my calves flexible. At the moment, I want to manage the pain and prevent a repeat of last year.

In the meantime, thankfully, fitflop has come out with some clogs which are also super comfy, but come winter proper I will need sturdier shoes.

I am healthy, tall and 'generously' built (female!) but am not overweight. And have flat feet!

It is so horrible having this condition - it makes me want to cry!

Thanks for any advice or encouragement with regard to the insoles - I am not sure what to expect and feel like giving up, although I can see how they could work, and had high hopes for them. (How are adjustments made??)

THANKS in advance if anyone reads this.

Jo

Result number: 37

Message Number 260935

Re: Fibromaglia or heel spurs View Thread
Posted by karen S on 9/29/09 at 22:31

Hello,

I have had fibromaglia for 20 years in my neck and back. This last year I have developed what I thought was heel spurs in the bottom of my feet and my ankles. I have started steroid treatment which I think helps somewhat. Recently, my toes and fingers have started to hurt also, I know that sounds alittle strange but my physical therapist thinks it might be caused by my fibromaglia. I don't know if it is fibromaglia or heel spurs, the type of steroids I am getting
is Dexamethasone 3 times a week, which helps for about a day or so. I can't figure out if is fibromaglia or heel spurs, do you know how I can decide?

Thank you,

Karen

Result number: 38

Message Number 260922

Posterior Tibial Tendon Dysfuntion Therapy View Thread
Posted by Steve G on 9/29/09 at 13:24

I am 62 years old, a flatfoot pronator with bilateral PTTD. Initial symptom presentation was in the late 90's. Cortisone injections, Iontophoresis, ultrasound and various orthotics including a Richie brace have provided conservative management until recently. Debilitating pain focused along the inferior aspect of the medial malleolus and lateral calcaneus has me confined to a wheelchair or crutches. An X-ray reveals no bone fractures. Both feet display 'too-many-toes', seen walking away. The surgical proposal is a triple arthrodesis (cuneiform, navicular and subtalar), FDL transfer and column lengthening. The literature, most notably, Myerson, reports significant evidence of poor outcomes, particularly nonunions, malunions, arthritis and infections with mild to moderate benefit, if at all. Kaiser podiatrists dismiss the suggestion of Prolotherapy as an ineffective and risky consideration. I am seeking suggestions about this and other modalities likely to produce benefit.

Result number: 39

Message Number 260878

Re: Tarsel Tunnel help View Thread
Posted by glenda b on 9/27/09 at 13:58

I have had tarsel tunnel on aoff for about a year now. I tried everything. Hot , cold therapy. Elevation,pain pills nothing helped.
I recently went to the chiropractor for a stiff neck. He seen how hard it was for me to walk and how much pain I was in. He removed my shoe and massaged my foot and popped my toes. And then he grabbed my foot and gave it a huge yank. It hurt like heck. But the next day my pain was gone. I also got a better pair of shoes and a good insole with an arch. Now every time I feel that terrible pain coming back I just have my husband yank on my foot. Every one who suffers from Tarsel Tunnel should try this. It is a life saver.It really helps.

Result number: 40

Message Number 260866

Plantar Surgery View Thread
Posted by wandaw on 9/26/09 at 10:43

I have had surgery 2 times for nodules. I have bad scarring and numbness in foot and two toes. I am 57 years old and have worked walking on concrete floor for 37 years. Do you think I would qualify for SSD. I am a widow and have another nodule popped up and know I will end up with another surgery.

Result number: 41

Message Number 260753

Re: how to diagnose inflammation View Thread
Posted by Robbie on 9/22/09 at 07:56

Thanks for your response.

I actually have had several years of arch pain that has not responded to all conservative treatments. The sesamoid pain came on without any type of injury that I am aware of (very inactive b/c of the arch pain). The sesamoid pain is in the right foot (along with the arch pain). I do have occasional pain in the same area on the left foot, but not to the same level.

I should note, when trying to treat the sesamoid pain with orthotics, I wore a dancers pad/cutout and they think it caused an irritation in the area between the 3/4 toes in the ball of the foot b/c I'm having a lot of pain there now ever since the dancers pad was worn for 2 days.

So the doctor was saying, since nothing showed up on the MRI and I'm having all this irritation, let's try to calm it down by immobilizing you for 6 weeks and that the pain/inflammation must be at the cellular level. She then wants to try cortisone, just not sure that's right if no inflammation, but not sure where to go next.

This doctor is probably my 10th opinion :) and is the only one that has really been trying to help me I feel, rather than telling me to live with it, but I'm wondering if she's just grasping at straws since the MRI came up normal. Just don't understand the whole cellular level.

Thanks again!

Result number: 42

Message Number 260726

Had f/up w/podiatrist - neuropathy, TTS, post surgical pain View Thread
Posted by 362 on 9/21/09 at 04:21

I see my surgeon regularly for a $25 chat (my insurance co-pay) and, as usual, he was kind & compassionate but had that look on his face that I know so well. I have no reason to believe that this man (nor the doctor who performed my first surgery) has done anything but the best he could under the circumstances. But truth is a cold 'muther' and my truth is very clear: there is nothing more that medical science can offer me at this point in time.

So we talked about acceptance. There comes a time for some of us when we have to just deal with the fact that we are in pain now and will probably be in pain for the rest of our lives. We have to wrap our brains around not only today's pain but the distinct possibility that tomorrow's pain will be even more terrible. That being said, what shall we do? I am in that rather dark place that has me emotionally paralyzed. My kind doctor told me that it was doctor's orders that I never give up my fight. It is hard. The pain is bad even with the pain pills and Neurontin. Tonight I have been dealing with feet that feel like they are sitting near a roaring fire. Then comes the crushing pain that can only be described as something akin to having my feet being smashed in the jaws of an invisible vise. As the Neurontin pulled back some of those feelings, I sit here and experience the odd sensation of my bones throbbing and the strange feeling of something alive crawling inside my feet.

Once I get the worst of it to a dull roar, I try to sleep. Not so fast! Then the feet begin to want to curl which causes terrible 'charley horse' like involuntary spasms. I often must jump up from whatever I am doing (I've had this happen from a sound sleep as well) and stand on my toes to keep the cramp under control. Yes, I have Flexeril. Does it help? Just enough, I think.

VB, I completely understand your frustration and anger. My fella tries to understand but he really can't. On my bad days, I just stay home & give some excuse not to go see him. I get tired of having to say 'I'm in too much pain tonight' because I am sure he is tired of hearing it. I get mad that he seems to 'forget' that I have these medical issues that have my life in a stranglehold. I don't 'look sick' enough.

What we are dealing with is cruel and unfair. We walk a tightrope with our meds...taking enough to be somewhat effective but not so much that we cannot function as human beings. We walk a tightrope with our friends & family as we try to remain civil and 'normal' when our minds are screaming from the pain. We walk a tightrope on the job trying to not screw up even though the agony we experience will not allow us more than minimal concentration on the tasks at hand. You are truly blessed to have such a large support system!

Well, my feet are back on fire (the Neurontin helped for about an hour) and I need to try to get a little sleep. Yeah, right!

Result number: 43

Message Number 260689

Re: Rocker Soles View Thread
Posted by Norm G on 9/18/09 at 19:31

I had a similar experience with what I think were called Z-spring shoes: bizarre looking with a huge spring on the outside. I walked half way around the block and felt tremendous anterior pressure on the space behind the toes.

Result number: 44

Message Number 260612

Foot Pain in both feet View Thread
Posted by Karen on 9/16/09 at 08:55

Dear Dr.,

I am at my wits end. My foot history is extensive, unfortunately. I am wondering if one thing could really be causing all of my problems. I have had ingrown toenails in the big nails at the cuticle, morton's neuroma removal, implant put into right ankle, cyst removal out of left ankle entwined in nerves, I currently have capsulitis in my left second toe, etc. I have various foot pain at various times and am wondering what it could be. Currently I am getting intermittent pain on the top of my right foot, toward the outside of the top under the toes. I have had neuroma removal, so I know it's not that. I also sometimes get pain in my left ankle, causing me to limp because it hurts so bad but then it too goes away, comes back, etc. Any ideas??? THANK YOU.

PLEASE HELP. Thank you.

Result number: 45

Message Number 260375

Re: DR.DSW View Thread
Posted by VB on 9/06/09 at 18:34

DR.DSW I just want to say that I think a lot of people that come's across web site's like this where they can have people to talk to that has same problem as them.Are in a lot of pain and or very Depressed they feel like me to young to be in the shape their in and they are looking for understanding and suport.I am mile's from you and there is no way you could be my DR put been in a big city state like you.You proably see whole a lot more patients than the DR's where I live cause small city and TTS is VERY RARE I had nerve conductor test done in Lexington KY which is about 200 miles from where I live and the lady that did the test as much as said I was the first one she had done she said she done plenty on CTS but I was her first for TTS.The foot DR I am seeing right now goes to aleast 3 other surrounding county's seeing patient's with foot problem's I have been seeing him for a bout 2 months now and on two different occasions could not even get to talk to anyone got answer machine and it was full finally call their 1-800 # number and got main office and they took message and they call me back about 6 hrs later good thing it was not a emergency.all I am trying to say is that some are not as lucky as other's I love where I live but it does have it's down falls.And sometime's when in pain and misery we don't all realize what we say or take what someone else say's to heart I was making it before I found the web site and I will make it with out it if that is what you want I would like to be able to ask questions without feeling like I am a bother or insulting OK I guess that's all Thanks for everything.VB.one more thing I had 2 toe's nail's cut out a wk ago from last thursday I was surposed to see the Foot DR last thursday I call to see if I could get in early that day and she said I did not have a ppt and I was looking right at my appt card so I know I did she finally said they meant to call and reschedual my appt how nice good thing my toe's was not infected right so that is the kind so service some of us have the day before I quit my job when my toes and feet where killing me I tried all day and me at work to get hold off him and got nothing out of stress and pain I just quit.I can call my family DR anytime of day and talk to nurse and she will call my back after she talk's to my DR. But it is not like that with foot DR.I know none of this is your fault but just wanting you to know what it like out here for some of us.Sorry for saying so much.Thank's VB

Result number: 46

Message Number 260329

chronic foot pain after steroid injection View Thread
Posted by jb on 9/03/09 at 20:34

I am looking for some help. Over a year ago I received a total of 4 steroid injections (over a 9 week period) into the top of my foot for what was an assumed neuroma. After seeking out a new doctor when I wasn't getting any answers or pain relief and MRI showed a torn interosseous muscle. The pain had always been in the ball of my foot. The torn muscle was diagnosed in March of this year. I was subsequently given a soft cast and a cam walker and was out of work for 12 weeks. During that time I did physical therapy twice a week for a total of 20 sessions. Before PT I had lost the ability to bend my first three toes but am now able to do so. I have gotten orthotics and MBT shoes to offload pressure to the fore foot. My problem now is that I seem to have chronic pain. The arch of the affected foot and the heel are so painful that it had made walking very difficult. The physical therapist told me that I had a lot of atrophy to the foot which I don't think will ever get better but I would like your opinion on steroid damage to soft tissue if you are able to give it and if there is anythng to reverse it. I live an hour north of New York City and am looking for a highly experienced foot doctor to see if there is any treatment for what I have going on since the doctors in the small town where I live really don't know what to do next and keep telling me that this will get better. I have trid NSAIDS but they don't do much to help the pain.

Result number: 47

Message Number 260298

Morton's Neuroma Steroid Injection View Thread
Posted by Lauren A. on 9/02/09 at 19:30

I got an injection in my foot yesterday between the 3rd and 4th metatarsals. I don't recall everything in the injection. I know it was 3cc and contained lidocaine and marcan(sp?) I do not remember what steroid was used. I went home and propped my foot up and iced it as directed. This morning I had a slight bruise, but expected that. This afternoon I had deep purple bruising along the bottom of my toes and am very sore to move my toes. The bruise has spread a bit more this evening and the top of my foot feels cold and clammy. Is this normal?

Result number: 48

Message Number 260286

Sesamoidectomy 20 years ago. View Thread
Posted by dhkruse on 9/02/09 at 11:00

I had both sesamoid bones removed in my left foot about 20 years ago. It's been a very difficult situation. I still have pain and my toes are going in different directions. Orthotics don't seem to help much. I would love to walk or run, but it's just too painful. They went through the top of my foot to remove one shattered bone, and the bottom to remove another. Is there anything that can be done now to improve the function of my foot?

Donna Kruse

Result number: 49

Message Number 260283

Re: Tarsal Tunnel Syndrome View Thread
Posted by donnainFL on 9/02/09 at 07:58

I have just diagosed myself with TSS. I would like to get feedback from others to see if I am on the right track.
Here is my history:
I am 36 y.o. and have 3 children. I am on my feet ALL DAY LONG. I frequently excercise (run) and probably do not wear the best shoes. For over a year, I've had a twitch in the outer side of my left foot, (about 2 inches down from the pinkie toe.) I have foot pain after standing for long periods. Well, just in the past 3 months, I've noticed that I get numbness in my toes when I wear certain shoes. I've also had a buzzing feeling that radiates from my ankle to big toe , and also on the outer edge of my foot. It sometimes happens in the right foot, but mostly the left. I'm now getting twitching and buzzing at least once per minute CONSTANTLY. I did the 'tap' test on my ankle, and it sent the 'buzzing' feeling to my big toe. The tap test also reproduced the muscle twitch in the outer part of my foot when I tapped in a different area! I get very achy arches during the day, but DO NOT have flat feet. My feet get VERY cold sometimes, and also VERY hot at times. This buzzing, twitching, and pain is always worse at night, but first thing in the morning, it really hurts to walk. I cannot get an MRI at this time, because my insurance plan will not cover it. Is there anyone else out there who has the same symptoms? ANY advice will be GREATLY appreciated. Donna

Result number: 50

Message Number 260257

Re: going to try acupuncture tomorrow, any suggestions on what to ask for? View Thread
Posted by william prowse on 9/01/09 at 11:52

the z coils are fitted to my foot, the whole shoe is a custom ortho. I have tried some strong anti inflammatory drugs prescribed to me for a short while with no luck. I will not take it again because of the harsh side effects that could happen.

I am really against cortisone injections. I am taking a lot of pre med classes in college right now and i know that a tendon is just connective tissue. I also know its avascular and that its mostly made up of fibroblasts and the collagen fibers. I dont see how any anti inflammatory medicine would help plantar fasciitis because it doesn't have the cells that make an inflammatory response. I also dont understand how ice would help considering its avascular. I think most of those treatments, also including the cortisone shots are just for pain relief for people who need a temporary fix. I have read many stories of people who have had a cortisone shot and later on they rupture the tendon. I want to feel as much pain as possible so i know what not to do. I want to let time go by nice and slow and have the tendon heal itself. I have actually never noticed any swelling or inflammation in the foot ever, and i doubt its actually is inflammed.

I believe that the acupuncture is also there to release any adhesions. I am not taking acupunture for a pain relief. I want my tendon to be healed eventually, but i want it to be flexible and long lasting. If that means i have to wait 1 year than i will do it.

If i were to get it casted, would i have it at a neutral angle or should i have it so it stretches the fascia a little bit?(toes more toward my shin) How long should i have the cast on for? I have heard a cast is a bad way to fix plantar fasciitis because it wont be as flexible when you take it off. I also have talked to a local podiatrist and said its a bad idea to get it casted. Do you think if i were to have a removable cast, and took it off 5 times a day to stretch it, would that work well?

Result number: 51

Message Number 260252

Re: going to try acupuncture tomorrow, any suggestions on what to ask for? View Thread
Posted by Dr. Wedemeyer on 9/01/09 at 11:08

William I noticed that you posted this on the Ask the Doctor's board: 'I have never had more pain in the morning, usually in the morning it feels slightly better.' and 'Right now my number one priority is gentle stretching by pulling back the toes when seated. I believe this has been the most significantly beneficial treatment i have had.'

In addition to what Dr. DSW has said, which I agree 100% with I did not see any mention of OTC or custom orthoses and physical medicine in your posts. You also wrote 'I feel better when i have a lot of arch support so that my heel doesnt have as much weight on it.' I assume you are discussing your Z-coil shoes?

At this point you are likely past the acute phase and should consider a second opinion, the injections, casting and a referral for physical therapy if you still have pain after the cast comes off. I also highly recommend custom orthoses based on your symptoms.

I've had two similar cases in my office recently, one is resolving after being provided the appropriate orthoses and PT and the other is going in a cast and is also being afforded orthoses after the cast comes off. Atypical heel pain is not always a simple one-shot solution because heel pain and PF are mutifactorial complaints. In my office we treat them as such and often refer them out to other providers and for second opinions, some resolve after cortisone injections alone.

Result number: 52

Message Number 260242

Re: going to try acupuncture tomorrow, any suggestions on what to ask for? View Thread
Posted by william prowse on 8/31/09 at 22:53

I have tried icing it everyday for the first 2 or so months, i also tried hot and cold water, back and forth. I have been using the night splint on and off if its not painful. I have been wearing z-coil shoes, and if not those i have a nice pair of running shoes with padded insoles that feel better than most shoes. I have tried taping it as well. And i have tried total rest by not putting any weight on my foot for two weeks. 90% of the time these rarely help, and sometimes they hurt it. Right now my number one priority is gentle stretching by pulling back the toes when seated. I believe this has been the most significantly beneficial treatment i have had.

usually the pain seems to stay the same unless i use it more often or i accidentally put weight to my heel on accident (falling backward for some reason.)

I live in california, south of san Francisco. I was diagnosed by Dr. darryl burns(a local podiatrist). I have talked to one other doctor, but most stretching techniques and icing techniques i have learned over the internet.

I have read good results of people using acupuncture to help there plantar fasciitis. From what i understand so far is that acupuncture doesnt have any side affects. I am one person who is not getting cortisone shots and strongly do not agree with surgery. I want to be great at the sports i was great at and i believe those could hurt me in the future. So i thought i might give acupuncture a try. If you don't agree it will help me, please tell me.

Result number: 53

Message Number 260241

Toddler with "sleeping" toe View Thread
Posted by kelleyd on 8/31/09 at 21:02

My 2.5 year old told me his toes were sleeping. When I pressed on it almost seemed as if his second tow was having a spasm, it looked like it was crossing over the third toe and then again the big toe. When I moved it he didn't seem to have issues, he did pull back but he doesn't like his feet touched very much.
I asked him throughout the day how his toes were. He said fine, until almost bedtime when they were'sleeping' again. I assume sleeping is numb. Should I be concerned??

Result number: 54

Message Number 260212

Re: Swellen on top of foot View Thread
Posted by Dr. DSW on 8/30/09 at 16:43

It is technically a perineural fibrosis or thickening of the nerve as it runs between the metatarsals. It is most common between the 3rd and 4th metatarsals, but can occur between any of the metatarsals. The pain is usually described as an aching, throbbing or burning in the area of the 'ball' of the foot or shooting into the bottom of the foot or into the toes. However, each patient can describe the pain differently, and some feel as if their socks are bunched up. Often the pain is worse in tight shoes and is relieved when taking off the shoe.

The pain is from the 'neuroma' pressing up against the transverse metatarsal ligment, which connects the adjacent metatarsal bones. The pressure on the nerve can cause the pain to shoot into the toes, stay localized or into the bottom of the foot or even back into the foot.

You can perform a 'google' search for more information or simply ask your doctor.

Result number: 55

Message Number 260203

Peroneal Tendon Subluxation Following Distracted Subtalar Joint Arthrodesis View Thread
Posted by DebbiK on 8/30/09 at 11:25

I had a distracted subtalar arthrodesis in December 2009 and now have an incomplete union (20% fused-less arthritic pain, though). I use a bone growth stimulator every day for 30 minutes. In May 2009, my OS noticed that I my peroneal tendon had subluxated. That probably explains the popping I felt under my small toes when I went from a CAM boot to shoes a few months after my subtalar joint fusion? I never experienced a popping sensation anywhere else, though. About once a week or so I get an intense pain on the lateral side just above the lateral malleolus-usually when I am walking but sometimes when I am sitting. I was put in a brace a few weeks ago which has really helped, but I have gotten to the point where I am scared to move! My OS wants to wait another 6 weeks befoe making a decision to operate. Do these things heal themselves? Also, I used to be a runner and a hiker. Can I look forward to these activities again?

Result number: 56

Message Number 260154

7 foot surgeries View Thread
Posted by gabbie on 8/28/09 at 16:12

Six years ago I broke my first metatarsal after a man stepped on it. I wore a boot for quite some time before it was determined that the joint would not heal. I had a first toe joint replacement. After the surgery, I repeatedly broke the second and third toes so I had a weil osteotomy. I continued to be in pain and developed two nueromas and had two separate surgeries to remove the nueromas. I continued to have pain and left the first practice of three physicians and took my case to another surgeon. The new physician immediately determined that the first toe joint replacement had failed and he did surgery replacing the joint with bone from my iliac crest. He put in a plate and screws. A couple of months later the screws were protruding so he removed two of the six screws. Six months later it was determined that I broke my toe and the plate so I had the same surgery to replace my big toe joint again using bone from my iliac crest and putting in a plate and screws. I feel like this saga is endless and my left foot is getting shorter with each surgery. I want to be pain free and walk. Any suggestions. I feel desperate. I am 54 years old and an active female who loved going to the gym.

Result number: 57

Message Number 260153

Re: Tarsal Tunnel Syndrome View Thread
Posted by VB on 8/28/09 at 15:41

Hey Tom I tried to e-mail once weeks ago and it would not go through and I don't think I have a case with workers comp.The place I worked for was a rehab and 80% of the people who work there had to have a disability I had to get a my family DR to fill out a form to turn in with my application in order to get the job I had CTS and TTS when I started there what cause me to quit was because I had 2 toes nails cut out and could not wear my tennis shoe's they are easy spirit's only pair shoe's I could wear that did not make my feet hurt more than they already do I was wearing house shoe's to work and on the concrete and working the michine just may my feet hurt so bad I could not take it I could have taken a medical leave but boss told me when I came back I would go on a job folding gloves I know It sounds crazy but we fold 4 gloves per pack for first aid kits see the place is goverment funded everything done there is for the army guys I told her I could not fold the gloves because of the CTS and she was like well she knew I had this it was in my folder I could have got another statement for my DR but she has done throw up that I can not stand and another job there top stitch that I could not do I did not want to have another one for her to throw up the job of folding gloves is it only $7.25 a hour and I was making $10.00 a hour on the job I was doing and it was hurting my hands at 27/36 hours a week and we had just got a new contract and was starting over time this week so I knew I could not handle it and also I knew I knew I would not be able to wear my tennis shoe's next week and my hands would be killing me to it was just to much I just had all I could handle.BUT I am in better spirit's today my feet and hand's are not hurting as much had to go pay some bill's my son took me I won't drive over 3 mile's from house by my self because of panic attack's.my husband took me to work and son came got me I guess you would understand that people ask me why I won't drive and I tell them and they look at me like I am crazy someone who has never had a panic attack don't understand it when I went on to pay bill's I wore sock's and house shoe's wore sock's hoping that house shoe's would not raw my feet raw I on went in one place my son went in the other's I guess people who notice and some did I saw them looking at my feet they thought that I had no shoe's and I have all kinds but can't wear them.just tennis shoe's and because of toes can't wear them that is sad I have a lot of pretty sandle's and can't wear them my feet are just to bad.I will tried to send another e-mail to see if it work's I will talk to you later.bye for now Reply.VB

Result number: 58

Message Number 260138

hammer toes and scars View Thread
Posted by alicia c on 8/27/09 at 16:15

My 1st toe on both feet have been hammer toes for as long as I can remember, though for quite some time I didn't know what they were, but I knew that I was very embarrassed by the way that they appeared. I have always worn proper fitting shoes, but my toes are very long and my feet are pronated so I believe I was predisposition for this condition. Since, my 1st and 2nd toes are very long (2nd toes as long as big toes and 1st toe longer than my big toes, when stretched out) I also have problems with rubbing of my toes in shoes (almost any shoes). I unfortunately had a coach that made me wear sporting equipment that rubbed against the top of my second toe so much that it made them bleed. I now have what I believe are calluses/maybe scarring on top of both 2nd toes. I know that it is vain, but I find them unsightly and painfully embarrassing. I would like to try traditional/conservative means of straightening my hammer toes, as I do not have a problem with the length but with the pain and discomfort. Would these calluses ever be able to be fixed or removed? Would these hammer toes be able to be fixed with conservative (non-surgical) means and be effective?

Result number: 59

Message Number 260137

Re: numb toes View Thread
Posted by stacy on 8/27/09 at 14:38

The doctor feels it is due to swelling and will subside. Thanks for your response

Result number: 60

Message Number 260130

difference between an arthodesis vs. and arthoplasty of the big View Thread
Posted by james wolf on 8/27/09 at 06:37

dr. please explain the difference between and arthoplasty vs. an arthodesis of the big toe;my podiatrist wants to remove both implants from my big toes which i had surgery about twenty years ago and perform and arthodesis ( fuseing of the joint ) and claims he can straighten the toes and replace them to their original lenght ( shorten almost 3/8' by the first operation ) by placing and implant in both toes;the foot and ankle surgeon saids this is a very difficult operaton and wants to perform and arthoplasty of both toes by performing and additional surgery of removing a small piece of bone from both legs from below the knee to be used in the arthoplasty but claims he will have to shorten both toes further;confused and concerned and would appreciate your opinion and comments

thank you, james wolf fort lauderdale florida

Result number: 61

Message Number 260127

Re: numb toes View Thread
Posted by Stacy on 8/26/09 at 20:56

Thank you

I will contact the podiatrist tomorrow. Since 4 or 5 days post op, I have had no pain by the incision site. Hopefully the numbness will turn out to be transient and related to normal post op swelling.

Result number: 62

Message Number 260126

Re: numb toes View Thread
Posted by Dr. DSW on 8/26/09 at 20:31

You should ask your surgeon first, because it will depend on the distribution of the numbness. It can depend on the placement of his incision, since the posterior tibial tendon runs with the tibial nerve into the tarsal tunnel. So any edema or swelling around the tendon can have an impact on the nerve. However, if he kept the incision distal on the foot, the chances of it having an impact on the nerve are significantly less.

Naturally, your spine issues can also be playing a major role in your symptoms, but it would be best to speak with your surgeon to have him evaluate the situation and let him determine whether he thinks it may be related to the surgery or coming from your back, or possibly a combination of both.

Result number: 63

Message Number 260125

numb toes View Thread
Posted by Stacy on 8/26/09 at 20:12

I am two weeks post op - modified kidner. The past few days, I have noticed that my toes are kind of numb feeling. I was also dx with a completely ruptured disc with only 10%or normal space left at the L-5 level about 10 years ago which results in occasional sciatica symptoms. Is it possible that the numbness in the toes are related to the posterior tibial tendon or transient sciatica? If the numbness persists, I want to have it checked out but am unsure of what type of doctor to contact.

Result number: 64

Message Number 260103

Toddler shoes with arch support.... View Thread
Posted by Emandbri on 8/26/09 at 14:46

Everything I have read says that toddlers don't need arch support. I have bought my daughter flexable shoes such as pepipeds, see Kai runs, pedoodles, and Chinese squeeker shoes.

She just turned 3 and I took her into the dr because I noticed her left foot was turned in when she ran and her toes were pointing in on that foot as well. The dr said most kids don't need arch support but she iinherited my super high arches so she does. I tried some shoes at stride rite that had arch support but she hated them and they were $50. As you can imagine I was reluctant to spend that much on shoes she said she hated. Any ideas on brands to try? She wears an 8 1/2 wide.

Stride rite also had some insoles but she was really tired so I didn't try them on her.

Thanks!
Emily

Result number: 65

Message Number 260075

Re: Tarsal Tunnel Syndrome View Thread
Posted by VB on 8/25/09 at 19:21

Hi Tom I am going to check this acupuncture try find out if there is a place near me and maybe try it.yes you are right I did mean EMG and I think it did show 0 I did not feel much at all when they started shocking my arch so I show the report to the foot DR I am seeing right now and he did not say much about it so I don't know.He wanted me to try these braces he gave me and physical theraphy wore braces to work yesterday and feet hurt so bad had to come home after 2hours sharp pains shooting out my big toes I will not put them things back on.Got up with feet hurting this morning never went to work.call in work boss said we got big contract and we will start working overtime.36 hrs a week bout kills me I sure did not won't to work overtime.And got to tell you something with you saying I should get me a lawyer over my hands well from what the DR on this web site told me and the the DR I am seeing the DR that done my TTS surgery never done it right to help me anyway so call lawyer and explained to him what has went on and he made me a appt for thursday my boss told me that the statue for malpractice is 5 yrs or 5 yrs from time you realize the DR did not do surgery or whatever right so call lawyer wish me luck and dont know what to do about my job need the money bad but don't know how much more I can stand I am to my wits end.when I get in a lot of pain like that test I had done and been at work yesterday around people I don't why but it stress's me or something and cause panic attacks I was a mess yesterday morning my boss was will nice when I told her I had to leave I was a shaking all over.OK I will shut up for now bye.

Result number: 66

Message Number 260034

Re: orthotics don't work? View Thread
Posted by Nicole E on 8/24/09 at 08:47

I recently got orthotics, too. I was told by the podiatrist that if I was having any problems with them to bring them in and they can be adjusted. Also, he said that it can take some people up to 6 months to really get used to them. They should be broken in gradually adding time each day. Im not used to mine completely either and have been wearing my FitFlops mostly. Of course its summer so what are we to do? I would say if you feel you've given yourself enough time to break them in or your really in a lot of pain, take them back and have them adjusted. I also found that after taking the manufacturer insert out, that I now have too much room in the toes and my foot slides around. I finally tried on and found that I need to buy a half size smaller. Hope this helps.

Result number: 67

Message Number 260033

Re: orthotics don't work? View Thread
Posted by Nicole E on 8/24/09 at 08:44

I recently got orthotics, too. I was told by the podiatrist that if I was having any problems with them to bring them in and they can be adjusted. Also, he said that it can take some people up to 6 months to really get used to them. They should be broken in gradually adding time each day. Im not used to mine completely either and have been wearing my FitFlops mostly. Of course its summer so what are we to do? I would say if you feel you've given yourself enough time to break them in or your really in a lot of pain, take them back and have them adjusted. I also found that after taking the manufacturer insert out, that I now have too much room in the toes and my foot slides around. I finally tried on and found that I need to buy a half size smaller. Hope this helps.

Result number: 68

Message Number 260029

Re: Plantar Plate tear View Thread
Posted by Ev L on 8/24/09 at 06:33

HI Mark
I also had a foot problem for about a 6 months where I simply could not load bear on the left foot. A podiatrist diagnosed the planter plate tear by looking at the 'v' shape space between the toes. An ultrasound confirmed the diagnosis and measured the tear. I have now had this injury for two years and although it took 9 months to be able to walk properly I am no where near a complete recovery (as confirmed by ongoing ultrasounds measuring the closing of the tear). Essentially what helped me 'walk' intially was wearing tight fitting shoes - like a boot - to keep the toes compacted. I also strapped the 2nd and third toes pulling the toes slightly backward (technique found on podiatry sites on the internet and confirmed by my podiatriast also). I have been advised that there is no real successful surgery recorded on this area simply because of the size of the injury (being such a small area)and in fact the scar tissue could be worse than the injury itself. I saw an orthapaedic surgeon recently who advised to have orthodics with a small ball underneath to elevate the bone and therefore relieve the pressure. This has not helped over the past five months. I also am at a loss to resolve this issue. Had I known in the first few weeks what the injury was, I believe I could have resolved it better. I am not sure surgery is the answer but if you do go ahead with it I would be interested in your results.

Result number: 69
Searching file 25

Message Number 259964

Re: Need Help Understanding View Thread
Posted by Lorraine V-P on 8/21/09 at 11:13

I don't know exactly how to explain it without showing how i did it. I slipped on water as i was stepping. my flip-flop slid and i almost fell backward. i pushed forward with my right foot to prevent it and when i went forward all my weight was on my left foot. (if this makes any sense) i ended it up on kneeling down position. the top part of my foot (arch) on the floor. i was told i strained my toes (first3)

Result number: 70

Message Number 259889

My 11 year old son's feet have issues- hammertoe, wart? Pediatrist or Ortho? View Thread
Posted by Rebecca S. on 8/19/09 at 20:10

Ok, so I seem to be learning more about feet than I cared to this summer!

My 11 year old son, who is almost 5'5' and weighs 155 pounds and wears a men's size 10 shoe (yes, he's huge) showed me his feet yesterday. I am shocked to see that his big toes are turning inward, quite sharply. Right now, they look a lot like the 'after' picture on this page:

http://www.joshuakaye.com/images/BAfeet.JPG

But, I'd say the angle of each big toe is about 10 or so more degrees sharper than the after photo. The toes don't overlap or anything (yet), but this picture was the closest thing I could find in an image search for 'halux hammertoe.'

Obviously, I am concerned and don't want him to get to the 'before' stage. He does have retroverted hips and walks with very little bend in his knees. He has some gross motor impairments and turns both of his feet out when he walks, but his left foot more than his right. His pediatrician has always advised keeping him in good, supportive shoes, which I have always done.

I have had a heck of a summer with my own injury, and haven't been able to be as involved as I usually am w/ his personal hygiene, usually I am checking to make sure he trims his toenails, etc...but I KNOW that I helped him trim them in the middle of June, and his toes were NOT at that angle!

As if I wasn't alarmed enough by how his toes looked, he turns his foot over , and he also has what looks to be like a big plantar wart on his left heel, right in the area where you typically get PF pain on the side of the center of the heel! It is hard to tell for sure, because there is a big callus built up around it. He says this has been there about a month or so. But judging on how big the callus is, I'd say longer.

Where do I start with this? I have an appointment w/ a Pediatric Orhopedist for him in September, because I wanted his gait and hips re-evaluated to see if we could get him walking more naturally. He says he doesn't have any pain in his feet and played baseball all summer without complaining of any pain. The Ortho that he is seeing is the same doctor who took care of my daughter last year when she broke her elbow, and I do trust him and feel he is a caring and knowledgeable doctor. But he's not a foot and ankle specialist, though there are 2 of those in the same practice.

Do I wait and just take him to the Ortho appointment? Should he see a Podiatrist instead? And what about the wart? Is that something a dermatologist handles or what? Maybe I should just take him to his pediatrician? I don't need a referral and since I'm guessing he needs a specialist, I might as well just go on and locate one.

Just looking for a trail to follow so I know who I should start calling tomorrow! Is there anything I can/should do in the meantime?

Result number: 71

Message Number 259882

Re: numbness/shooting pain in toes View Thread
Posted by peg c on 8/19/09 at 18:08

My dear Vagabond. Your pain sounds like mine and I have been diagnosed with TTS. I would be sitting in bed and an electric shocklike pain would shoot out my big toe - just my big toe. But that's a toe!! As I understand TTS, it will get worse - it doesn't go away by itself. The tibial nerve will continue to be compressed until it dies - as I am told by a doc. I am searching for the best surgeon in Atlanta for this surgery. If I find him//her, I'll let you know.

Result number: 72

Message Number 259879

Peg C. View Thread
Posted by Laurie C. on 8/19/09 at 17:42

I wanted to comment re: your post on the 'Ask The Doctors' re: your inability to move your big toe.

I actually had the same problem - I had a lipoma pressing on my tibial nerve and tendon and was unable to move my big toe up or down and had problems moving my smaller toes. Within three days of my surgery, I was able to move my toes. It was pretty impressive - I had a 0/5 muscle strength and I'm back up to 5/5. I also had my peroneal nerve decompressed and my doctor feels that the regeneration of that nerve has progressed almost twice as fast as he had expected (based on the moving tinel's sign)

I have had both feet done and was non-weightbearing for three weeks and feel that my post-op protocol was just as important as the surgery in my success.

Result number: 73

Message Number 259875

Trying to find the RIGHT surgeon for TTS surgery View Thread
Posted by peg c on 8/19/09 at 17:30

I have been diagnosed by EMG and clinical exam with severe TTS. I have read that this surgery is very intricate if done properly. I also have read the post-op care is crucial to recovery. My question is who is the best surgeon to do this surgery in Atlanta, GA area? I was told that if I don't get the surgery, I will not be ABLE to walk at all soon because of the nerve damage. I have positive Tinel's sign so I know the nerves are not dead yet. I also cannot flex the big toe and second toe of my right foot-haven't been able to do this for years. I wonder what's different about the right foot than the left in that regard. My left foot hurts more but I can point those toes. HELP me please find a reliable surgeon in Atlanta. I have corresponded with Dr Dellon in Baltimore who is renown for this surgery, and I have spoken to Dr Barrett in Arizona. Both are wonderful I believe, however, a patient should recover near the surgeon. Help help Help!! I need someone in Atlanta. Peg C

Result number: 74

Message Number 259871

Re: stair stretching for PF View Thread
Posted by Roger on 8/19/09 at 14:33

For sure, most people who have been here reading much will say it is not a good idea.

My Dr. told me to do it off a stair, but was EMPHATIC to not put weight on the foot that I am stretching. So, for example, my left leg is the one I have the PF in; I stand on my right leg with all my weight, and use the stair to prop the front of my left foot up, so to speak, and stretch the calf by dropping the leg, but NOT putting weight on the foot.

I combine this with some stretches I do sitting up on the floor, and pulling back on my foot at the toes; laying on my back and pulling my knee up to my chest, and pulling back on the foot at the toes; and also by using a Trigger Point Technology thing that I roll my calf over and the bottom of my foot. (Tennis ball is good for that for the foot).

Oh, it helps if I do it in a stair well where I have a handrail to old on to, to help prevent accidentally putting weight on the foot. At home I have a set of stairs wiht handrail on both sides, so that works well for me.

If I this stretching regimine each day, I am pretty much pain free. If I skip a day, or 2 or 3, the tightness in my calf comes back and the pain starts back in.

Result number: 75

Message Number 259869

Apologies. View Thread
Posted by Beau Avery, Pedorthist on 8/19/09 at 13:56

No pun intended: I did not mean to 'step on the toes' of any doctor here. In the interest of helping I mistakenly posted a couple of responses in this forum without realizing that it is restricted for doctors only.Please understand that it was not my intention to, in any way, impress upon the members of this forum that I am a doctor. I am a medical professional, a Pedorthist, interested in the various problems of the feet and gait, and in discussing those issues with the medical community.

Result number: 76

Message Number 259867

Re: Help on my feet View Thread
Posted by Beau Avery, Pedorthist on 8/19/09 at 12:55

Don't know much about legs, but as for your feet it sounds like you have hammer toes. Hammer toes are most common with high arch types. As for curvature some people have different curvatures to their feet. Most often the associated problems are shoe fitting, but they can definitely affect biomechanics. Without actually looking at your feet I'd say that you are a pretty good candidate for functional orthotics, especially if you're considering an exercise regimen which includes running.

Result number: 77

Message Number 259858

Help on my feet View Thread
Posted by KelvinR on 8/19/09 at 08:46

I have developed a strange feet problem. My toes are not straight but as if they are positioned like grabbing the ground. Also my right foot is bigger and well stronger than my left foot. i also dont have flat feet as it kinda curved and makes walking and especially running really hard. I am 21 years of age and well, decided to see if i can get help from here. i also have bandy legs. Please its kinda hard for me and well i would appreciate any help or recommendations if you can. Thank you very much.

My email is kelvinramdass at gmail.com

Any help would be greatly appreciated. Thanks in advance

Result number: 78

Message Number 259787

Re: Tarsal Tunnel Syndrome View Thread
Posted by VB on 8/17/09 at 18:12

HI! Tom I was begainning to think nobody wanted to talk to me anymore.OK I know what it mean's now.I had a bad trauma years ago and I think that is why I started having panic attacks.Tom I had nerve conduction test done on my feet and hands this pass friday my cts is the same they said put never told me any thing on my tts they did the shock think I felt it good in legs and ankles but from arch down to my toes did not feel much at all they said it could be scared tissue from surgery but the scar from surgery is like 3 inch's from where they was shocking my arch my husband said the scared tissue whould not be that far down they said they would send report to my DR.what do you think and also the bottom of my left foot is killing me the outside part on bottom of my foot it has always been tender but now it hurt and feels like I have scraped it do you think the shocking cause it to get worse.

Result number: 79

Message Number 259760

Re: Pain along outside little toe area and Orthaheel shoes View Thread
Posted by Louise A on 8/16/09 at 14:29

Last year I had terrible heel pain and the podiatrist diagnosed plantar fasciitis and made me an orthotic to put in my shoes. It worked but I love to wear sandals and I discovered Orthaheel! No pain at all and I could wear flip-flops again! I used to have a stinging pain in my toes but that is now gone. Maybe from the orthotic or the sandals, I don't know. I also discovered Chaco and they have excellent arch support plus have many attractive styles that Orthaheel doesn't provide. I just ordered my 2nd pair in leather and have received many compliments on these sandals (also flip-flops). Orthaheel are great for around the house but Chaco can be worn anyplace!

Result number: 80

Message Number 259725

MULTIPLE foot surgeries and still in extreme pain and deformed foot View Thread
Posted by Nicole on 8/15/09 at 13:05

Hello, I am not sure where to begin. I have had three foot surgeries over the past two years with horrible outcomes. I am not sure what to do now.

My first surgery was Aug. 2007 for a bunion. It was a pretty severe bunion and the pod. perfomed a lapidus procedure. I was in horrible pain afterwards and felt like I was walking on a large rock under my big toe. And my big toe did not rest on the floor.

I then went on to get another opinion from and ortho. Well she came highly recommended from people in my community. But in my opinion she was horrible. She did way more to my foot than needed in my opinion. What she did was she lifted the first metatarsal up (relieve pressure on sesamoids), shortened the second toe, did something to the fifth toe(?), did a heel osteotomy(never should have been done), cut the fascia, and removed one sesamoid bone. Well my foot was 10 times worse. I could not walk normal, extreme pain, by foot was rolling inward to far, NONE of my toes touch the floor now, the mid foot fusion did not heel correctly, and I know have arthritis in my big toe and second toe.

I then went forth to find yet another doctor. ortho from baltimore. He refused the mid-foot (lifted it up more as well), re-did my heel slide (back to where it started), and did something else to my fifth. I am still in horrible pain.

I feel like my foot does not flatten out when I place my foot on the floor. I feel like I am walking on a bar under my metatarsal heads.
I feel like there is something digging into the ground under my first and second toes when i am trying to walk. NONE of my toes touch the floor, they all stick up. And it is extremely painful.

Does anyone have any iteas of what might be wrong with my foot and how to fix it. Does anyone know of any good doctors in my area. I live in gettysburg, PA. i am willing to travel withing PA if needed.

Thanks.

Result number: 81

Message Number 259714

Re: Ice making PF pain worse? Anyone else have this? View Thread
Posted by Travis on 8/15/09 at 04:29

Thank you so much for that reply. Its 4:02 am and i cant sleep because of this pain. The best way i can describe the pain is the 'aftershock feeling' i would have if i was hit with a baseball bat across the bottom of the foot. Maily in the heels, but also across the entire fascia. When i had diagnostic ultrasound prior to Cryosurgery the doctor told me that he could see nerve entrapment and both fascia bands definately had scar tissue. If i remember right, it was something like 6mm. I have not had any MRI's or nerve conduction tests. He also did a local anesthetic and it numbed it for a while. I never had pain relief after the Cryosurgery though. It eventually got worse. I am a Military Police and in the past few years have been standing for over 12 hours at a time especially with the added weight of a guard belt. It wasnt until very recently i read on a website that PF is also referred to as, 'policeman's foot'. I do have the classic morning pain and pain after resting coming back on my feet. Its like they try to heal a little bit and then get ripped again when i stand up. The only thing is that this is not just morning pain. It is completely non-stop level 8 pain. One thing definately worth noting is that i have spasms in my foot all the time. I took video at one point with the camera aiming down the entire arch. You can see the skin jumping all along and when i straighten my foot all the way, toes pointing downward, i get a major cramp that sticks in the arch until i pull the toes back and massage it out. I have been on Percocet for over a year now and desperately need help. I am losing my career now as well. I am currently listening to 'solfeggio' sounds on youtube that supposedly heal pain and i have no life at all. Thank you for your input doctor. It means a lot. Travis

Result number: 82

Message Number 259656

Re: numbness/shooting pain in toes View Thread
Posted by vernie b on 8/12/09 at 17:46

HI,vagabond well I was diagnosed with TTS also about 5 yrs ago and I have shooting pain in my toes.and I have notice that the more I stress my feet walking or standing on them it makes the shooting pain worse and I do have numbness under my toes between the toes and the balls of the feet the whole bottom of my feet at times feels half numb it sounds crazy to say your feet are half numb and at the same time they are hurting and pains shooting out your toes but that is how my feet does.I know it don't make sense if they was numb you should not feel any thing well beleive me I feel plenty.and I am not a diabetic either they say I am a pre diabetic but everytime they check my sugar it is find.I'm sorry it sounds like TTS.I think that's one of the worse tormenting pains in the world is when its shooting out your toes.I wish you luck.reply if you want to

Result number: 83

Message Number 259641

numbness/shooting pain in toes View Thread
Posted by vagabond on 8/12/09 at 10:00

I have been diagnosed with TTS, but am not convinced that is correct. I started with numbness under my toes, between the toes and the balls of the feet (it is bilateral) about 2 years ago. It is getting work, numbness is spreading. Now I have shooting pain in my toes. I am not diabetic. Does this sound familiar to anyone--the shooting pain in the toes? Thank you for your response.

Result number: 84

Message Number 259548

what can I do for this excruiating pain in my heels View Thread
Posted by tonysgrlaz on 8/09/09 at 22:55

I've had pain in my heels for a while now. Finally went to the Dr., sent me for xrays, it showed plantar calcaneal spurs in both heels. I'm assuming that means heel spurs. Dr. doesn't tell me anything. I called him back complaining of pain and the office assist. told me what the xrays showed and told me their not 'bad enough' to do anything about. How can that be, I can't even walk. I can't even touch my feet or around the heel area without crying. How bad do they have to be without them doing something for me? I called back again requesting an appt. with a podiatrist..he said oh no, you'll have to make another appt, with the Dr. and he'll decide what to do from there. So it's wait, wait wait. Meantime I bought inserts and they don't even work, the pain is incredible. I keep getting cramps in my calf's from walking on my toes and muscle spasms in my feet. Please help, what can I do?

Result number: 85

Message Number 259531

Re: TOENAIL-FOOT FUNGAS View Thread
Posted by NajRellim on 8/09/09 at 14:38

Are you certain that it is a fungal infection? I have what looks absolutely like a fungal infection (mycosis)on all of my toes but it continually tests negative for fungus. My doctors won't tell me just exactly what it is, only what it isn't. And because of that, they won't give me an Rx for it.

I had it many years ago and a dermatologist gave me an Rx for 'fulvicin

Result number: 86

Message Number 259510

Re: Tarsal Tunnel Syndrome View Thread
Posted by vernie b on 8/08/09 at 19:36

Well I think some people was lucky with their surgery it work for them I don't think I can get up the nerve for a nother surgery and end up in worse shape than I am now I don't know how you are still working I can't cook a meal by my self I can't stand on my feet 10 min's without them hurting and in 30 min's they are killing me hurting and pains shooting through my toes.some people was very lucky with their surgerys and are very judge mental on others because of it they need to be thankful and not be judgeing others they must not be feeling the pain that we are and it must be nice to sit at a desk job all day but some people have other health problems that pervent them from doing the same.If u keep putting that kind of strain on your feet you will be in a wheel chair my dr told me on 7-30-09 that the more strain i put on my feet now the quicker i would be in a wheel chair but that i can't lay down and do nothing i think he is right but i don't want to keep putting a strain on them at a sewing factory i would like to use what time i have left doing for my kids and husband is that so bad.feel free to reply,

Result number: 87

Message Number 259505

Re: Tarsal Tunnel Syndrome View Thread
Posted by vernie b on 8/08/09 at 18:36

Thanks for replying but the problem with me is I have carpal tunnel in my hand also the nerve dr is thinking I have some kind of nerve problem going through my whole body. My job is a sit down job also but I work at a sewing factory and my fingers are going nume on my right had and this starting from a job I had at infinity here in my county where I live I was on the phone and typing all day lone I love that job and would have never left but they go mad at me because I was haveing to take of early for DR's appt.I like the sewing factory but I can't do most of the jobs there because of my hands or my feet.Its bad when you lay down at night and have pain shooting up your arms and through your toes and you got to get up at 5 in the morning sometimes I go to work on about 3 hrs sleep and thats alot and also lay crying from the pain and not wanting to take meds because of getting addicted.I am in a mess.please reply.

Result number: 88

Message Number 259500

nerve destruction after planters fasiitis surgery View Thread
Posted by Marjorie on 8/08/09 at 13:48

My podiatrist is now giving me shots in the heal after surgery because the heal is still giving me severe pain,I have had 4 shots already and have 2 more to go. I have not noticed a remarkable improvement by no means,little to nothing. I still have pain in my arch and toes and burning in my foot in the day and sometimes night. I also have muscle spasms in my foot,toes and side of foot. What do I do when I receive the other two shots and I stil have severe pain? thankyou

Result number: 89

Message Number 259236

Walking on tiptoes?? View Thread
Posted by BobK on 7/29/09 at 16:47

I guess I have a mild case of PF, but have not run in over a month to rest it. I have noticed that running uphill does not cause pain, but downhill running causes much pain whenever the heel hits the ground. I have also read that walking on tiptoes is not good for PF but walking on the heel.
If walking on the heel causes pain, should one continue to walk this way or walk on tip toes?
I've also read in Scott's intro that pressing toes inward reduces pain ('pressing the toes down while walking (which transfers tension from the fascia to tendons and muscles in the calf').
What is the best way to walk to promote healing of PF?
Bob

Result number: 90

Message Number 259209

Foot hurts while sitting View Thread
Posted by Shawn H on 7/28/09 at 17:25

I've had atypical plantar fasciitis for over 5 years now in both feet. (No pain with first steps in the morning.)

Over the past few months it has gotten worse. My left foot is worse and it hurts even when I'm sitting. I've been trying Active Isolated Stretching (AIS) over the last 3 weeks but the pain seems to be getting worse or not improving at all.

I was diagnosed with Plantar Fasciitis but I still wonder if this is correct for me. I stopped seeing my podiatrist over a year ago when he ran out of ideas what to do for me. (I've tried stretching, ultrasound, custom orthotics, ESWT, etc. Everything except cortisone shots & surgery - which were ruled out) The only thing that helped before was doing the stretch with the toes up against the wall & using the Stretch Rite device.)

Any ideas or thoughts?

Thanks!

Result number: 91

Message Number 259156

Re: Crocs, Waldies, Nothinz, Airwalks.....AAAAAARRRRGH! Experiential info, please! View Thread
Posted by mandy m on 7/27/09 at 05:32

I suffer from flat feet with plantar fascitis and now a morton's neuroma on the right! I bought a pair of Nothinz in despair of ever finding foot comfort again. I have tried Crocs but don't find them supportive enough or really shock absorbing. Like you I can't wear strapless due to toe pain but the new strap design on the Nothinz is great as it's stretchy so gives as you walk so doesn't push your toes forward. I bought a size bigger than my normal shoe size and haven't taken them off!!!
My vote is for the nothinz even if they are really difficult to get in the uk!
Good luck

Result number: 92

Message Number 259119

Re: Exercises for the calf muscles View Thread
Posted by Julie on 7/26/09 at 02:37


Alex

The stretch you describe is essentially a stretch for the spinal muscles and the hamstrings, and is not an especially effective one for the calf muscles.

A good non-weight bearing stretch for the calf muscles is this:

Lie on your back, on the floor.
Press your left foot gently into the floor, for support for your lower back.
Bend the other knee and bring it towards you
Straighten the leg and stretch it up towards the ceiling, breathing in
At the 'top' of the stretch, pull your toes back towards you for a couple of seconds
Bend the knee, breathing out
Repeat 5 times
Then repeat with the other leg

(You're aiming for the leg to be perpendicular to the ground. If your hamstrings are tight and don't allow this, leave your knee slightly bent, with your thigh perpendicular to the ground. Don't stretch the leg forward at an angle to your body in an attempt to straighten it all the way: it will pull on your lower back.)

For a stronger stretch, done in the same position, use a dynaband around your foot and hold the stretch for 30-60 seconds.

You might also look at the foot yoga exercises, which improve blood circulation as well as stretch the gastrocnemius and soleus muscles, which is of course important for healing.
.

Result number: 93

Message Number 259078

Re: This is new.. think it actually works? View Thread
Posted by Dr. DSW on 7/24/09 at 05:55

The 'plantar fascia stretch' described on this site is very effective for plantar fasciitis. It's when you simply cross one leg over the other and grasp the area behind your toes with the hand on that side and dorsiflex the foot and ankle. Click on the blue link for the description. Studies have shown this to be extremely effective in eliminating plantar fascia pain.

Result number: 94

Message Number 259077

Re: This is new.. think it actually works? View Thread
Posted by Alex G. on 7/24/09 at 00:30

Dr. DSW,

Are there any other ways besides sitting on the ground, putting your legs out in front of you, and reaching for your toes that are good for non weight bearing stretching? I don't like the wall stretch and like you said I want to avoid the stair stretch, but other than this method I don't know what other type of stretch I should do. This method isn't working too great for my calf stretching right now because I'm getting a combination of hamstring/calf stretch and not just the calf.

Thanks.

Result number: 95

Message Number 259021

Re: Marathon runner with plantar fasciitis View Thread
Posted by Ben on 7/22/09 at 14:42

I would suggest you avoid walking on your tiptoes. It only provides temporary relief and can complicate problems. It's kinda like driving a car that needs a wheel alignment.

My PF resulted in me compensating with other muscles. These types of injuries tend to lead to a domino effect. It led to me getting knee pain (IT band syndrom, Runners Knee) and Back Pain. So, I've had numerous injuries over the past couple of years.

Distance running is a wear and tear on your joints and if you have previous injuries, you will always have a risk of reaggravating them. Basically, you just aren't the same person you used to be. You see it happen all the time in professional sports. A basketball player hurts his knee and he is just never the same again. It's not that I can't run a mile. It's that I'll feel too much pain the days after. I wear kneed braces and ankle braces to prevent injury. I'm content with playing basketball and softball. If you are looking to understand more, I would suggest getting a book titled 'Running Injury Free'. A large part of a distance runner's program should be geared towards preventing the development of injuries like PF. Most runners are completely oblivious to this, which is why they eventually get hurt.

In short, I don't run distances anymore simply because, I just can't afford to go through the injuries again. It took too much out of my well being and actually interfered with my ability to do my job.

My PF is 95% gone and is not a problem anymore. Same with my knees. If you can't walk, you definitely cannot run. Running is like a drug and running does give you a high, which is why you get aggravated seeing other people running while your hurt. Take some rest, do some rehab exercises commonly used for PF, ice your feet, see a doctor or two, and you'll probably running in a month or two. You'll be much better off in the long run. Oh yeah, and the biggest advice I can give you is, when you are 100% free of pain and feel like you can go out and run again, give yourself 1 more week.

Think of it this way. There's a reason you don't midway through a 10k. You'll burn out and never finish. You've been pushing yourself too hard and need to slow down for a bit. A year from now, this injury will be behind you and you'll still be in phenomenal shape. On the other hand...hurt yourself badly, you might end up in terrible shape. When you hurt your lower body, it impedes your ability to be active throughout the day. It's kinda hard to get any exercise when you have trouble standing and walking. I gained 30 pounds over 4 years because I was hurt.

If you want some advice, I would suggest you take up swimming while it's still summer. You get workout at zero gravity with no impact on your body.

Result number: 96

Message Number 259020

Re: Marathon runner with plantar fasciitis View Thread
Posted by Ben on 7/22/09 at 14:42

I would suggest you avoid walking on your tiptoes. It only provides temporary relief and can complicate problems. It's kinda like driving a car that needs a wheel alignment.

My PF resulted in me compensating with other muscles. These types of injuries tend to lead to a domino effect. It led to me getting knee pain (IT band syndrom, Runners Knee) and Back Pain. So, I've had numerous injuries over the past couple of years.

Distance running is a wear and tear on your joints and if you have previous injuries, you will always have a risk of reaggravating them. Basically, you just aren't the same person you used to be. You see it happen all the time in professional sports. A basketball player hurts his knee and he is just never the same again. It's not that I can't run a mile. It's that I'll feel too much pain the days after. I wear kneed braces and ankle braces to prevent injury. I'm content with playing basketball and softball. If you are looking to understand more, I would suggest getting a book titled 'Running Injury Free'. A large part of a distance runner's program should be geared towards preventing the development of injuries like PF. Most runners are completely oblivious to this, which is why they eventually get hurt.

In short, I don't run distances anymore simply because, I just can't afford to go through the injuries again. It took too much out of my well being and actually interfered with my ability to do my job.

My PF is 95% gone and is not a problem anymore. Same with my knees. If you can't walk, you definitely cannot run. Running is like a drug and running does give you a high, which is why you get aggravated seeing other people running while your hurt. Take some rest, do some rehab exercises commonly used for PF, ice your feet, see a doctor or two, and you'll probably running in a month or two. You'll be much better off in the long run. Oh yeah, and the biggest advice I can give you is, when you are 100% free of pain and feel like you can go out and run again, give yourself 1 more week.

Think of it this way. There's a reason you don't midway through a 10k. You'll burn out and never finish. You've been pushing yourself too hard and need to slow down for a bit. A year from now, this injury will be behind you and you'll still be in phenomenal shape. On the other hand...hurt yourself badly, you might end up in terrible shape. When you hurt your lower body, it impedes your ability to be active throughout the day. It's kinda hard to get any exercise when you have trouble standing and walking. I gained 30 pounds over 4 years because I was hurt.

If you want some advice, I would suggest you take up swimming while it's still summer. You get workout at zero gravity with no impact on your body.

Result number: 97

Message Number 259019

Re: Marathon runner with plantar fasciitis View Thread
Posted by Ben on 7/22/09 at 14:38

I would suggest you avoid walking on your tiptoes. It only provides temporary relief and can complicate problems. It's kinda like driving a car that needs a wheel alignment.

My PF resulted in me compensating with other muscles. These types of injuries tend to lead to a domino effect. It led to me getting knee pain (IT band syndrom, Runners Knee) and Back Pain. So, I've had numerous injuries over the past couple of years.

Distance running is a wear and tear on your joints and if you have previous injuries, you will always have a risk of reaggravating them. Basically, you just aren't the same person you used to be. You see it happen all the time in professional sports. A basketball player hurts his knee and he is just never the same again. It's not that I can't run a mile. It's that I'll feel too much pain the days after. I wear kneed braces and ankle braces to prevent injury. I'm content with playing basketball and softball. If you are looking to understand more, I would suggest getting a book titled 'Running Injury Free'. A large part of a distance runner's program should be geared towards preventing the development of injuries like PF. Most runners are completely oblivious to this, which is why they eventually get hurt.

In short, I don't run distances anymore simply because, I just can't afford to go through the injuries again. It took too much out of my well being and actually interfered with my ability to do my job.

My PF is 95% gone and is not a problem anymore. Same with my knees. If you can't walk, you definitely cannot run. Running is like a drug and running does give you a high, which is why you get aggravated seeing other people running while your hurt. Take some rest, do some rehab exercises commonly used for PF, ice your feet, see a doctor or two, and you'll probably running in a month or two. You'll be much better off in the long run. Oh yeah, and the biggest advice I can give you is, when you are 100% free of pain and feel like you can go out and run again, give yourself 1 more week.

Think of it this way. There's a reason you don't midway through a 10k. You'll burn out and never finish. You've been pushing yourself too hard and need to slow down for a bit. A year from now, this injury will be behind you and you'll still be in phenomenal shape. On the other hand...hurt yourself badly, you might end up in terrible shape. When you hurt your lower body, it impedes your ability to be active throughout the day. It's kinda hard to get any exercise when you have trouble standing and walking. I gained 30 pounds over 4 years because I was hurt.

If you want some advice, I would suggest you take up swimming while it's still summer. You get workout at zero gravity with no impact on your body.

Result number: 98

Message Number 258976

4th toe numbness View Thread
Posted by canaanite on 7/20/09 at 20:41

dear drs,
I've injured the outside of my left ankle, maybe a slight sprain, there's swelling, tenderness and numbness there too, but more troubling is numbness in fourth toe on the top of it, and around to other toes adjacent. There seems to be swelling right in front of the fourth toe, tingling and if I stress it[bend toes to right angle of foot], it swells the blood vessels way out and causes pinching pain. Does this sound like a clot?

Result number: 99

Message Number 258926

Re: Toe amputation for a horrible corn ?? View Thread
Posted by Dr. DSW on 7/18/09 at 06:46

It depends on the training and specialty of your cardiologist. Ankle/arm pressures or the 'ABI' (index) is not always very reliable. Patients can have a falsely elevated ABI if they have calcifications of the blood vessels. Therefore there are other tests such as skin O2 tension and other specialized tests that are non invasive.

The fact that you have palpable pulses is also a good indicator, but once again does not always predict healing in the toes. Regarding specialists, in today's times, there is sometimes a 'turf' war concerning who does what.

My preference for lower extremity vascular issues is still a vascular surgeon, though interventional cardiologists are now also specializing in that field.

If any procedure involving INCISIONS is performed, I would recommend some form of vascular evaluation.

Result number: 100

Message Number 258883

Re: Corizone Shot View Thread
Posted by Angela M on 7/15/09 at 20:20

I was diagnosed today with plantar fascitis and tarsal tunnel syndrome. I was in excruciating pain - it woke me up all night long, and nothing I did seemed to help. So, I went to the podiatrist today, and after X rays and an ultrasound, he diagnosed me, and decided to give me a cortisone shot to the tibial nerve then wrapped me in a soft cast and prescribed Naproxin and rest. Well, here it is, about 8 hours after the shot, and my toes are still numb. I'm not really in any more or less pain, but that's the least of my worries right now. It is nearly impossible to walk or drive with numb toes. I had a cortisone shot in my shoulder a few years back, and don't recall any numbness. How long should I expect my toes to be numb?

Result number: 101

Message Number 258765

Crush injury View Thread
Posted by ksxroads on 7/09/09 at 12:46

In nov 2006 I had a 5000 lb iron beam dropped onto my feet. Intially I was treated for broken toes for 8 months. After getting a lawyer and another five months I was finally sent to an ortho surgeon. Two years later in 2008 I had a nerve decompression to remove bone fragments, and scar tissue from the top of my left foot. Work comp is refusing to have me fitted for othronics which had helped prior to the surgery, even though the surgeon has written a script for them. They are insisting I have surgery to bury the nerves to my foot. I have had only xrays done. It is thought to be neuropathy pain, yet honestly I don't know. I am in constant pain and physically my feet have deteriorated to the point I can not walk more than five minutes without having to get off my feet I have been on Neurotin,Lyrica, Lorbid,Cymbalta amytripiline, which have not helped. My ortho surgeon is prescribing the orthonics based on my previous experience of having some relief. At this point I have foot, leg, hip, back and chronic migraines. I know I will always have to live with some amount of pain, yet I would hope that burying the nerve surgery would be a last resort. I am hoping that I can find additional suggestions on what might be helpful. I live in Kansas.

Result number: 102

Message Number 258754

Burning in my heel?!? View Thread
Posted by JenT on 7/09/09 at 07:07

I'm hoping someone can help me figure out why my heel has been burning for the last couple of days. It is not they pain on the bottom of the foot in the morning or after sitting (because i have had that too, but that has been better lately.) This acts up when walking because it is at its worse when my calf is fully stretched and my foot is flat. I've tested it sitting down and i can move my foot around without pain when it is just the foot moving; but when my foot is planted on the ground and i lean forward so that my knee moves closer to my toes (calf is most stretched) I get a really painful burn in the very back of my heel! Help!

Result number: 103

Message Number 258712

G-8 Meeting View Thread
Posted by john h on 7/08/09 at 09:35

China will prevent any changes to reduce emissions at the current meeting of the G-8 in Europe. A goal of a 2 degree reduction in the earths temperature in 50 years has been a goal voiced by some including the U.S. Apparently China will not be part of this. What all this may mean is that the Cap and Trade bill recently passed by the House may have trouble in the Senate. If other nations, in particular the largest polluter in the world, are not going to get behind a strong reduction in carbon gases then why should we put our selves in a weakened economic position by passing the bill just passed in the House. India is also in disagreement with the U.S. as to how much the U.S. should reduce emissions. They think we should have much stronger reductions than even passed in the recent Cap & Trade bill before they will agree to any further efforts on their part. The fact is the U.S. cannot go this road by itself and have any significant effect on global warming. That is if we or the world can really have any effect at all on global warming. That is still up for debate.

I think that we overstate just what powers we as humans have over the earths temperature. The sun, ocean currents, explosions of super novas, sun spots, platelet movements are far beyond our comprehension as to their effect on the earth. Humans have been on this earth a very small time in the big scheme of things. Could we prevent an ice age, a volcanic eruption, a tsunami, etc. Humans are no more than a grain of sand on the worlds beach in or powers to effect things that could destroy our planet. In any event we will ultimately become space dust. We are slapping at mosquitoes while the tiger is carrying us away. These are of course my opinions on global warming. Many will disagree. The G-8 conference info are facts according to the morning news.

Result number: 104

Message Number 258700

continous pain View Thread
Posted by debra f. on 7/07/09 at 18:26

I have had plantar fasciitis for over 7 years. I have had every treatment known, including surgery in both feet. It has gotten worse. I have a job where I have to be on my feet as a sales person in a department store. I am in extreme pain and having to take a lot pain medication. I am awaken many times every night with bad spasms in my feet that take a while to go away. I have several questions:
1. Is there anything that I can do to ease the pain during the day. I have good shoes, cannot wear inserts it makes it worse, and cannot take pain medication during the day.
2. Is there anything I can do to ease the pain faster after work.

I have also noticed that I am experiencing a lot of pain in the top of my ankle and the last 3 toes on each foot. I have a problem with anything touching them such as blankets when I am having spasms.

I am on several types of pain medication, spasm medication, and anti-inflammatorys.

I welcome any advice. thank you.

Result number: 105

Message Number 258695

Re: 681 View Thread
Posted by Dr. Wedemeyer on 7/07/09 at 15:38

If you can stand and support yourself comfortably on your toes you probably do not have PT tendon issues. Adult Acquired Flat Foot (AAFF) disorder can be from a variety of factors. Attenuation of the PT tendon without gross insult can be causative. I would also rule out other factors such as obesity, diabetes and hypertension as they are reported to contribute.

What was the result of the Hubscher Maneuver? Do you exhibit any great degree of heel valgus at this point?

I find it interesting that you know the name of the test. Is your profession in the health field?

Result number: 106

Message Number 258693

Re: 681 View Thread
Posted by Stacy on 7/07/09 at 13:34

How would the integrety be evaluated. I do not have drop foot or any muscle weakness. I am able to stand on my toes and heels. Is that what you mean?

Result number: 107

Message Number 258667

Re: neuroma View Thread
Posted by nita on 7/06/09 at 18:18

Thank you very much. I do understand that swelling is normal, and that moisture between the toes will make it a little more difficult to heal, therefore I have been putting gauze between the toes to keep it dry like I was informed. I still cannot even put a shoe on my foot. I appreciate the information you have given me and I will have to be more aggressive in my approach with him.
Thanks so much.

Result number: 108

Message Number 258664

Re: neuroma View Thread
Posted by Dr. DSW on 7/06/09 at 18:05

I obviously can not help you over the internet. However, I believe you need to get a little more assertive and/or aggressive regarding expressing your concerns with your surgeon.

When an incision extends between the toes, it is not unusual for excess moisture to build up causing some 'maceration' of the tissues. However, this should not cause a continuous solid white liquid come from coming out from the area. Some edema (swelling) is normal post operatively, but if there is constant swelling or if the swelling seems to be getting worse, and there is a constant drainage, it is definitely something that at LEAST needs to be addressed and not constantly brushed aside.

Let your surgeon know that at the present time you are very unhappy AND very concerned about the way your post operative care has been handled and hopefully he will respond accordingly.

If in addition to the swelling and white drainage, there is redness or the foot is warm or if you have a fever, you should speak to him sooner than later.

Result number: 109

Message Number 258662

neuroma View Thread
Posted by nita on 7/06/09 at 17:49

I had a neuroma removed 9 weeks ago, they went through the top of my foot. The first 2 1/2 weeks were terrible! I have an extremely high tollerence for pain and I could not even put my foot off of my pillows. The 3-5 weeks were getting a little better with regular visits to the doctor, who said every time that my foot looked 'normal'.. which I still could not put my toes on the floor because my foot was so swollen. I called within the next week to let him know that there was this solid white liquid coming out from between my toes from where part of the incision was, his response was that this is normal not to worry unless it was discolored or smelled. My foot was still so swollen that my toes would not touch the floor. The 7th week is getting a little easier as I keep rubbing & soaking my foot everyday 3 to 4 times a day pushing all of this white liquid out of my foot. 8th week...goes downhill foot is still swollen there is a knot at the top of my foot by the scar between the third and fourth toe along with the one that has been on the bottom since the beginning. I don't know what to do....please help me!! The knot that is on the bottom of my foot at the ball, is in the same spot that he said that the neuroma was, and it is still the same exact pain that I had before I had the surgery. Can you give me any suggestions?

Result number: 110

Message Number 258555

Tarsal Tunnel Release and Gastroc Slide Recovery View Thread
Posted by stonebo on 7/02/09 at 11:27

I had both surgeries on 4/29 and feel that for the most part my surgeries were successful. My surgeon is an orthopedist with foot/ankle specialty. He told me the tarsal tunnel was a complication of repetitive DVT in the leg. After attempting conservative treatments for the past 3 years, he recommended surgery. He performed the gastroc slide at the same time to correct tendon contracture that caused repeated bouts of plantar fasciitis. I was able to walk immediately with my boot, and was walking without the boot after week 2. At my 4-week visit, he released me to walk 3 miles on alternating days. I also swim with small fitness fins daily.

I was fairly fit before the surgeries and walked an average of 6-miles daily. Though not pain-free, I think the degree of pain is somewhat less now, though it is still bothersome, particularly DURING walking and standing. I am also experiencing new pain across the top of my foot in front of the ankle during walking. It is not relieved by stretching or icing, but it feels like if I could just stretch it out a little more (toes pointed), it would feel better. There is a deep ache in the top of the foot that is waking me during the night. I replaced both my orthotic and walking shoe 2 weeks ago. I was fitted at our local runner's store, so I know they are good shoes that fit well.

My question is about the recovery period. Is it normal to continue to have pain with movement after these surgeries? If so, how long should it continue and to what degree? How do I know when I should complain to my doctor? How long is the 'average' recovery for these surgeries?

I am getting concerned as I am a teacher and spend the majority of the day standing and walking on hard tile floors. School resumes next month and I am worried I will be back in that familiar cycle of pain once I am on my feet all day again.

Result number: 111

Message Number 258459

peroneal subluxation View Thread
Posted by rose8 on 6/29/09 at 09:22

I posted on here awhile ago about possible subluxation.
I have seen 2 doctors (the second for a second opinion) and had an MRI since then. The first dr said he thought it might be subluxating but instead of talking about surgery or a brace etc. he put me on prednisone which seemed ridiculous. It didn't work. The second dr. ordered an MRI which showed a)fluid withing the peroneal sheaths right at the point that they pass behind the lateral ankle bone b) some extra muscle near there that he said might predispose me to subluxation c)instead of having a groove behind my ankle bone for the tendons to ride in, the area is basically flat - the dr. said this also predisposes me to have subluxation.
My symptoms originally came on without an acute event or trauma. I have never even rolled or twisted my ankle. I bike and run and swim and at first, the front outside part of my ankle hurt and felt like tendinitis. After a couple weeks of this, I decided to rest and concentrate on stretching my calves since I thought tight calves might be the reason for the front of my ankle hurting (I thought it was extensor tendinitis). 2 days after I stopped running and biking this weird popping started on the outside of my ankle. It can be felt if you touch my ankle bone and I go up on my toes. Sometimes I could hear it when it was at its worst and when it was very bad, it would pop almost every time I walked. And the entire area under the peroneal tendon (between my heel and ankle bone on the outside of my foot) ached randomly.

This has been going on for 2 months now. I began wearing a lace up brace with straps under the arch to hold my foot in dorsiflexion about 3 wks after symptoms started. The brace helps immensely...when it is on. When I take it of, my ankle still pops. It doesn't ache as badly (I think perhaps the aching was because the tendon was popping out of the right place so that was affecting everything in that area of my foot? That is just my guess, I have no idea) but I'm also not using it AT ALL. Even swimming was making it hurt a little (the flexing of my ankle when I kicked) - I have stopped doing everything.

LAst week my doctor got the MRI results I described above and put me in a CAM walker for 3 wks. It has been one wk as of today and when I Take the boot off, the ankle still pops. If it is still happening when I go back in 2 more weeks, we will talk about surgery. However, I am curious to know other drs opinions on this.
1) How successful have you found this surgery to be? (groove deepening)
2) How could this happen? I am 27, there was no trauma - so how did my tendon start subluxating? Even if the groove is flat...it was like that for 27 years of running and biking and athletics at a college level - why, if nothing happened, did it start to subluxate?
3) Could anything else mimic these symptoms? The MRI came up saying everything else was normal other than the fluid in the peroneal sheaths and my doctor picked out the extra muscle and flat groove. But as I said - I had those things for 27 years and they didn't hurt me.
4) How do I prevent this from happening to the other ankle? If there is no groove on one side, then there is probably no groove on the other side, right? Have you ever had someone have bilateral subluxation? Is this likely?

Thank you.

Result number: 112

Message Number 258453

horrible pain in my heals View Thread
Posted by agreen4 on 6/28/09 at 20:02

For the past 3 months i have been having this horrible pain in my heels. if i walk for more that 20 minutes doing normal chores round the house, i start feeling the pain, its a sharp shooting pain, whickh makes me either sit down with the pain still in my heals, or stand on my toes i cant bear weight on my heals at all. any help on what this could be or a way to improve the pain?

Result number: 113

Message Number 258442

Pain on Side of Foot View Thread
Posted by tprunner on 6/28/09 at 14:13

I'm experiencing some sharp pain on the side of my foot when I put weight on it. Its on the outside about halfway between my heel and toes. I did an 11 mile run yesterday and was sore afterwards but wasn't experiencing pain in my foot until probably 10 hours after my run. I've never had previous injuries/problems with my feet. Should I be worried, see a doctor, etc. or keep icing and see if it gets better? Thanks.

Result number: 114

Message Number 258348

Re: Dellon View Thread
Posted by MaryW on 6/24/09 at 07:59

I had the Dellon procedure May 21, and it has been very successful for me. My surgery was done at the Cleveland Clinic in Cleveland Ohio. My toes were numb prior to the surgery, when I woke up in recovery the first thing I noticed was that I could feel my toes on the sheets. I am doing great. Hope my post is helpful to you. I know every person's outcome from surgery is different, but for me, so far a success. I will have surgery on my other foot in Dec., then due to work schedule.

Result number: 115

Message Number 258214

Re: neuroma View Thread
Posted by mely on 6/18/09 at 10:31

I would rather try the other options. I was concerned about the 1/2' gap between my toes, and whether it would cause more damage. I think the nerve is already damaged, but I can feel it shoot down my toes(senation not pain). How much reduction in size of the neuroma could I expect from the cortisone or alcohol injections?
Thank you

Result number: 116

Message Number 258208

neuroma View Thread
Posted by mely on 6/17/09 at 22:13

I have a numbness and wide separation between 2nd and 3rd toes. MRI shows 6 x 7 mm neuroma. I have had little pain since wearing flat shoes, but after wearing tenny shoes once to the doctor, it has aggravated it and made it achy. Doctor wants to do surgery. Is it too large to try other treatments? Should I try other options before surgery? I'd rather live with the numbness than trade it for pain.

Result number: 117

Message Number 258104

appearance of feet View Thread
Posted by Nancy R. on 6/12/09 at 18:57

My friend says I have primitive feet, since my toes are straight and I have a nail on the little toe. What is the appearance of a modern foot?

Result number: 118

Message Number 258102

Earth Shoes and Flat Feet? View Thread
Posted by Brandon on 6/12/09 at 16:01

I have flat feet. My right foot is severely flat. My left foot arch goes halfway down. Right now I'm using a new balance 926 and orthotics. I was considering earth shoes because I don't think your toes should be squished together and the negative heel makes sense to me. My doctor recommends stretching my achelis tendon.

Would these shoes be bad for someone with flat feet?

Result number: 119

Message Number 258091

TTS, MAIKING THE CHOICE FOR SURGERY View Thread
Posted by coco on 6/11/09 at 19:37

This a complete new area for me. I like many others, have discover I TTS. I have put off going to the Doctor for years until my husband finally said to me that enough was enough. For some reason I didn't think the constant pain would be that serious. I just figure I'm on my feet, what would you expect? It had become so bad in the last year, I was going to the tub in the middle of the night to run ice cold water on both my feet. I would be in haven, my feet felt so soothed, then back to bed I went. Now this went on almost everynight. I sleep with a small fan at the bottm of my bed, just so I can stick my feet out for that cooling sensation. Talk about denial! I had no idea there would be an actual diagnos. When finally going to the doctor, he did a test in the inside where the tibia nerve is. An elcetrical current ran up to my knee and to my toes! Reading about TTS, it made so much sense to me. I have had jobs where it required and still to this day, to be on my feet! It was comforting to know that my sympotoms were the same as I google all about TTS. So... I have made the choice to forge ahead for surgery. I have worn air cast to stablize the ankles, taken cortizone shot and orthodics as well as anti-inflamatories. I can't live like that forever. I am feeling confident about it, but wanted to know if anyone could tell me of their experience after surgery and what is the percentage of feeling better, that it wowrked?

Result number: 120

Message Number 258083

Sore Between toes View Thread
Posted by don t on 6/11/09 at 12:59

Good day. I have been suffering with some type of growth between little toe and the one to the right. About a year ago a doctor cut it away and there was a small hole. Now it is back and sore. What could it be?

Result number: 121

Message Number 258068

Re: What nerve pain feels like View Thread
Posted by Mike on 6/10/09 at 23:16

You are lucky if you don't have the burning!

In the 6 years I've had it, the pain has been all over the place:

1) Burning - somtimes like standing in boiling water, other times like standing in snow for hours.
2) Stabbing and zingers - like being stabbed with a toothpick very hard but not enough to break the skin
3) Throbbing toes - feels like toenails are growing into the skin FAST!
4) Pins and Needles
5) Pressure - like shoes are 2 sizes too small!
6) Pain walking - like bottoms of feet are bruised and have no padding (bone on skin)
7) Other times it feels like Im walking barefoot on sharp rocks

Sometimes, though not painful, it just feels like my feet are sopping wet - like I'm sloshing around in wet socks and shoes.

All of these different pain types come at different times and last for varying periods. I take narcotics to control the pain and it usually takes care of it except for the burning - nothing touches the insideous burning! So feel lucky you do not have this pain.

Result number: 122

Message Number 258062

Re: navicular injury? View Thread
Posted by Dr. DSW on 6/10/09 at 17:10

#1 Rotating your foot in a circle really means nothing and would not be diagnostic of anything significant with the injury you describe.

#2 Your doctor told you it can take 7-8 weeks to heal, and you're complaining that it's been 6 weeks, so I'm not sure why your upset.

#3 There can be an injury to your posterior tibial tendon which can explain some of the symptoms you describe, though that should cause discomfort or weakness if you were to attempt to raise on your toes on only that foot.

#4 You state that you 'don't know what's going on'......why don't you simply call or return to your doctor and ask him or her? He or she would certainly be a better source than any doctor on this site, since he/she has the advantage of actually seeing and examining your foot 'in person'.

Result number: 123

Message Number 258043

Re: navicular injury? View Thread
Posted by jason on 6/09/09 at 19:00

thanks for responding, and yes i saw a foot specialists about 3 weeks ago, my x-ray came back negative and he told me to just keep resting it and it should heal within 7-8 weeks. so far its been 6 weeks since my injury. i can rotate my foot in a full circle with no problems, it just hurts when i apply my weight on my navicular area and try to walk. i can walk on my tippy toes and heal with no pain but it hurts when i am flatfooted. it is also red and has been red for a long time. is it possible to have torn ligaments or fractures and still be able to rotate my foot in a full circle without pain? i dont know whats going on and any input would definitely help, thanks!

Result number: 124

Message Number 258037

Re: Peroneal Subluxation questions View Thread
Posted by rose8 on 6/09/09 at 11:14

I have seen 2 doctors. The first was a general orthopedic dr. and said peroneal tendinitis and gave me a cortisone shot and NSAIDs that were different from those I'd been taking. No real help. I'm still not doing ANY kind of exercise and it has been a month of rest now. I still have the popping. The tendon is a bit sore sometimes, but it does not feel like tendinitis, it still feels unstable, the popping still occurs when I go up on my toes. The dr yesterday who is a foot and ankle specialist said that the tendons (peroneus longus and brevis) and switching places inside the tendon sheath causing the popping and it is a form of subluxation.
I want the surgery. He put me on prednisone. I am not sure what this is going to do. I asked him but did not get a clear answer. I got the feeling he wanted me out of his office and did not want to take the time to answer my questions. Subluxating tendons are NOT an inflammatory condition from everything I have read and heard...so I am quite doubtful that prednisone will address anything at all unless I totally missed something. It's not going to make the tendons stay in place to take an antiinflammaory no matter how strong.

I have called Myerson's office and cannot see him til Sept. and cannot even get in to be looked at by any of the other doctors there until late July or August. Dr Schon could not see me til Sept. His colleagues also are running until August.

Does anyone know of anyone else in the DC Baltimore area who might be able to help me? I am so tired of being given different info. The first doctor I saw acted like I was an idiot when I suggested the possibility of subluxation and told me I 'just have a little tendinitis'. A 'little tendinitis' would NOT prevent me from walking around my house because I dread when the ankle pops and feels like it will give out. Now this latest doctor says I am indeed experiencing a form of subluxation but wants to give me prednisone??? I have never heard of this as a treatment, even a conservative one.

Also - I would appreciate any info about the surgery for this, I realize that would be something to discuss with the doctor who will perform if, but since I cannot seem to get in to see anyone for months, if anyone could tell me what they know about recovery time, recurrence rate, success rate, ability to perform activities after surgery, etc. I would very much appreciate it.

Result number: 125

Message Number 257999

Hard lump on left foot View Thread
Posted by William M on 6/07/09 at 04:44

I'm well aware that this needs proper evaluation by a GP etc. and will see one hopefully tomorrow, but would like some info.

I noticed a small pea-sized, quite hard lump on my left foot, well under the skin which moves freely over it. It's about halfway between toes and ankle (I can never remember what's a tarsal and what's a metatarsal), on the upper side of the foot, more to the left. This is entirely new, there is no corresponding protrusion on the right foot, nor elsewhere on the same foot.

I noticed it only because it has started causing the skin above to rub against the shoe if a tighter sock is worn. It could be a very high-pressured cyst I suppose, but it is immobile and quite solid, but NEW. It may have been there in a smaller form for some months though, because I have noticed that 'skin against the shoe' itching for a few weeks but never sought to look deeper. The skin irritation seems to have no direct link to the lump though, simply a secondary effect.

'Apologies if this is old hat, but what's the score? Thank you.

Result number: 126

Message Number 257981

Re: It took a couple years longer than I orginally forcast, but .... View Thread
Posted by Jeremy L, C Ped on 6/05/09 at 22:05

There is clinical evidence produced by U of Alabama demonstrating the abnormal gait function necessary to ambulate in flip flops. Most notably the great toe needs to plantarflex, causing a variety of deficiencies throughout the foot.

What this means for most people with classic plantar fasciitis symptoms is that chronic use of flip fops WILL make their condition worse. Most modern orthotic therapy depends upon the ability of the first metatarsal to plantarflex. It is physically impossible for this to happen, if the great toe fails to dorsi-flex. Therefore, those already in pain who are in positions where they must wear sandals, should select models that secure the rear and midfoot, allowing the toes to freely flex.

Result number: 127

Message Number 257962

Re: Shoe recommendation for ball of foot bursitis?? View Thread
Posted by LaurieY on 6/04/09 at 18:56

Appreciate your response - will check those out. Not sure that I understand what you mean though by a 'composite spring plate'. The carbon insole that the Doctor gave me looks like a flat insole (that appears to be made of felt with what looks like a thin piece of metal under the the section from the toes to under the arch. The doctor also recommends that I wear my custom orthotic which was prescribed by a previous doctor at the same time. The problem is getting both the orthotic and the carbon insole to fit in any shoe.

Result number: 128

Message Number 257951

Insoles Not Wide Enough View Thread
Posted by donnan on 6/04/09 at 11:07

I accidentally posted this in the wrong section so I reposted here. If you see it twice your not crazy.

I have what may be an odd question. I have custom made orthotics which I have tried for months at at time and can't wear, and I have tried about every different insole available over the counter. My best luck is with the Powersteps. HOWEVER my problem is that I have wide feet and it seems that when I wear a shoe that is the right width for me, when I put in the insole it is not wide enough to cover the complete bottom of the footbed. There is always a little extra space somewhere around the edge that either slips or my toes just seem to gravitate to that edge and worry with it. It can also cause mild to moderate pain which in itself becomes a distraction and makes you want to scream.
Does anyone else have this problem and is there such a thing as WIDE insole by powerstep or anyone else?

Result number: 129

Message Number 257950

Insoles Not Wide Enough View Thread
Posted by donnan on 6/04/09 at 11:05

I have what may be an odd question. I have custom made orthotics which I have tried for months at at time and can't wear, and I have tried about every different insole available over the counter. My best luck is with the Powersteps. HOWEVER my problem is that I have wide feet and it seems that when I wear a shoe that is the right width for me, when I put in the insole it is not wide enough to cover the complete bottom of the footbed. There is always a little extra space somewhere around the edge that either slips or my toes just seem to gravitate to that edge and worry with it. It can also cause mild to moderate pain which in itself becomes a distraction and makes you want to scream.
Does anyone else have this problem and is there such a thing as WIDE insole by powerstep or anyone else?

Result number: 130

Message Number 257882

metatarsal pain View Thread
Posted by DavidI on 6/02/09 at 11:46

48 year old male runner. Left foot toe number 3 has been sore on weight bearing for 6 months. Ultrasound shows some degeneration of plantar plates 1 and 2, but there is no pain at all in these areas. Ultrasound of asymptomatic left foot looks worse than symptomatic foot. Ultrasound also shows 2nd interspace neuroma. Mri shows neuroma in 2nd interspace, edema in fat pad beneath 2nd and 3d met heads no evidence of synovitis, bursitis. Tendons appear intact with no excess fluid within sheaths. No stress reaction in bones. No pain in interspace on palpation or Mulder's test. Don't believe it is neuroma. Pain on palpation to varying degrees from proximat met head to proximal end of phalanx. Variety of custom orthotics not nearly as effective as my own invention of hollowing area out beneath 3d metatarsal. Also some persistent tingling in toes 1,2,3 and maybe a little in number 4.

I have seen top guys in New York City. Rock at Hospital for Special surgery, Thomas Novella, John McNerny, Josef Geldwert. Nobody has an answer. I am a marathon runner who has not run since november '08. I am at my wits end. Any body out there have an insight? Please help!

Result number: 131

Message Number 257781

A very good perspective. I may have already posted this. View Thread
Posted by john h on 5/28/09 at 12:51

545 PEOPLE
By Charlie Reese
Politicians are the only people in the world who create problems and then campaign against them.
Have you ever wondered if both the Democrats and the Republicans are against deficits, WHY do we have deficits?
Have you ever wondered if all the politicians are against inflation and high taxes, WHY do we have inflation and high taxes?
You and I don't propose a federal budget. The president does.
You and I don't have the Constitutional authority to vote on appropriations. The House of Representatives does.
You and I don't write the tax code, Congress does.
You and I don't set fiscal policy, Congress does.
You and I don't control monetary policy, the Federal Reserve Bank does.
One hundred senators, 435 congressmen, one president, and nine Supreme Court justices 545 human beings out of the 300 million are directly, legally, morally, and individually responsible for the domestic problems that plague this country.
I excluded the members of the Federal Reserve Board because that problem was created by the Congress. In 1913, Congress delegated its Constitutional duty to provide a sound currency to a federally chartered, but private, central bank.
I excluded all the special interests and lobbyists for a sound reason. They have no legal authority. They have no ability to coerce a senator, a congressman, or a president to do one cotton-picking thing. I don't care if they offer a politician $1 million dollars in cash. The politician has the power to accept or reject it. No matter what the lobbyist promises, it is the legislator's responsibility to determine how he votes.
Those 545 human beings spend much of their energy convincing you that what they did is not their fault. They cooperate in this common con regardless of party.
What separates a politician from a normal human being is an excessive amount of gall. No normal human being would have the gall of a Speaker, who stood up and criticized the President for creating deficits. The president can only propose a budget. He cannot force the Congress to accept it.
The Constitution, which is the supreme law of the land, gives sole responsibility to the House of Representatives for originating and approving appropriations and taxes. Who is the speaker of the House? Nancy Pelosi. She is the leader of the majority party. She and fellow House members, not the president, can approve any budget they want. If the president vetoes it, they can pass it over his veto if they agree to.
It seems inconceivable to me that a nation of 300 million can not replace 545 people who stand convicted -- by present facts -- of incompetence and irresponsibility. I can't think of a single domestic problem that is not traceable directly to those 545 people. When you fully grasp the plain truth that 545 people exercise the power of the federal government, then it must follow that what exists is what they want to exist.
If the tax code is unfair, it's because they want it unfair.
If the budget is in the red, it's because they want it in the red.
If the Army & Marines are in IRAQ , it's because they want them in IRAQ .
If they do not receive social security but are on an elite retirement plan not available to the people, it's because they want it that way.
There are no insoluble government problems.
Do not let these 545 people shift the blame to bureaucrats, whom they hire and whose jobs they can abolish; to lobbyists, whose gifts and advice they can reject; to regulators, to whom they give the power to regulate and from whom they can take this power.
Above all, do not let them con you into the belief that there exists disembodied mystical forces like 'the economy,' 'inflation,' or 'politics' that prevent them from doing what they take an oath to do.
Those 545 people and they alone, are responsible.
They and they alone, have the power.
They and they alone, should be held accountable by the people who are their bosses. Provided the voters have the gumption to manage their own employees.
We should vote all of them out of office and clean up their mess!
What you do with this article now that you have read it is up to you.

Result number: 132

Message Number 257723

Jeremy - Chaco/Birks/Montrail Sandal brands and hammertoe? View Thread
Posted by pam on 5/25/09 at 14:09

I have been reading more online about the sandals that you recommended. I plan on going to the store to have a look at the Kumfs next week. I managed to find Montrail Pana Flip sandals - are these similar to the Vasyli Wave ones?

I also saw the Chaco Webbed Flip sandals and Chaco Z1 Unaweep Sandals and wondered if you have any thoughts on them? I read some of your earlier posts and I think you said that the arch support is placed further back towards the heel than in other brands - would it be avantageous to have the support below the talonavicular joint due to my accessory navicular, and would this help to keep stress off the posterior tibial tendon?
- I used to wear the blue Birkenstock orthotics in my running shoes and found that I would get blisters along my arch from them, does this have to do with where the arch is placed or is this simply a results of my flat feet?

On another note, although I have nearly flat feet, I find that I have always had the tendency to stand on the the lateral sides of my feet with my medial heels and inner 4 toes not even touching the floor. Does this have anything to do with the mechanics of my feet?
Finally, the most lateral 2 toes on each foot curve in medially and I sometimes get blisters on their inferomedial surfaces - is there a reason for this/can this be corrected?

Sorry for asking so many questions - I'm a kinesiology student so I'd love to learn as much as I can about my feet. I really appreciate that you take your time to answer my questions. Thanks!

Result number: 133

Message Number 257710

Re: Accessory navicular and tibialis post. - shoes/orthotics? View Thread
Posted by pam on 5/24/09 at 15:53

Thanks for your reply Jeremy.

I have been reading more online about the sandals that you recommended. I plan on going to the store to have a look at the Kumfs next week. I managed to find Montrail Pana Flip sandals - are these similar to the Vasyli Wave ones?

I also saw the Chaco Webbed Flip sandals and Chaco Z1 Unaweep Sandals and wondered if you have any thoughts on them? I read some of your earlier posts and I think you said that the arch support is placed further back towards the heel than in other brands - would it be avantageous to have the support below the talonavicular joint due to my accessory navicular, and would this help to keep stress off the posterior tibial tendon?
- I used to wear the blue Birkenstock orthotics in my running shoes and found that I would get blisters along my arch from them, does this have to do with where the arch is placed or is this simply a results of my flat feet?

On another note, although I have nearly flat feet, I find that I have always had the tendency to stand on the the lateral sides of my feet with my medial heels and inner 4 toes not even touching the floor. Does this have anything to do with the mechanics of my feet?
Finally, the most lateral 2 toes on each foot curve in medially and I sometimes get blisters on their inferomedial surfaces - is there a reason for this/can this be corrected?

Sorry for asking so many questions - I'm a kinesiology student so I'd love to learn as much as I can about my feet. I really appreciate that you take your time to answer my questions. Thanks!

Result number: 134

Message Number 257679

Peroneal Subluxation questions View Thread
Posted by rose8 on 5/22/09 at 19:26

Before I begin , I do realize that there are many posts on the message boards dealing with this. I have already searched and honestly, I have read them ALL. I am terrified. I have been an athlete for over 13 years, I run, swim, and ride the stationary bike at the gym ALOT - or I was until about 1 wks ago.About a month ago the front of my ankle began hurting a bit on the front of the ankle, where the foot and ankle meet, on the outer side, it would only hurt immediately after I got off the bike at the gym. I would ice it after on the way to work and it would go away. Til the next day. It never really hurt ON the bike, just after. It actually never hurt to run at all.
I decided to take a week off to heal it. I did a lot of reading and thought it was tendinitis of the extensor tendon that runs to the 4 smaller toes. I read tight calves can cause this (and mine were very tight, I was not stretching properly for months). So I stretched a LOT and iced. I am very aggressive when stretching. However, I NEVER heard a pop, there was no injury, and also I have never ever sprained or rolled that ankle. My ankles have never been a problem area for me and I am quite sure I've never done anything.
A couple days after I began the stretching, the area behind my outer ankle bone began to feel...weird. Unstable but I would not say it is pain. not with every step, just with some. I have tried ice and heat and have laid off the stretching. I've been taking a RX antiinflammatory since the beginning. Nothing is helping. And I've realized that it pops. Something moves over that ankle bone SOMETIMES when I rise up on my toes. It seems to happen more when I've made that movement a few times, like a muscle got tired of holding the clicking part (I am guessing that is the peroneal tendon but I REALLY don't want it to be that) in place.
I have very high arches. I was fitted for orthotics YEARS ago for a knee injury, they made it worse, and it got better eventually on it's own. I've never worn them since.

I am panicked. I cannot ruin my ankle. I have worked out almost every day for the last 13 years - this is such a huge part of my life. But surgery is overwhelming to think of. I think I would lose my job. I would not be able to drive my car and I am single and live alone. Also I've seen that this is a serious surgery and must be done carefully. But without it, my tendon will be worn down and will rupture - is that correct?

Also - can anyone recommend a very good orthopedic dr. who is an expert with ankles in the DC area or even Baltimore? I would go to Baltimore if I had to. I will do anything to make this stop. I am so hoping that this is not what my problem is, but I can feel the pop, feel the instability and though there isn't really pain, it just doesn't feel right.

If it matters I am in my mid20s and female.
Thank you for any help you can give me, I am sorry this email is so long.

Result number: 135

Message Number 257644

Re: Jeremy View Thread
Posted by Jeremy L, C Ped on 5/20/09 at 19:19

Yes, stability shoes like the Adrenaline force the foot into the lateral column, and make your lesser toes have to work harder. This can potentially lead to some of the things you decribe. Your symptoms could also be due to other phenomena, and require first-hand assessment by a podiatrist.

Machine washing shoes like the Adrenaline is HUGE no-no. This specific model uses a tuck board to reinforce its stability. Submerging them for extended periods will cause this critical element to warp. Subsequently drying them rapidly causes further deformity of the shoe, whether it's a household dryer, hair dryer, or direct sunlight. Casual rinsing in the sink will likely not cause any significant problems, just so long as after this washing the shoes are stuffed with paper towels and permitted to air dry in a shaded location.

Result number: 136

Message Number 257643

Jeremy View Thread
Posted by annes on 5/20/09 at 17:48

Hi Jeremy, it's been a while since I've bugged you. I have a couple questions if you don't mind.

Just to refresh your memory, I am a larger woman, I work on cement floors and I have high arches. I know my shoe recommendation is a neutral running shoe but for the last year or so I have been wearing Brooks Adrenaline 8. I find them very comfortable and my heel pain is at a minimun.

My problem seems to be my toes. They cramp up painfully sometimes and I have to stretch them for a while to relieve them. Could this be from the shoes? And can shoes effect the circulation in your feet? My feet, especially my toes have been getting cold. So cold that sometimes blankets won't even warm them up. I realize this can be a symptom of other things but I thought I would rule out the shoes first.

Also, probably a stupid question but do you know if washing your shoes in a washer harms them? Does it make them lose their shape? How about the dryer?

Thanks, Jeremy. I really appreciate your advise and the time you spend on here.
Anne

Result number: 137

Message Number 257638

Re: Now What? Long Term Effects of Plantar Fasciitis View Thread
Posted by Jessica on 5/20/09 at 01:07

Hi Jim,
I'm 43, had PF (right foot) for 4 yrs, had EPF release surgery 8 mos ago--and I'm STILL in so much pain, I really understand how frustrated you feel. My right foot is the only 'problem' foot I have--I feel sorry for you that both feet are a problem, I have no idea how you deal with that, especially having to be on your feet all day--there is no way I could do it.

The fact that you have the groin pain is very interesting. I have had sciatic pain (right side) for 5 yrs now. My right knee has been swollen this entire time, MRIs, etc. show nothing, there is a sharp pain only periodically. There is fluid build up right underneath the front, and it's very puffy, has been that way for 5 years. Also, as I'm typing this, I have pain going down my right leg, down into the right arch of my foot. I wish SOMEONE would figure out how to help us. My next step is 'pain management' (I have a HMO also). I'm in new orthotics, just had another cortisone shot friday, new shoes, and toe splint to pull my 4th toe back. I pain when walking in my outer foot after surgery, and then pain under my 3rd/4th toes. It could be a neuroma, but dr. is pulling my 4th toe back with a toe splint to see if it will relieve the inflammation in the joint. I have shooting pains at times where I absolutely just 'yell' when I move my foot a certain way. When I walk for more than 5 min., my outer foot hurts like hell and all I want to do is sit down.

As far as trying to fix this, you name it, I've tried it, or WILL try it to help the pain. If you find something that works, will you please post? I think that maybe the people that get better just 'move on' with their lives, and get better. If I ever do, I will post whatever helped me so nobody has to go through the hell I'm going through. (my story is on this board recently asking if there is any hope after 8 months as far as what I've tried in the past).

Have you tried a drug called Neurontin? Pain meds. (vicodin, etc.) didn't help me (nerve pain), but neurontin did (within a few days). The first day it's like taking benedryl, plan on sleeping all day, but you get used to it. Honestly it really helped the nerve pain, but for me, I gained alot of weight on it. Accupuncture/massage has helped me too, it's just very expensive (insurance doesn't cover it). Also, I put my shoes (w/orthotics) next to my bed and during the nite and/or in morning, when I get up, I put my feet in them instead of going barefoot or slippers. I know, sounds ridiculous, but believe me, my feet even hurt when I'm in the shower. I hurt worse and walk worse now after the EPF surgery that I did before.

Well, my question is the same thing...now what??!!! I have googled and researched SO much...looking and searching for patients like us that still hurt after the surgery---what they did, if they felt better, etc. If I could just see some hope in the future, knowing that I only had a certain amount of time and this would get better, maybe I wouldn't feel so helpless.

Result number: 138

Message Number 257607

Injections helpful View Thread
Posted by Rob Wilson on 5/19/09 at 07:28

Dr. DSW,

The Yoga toes have acutally helped a little with my cramping but driving still aggravates. Are there any injections that might be helpful for TTS. Prolotherapy, cortisone, Botox, etc. Thanks again.

Result number: 139

Message Number 257587

545 People by Charlie Rose View Thread
Posted by john h on 5/18/09 at 11:07


545 PEOPLE
By Charlie Reese

Politicians are the only people in the world who create problems and then campaign against them.
Have you ever wondered, if both the Democrats and the Republicans are against deficits, WHY do we have deficits?
Have you ever wondered, if all the politicians are against inflation and high taxes, WHY do we have inflation and high taxes?

You and I don't propose a federal budget. The President does.
You and I don't have the Constitutional authority to vote on appropriations. The House of Representatives does.
You and I don't write the tax code, Congress does.
You and I don't set fiscal policy, Congress does.
You and I don't control monetary policy, the Federal Reserve Bank does.

One hundred Senators, 435 Congressmen, one President, and nine Supreme Court justices , 545 human beings out of the 300 million are directly, legally, morally, and individually responsible for the domestic problems that plague this country.

I excluded the members of the Federal Reserve Board because that problem was created by the Congress. In 1913, Congress delegated its Constitutional duty to provide a sound currency to a federally chartered, but private, central bank.

I excluded all the special interests and lobbyists for a sound reason. They have no legal authority. They have no ability to coerce a senator, a congressman, or a president to do one cotton-picking thing. I don't care if they offer a politician $1 million dollars in cash. The politician has the power to accept or reject it. No matter what the lobbyist promises, it is the legislator's responsibility to determine how he votes.

Those 545 human beings spend much of their energy convincing you that what they did is not their fault. They cooperate in this common con regardless of party.
What separates a politician from a normal human being is an excessive amount of gall. No normal human being would have the gall of a Speaker, who stood up and criticized the President for creating deficits. The president can only propose a budget. He cannot force the Congress to accept it.

The Constitution, which is the supreme law of the land, gives sole responsibility to the House of Representatives for originating and approving appropriations and taxes.

Who is the speaker of the House? Nancy Pelosi. She is the leader of the majority party. She and fellow House members, not the President, can approve any budget they want. If the president vetoes it, they can pass it over his veto if they agree to.

It seems inconceivable to me that a nation of 300 million can not replace 545 people who stand convicted -- by present facts -- of incompetence and irresponsibility. I can't think of a single domestic problem that is not traceable directly to those 545 people. When you fully grasp the plain truth that 545 people exercise the power of the federal government, then it must follow that what exists is what they want to exist.

If the tax code is unfair, it's because they want it unfair.
If the budget is in the red, it's because they want it in the red .
If the Army & Marines are in IRAQ , it's because they want them in IRAQ .
If they do not receive social security but are on an elite retirement plan not available to the people, it's because they want it that way.

There are no insoluble government problems.
Do not let these 545 people shift the blame to bureaucrats, whom they hire and whose jobs they can abolish; to lobbyists, whose gifts and advice they can reject; to regulators, to whom they give the power to regulate and from whom they can take this power. Above all, do not let them con you into the belief that there exists disembodied mystical forces like 'the economy,' 'inflation,' or 'politics' that prevent them from doing what they take an oath to do.

Those 545 people, and they alone, are responsible.
They, and they alone, have the power.
They, and they alone, should be held accountable by the people who are their bosses.

Provided the voters have the gumption to manage their own employees.
We should vote all of them out of office and clean up their mess!

Charlie Reese is a former columnist of the Orlando Sentinel Newspaper.
What you do with this article now that you have read it is up to you, though you have several choices:

1. You can send this to everyone in your address book and hope 'they' do something about it.
2. You can agree to 'vote against' everyone that is currently in office, knowing that the process will take several years.
3. You can decide to 'run for office' yourself and agree to do the job properly.
4. Lastly, you can sit back and do nothing or re-elect the current bunch.

Result number: 140

Message Number 257563

bone grafts View Thread
Posted by Barb P on 5/17/09 at 09:11

I have had an opinion from a well respected foot and ankle orthopod as well as a podiatric surgeon who comes highly recommended. Having had 6 surgeries back in the late 50's and 60's, I have a mess for a doctor to repair. Both docs had the same diagnosis, however, the orthopod would take bone from the hip to graft onto the big toe and the podiatric surgeon woul remove a piece of bone from my heel and replace that with a cadaver bone. I found out that he would not be able to use the hip because of licensing laws. Is this a concern? I am really struggling with my choice as this is a big surgery with a long recovery period. The surgery requires work on all toes and metatarsal bones also. Help

Result number: 141

Message Number 257531

Re: Post EPF Release Surgery Pain--any hope after 8 mos?? View Thread
Posted by Jessica on 5/15/09 at 18:46

Got new shoes and saw my dr today. I bought the Brooks Dyad, a size bigger. I really like how much room I have, and my dr. liked them too.

While my dr. was examining my foot, I was explaining my recent pain, (sharp pain under and over the 3rd/4th toes). He took another xray. After the xray, he said what he was thinking might be wrong was actually inflammation in the joint near my 4th toe. (I think I'm saying it right). The xray showed inflammation, but he said not as bad as he thought it could be. He said I could also be experiencing the nerve pain from a neuroma, but maybe this could have been the problem all along.

I'm going to wear a toe alignment splint at night, to pull back my 4th toe to relieve the pressure. In addition, he gave me a cortisone shot, I'm praying it calms down the nerve pain. Have you had a patient experience this? I'm going to see him in 3 weeks, meanwhile, continue stretching, etc.

Result number: 142

Message Number 257525

Re: Corn on toes View Thread
Posted by Jeremy L, C Ped on 5/15/09 at 17:45

These almost universally come from wearing shoes that are too short and/or lack sufficient toe space for the foot to properly spread. It is also extremely common for athletes (both present and 'retired') to wear shoes as much as 2 full sizes too short.

Selecting footwear that permits the forefoot to spread in a healthy manner and do not make contact with the tops of the toes will allow corns to go away on their own, without medical treatment. To do this it is wise to consider what shoe types chronically place excess pressure to the toes. Slippers, espadrilles, pumps, etc all must squeeze the front of the foot in order to secure the heel. Therefore, none of these styles should be considered for primary footwear for you.

Result number: 143

Message Number 257513

Re: Corn on toes View Thread
Posted by angela.d on 5/15/09 at 11:10

Almost all my toes have what is commonly know as corn, this started when I was younger and has to wear rough shoe. I was also a track runner and has to wear alot of running shoe etc. Is there a surgery available to remove these ugly things from my toes. I would like to be able to wear slippers again.
ADF

Result number: 144

Message Number 257495

Re: Plantar FXT by Swede-O View Thread
Posted by Dr. DSW on 5/14/09 at 19:34

In my opinion, this product is a 100% complete waste of money, that accomplishes absolutely NOTHING.

The plantar fascia itself can NOT be stretched. It is simply not possible to actually stretch the plantar fascia, and that is a medical fact. You must stretch the surrounding soft tissue structures, primarily the Achilles Tendon complex.

The FXT product simply pulls the toes back and does NOTHING to actually dorsiflex the foot to allow a true stretch of the Achilles Tendon. It is a very poor copycat of the Strassburg Sock. The Strassburg Sock allows for stretching of the Achilles Complex because is travels up the leg and allows the foot/ankle to dorsiflex AND it allows the toes to pull back which enhances the 'windlass' effect.

The FXT product simply pulls the toes back and does nothing, and that's why it's comfortable.

SAVE YOUR MONEY!!

Result number: 145

Message Number 257491

Re: Sores between toes View Thread
Posted by Jeremy L, C Ped on 5/14/09 at 18:48

Absolutely make the earliest possible appointment with your podiatrist, as your husband's condition may have escalated into an infection.

Result number: 146

Message Number 257488

Sores between toes View Thread
Posted by courtney on 5/14/09 at 16:35

My husband has several sores between his toes. They started out looking like blisters. Now it looks as if they have popped and left holes in his skin. It looks like it may be infected and may be spreading. Is it bad athletes foot? Or does he need to see a doctor? Please let me know asap! Thank you

Result number: 147

Message Number 257487

Revision foot surgery needed View Thread
Posted by cathyg on 5/14/09 at 15:52

I had forefront reconstruction on my foot foot in 2007- 4 hammertoes and bunionectomy. Now the seismoid bones have shifted laterally to left and the 2nd toe has non union. I still have the 2 screws in my foot from the bunion removal.

Are there any reasons why the seismoid bones would shift? The 3 month post op Xray shows everything was corrected but I was not fully weight bearing.

I am just curious if you have seen this before and what some of the causes are. It is inevitable that I will need another surgery but how do I know this won't happen again.

Result number: 148

Message Number 257486

To Jeremy View Thread
Posted by F. S. on 5/14/09 at 14:38

Thx Jeremy: In response to my question about watering, summer shoe wear..I guess I would want something as supportive in the arch area as I could find since I have flexible, flat feet. By the end of the day, my arches burn even thou I am very careful with my foot wear. I have an old pair of Tevas with the velcro adjustments which worked well but they are worn out. I like the feeling of those in my arches.

I was just in REI yesterday. They have those Chacos which look like they have a good arch support and are somewhat adjustable. The Keens would be too wide for me. I did not try any on until I read your input.

There is also an Orthoheel flip flop in the recent Foot Smart catalog. I know this is against the rules, but I just need these for walking around a pool/patio/maybe around the house for summer. What do you think of this idea? My foot size is 9N

I wear Mephistoes and Finn Comforts for dress. While I have your attention, do you approve of these sandles for summer wear for narrow feet? I am always reading what you advise women and am open to suggestions.

Thank you so much. Your knowledge is impressive. This is longer than it should be!!

By the way, I live in northern suburbs of Chicago. Last time I asked you, you were not aware of a perdortist sp? in my area. I think you mentioned you were aware of Dr. Bergmann's labs but you would not advise his othodics for someone with TTS. If I were to go to him, what should I say I do not want in an orthodic. He is very close to my house and works with many Chicago sports teams. I am tempted to give him a try. Thank you so much

Result number: 149

Message Number 257445

can my toe be fixed? View Thread
Posted by Liz on 5/13/09 at 01:07

one of my toes didnt grow normal like all my other toes. I was wondering if it can be fixed.
I am embarrassed to wear sandals out in public, and a previous doctor had told me that if I had surgery it might not be a successful one.

Result number: 150

Message Number 257439

Chaco Sandals Sizing View Thread
Posted by Charlies on 5/12/09 at 16:32

I would appreciate any help with sizing Chaco Z/1 sandals. I am completely between sizes (men's 10 and 11), with the contours of both appearing to fit okay. My foot feels more 'stretched out' in the 11, and there is plenty of room front and back (with some sliding around in the straps). On the other hand, the 10 feels more sharply contoured under my foot (especially with the heel risers), and the arch feels a bit 'short' (as if it should be a bit long to match mine). My toes are pretty much at the end of the footbed. As background, I have experienced some intermittent pain under the ball of my right foot.

I have read on the this board (from Jeremey I think) that it takes some time to adjust to Chacos (or have them adjust to you). However, I don't want to be stuck with the wrong pair the long run. Any advice would be much appreciated!

Result number: 151

Message Number 257406

Re: Yoga Toes View Thread
Posted by Shauna on 5/10/09 at 18:28

I live in Wisconsin.

Result number: 152

Message Number 257396

Re: Dr's-can you help me brain storm a little please? View Thread
Posted by Jillm on 5/10/09 at 11:00

Dr. Ed~ That seems to be my main problem-nothing shows up on x-rays or MRI's. I partially tore my peroneal tendon last May and then strained/sprained both Achilles tendons. The MRI showed a little bit of something on the peroneal and that's what brought them to a Dx of partial tear. Nothing showed up on the achilles. They just burn/ache and feel really tight even though I stretch calves and hamstrings throughout the day.
I'm wearing my orthotics every single day in my Saucony shoes and I can walk 10 minutes MAX! My grocery or mall shopping for me. I can run into the pharmacy for a quick trip, but the heels and achilles start to ache and throb, so I have to leave pretty fast. Are you asking about a hump behind the metatarsals? There is a hump in mine. My pedorthist is pretty perplexed because he says it doesn't look like there's any biomechanical issues. He has made multiple orthotics for me and is known around here for being one of the best. I've been back many times for adjustments and haven't been back in a while, just because nothing is helping. Like I've said, I've had lots of nerve testing and MRI's of the sacrum, lumbar, thoracic, neck and brain to see what the heck might be going on. They all came back normal (lumbar has tiny 2 mm disc issue, but he said that's pretty normal)
When she injected the heels with Cortisone, it really hurt, but I never got the numb feeling like I did in years past when I would get the neuroma areas injected with Cortisone. I had the heels injected twice-same thing-no difference. Took about 8 days for the pain of the injection to go away. Then it was back to the normal pain that I always have. My Rheum. says I have arthritis and that's causing achilles pain, but just not sure I'm willing to accept that and that there's nothing to do about it. I was walking up my yard and not rolling onto the toes enough last May when I first injured my peroneal tendon and achilles. I'm just so frustrated.
Thank you for helping me brain storm. Jill

Result number: 153

Message Number 257391

Re: Post EPF Release Surgery Pain--any hope after 8 mos?? View Thread
Posted by Jeremy L, C Ped on 5/10/09 at 07:37

First of all, what model Asics shoe are you wearing? If you look at the inside half of the midsole, and it's a darker color than the outside half of the midsole, replace it immediately. Those kinds of shoes (Asics Kayano, 2130, etc) all bias the shoe to the lateral column. The end result is that the orthotic inside the shoe, as well as the foot, invert and place excess force into the lateral column. This is especially the case with anyone having had the procedure performed on you. This would also aggravate your neuroma pain, as the foot would be forced to use the lesser toes and metatarsals to propel during gait.

As for a heel lift, in my opinion that is the opposite treatment required. For every little bit the heel is raised relative to the forefoot, the heel inverts. As your heel inverts, you again place more load into the lateral column, and likely exacerbating your pain.

Result number: 154

Message Number 257383

Re: Dr's-can you help me brain storm a little please? View Thread
Posted by Jillm on 5/09/09 at 17:30

Dr. Ed~

Thanks so much for your reply. I should just hop in the car and head down to San Antonio to see you. :) I'm in Dallas.
I can flex my foot with toes bending back toward my knee really well. I stretch often and have to stretch when I get up from sitting because the achilles 'locks down' until I stretch. So, my main pain when getting out of bed and getting up from sitting is the insertional achilles area and then up about 2 inches. The PF area seems a little stiff as well when I get up, but it's not a killer pain like some describe. When I get walking-that's when the PF starts to hurt more and then gets so bad I'll have to sit down. The achilles then continues to hurt with push off of walking. I have custom orthotics in my tennies and then have little lifts under each one.
The Dr. put the Cortisone/Lidocaine right in the area in front of the heel where it hurts-she entered from the side. Everyone else I talk to says it was such a relief, even if it was short lived because of the Lidocaine-and I got no relief.
The neuroma surgery I had was between toes 2&3. Went in through the top. Was a very very hard recovery for me-Dr.'s were questioning if I developed RSD, but they have said they think I wore it out, because the skin is no longer blue/shiney and some of the zaps/pain have disappeared. I still have lots of forefoot pain in both feet.

Looks like I need to find a Dr with an ultrasound machine who uses this for PF. Why don't all Dr's use this to Dx a positive case of PF? That would seem to be a first step to me.

Thanks again for your help. I'm just not sure what I have and to say it's affected my life is an understatement.

Thank you, Jill

Result number: 155

Message Number 257363

Re: Dr's-can you help me brain storm a little please? View Thread
Posted by Dr. Ed on 5/08/09 at 21:59

Jillm:

Have you had the dorsiflexion range of motion of your ankle checked (the amount that the foot moves upward to the leg)?

Do you experience pain upon arising in the am or after rest?

If you have plantar fasciitis but an injection containing lidocaine did not relieve the pain a short while after administration may imply that that plantar fasciitis is not the problem (assuming that the injection was provided in the correct spot).

I assume that you are speaking of a neuroma in between the bases of the toes. Such neuromas generally will not be seen on MRI unless the MRI is performed with contrast media. Neuromas take a long time to recur, not likely on would recur since you had neuroma surgery.

An ultrasound exam from a practitioner experienced in its use is a good idea. The are where the neuroma was removed and surrounding areas can be studied as well as the plantar fascia.

Dr. Ed

Result number: 156

Message Number 257270

Lateral foot pain View Thread
Posted by Sara on 5/03/09 at 13:19

I have pain in the lateral (bottom) side of my left foot. It started out in a small spot just in front of my heel on the lateral side, eventually spread to my 4th adn 5th metatarsels and sometime even the 2 little toes, so it stretches along that lateral band. The initial pain felt like I tore a tendon. It pulls whenever I walk and is sore to step on. I have seen 4 podiatrists, all giving me different diagnoses, from plantar fasciitis to cubiod syndrome to damaged lateral nerve. I have had an EMG, bone scan, and MRI, showing nothing, although the MRI showed very minor tendonits. The pain started out being quite mild-tolerable, and after various orthotics, cortizone shots, PT etc., I have only gotten worse with time. I can barely stand to walk around my house. My foot is terribly painful and often locks up when I walk. It is not worse in the morning or after rest, and rarely hurts when I am sitting. It only really hurts when I walk, and the more i walk the more painful it gets.

I've never had problems with my feet before this, and am only 33 yrs old. This pain just happened over night after tripping the previous day. All the doctors and PT's that I have seen have said they have never seen anything like this, particularly pain on this side of the foot. I have done everything to help myself, and am 1 year later only considerably worse than I was when this all started. I am now on crutches with a boot for 6 weeks to see if that helps minimize the nerve pain, but am dealing with new shocking pains from apparent nerve damage from the last (4th) cortisone shot. I am terribly depressed, and scared to death that I won't be able to walk again without pain.

Any ideas??? Is cryotherapy an option I should start thinking about?? I don't know what to do, as I feel I have exhausted so many options. This is affecting every aspect of my life and making it impossible for me to do my job effectively as it involves a lot of travel and activity.

Any ideas or suggestions would be greatly appreciated.

Result number: 157

Message Number 257267

Re: Yoga Toes View Thread
Posted by Laurie C. on 5/02/09 at 17:40

There are many 'Dellon' trained doctors around the country. You don't necessarily have to go to the Dellon institute to get a good result. Where do you live?

Result number: 158

Message Number 257263

Re: Yoga Toes View Thread
Posted by Shauna on 5/02/09 at 14:49

Rob,

I wonder if you could give me a little more information about your experience with the Dellon Institute. I have read about them online. However, my insurance would not cover them. I am considering buying additional isurance and paying the premium out of pocket so I can get the surgery. And what is cyrosurgery? Did you have that done at Dellon as well?

Thanks for any info you could share.

Shauna

Result number: 159

Message Number 257256

Feet surgery View Thread
Posted by Granny on 5/01/09 at 13:59

I had feet surgery a yr and a half ago. Bunions, spur removal, screws in big toe and 2nd toes stapled.
I had spasms for a while and had Rx to help. Now I get terrible leg cramps in the calves, especially one leg.
Has anyone had this problem after their surgery and do you have any suggestions?

Result number: 160

Message Number 257254

Re: Yoga Toes View Thread
Posted by Bill C on 5/01/09 at 08:00

I tried yoga toes. The device did not help my feet at all, and in fact I think it probably made my feet feel a little bit worse. And to top it off, it looks really stupid wearing those things. My wife couldn't stop laughing. A complete waste of money.

I also tried the DownUnders inserts that I read about on these boards. Not bad. The arch isn't as aggressive as the Pinnacle inserts that I've been wearing for about a year, but there's something about the heal that I really like. It's worth a shot for people who use off the shelf inserts.

Result number: 161

Message Number 257226

wrong toes View Thread
Posted by sandra k on 4/29/09 at 17:27

I meant had it first done between 3rd and 4th toes not 4th and 5th.

Result number: 162

Message Number 257225

Re: reply to Dan View Thread
Posted by sandra k on 4/29/09 at 17:15

I had it done twice because first time was between 4th and 5th toes on both feet, the second time I had it done between the 2nd and 3rd toes on both feet Both times drove to dr's office (50 miles) each way and drove home, no problems. However lately, I think I'm going to have to have it done again between the 2nd and 3rd toes on both feet as it is coming back. But not too bad yet, will wait a while longer. I have no other problems on feet. Doctor told me it was because I wore 4' heels all my life. Try ice packs on bottom of foot,It will relieve a lot of pain. I don't have pain just numbness. On the doctor's x ray you could see the neuromas really well. Actually I think I have them between all toes. So I just keep going back when it gets too much and get the surgery done again. It is no biggy and painless. In cold weather they don't bother me at all, only in this hot weather.

Result number: 163

Message Number 257208

Re: Waterproof Sandals? - Help, still can't find anything! View Thread
Posted by Jennifer L on 4/28/09 at 22:35

Here's what I've tried:

Chaco Unaweep - the sole was very heavy and bulky, and I couldn't figure out a way to adjust the straps so that the sole was secured to my foot but the straps were still loose enough to be comfortable. Plus, the straps and buckle seemed like they would give me blisters in several places! Every time I took a step and bent my foot, the strap and buckle across the instep just dug into my foot (perhaps because the sole was not bending with my foot and was pulling the straps downward? I usually do best with flexible soles...) Or if I loosened the straps, my foot just slid around in the sandal.

Chaco Flips - I know flip-flops are bad but I tried these, and the straps were too tight across the top of my foot.

Keen Mystic - the back REALLY dug into the back of my heel, there's no way I could wear these without getting blisters. (I assume the other Keen sandals without adjustable straps will be too tight across my instep.)

Merrell Siren Lyric - the unadjustable strap across the toes was way too tight.

Ecco Yucatan - I let a salesperson talk me into buying these because he insisted that they fit perfectly. (The padded straps are super comfy...) However, there is a ridge under the toes and I don't know if it's in the wrong place or what, but I can feel it pushing up on my toes and it makes my toes hurt after wearing the sandals around the house for a few minutes! (The salesperson insisted I was wearing the right size.) I can still return these...

What else can I try? I still have about a month before our vacation but I'm worried about buying something that will need a lot of breaking in first -- and of course the time it takes to buy/return, etc. :(

Result number: 164

Message Number 257192

pain after surgery View Thread
Posted by lorettam on 4/28/09 at 12:06

in 06/2008 i fractured my fifth metatarsal while at work. was sent to an orthopedic specialist through worker's comp. he performed surgery and installed a metal plate and screws. i had severe pain and swelling for four months before he decided that i was having a reaction to the hardware, so he advised me to have the hardware removed. so i did ,in 10/2008. i am still in serious pain have alot of twitching and bending in all of my toes. also sometimes feels like someone sticking needles in my foot. seen doctor on 4/16/2009 and told him what's going on and he told me he doesn't have any answers for me. can you help? please!!! thank you

Result number: 165

Message Number 257153

Re: considering achilles tendon surgery View Thread
Posted by Dr. DSW on 4/26/09 at 16:41

You can't really think that after treating the foot and ankle for 23 years, and knowing the anatomy of the foot and ankle for 23 years, you think you can actually come on this site and 'sell' the idea that a gel filled piece of vinyl, that spreads your toes apart and is placed between your toes after going in the freezer is going to miraculously 'cure' ANY of the conditions you've mentioned above.

Don't insult my intelligence, and please find another website to hawk this useless product.

If you mention this product ONE more time on this website, you will be banned from this site.

You mention this product every time you post, and enough is enough.

Result number: 166

Message Number 257152

Re: Endoscopic PF release View Thread
Posted by Dr. DSW on 4/26/09 at 16:31

Dr. DGW,

You do not have to ask Scott, since I can moderate the board. I have also had enough of the ridiculous solicitations of this palliative product.

I would not have minded if the poster came on here and simply stated that the use of this product 'felt good' and gave some 'temporary relief', but to even REMOTELY suggest that placing some gel filled toe separators between your toes that were chilled in your freezer, is going to prevent a patient from having surgery for plantar fasciitis, tarsal tunnel syndrome, Achilles tendinitis, etc., is just too much for me to constantly read.

I have warned this poster in another thread, and will ban this poster if this product is mentioned ONE more time.

Result number: 167

Message Number 257150

Re: Yoga Toes View Thread
Posted by Dr. Z on 4/26/09 at 15:48

Hi
First I realize that you shouldn't talk about this board but this is something I have been meaning to ask and hope this can be changed.( I will move the request if need be )
I don't post as much as I use too but I do view this site lots.
Ok here is what I see as a confusion . We have two doctors Dr. DSW
and Dr. DGW. I find it very difficult at times realizing who is who. Dr. Wander has for the most part as far as I can remember has used Dr. DSW. There can be confusion between who DR. DGG.and Dr. DSG Anyway is there any way that Dr. DGW could some how change his call sign. I think this would be helpful to the posters.
Anyway that all I wanted to see

Result number: 168

Message Number 257149

Re: Yoga Toes View Thread
Posted by Dr. DGW on 4/26/09 at 15:16

Dr. DSW I wanted to point out my post along the same lines on the PF board.

Had this been an endorsement for a credible product or a new innovation that could benefit the readers on the site I would not have responded to those posts. Apparently you see them for what they appear to be as well, advertising.

I viewed the You Tube segment and neither Dr. advocated this product, one merely said they felt food. They also did not endorse it as an appropriate treatment for the conditions ginam listed or any medical condition of the foot and pointed out that there is NO evidence that they have any medical benefit at all. In fact Dr. Ramos recommnded good fitting shoes and orthotics for foot problems, the standard and more reliable treatment.

Mice try. If it's too good to be true it probably is and there is probably someone out there poised to relieve you of your hard earned money, making fatuous claims and selling pipe dreams.

Caveat Emptor

Result number: 169

Message Number 257147

Re: Yoga Toes View Thread
Posted by Dr. DSW on 4/26/09 at 14:06

Gina,

Enough with your hyping 'yoga toes'. You have posted on this site 8 times, and in SEVEN of those posts you have managed to hype this product which in my professional opinion of 23 years of practice is a waste of money when it comes to treating medical conditions.

It will feel good, it will spread your toes apart, etc., but it will have no long term impact on treating any medical condition. There have been many similar products on the market like this for many years, and this is nothing 'new' or original.

There are many other companies that also offer money back offers, less shipping, etc., and this is not unique to the product you keep hyping.

I don't know if you work for the company or have any financial interest in the company, but the next time you mention the product you will be banned from this site.

Feel free to get involved with any discussions on this site, but do NOT mention that product again. This site is not about promoting products, especially those types of products.

Result number: 170

Message Number 257145

Re: Endoscopic PF release View Thread
Posted by Dr. DGW on 4/26/09 at 11:58

Gina do you have a financial interest in this company? Thus far all of your posts contain an endorsement of this device and are fairly recent.

No offense but I am not buying that that device is indicated for 'Achilles tendinitis, hammertoes and neuroma'. First you cannot easily straighten hammertoes with any device that I am aware of. Achilles tendinitis and neuroma would in no credible way be affected by such a device and suggesting it could delay proper medical treatment.

None of these conditions are as a result of some deficiency of wearing a Medieval looking vise on the forefoot and I have never read any research touting this device. In fact I would classify it as snake oil until proven otherwise.

At this point I am going to ask that Scott become involved and decide if this should be allowed to continue. I propose that it is verified that you are a real patient sharing an experience with this product as opposed to having a fiduciary interest in it and shamelessly self-promoting it for financial gain.

Result number: 171

Message Number 257136

Re: Endoscopic PF release View Thread
Posted by ginam on 4/25/09 at 20:50

hi alex,

i had pf for 7 years - and along the way my feet and ankles developed a slew of other problems, including achilles tendonitis, hammer toes and a neuroma. misery, in other words. like you, i had done pt, exercises, orthotics, etc. i too was at the end of my rope when i discovered something called yoga toes. within weeks, they completely changed my feet, and thereby my life. today my feet are healthy and happy.

please read my story, posted in comment #14 at this link (just scroll past the skippable article): http://well.blogs.nytimes.com/2008/10/13/painful-toes-and-where-they-lead/

i hope you will give them a try before you commit to all the time, pain and $$$ that surgery will entail.

best, gina

Result number: 172

Message Number 257101

Re: Can Orthotics Ruin Your Toes? View Thread
Posted by Jeremy L, C Ped on 4/23/09 at 21:15

This illustrates a common misconception. Properly conceived orthotics are rarely, specifically an arch support. When made thoughtfully they are a treatment for the relationship in function between the heel and forefoot. Thus, it is possible for inappropriate designs to have adverse effects in either the heel or the forefoot.

Also keep in mind that a quality orthotic is still only as good as the shoe in which it's worn. Placing a credibly conceived orthotic into a poor shoe match can also complicate the results.

Result number: 173

Message Number 257098

Can Orthotics Ruin Your Toes? View Thread
Posted by Cukes are My New Love on 4/23/09 at 19:28

I bought orthotics a while ago, three months ago. They are Power Step brand, Pinnacle. They helped a lot at first, and feel pretty good. I have wide feet and a high arch. A few weeks after i started using them, I developed a sort of tendonitis in my big toe. A few months later, I developed PF and tendonitis immediately with it in my other foot. I am wondering if the tendonitis in my toe could be caused by the orthotics, as they do not have a completely perfect fit. Is it possible for the positioning of the arch to affect the toes?

Result number: 174

Message Number 257097

Dear Jeremy View Thread
Posted by Cukes are My New Love on 4/23/09 at 19:27

I bought orthotics a while ago, three months ago. They are Power Step brand, Pinnacle. They helped a lot at first, and feel pretty good. I have wide feet and a high arch. A few weeks after i started using them, I developed a sort of tendonitis in my big toe. A few months later, I developed PF and tendonitis immediately with it in my other foot. I am wondering if the tendonitis in my toe could be caused by the orthotics, as they do not have a completely perfect fit. Is it possible for the positioning of the arch to affect the toes?

Result number: 175

Message Number 257084

Re: Waterproof Sandals? View Thread
Posted by ginam on 4/23/09 at 12:55

hi jennifer,

lol! i guess that try-em-send-em-back business model must be working for the shoe etailers or they would change it! i'd buy a lot more clothes if that was offered. ;-)

re the yoga toes: they are made of a squishy gel w/ rounded edges, so they are comfortable in that sense. the stretch is just like interlacing your fingers thru your toes, except that your fingers are hard and bony, of course. if it is difficult for you to spread your toes in this way, i would say you really need them! (a conservative approach would be to use them for only 5 minutes to start - even better in the tub so your tendons and ligaments are warm and relaxed.)

i hope you will take the time to read my earlier link (just my posted comment #14, the article itself is skippable.) and here's a tv newsreel of a foot doc trying them and saying he'd recommend them to his patients (even tho he mistakenly opines that they can't fix anything):
http://www.youtube.com/watch?v=tQlN6KYMTBw&feature=related

btw, did you notice that yogapro will refund the price (minus shipping, in this case) at any time, for any reason?

best, gina

Result number: 176

Message Number 257082

Re: foot pain View Thread
Posted by Dr. DGW on 4/23/09 at 11:16

The Hallux is the great toe Alice, the lesser toes are not termed the same. The lesser toes typically begin to undergo hammer, claw or mallet changes in response to various factors. Bunion formation occurs in either the 1st or 5th toes as well.

If you have such changes and pain you should always see your foot specialist to see what is causing your symptoms and what treatments if any are available to you. There are many different possible etiologies of your pain and of course you know only a visit to a doctor can give you the answer for certain.

Result number: 177

Message Number 257078

Re: Waterproof Sandals? View Thread
Posted by Jennifer L on 4/23/09 at 09:39

Thanks Gina! I actually just ordered the Chacos with the toe loop last night thinking that might prevent my feet from sliding around, but if I don't like them I'll try the other kind. That's why I love sites like Zappos -- free shipping both ways! I've returned way more shoes than I've kept from those sites ;)

I Googled Yogatoes for kicks and yikes -- I already have some foam toe separators to use while painting toenails and they always hurt! Those Yogatoes look even more painful!

Result number: 178

Message Number 257069

Re: considering achilles tendon surgery View Thread
Posted by ginam on 4/22/09 at 23:24

i had achilles tendonitis - along with pf, hammertoes, a morton's neuroma, displaced peroneal tendons and partially collapsed arches. all of these issues resolved with yoga toes foot stretchers. you can read my story in comment #14 here:
http://well.blogs.nytimes.com/2008/10/13/painful-toes-and-where-they-lead/

i hope you will consider trying these before committing to surgery and big $$$.

best, gina

Result number: 179

Message Number 257068

Re: Waterproof Sandals? View Thread
Posted by ginam on 4/22/09 at 22:50

hi jennifer,

i'm glad to hear that you liked the chacos idea, altho not the flip-flops. it really is a revelation to feel arch support from a shoe, isn't it?! :-) if you try one of the strappy models, i think the toe-loop-less would suit most people better, for comfort and ease of use. (i got the loopy ones only because they were 1/2 off, assuming i could re-sell them for the same price if i didn't like them.) there are a ton of reviews at the site i linked previously, that could help you decide; some people like the security of the toe loop.

are you up for another recommendation? i got rid of my hammer-y toes (and a grab bag of other foot issues) w/ the 'yoga toes' foot stretchers. you can read my story by scrolling down to comment #14 at http://well.blogs.nytimes.com/2008/10/13/painful-toes-and-where-they-lead/. i know one of the medical professionals here has pooh-poohed them, but they have been like a miracle for me.

best, gina

Result number: 180

Message Number 257067

Re: foot pain View Thread
Posted by Go Ask Alice on 4/22/09 at 21:58

No not the same person but similiar symptoms but with the 4th toes on both feet. I was wondering if there was a Hallux ... that could affect that.

Result number: 181

Message Number 257066

Re: foot pain View Thread
Posted by Go Ask Alice on 4/22/09 at 21:58

No not the same person but similiar symptoms but with the 4th toes on both feet. I was wondering if there was a Hallux ... that could affect that.

Result number: 182

Message Number 257059

Re: foot pain View Thread
Posted by Dr. DGW on 4/22/09 at 18:44

Is 'David S Ge' also 'Go Ask Alice'? Can Hallux Limitus affect the 4th toes, is that what you are asking?

I am a little confused because I am not certain the follow-up question was asked by the same person and that we are discussing the same condition?

Result number: 183

Message Number 257044

Length of recovery from Morton's cryosurgery View Thread
Posted by BrianK on 4/22/09 at 11:06

I had cryo for Morton's on 3/11. Overall, I would have to say that my condition has improved but, it still feels like there is something inside or under the ball of my foot, not actually under the third & 4th toe but closer to the ball of my foot almost in front of the toes. Some days are better than others. It seems to be better in the mornings (some days almost perfect when I get up.) I've read that some people say that it took 12 weeks to actually feel the full benefit of cryo. I'm at 6 weeks today. In general it takes soft tissue injuries 12 weeks to heal. Would this be true in this case ? Although minimally invasive it still is like having a swizzle stick stuck between your toes about an inch in. I don't want to panic or rush into anything else. Is it reasonable to allow for a 6 month time frame to evaluate such a procedure ? I've read that when describing traditional neuroma surgery many websites say that one can return to activities in 3 weeks, while many individuals who have had the surgery say that their physicians tell them they must wait for 1-2 years for their foot to 'calm down'.
It is true that you can walk out of the office after cryo and resume daily life almost immediately. But what is the true 'calm down' period for such a procedure? If there is one thing I've learned about foot problems in the last six months it is that 'the patient MUST have patience'.
Thanks, your professional opinion is appreciated.

Result number: 184

Message Number 257036

foot pain View Thread
Posted by David S Ge on 4/21/09 at 12:39

I have for the past two years experienced pain in both my joints in my big toes...been tested for gout but was negative...pain continues to get worse as time goes on...I have been also told I could have surgery to either clean the joint or have them pinned...could you please advise me of other options I may have...I also have seen a arthritis doctor but no releif as of yet...thanks Dave

Result number: 185

Message Number 257024

Re: toes still misaligned after bunion and hammertoe surgery View Thread
Posted by Dr. DSW on 4/21/09 at 06:59

If your doctor says it can be 'tweaked' you'll have to ask him what he meant, since I can not really interpret your doctor's words or tell you what he is thinking. You stated that he didn't use screws, but used a plate instead, but that plate is held in place with screws.

I'm glad that you wrote to your doctor to let him know about your concerns, but now it's time to speak with him face to face to have ALL your questions answered. And if all he tells you is that it's a 'bummer', it's time to jump ship and find another doctor to correct your problem.

Result number: 186

Message Number 257010

toes still misaligned after bunion and hammertoe surgery View Thread
Posted by Barbara K on 4/20/09 at 19:27

my doctor used a plate not screws on the bunion. the left big toe still points to the left; the repaired 2nd toe hammertoe points right. so they are still touching and feel like I'm walking on sausages.the doctor admitted it was a 'bummer'. i have written him a long memo and plan to see him to discuss options. i am so depressed after 3 months of wearing a surgical boot. he said it could be tweaked but what does that mean?

Result number: 187

Message Number 256999

pain worse after neuroma surgery View Thread
Posted by mimico on 4/20/09 at 15:30

I had surgery for Morton's neuromas on both feet 10 months ago and have had pain ever since, though it gets better and worse, sometimes dwindling to almost none and other times registering 8-9 on a 10 scale. The right foot is especially bad -- it often feels like there is a knife wedged between my third and fourth toes and into the ball of my foot, and at times the fourth toe is on fire. I also sometimes have burning pain in the spots under the ball where I understand the neuroma is concentrated. The dr who did the surgery made custom orthotics with metatarsal pads -- they don't help the pain though going without them is worse. In December I saw an orthopedic surgeon who did a cortisone injection that had no effect. I have also been getting acupuncture treatments for several months and can't tell if they are helping or not. The only shoes I seem to be able to wear are some New Balance running shoes which really need to be replaced.

I don't want to try surgery again as I fear it wouldn't help and would likely make things worse.I have read all kinds of conflicting information on the web, most of it not very encouraging. Cryosurgery seems to be one option, as is chemical destruction of the nerve. I live in Colorado and haven't found anyone who does either, and my insurance doesn't cover out of state providers. I also found a site for a dr in Utah who makes 'theta orthotics' and claims great success in relieving neuroma pain, but can't find anything outside his site to corroborate this. (http://www.theta-orthotics.com/orthotics/?page_id=36)

I am extremely discouraged. I have always been active and love to walk and to ski, and can't do either, or be on my feet for any length of time or wear any other shoes. What are my options? I would greatly appreciate any help you can give.

Result number: 188

Message Number 256976

Re: Waterproof Sandals? View Thread
Posted by Jeremy L, C Ped on 4/19/09 at 07:57

I'm in agreement with Gina. Based on what you describe, Chaco likely offers the best combination of fit and functional elements for you. Do keep in mind that the sole structure of this brand is highly supportive in the lateral column, and may initially irritate your foot. Do not judge Chaco's by their initial impression, and it is mandatory thet you wear them for small periods of time indoors every day in order to shape the footbed elements to your individual contour.

Keen, as mentioned before, can also be a good choice. Their traditional models are especially good due to their dedicated forefoot flex position. Some models are not as adjustable in the instep, so choosing a models will be greatly determined by fit. There may also be some reasonable choices from Merrell and Teva. Although functional design changes in their collections do not make them universally good options.

I do have a final word about flip flops. STOP wearing them, especially for long durations and over greater distances ... like in a theme park. Thong sandals alter gait mechanics, thrusting more ground force into the area of your neuroma. They also force the toes to squeeze and work harder, potentially causing your toes to further deform.

Due to the long distances on hard surfaces encountered at theme parks, I urge you to focus your shoe search on performance water sandals. The best all have good heel cushioning and credible forefoot mechanics.

Result number: 189

Message Number 256970

Numbness in left foot View Thread
Posted by April on 4/18/09 at 20:44

I want to be able to jog again! After years of seeing podiatrists, orthopedics, back doctors and sports medicine doctors, I am truly at my wits end. I have very flat feet and I overpronate and I am experiencing numbness in my left foot basically around the toes and the side of the foot. To make things worse I have a bunion that is sore most of the time. I tried various store bought inserts as well as purchased several pairs of custom inserts which have cost me hundreds of dollars with no relief at all. The ones I am wearing now is causing burning and discomfort under the both feet and my bunion hurts alot after walking a couple of miles. I am beginning to believe no one can help me. I don't know if I should keep trying inserts or just go out and buy orthopedic shoes or expensive comfort shoes like Finn. I've tried just about every brand of sneaker and I've settled on wearing Brooks sneakers, which I am not too happy with. I am out of ideas on how to get back to jogging again.

Result number: 190

Message Number 256953

Is this TTS? View Thread
Posted by gw on 4/17/09 at 22:37

I've lately been having painful electrical shock type pains on the bottom of my foot, toward the heel rather than the toes. The pain starts as a tingle then quickly progresses to a painful electrical shock burning type pain, then abruptly fades out. I may get two or three close to gether and then nothing for a while. I may have several a day for a day or two and then nothing for several days. In between, I have no pain or symptoms.

Does this sound like early TTS?

Result number: 191

Message Number 256951

wondering about pain in heel and ball of the foot View Thread
Posted by LindaW on 4/17/09 at 16:57



Hello, I have not posted here in a long time and was wondering about some pain that I am getting back in both of my feet, but mainly the right one. I have had PF bilaterally and had the release done. My last surgery for PF was back in 05 and the surgery was ok and felt a little bit better, but not back to normal for me. Now I am getting pain in my right heel and it is not first morning pain, but after I work out and then the pain stays with me for the rest of the day and even into the night while resting. I also get pain on the ball of both feet after being on the bike for only a few minutes and it gets to the point where I have to stop peddling and go onto something else and even when I stop, they are still tender for a while, so I try to do something that does not require my feet to be touched. Now also I am having arch pain and then my toes are tingly on my right foot. I do not know what to do. I know that I need to go to my doctor, but have no insurance right now, because of no job, so has anyone else have had something like this happen to them????????? Please give me some suggestions.
LindaW

Result number: 192

Message Number 256941

Re: In tears, no one seems to be able to help View Thread
Posted by Dr. DGW on 4/16/09 at 23:30

Of course only your doctors would know and I find it difficult to miss PTTD. It may be one of your issues if you cannot raise up on your toes without pain. BTW sciatica is not aggravated by plantarflexing the ankle (pointing down)Did any of your doctors have you perform this test in their office?

Age, body weight and systemic conditions play a role in the development of the condition, but are not always the sole cause because trauma and overuse can induce the tendon to begin to tear.

PTTD is a progressive pronation related problem that stresses the posterior tibial tendon (PT). PF is not typically aggravated by raising onto the toes in the same manner that PT tendinitis is but it can be if there is ankle equinus (toes pointed downward due to a tight or short Achilles tendon).

As PTTD progresses you will see myriad changes in the heel and forefoot; heel valgus (tipped outward, which also is a cause of sinus tarsi insult), dramatic flattening of the medial arch of the foot and eventually abduction of the toes (away from the body) to accomodate the valgus heel and low arch. It is a progressive deformity and can cause many of the symptoms you describe as sequelae. I find it hard to comprehend that any foot/ankle specialist could miss it, so it may be a part of your problems or the primary cause but either way I would ask.

PTTD can be effectively controlled in stages I and II with in shoe orthoses and the appropriate footwear. Beyond that an ankle gauntlet brace or surgery (late stages)to repair the tendon are the recommended treatments.

Result number: 193

Message Number 256937

Re: What's wrong with me? View Thread
Posted by dilynn on 4/16/09 at 21:02

If you tap on the top of my foot around the 2nd metatarsal area it is like a 'zing' very uncomfortable tingling. Does not happen on other foot. Dr. Said 'yeah, that's your nerve' like it was normal. The numbing is around the 3-4 toe. Suspected neuroma.

When I stand on my toes it definitely hurts. I notice when bending my foot up on toes while sitting is very painful. Tightness in low calf is usually present.

I think the EMG/NCV is what the Dr. suggested because he suspects nerve/sciatica issues.

Thank you so much for your post. I am reading it a few times to understand. I have definitely have not been presented with this scenerio. What treatments did the pts. receive and was it helpful?

Thank you, again. :)

Result number: 194

Message Number 256936

Re: In tears, no one seems to be able to help View Thread
Posted by dilynn on 4/16/09 at 20:46

Orlando, FL. I think I have been to the best here. I am going to get another MRI of entire foot/midfoot tomorrow at my request. The first mri was focused on the PF(bottom of foot) and the 2nd one was focused on the ankle and said that maybe a top of foot mri would show more,

I read your post under other thread to me. I thank you. I cannot bend by foot on my toes without a lot of pain. There is also tightness in the calves everyday. Thank you for you other post. I need to read it a couple times to fully understand. What kind of treatment did your pts. receive and was it helpful?

THANK YOU!

Result number: 195

Message Number 256929

Re: Yoga Toes View Thread
Posted by ginam on 4/16/09 at 13:22

hi rob,

i had excellent results w/ yoga toes! my feet and ankles were screwed up for years despite pt, custom orthotics, etc. today my feet are happy and free of pain. i hope you do well w/ them too.

btw dr. dsw, w/ yoga toes there is no need to 'Save your money'. if you are not satisfied, yogapro will refund the purchase price minus shipping (unlike most every other provider of pricey services or products that disappoint expectations for our foot issues).

best, gina

Result number: 196

Message Number 256927

Re: toe straightening devices View Thread
Posted by ginam on 4/16/09 at 12:16

hello dr (and linda),

i am very happy to report that yoga toes DID in fact straighten out my bent-over (hammered? or whatever) toes, among many other fantastic effects on my formerly painful and screwed-up feet. i really regret that i didn't take 'before' pictures, because the visible changes are quite remarkable.

btw, this happened after years of pain and disability. previous things i had tried include physical therapy, heel cups, custom orthotics, the infamous 'good feet' orthotics (which actually did more for me than the custom ones!) and hours of pick-up-the-marble
type foot exercises.

best, gina

Result number: 197

Message Number 256924

Re: What's wrong with me? View Thread
Posted by Dr. DGW on 4/16/09 at 10:22

I'm going to just throw this out there because after rereading your symptoms I am suggesting a scenario that I have encountered quite a few times. Pt presents with atypical PF pain, diagnosed as PF. Treatment is unsuccessful. Pt's medial arch begins to lower over time, pain increases and now bone scan shows increased activity at the navicular, possible fracture suspected.

Amazingly, I have encountered posterior tibial tendon dysfunction (PTTD)that has gone undetected because the physician never 'moves the foot around' and never tests the integrity of the PT tendon by stressing the muscle. You reveal pain at the ankle everting your foot which could indicate sinus tarsi syndrome. This is indicative of the progression of forces in the sinus tarsi due to increased and unopposed pronation, pronatory forces on the weight-bearing foot. This in turn can cause an increase in lateral stress at the knee and a change in the Q angle of the lower extremity, increasing the likelihood of painful illiotibial band friction syndrome, increased lumbar muscle activity especially the quadratus lumborum muscles causing a psuedo-sciatica.

I read that you were married to a chiropractor so I feel that you probably do have a good understanding of the symptoms of sciatic pain and you refute that that is what you are experiencing. It is not possible of course to diagnose anyone over the internet and the history that you gave is very brief, but this is one possible and plausible scenario.

Have you had any EMG/NCV tests? Do you have any numbness and/or tingling or burning pain? Can you stand comfortably on the affected leg by raising onto your toes?

Result number: 198

Message Number 256901

fracture of fused second toe View Thread
Posted by cathyg on 4/14/09 at 19:22

Hi, In Sept 2007, I had forefront recontruction of my left foot. I had my bunion fixed and all my toes fused. I had wired in my toes and still have 2 screws for the big toe. Today I found out that my 2nd toe is fractured- the toe is no longer fused. Also there is a problem with the big toe joint. I don't have mucu mobility and the doctor saw bone fragments near the joint. I am not actually sure about that problem. But he feels I may need another surgery which I am not too happy about. It took a long time to recover from the first one. What are the non surgerical options? I am definitely not ready to go through with another surgery.
Just another note, I do have pain in my big toe and 2nd toe but I am willing to live with it. I wear sneakers a lot and have modified my exercise routine for my feet.
Please advise! I am so depressed!

Result number: 199

Message Number 256892

Re: Good Feet question View Thread
Posted by Renee B on 4/14/09 at 16:46

Hi Melvin,
I want to thank you for your honesty about the Good Feet insoles. I was told about them last week, from a friend who had bought the set and was experiencing much relief. I saw my orthopaedic surgeon today (had a triple arthrodesis last March, and have PF now' opposite foot, painful!) and he said it's just going to take time but I will get over the PF in a few months if I keep doing stretches. He also recommended some heel cup type of supports. I stopped by the GF store on my way home and bought the 'exercisers' and the 'maintence' sets and the black insoles. Coming home, and wanting to encourage myself for having spent so much money, I saw many reviews of GF insoles (don't know why I didn't do that before I left) and many of them were negative, mostly because of the price. I am, however, walking on my heel (wearing the maintence pair for the last several hours and walked alot, shopping, etc.) for the first time in a while and the toes are no longer numb. I hope the support and help for my feet are continual, and just wanted to both thank you and ask you if you had any further suggestions. The only thing that really discouraged me was reading a review that said they worked great for a while (for PF) and then the feet were worse. So. . . any other help would be appreciated. Also, what is the thing about the balance test? Is it honest, or a sales pitch?
Thanks and God bless,
Renee B

Result number: 200

Message Number 256884

Waterproof Sandals? View Thread
Posted by Jennifer L on 4/14/09 at 14:53

First of all, thank you for all the help you've given me in the past even though I haven't been diagnosed with PF! I procrastinated going back to the doctor for a while, but now I am working with a podiatrist and he just ordered me some new orthotics today. My problems seem to be super high arches that need support, and I seem to have developed some neuromas in the past few months and have had issues with tingling feet (he wants me to do some tests at home to isolate the exact triggers and figure out which nerves are bothering me).

Anyways, my husband and I are planning a trip to a theme park in a month that will involve a lot of water rides, so I was hoping someone could recommend some sandals that will at least minimize how sore I know my feet will be! :) I've searched the board and found a bunch of recommended brands, but since I don't have a lot of time to order and return sandals, I was hoping you could narrow it down to a few most promising styles/brands for me. I need:

* Waterproof / comfortable when wet

* Flip-flops or something with ankle straps. Slides and sling-backs (without toe posts) fall off my feet!

* Due to my high insteps, flip-flops with thin straps or styles with adjustable straps are easiest for me to fit. (i.e. no flip-flops with thick straps that cover part of the top of your foot -- I usually can't get my feet into these!)

* Really soft/squishy soles (e.g. Crocs, squishy cheap flip-flops, etc.) hurt my feet, so I need more support. Of course, not all supportive shoes fit for various reasons so I realize there will still be some trial-and-error! (E.g. Birks always hurt my feet in the store, so I've never bought any to see if they'd actually mold to my feet...)

* Many of the more supportive flip-flops I've seen appear to be turned up under the toes (I think it's called rocker toes?) Those haven't worked for me in the past so I am a bit hesitant -- perhaps because I have slightly curved toes (mild hammertoes?) that want to curl down rather than up!

Surprisingly, my most comfy flip-flops right now are these cheapo ones from Kohl's -- the foam is stiff, not squishy, the heel cup provides some stability, and notice that the straps do not cover much of my feet:

http://www.kohls.com/kohlsStore/shoes/juniors/flipflops/PRD~439078/Candies+Floral+Wedge+FlipFlops.jsp

But I think I can do better ;) Thanks!

Result number: 201

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