toes Search Results

Home The Book Dr Articles Products Message Boards Journal Articles Search Our Surveys Surgery ESWT Dr Messages Find Good Drs video


Search on portion of word, single word, or exact phrase.


Message Boards and Database
Journal Articles & Abstracts
Scott's heelspurs.com book

Begin Message Board Search

Searching file 26

Message Number 266402
Severe plantar fasciitis? View Thread
Posted by Erin K on 7/23/10 at 13:02

I've been troubled by plantar fasciitis for 15+ years. After trying all the available noninvasive treatments including dozens of steroid injections, I eventually decided that the conventional treatments do little, or even aggravate the problem. The last several times it flared up I simply waited it out and it eventually went away, but this time is different.

Two things make this event atypical for me. First the pain became much worse in an instant when I went down hard on my foot while running a couple months ago and it has not substantially abated since. Second, the pain becomes much worse as the day goes on, the morning is almost pain free. I did get a MRI which apparently showed 'severe' plantar fasciitis, the doctor had no theory as to why this time is so different from all the previous events.

The only other difference in my feet is that my toes have started to cross each other on the foot that is painful. When I mentioned this change the surgeon basically just rolled his eyes, but it seems to me that a change in the structure of the foot could be related to the pain.

Unfortunately, the only doctor who preforms ESWT in my area doesn't have any appointments for six months.

Any thoughts? I'm considering amputation. OK, not really, but it is very frustrating to not be able to walk further than short distances without horrible pain.

Result number: 1

Message Number 266375

Post Op pain following Endoscopic Fasciotomy View Thread
Posted by SusieSE on 7/22/10 at 15:58

I had an endoscopic plantar fasciotomy release 4.5 weeks ago on my right foot. I continue to have pain although not as severe as before. My toes feel a little numb and I dont have much flexibility in the toes or ankle. I get 'stabbing pains' on the outside of my right foot along the small toe. Is this normal almost 5 weeks post OP?

Result number: 2

Message Number 266374

Re: Plasma Injections, no quick fix View Thread
Posted by JT on 7/22/10 at 15:32

Yikes! Marti, that is horrible. I use hot water; soke 'm in the tub with epsom salt occasionally, first thing in the morning. While my feet are in the tub, I submerge a beer bottle and gently roll my feet across the bottle. I also lift my toes upward, flex them in different dirrections to warm up the muscles before attempting to walk. I usually soke 'm three times a day for about 20 min each time. But, if I have an acute flare up (and they spring up alot unprevoked: it really pisses me off!), I stay away from the heat and use ice instead. Also, I use ice toward the end of the day, if I am forced to be on my feet alot. And by 'alot' I mean barely at all compared to normal people. You know what I am talking about. How did you get over it the first time Marti?
JT

Result number: 3

Message Number 266349

My tarsal tunnel journey update View Thread
Posted by leslieg on 7/20/10 at 22:41

For my entire story, see my post under 'my journey with tarsal tunnel.' It has been stressed many times on these message boards that no two patients or recovery is alike. However, with that said I personally need to know what other patients are/have done to figure out my normal. So since I have looked to others who are seeking answers, I continue to share my experience.
On July 28 it will be three months since my surgery. While I have had several set backs along the way (down to a single crutch, back up to two crutches) here is where I am currently at almost three months post op.

I am on a single crutch, moving towards no crutches--I have been on crutches for about a month before my surgery, and a single or double crutch since.
Still in my surgical boot, my Dr said that if all goes well the next three weeks I can start to transition out of it on my next visit.
I am in physical therapy three times a week, using a treadmill called the alter-g (anti gravity) that allows me to walk at fraction of my weight.
I am riding the stationary bike at the gym at a level 1 or 2 three other days a week, for about 20-25 minutes.
I am working in an office setting 4 hours a day--transitioning back to 6 hours a day next week, and full time in the end of August. I never thought I would be out of work this long.
Still icing my foot 2-3 times a day
Not able to walk very far (a trip to Target or the grocery store on a single crutch in a day would be ok.)
I take Metanx twice a day. I am not a diabetic. But I it is suppose to help regenerate the nerves.
I am not pain free. With that said my pain is nothing like before my surgery. My pain was a 10 before and it is a 2 or a 3 now. If this is as bad as it gets, I would be ok.
I still have pins and needles, but not around the clock.
I have never been a person who takes a lot of drugs, but I do take ambien at night and feel that soon I will no longer need to. My primary care suggested it when I was having trouble sleeping and I have never slept better in my life. However, I am looking forward to tapering off of it.
I take advil or aleve 4-5 times a week if I am having pain.

I saw my doctor today and he gave me another pep talk about how this takes time, your foot takes the longest to heel, etc. I can't stress enough that if you are facing TTS you need a talented doctor that provides excellent follow up care. He sees me every three weeks to check the status of physical therapy, the heeling of my scar, and how I am progressing. I checked my medical bills and my doctor does not get paid for these visits as this is part of the post surgical visits. He is ultra conservative (my physical therapist can't believe how much so) but I really believe that my doctor is trying to cure my foot--permanently.

If you are facing TTS you need to understand that healing from this surgery is it is SLOW!!!! It is easy to loose patience. I have tried to ask in multiple ways of my doctor and physical therapist 'am I normal, is this normal?' There is no normal. I have been in this boot for 4.5 months. You need to love your boot, and make it your own. I have pink and yellow flower stickers all over mine and it is much better than the ugly gray. I also ordered crutch covers from a place called crutchbuddies.com. They are pink and have a pink bag to match. They help your underarms and carry your cell phone/credit cards! But if you really want to spruce them up go to lemonaidcrutches.com Not only are they beautiful, but you will feel lucky compared to the woman that started the company--read the story and feel fortunate.

If you are considering TTS surgery, I don't regret mine for a minute. Even with all the ups and the downs. I had progressive, debilitating pain and I was willing to take a partial recovery. The nerve pain was not something I could 'out think' no matter how hard I tried. It was the first time in my life (I am 41) that I have not been able to 'snap out of it.' With that said, if you have TT, don't give up. Keep trying things. My mother died from emphysema many years ago. However, when she was first diagnosed she volunteered at a hospital for MS patients and would do their lunch menus because they couldn't. Then when she was home bound, she volunteered to make calls from home to seniors, politics, etc. You can always find people worse off then you, so half of the battle is the mind. Don't get me wrong--it sucks, and everyone is entitled to have bad days and feel down. But then pick yourself up. We only have one life.

Some things to consider. I would be lost with out the help of my physical therapist. I only have 20 visits a year with insurance, and used 10 before surgery. My insurance company would not budge with giving me more. If you have an insurance plan that limits the amounts of visits, shop around. Some physical therapy offices will accept the amount your insurance pays once your visits run out, ask first. I pay a flat fee now each time. While it sucks to spend the money, I consider it an investment in my foot and the rest of my life. If you don't have insurance and can't afford PT, call around many places can help at reduced fee schedules. If you don't have the cash, and have a retirement account, you can often avoid the penalty for withdrawal for medical reasons. When all else fails learn to do the exercises by yourself. Get marbles, pick them up with your toes. Get a rolling pin and use your feet. Hold the wall and do toe raises. I do my foot exercises every day. I massage my scar every night. I ice my feet multiple times a day. I don't forget.

If you happen to be one of the doctors that is a moderator of this website. I am sorry for some of the response patients have posted. I am amazed at the unkind words. As a patient all I can say is I feel bad for the place they are in. It can be frustrating being a patient, but it is no excuse. I appreciate the information you have posted, and the time that you have dedicated to this website. Using this website has allowed me to find answers to what seems to be a pretty rare condition. Everyone asks me about why I am in a boot--but I have yet to find anyone that has ever heard of tarsal tunnel.

Last, if you have a great doctor--tell everyone. If you don't, keep searching until you find one. If your primary care is not helping you, get a new one. My foot doctor is Dr. Scott Maling in Mesa AZ. http://www.desertfootandankle.com/

Good luck and I will post more in a month when I am walking.

Result number: 4

Message Number 266269

May 2010 View Thread
Posted by Brenda P. on 7/17/10 at 08:47

I recently had joint fusion on the first three joints on too of my right foot, a bony growth removed from above those joints, bone removed from my heel and put in place of the arthritic joints a plate and screws put in then fused. I also had ankle reconstruction as well during same surgery. I am having tremendous swelling, hotness, redness, pain midfoot thru my toes. My incision on ankle is still not closed but has begun to close. I cannot get an answer on what is wrong with the midfoot. I have been on antibiotics since May. I am getting a bone scan done in a few days to rule out osteomyolitis and infection. I also have an infectious disease appt soon. It has been nearly ten weeks since my surgery and I have had no therapy because of these complications and no answers on what it is. Any ideas? Thank you.

Result number: 5

Message Number 266268

May 2010 View Thread
Posted by Brenda P. on 7/17/10 at 08:46

I recently had joint fusion on the first three joints on too of my right foot, a bony growth removed from above those joints, bone removed from my heel and put in place of the arthritic joints a plate and screws put in then fused. I also had ankle reconstruction as well during same surgery. I am having tremendous swelling, hotness, redness, pain midfoot thru my toes. My incision on ankle is still not closed but has begun to close. I cannot get an answer on what is wrong with the midfoot. I have been on antibiotics since May. I am getting a bone scan done in a few days to rule out osteomyolitis and infection. I also have an infectious disease appt soon. It has been nearly ten weeks since my surgery and I have had no therapy because of these complications and no answers on what it is. Any ideas? Thank you.

Result number: 6

Message Number 266118

Re: Officer's Club Canon View Thread
Posted by Rick R on 7/07/10 at 16:59

Tennis balls were a great fit weren't they! Not to mention potatoes, but they could be just a bit too effective. I made a mortar and launched all sorts of home made pyrotechnics. I used Estes rocket engines and the parachute discharge charge served to ignite my concotions. I did make my own solid fuel but it wasn't worth the trouble. Once my friend and I launched a missile that went a wee bit off of it's intended course right over his dad who sleeping on a lounge before his next flight for United (he took his sleep seriously). That sucker had quite a charge in it. We went to his house to take our medicine from his Ozark mountian hard a.. you know what. He asked if that was us, we said it was one of our rockets. Then he asked what the explosion was, and we said it was the charge to launch the parachute. Then he asked just what state in the union we intended the shreadded bits of the chute to land in, or something to that effect. This is the only time I remember him letting us off the hook.

Result number: 7

Message Number 266113

Re: Officer's Club Canon View Thread
Posted by Rick R on 7/07/10 at 12:36

Tennis balls were a great fit weren't they! Not to mention potatoes, but they could be just a bit too effective. I made a mortar and launched all sorts of home made pyrotechnics. I used Estes rocket engines and the parachute discharge charge served to ignite my concotions. I did make my own solid fuel but it wasn't worth the trouble. Once my friend and I launched a missile that went a wee bit off of it's intended course right over his dad who sleeping on a lounge before his next flight for United (he took his sleep seriously). That sucker had quite a charge in it. We went to his house to take our medicine from his Ozark mountian hard a.. you know what. He asked if that was us, we said it was one of our rockets. Then he asked what the explosion was, and we said it was the charge to launch the parachute. Then he asked just what state in the union we intended the shreadded bits of the chute to land in, or something to that effect. This is the only time I remember him letting us off the hook.

Result number: 8

Message Number 266073

Re: Tarsal Tunnel Release Surgery Complications View Thread
Posted by Joan on 7/04/10 at 19:51

Thanks Kim. So around 8 weeks you started taking a few steps still using crutches but adding more weight? How many times in a day would you think? So you are walking to the mailbox, garden etc now without crutches? Do you have pain when you aren't walking? You said you're still taking crutches with you when you go anywhere or using motorized cart. Does the doctor have any prognosis as to when you will walk without assistance? I know everyone is different but I sure didn't think it would be like this.

I have pain centering from the incision, outside of my foot, tingling/burning in toes...it just seems to move around. It's basically where I had it before surgery. Today has been better but after Steve picked me up at Target, it started getting worse. Maybe sitting in the car not being elevated too much. It wasn't bad at Target although I was in my wheel chair with it elevated. I was there 1 1/2 hours! I still feel pulling sensations from the surgery sight. I haven't started PT yet. The doctor hasn't mentioned it. I see him at 6 1/2 weeks. I do flex my foot. My heel feels kind of thick and not much feeling to the touch. Is that normal?

We lived in Santa Fe a million years ago. Only for a few months.

It did do me good to have a change of scenery. I wish I could drive so I'm not dependent on everyone. Thanks again.

Result number: 9

Message Number 266068

Re: Tarsal Tunnel Release Surgery Complications View Thread
Posted by Kim on 7/04/10 at 16:47

You're welcome Joan! Glad my experience can help someone, makes it a little less frustrating somehow.

I used the boot about 4 times, it did help distribute the weight and made it easier to put weight on it, BUT, the flexed position really, really hurt. My Dr. gave me the okay not to use it.

I slowly put weight on my foot wearing tennis shoes (and the ace bandage wrapped tightly) - at first just a very little, then towards the end walking almost normally, but with some weight still on the crutches. I have wrist, elbow and neck/shoulder problems so the crutches were hard for me.

I'm still not walking much without crutches. The first few days I just did a step or two at a time. Then a few steps at a time. It took a while for my body to remember how to walk!

I have hardwood floors and a tiny place, so long before surgery I bought a rolling stool like they use at physical therapy. It has been my lifesaver. It works on low-pile carpets too. If you want info on the one I got let me know.

If I go anyplace I take my crutches with me. How much walking can I do right now? Well, I couldn't do a grocery store. I can do Trader Joe's only by using the motorized cart they have. I guess I'd summarize it by saying I can do very very short distances without pain - once I do more (like from the parking lot into physical therapy) I start to limp a little. And if I do more than that it just gets progressively worse. I did too much Thursday and am still feeling the effects. It's frustrating! But it's much more than I could do a month ago, so I'm trying to focus on that.

Type of pain - aching in my ankle and heel, numbness in my heel and up to my toes on the outside mostly, occasional sharp shooting pain but that has gotten less frequent. I've only had burning pain once, a few days ago. The walking-on-rocks feeling has gotten less in the past couple of weeks too. A lot of calf pain and tightness, it helps to work the trigger points in my calf, but it's easier and more effective when my physical therapist does it than when I do it.

The last couple of weeks my physical therapist has had me massaging the scar a few times a day to reduce the scar tissue and swelling. It hurts, but I'm seeing a difference. Not helping the pain much now, but I think it will over time.

We're in the same section of the country! I'm in Santa Fe. Not quite as hot as Phoenix. :-) I live in a 4-plex, and the yard is around the side of my place, so I walk back to it - about 40 steps. I have a small vegetable plot back there. So I walk back there, then sit and weed. Much easier than doing it on crutches! I also have a couple of small flower beds out front near my patio, so I sit out there a lot.

Yay for getting out to Target! A change of scenery really helps.

Result number: 10

Message Number 266050

foot surgery for cyst removal on top of left foot View Thread
Posted by kburke on 7/03/10 at 19:27

I had surgery to remove a cyst that was growing on the top center of my left foot 2.5 weeks ago. My podiatrist said that there was a lot of nerve involvement and the surgery took longer than expected and he had to cut and clear nerves from the cyst. The top of my foot is numb where the toes meet the foot. The foot is still swelling some and the doctor prescribed 4 mg prednisolone and a cream that is coming in mail.) The doctor says it can take a year or more for the numbness to decrease. Will led therapy help this nerve damage and can the dr. prescribe a light that I can use to help heal this damage?

Result number: 11

Message Number 266034

toes View Thread
Posted by clarence on 7/02/10 at 10:59

green toe on right foot what do this mean how do i treat it?

Result number: 12

Message Number 266031

Re: toes View Thread
Posted by Dr. DSW on 7/02/10 at 05:49

Is this a sentence from a Dr. Seuss book?

Result number: 13

Message Number 266030

toes View Thread
Posted by clarence on 7/01/10 at 23:47

green toe on right foot

Result number: 14

Message Number 266002

Re: Good Feet question View Thread
Posted by peggy on 6/30/10 at 12:16

I had heel pain for many years,...went to doctors with no relief. Which also cost 1,000's... Good Feet products are the only products that took away my heel pain.. I've been pain free for years...no one else has their design, and technology... They last years and years and years...if you prorate $230 for example over a 7 year period ..that's only about $33 dollars a year ...it even took away my pain in my toes....it averages out to alittle nothing a year. All my friends wear them and love them!!

Result number: 15

Message Number 265996

Re: cheilectomy recovery timetable? View Thread
Posted by David C on 6/30/10 at 09:18

I had a bi-lateral cheilectomy 1 week ago and have to say that it's going great. The first few days are a bit up and down... but then it is surgery so that's to be expected. At this point my toes hurt less than they did before the surgery.

My advise, for what it's worth, is stay off your feet as much as possible to keep the swelling down. My surgeon also told me to start the stretching as soon as possible: 20 sec up, 20 sec down, as far as I can bend them. This wasn't pleasant for the first 3 or 4 days. I did little until 4 days post surgery and then really started cranking has much as I could. In my case there is a fair amount of popping. However that's the ligaments and tendons changing position. They aren't used to the range of motion anymore. It's harmless. Initially there was also an unpleasant pulling on my stitches when moving my toes down. Personally I found this worse than the pain in the toe. However by doing this slowly the sensation eventually went away. I'm glad I persisted through the initial unpleasantness. I'm getting a good range of motion (90ish degrees), and it doesn't hurt much anymore.

In response to the comment above. I completely understand the feeling within the first couple of days. I would just say to any readers: don't forget that you had surgery. Your body has a major wound which must heal. This isn't going to be a completely pain-free process and will take time. My surgeon warned me that the stretching would hurt initially--and it did. He told me to do it anyway--and I did. It all seems to be coming out ok.

I've also been told to stay off my feet as much as possible for the first 2 weeks: no more than 5 min up per hour. This is very hard because it's boring to sit around, but I really feel it if my feet start to swell.

Result number: 16

Message Number 265963

Re: Sandals for Bunion Pain Relief View Thread
Posted by Cam on 6/28/10 at 18:29

Jeremy,

XSensible has great stretchable leather uppers which are a great solution for bunions and hammertoes. Aetrex 'berries' are also very good.

I am not suggesting that the Fidelio 'Hallux' is the only solution out there, but I really liked the removable footbed, built-in arch and met support. Just a very good product that is new to the US.

Result number: 17

Message Number 265943

Re: Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by King Joe on 6/28/10 at 10:41

Hi Lynette
IN both heels, I did not have pain in either arch. I do have very high arches and walk on the outside of my feet (hyper-pronation). With the flat boot with no arch support and casts, you would think maybe yes to pain...but none.

I am an absolute ANTI-orthodic. Do the research on them...propogation and maintenance of problems NOT correction. They deal with a/the symptoms and not the problem. In your research, you should/will also see a link between chiropracty and orthodics also...one propogates the other....in a negative way (though this may seem very 'conspiracy theory').

Like Danny alludes to in his post....EXERCISE is the key. Most simple for developing and maintaining good foot musculature...and invariably, body infrastructure....starts with a handful of pencils/pens and a pail of sand.

The pail of sand must be big enough for you to put your foot into. Simply sit and put a foot in the sand and 'grab' handfuls (footfuls) of sand with your toes. Work hard at feeling each toe work to extend and grab. Did you know...of course you know...that the toes have...can have as much manual dexterity as your fingers, albeit a shorter 'reach'? They can though in most people, the toes move as a unit.

With the pencils....throw them on ground in front of you. Try to keep your heel flat and locked at one place. Simply, like the sand game above, pick up a pencil from one side with your toes and turn your foot to put it to the other side. Move the whole stack (10 - 1/2 reps...10 pencils)...and move them back. That is one set of 10. Do this at least 3 times....3 sets of 10...with about 30-45 secs in between sets.

My wife calls me a monkey...first because I do have long toes evolved for grabbing tree branches, I guess (hah), but that i can move each toe individually like fingers...spreading flexing...anything...all because of the simple exercises I described above.

Next, there are a huge range of proto-receptor exercises that will also help...but walk...literally walk before you can run. And if you want more, I can give them to you.

Work to improve your foot/toe strength...fixes arch pain, back pain and the other sport and life benefits....accident prevention (slip on wet decks much?), agility, speed, take-off response.

So, short story-long. Never used an orthodic...never will. Never used a chiro...never will. 'physician, heal thy self'

Also, while I have never had the sleepy leg feeling you describe, I do get the odd burning sensation in my heels...similar to what I had with the big spurs ('I got spurs that jingle jangle jingle...' old country song). I attribute that to nerves still turning on. It is less frequent but still there now and then.

I did go through a short period of calf crampy feeling...but again, consider what we had done....i see this is the body waking up...going...'hey, I can move again'.

Will be doing an update on my other 2 progress reports later today or tomorrow....have a look for more.

Result number: 18

Message Number 265846

Next steps post neuromectomy still having pain View Thread
Posted by Rochelle on 6/23/10 at 15:32

Dr. Ed
This is the first I've herd of attending to scar tissue post neromaectomy. I had a surgery on June 18th, 2010. I am very healthy and no chronic health contidtions. I was very active until neuroma pain became unbearable. After getting releif with steroid injections for about a year and half I got concerned about lasting side effects from the medication (fat pad thinnning, etc.) so I opted for surgery. I am now still having pain in the ball of my foot and I get a eletric sensation up my third toe when I touch the neuroma area, whcih I didn't have before surgery. My neuroma was between my 2nd and 3rd toes.
I am not able to walk with any duration or for exercise without a severe pain.

So I want to figure out my next steps:
should I request/discuss the treatment for scar tissue?
Should I seek imaging which hasn't been done beyond an x-ray?
If part of the nerve was left behind would there be a high chance of success with a second procedure with a good surgeon?

I am in the Northwest United States and would appreciate referrals for experienced suregons in my area.

Thank you
Rochelle

Result number: 19

Message Number 265845

Re: Stump Neuroma View Thread
Posted by Rochelle on 6/23/10 at 15:20

Dr. Ed
This is the first I've herd of attending to scar tissue post neromaectomy. I had a surgery on June 18th, 2010. I am very healthy and no chronic health contidtions. I was very active until neuroma pain became unbearable. After getting releif with steroid injections for about a year and half I got concerned about lasting side effects from the medication (fat pad thinnning, etc.) so I opted for surgery. I am now still having pain in the ball of my foot and I get a eletric sensation up my third toe when I touch the neuroma area, whcih I didn't have before surgery. My neuroma was between my 2nd and 3rd toes.
I am not able to walk with any duration or for exercise without a severe pain.

So I want to figure out my next steps:
should I request/discuss the treatment for scar tissue?
Should I seek imaging which hasn't been done beyond an x-ray?
If part of the nerve was left behind would there be a high chance of success with a second procedure with a good surgeon?

I am in the Northwest United States and would appreciate referrals for experienced suregons in my area.

Thank you
Rochelle

Result number: 20

Message Number 265800

Re: Morton's Neuroma-both feet View Thread
Posted by Rochelle on 6/19/10 at 12:24

My mom had neuroma a surgery in both feet but at the time they recommended she have foot done at a time. which she did.


I just had a neuromaectomy in my left foot; incision on top of the foot. Five weeks post op my swelling is gone but I think there still some 'stumb' left that the whole thing wasn't taken out. So I now have hard clicky thing on the base for my Fore foot. Also when I thouch this area I get a electric sensation up to my third toe.
So of cousre I am worried that the whole thng wasn't taken out or I have somethng else wrong with my foot.

I go to Kaiser in Portland Oregon and to date I have met total resistance in getting an MRI or other imagaing. So I am going to have research my next step and am willing to go outside my insurance if need be if I can find a good solution. The Cyro technique sounds interesting so I want to find out more about that.

If anyone has a good foot doc in the Northwest US they would recommend please let me know.

THings I am doing post op:
I am doing foot exercises for general metarsal imfammation; streching, pogo jumping, grabbing a towel with my toes, standing and pulling myself foreward by pinching my toes.
ice massage
massage, but am worried the vibrating massage and red light will cause crazy nerve regrowth.
I get some relief wearing the rocker type shoe with added inserts. Avia brand, 9 wide kinda work.

I too find my podiatrist kinds of __y and not that concerned with my problem.

Good luck

Also I read where someone did yoga exercised with their feet and would spend time spreading their toes with the toes separators they use for pedicures.

This is the only surgery I've ever had and I really don't want to have another but if it would give me relief and I could walk again I'd consider it. I am really interested in the cyrosurgery.

Yesterday I was able to in line skate with out pain and I think I can bike alright. Walking is the main issue here. I used to walk nearly daily three miles and do group areobics three days a week. Deninfately not doing that now.

My neuroma was between my 2nd and 3rd toes, the inside areas of those toes are now numb from the surgery which I could live with but it's the damn nub under the ball of my foot I can't live with.

I am really peeved that my podiatrist has done no imaging.

Result number: 21

Message Number 265780

Morton's Neuroma-both feet View Thread
Posted by Kim/AR on 6/17/10 at 07:39

I am scheduled for surgery June 30, 2010 for Morton's Neuromas in both feet between 2nd and 3rd toes. Surgery is from the top of the foot and the nerve will be 'tucked' into a muscle. I have been told by the surgeon that he recommends I do both feet at once. He says I should plan on being off my feet for 3 days to avoid hematomas, then some activity is ok after that. I am a real estate appraiser who walks alot on uneven ground. I am also a power-walker who walks 5-6 miles a day and am training for a half marathon. The surgeon said I could go back to power walking 3 weeks post-op.

I'm seriously reconsidering this procedure on not only both feet but 1 at a time based on what I've read on this and other forums. I'm interested in talking with someone who has had this surgery on both feet at the same time. Thanks,

Result number: 22

Message Number 265779

Re: Stump Neuroma View Thread
Posted by Kim/AR on 6/17/10 at 07:28

Hi all. I am scheduled to have surgery on June 30, 2010 for neuromas in both feet at the same time (between 2nd and 3rd toes). The surgeon says he will tuck the severed nerve into muscle tissue to avoid later complications. After reading this and several other forum sites, I'm seriously reconsidering this procedure and just living with the pain I've suffered for the last 6-7 years; never wearing heels again, wearing wide-toe-box shoes and UGGs. I am a power walker who walks 5-6 miles a day and in training for a half marathon.

I am a real estate appraiser who is on her feet on uneven ground for several hours a day. My surgeon says I should be off my feet entirely for 3 days to avoid hematomas, then restrain from excessive activity for another 3 weeks before resuming my walking regimen. Is this realistic?

Result number: 23

Message Number 265777

Re: Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by dannyb on 6/16/10 at 23:16

My first days in the walking boot proved a bit challenging. I went back to work immediately after the cast was removed and found that my foot had swollen quite a bit. I woke up the second morning with some pain and my ankle was larger than it had been when the cast was first removed. I took that as a sign that I should take it easy and skipped work that day. Having taken the day off, I woke the morning of the third day with a normal sized foot and headed off to work. Feeling the swelling return, I cut that day short and elevated when I came home. In short, the swelling would return on and off the first week. There were times when, I swear, I could feel the presence of the bone anchors in my heel.

By now (two weeks in the boot) the swelling is minimal and I am feeling good. I can place weight on the joint and not feel the pain. The surgical wounds are still a bit sensitive. It's odd, I can literally feel the improvements on a daily basis. All good signs, I think.

And congrats on your recovery. It's not an easy path for active personalities. But then again, couch potatoes don't have this problem.

Result number: 24

Message Number 265740

Post surgery pain - 4 weeks after surgery View Thread
Posted by peterd on 6/14/10 at 10:14

I posted this message already (sorry if it's a duplicate).
For past 2 years, had balled up sock feeling on bottom of right foot on pad below big toe. In the last year, the numb feeling expanded to entire bottom of foot and had tingling sensations in toes. I also have Crohn's disease and a rare form of cancer. Tests on foot (xrays, EMG, etc) pointed towards TTS, and perhaps a bit of peripheral neuropathy (might be caused by my cancer and/or chemo treatments), so I decided for surgery on May 14.

For 2 weeks, i was in large soft cast and crutches; for 1 week after that I was in large boot and crutches. Then had stitches removed and tried walking around with cane and tennis shoes. Now back to large boot and crutches for the 4th week post-surgery. Still having lots of tingling in the toes, and if I press on floor with foot, feels like tendons are out of place. Balled up sock feeling it still there but may be diminishing. I use ice pack at night and it does relieve the tingling and pain for a few hours. My question - is this normal for post-surgery? How long before I can get rid of crutches and at least limp along with or without cane?

Result number: 25

Message Number 265739

Re: Tarsal Tunnel Release Surgery Complications View Thread
Posted by peterd on 6/14/10 at 09:57

Had TTS surgery on right ankle on May 14; 3 weeks later stitches were removed. Kept foot elevated a good portion of the day for those 3 weeks. Was on crutches the last week with a boot. After removal of stitches, tried tennis shoe and walking on cane for a few days. Now back with large boot and crutches - 4 weeks post-surgery - lots of tingling in toes and foot hurts as if tendons are out of place if I step on it flat on floor. Ice packs in evening do help a good bit to stop the tingling and soreness...still feel like I'm walking on rocks when I take off the boot. Any idea how long these types of symptoms will last? I'd really like to walk without crutches - and drive a car again!

Result number: 26

Message Number 265724

A candidate for ESWT? My surgeon seems clueless... View Thread
Posted by AndrewUK on 6/12/10 at 18:59


I wrote a while ago complaining about heel pain/burning sensation/colour change of both my feet. Previous ultrasound in Feb showed no thickening of the fascia. (Right 2.6mm and left 3.6mm)

Last Thursday I visited an orthopaedic surgeon. I told him I have colour change on the sole of my feet mainly in the evening but it happens when I sit down too. I also told him there is cold/burning sensation originally on the sole but now it reaches the back of my leg through the Achilles heel.

He did some test, pressing the area under the ankle and it didn't hurt. He also asked me to stand on my toes which I could do without much difficulties. I couldn't stand on my heel at all. He asked me if I have pins and needles and I told him I no longer has it. (I had it last month when I taped my feet daily for 3 weeks) He also asked me if there is any numbness. I said when it feels very cold, there seems to be numbness but I can still feel my toes and feet if I pinch it.

He ordered ultrasound scan on Friday --
Right foot fascia 7mm.
Left foot fascia 3mm.

Also some joint problem on the right ball. (I am pretty sure it was because I taped my feet quite tightly....)
Left heel has a bursa.

I haven't seen the surgeon again for this result but last time he did mention I could go for an ultrasound guided steroid injection or ESWT (Dolorclast low energy once a week for 3 weeks)

I read it somewhere that high energy ESWT (such as ossatron?) isn't suitable for those with nerve entrapment from diabetes and it isn't suitable for those with circulation problem.

My surgeon seemed to dismiss it when I mentioned the symptoms of cold/burning sensation and colour change... And he seemed very keen in doing ESWT on me.

I had HbA1C test back in Jan 2009 and it was normal. My GP said there is no need to re-test it because he said diabetes wouldn't develop so quickly..

Any opinion would be much appreciated.

Andrew UK

Result number: 27

Message Number 265721

Re: Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by LynetteS on 6/12/10 at 13:16

I cannot wait until Tuesday to get the cast off! :D :D

Although I did have a little 'accident' the other day - I was on my knee car and lost my balance - of course my casted foot went down to brace me. I'm such a putz! Seriously...I think it freaked me out and scared me more than it did any damage. It hurt for a few minutes then subsided. I will let my physician know when I see him on Tuesday.

I am SO looking forward to sleeping in my bed, although it's really not 'my bed' anymore. Two days before I had surgery we bought a new bed so I've only slept in it for two nights. I live in an old house with steep narrow stairs. The first thing I'll do is take a LONG shower! Ahhhh, to have that freedom again!

I really appreciate hearing from you and King Joe...knowing there are others out there having a positive outcome and going through this 'with me' is helpful. I know I am driving my husband crazy! My 20 year old son gave my best friend a hug on Wednesday when she came and picked me up to go shopping. I really needed to get out of the house and see people. We went for about 1 1/2 hours - that was plenty, my toes/leg were a little swollen when I got home, I propped up my leg and put ice on the back of my knee. I have been a good patient before and after that - my mental health needed an outing.

Again, thank you both for the positive comments and support! I'll be back on Tuesday!!

Result number: 28

Message Number 265680

Re: No Doctors to Answer. But anyone else can View Thread
Posted by Tony M. on 6/10/10 at 22:29

I am alot worse off then before surgery....

It has only gotten worse and continues to get worse...

I also started having a weird feeling like I have a tiny bug crawling across the top of my 3rd and 4th toes. Creepy

I haven't yet had a 2nd opinion post surgery.

Result number: 29

Message Number 265679

Custom orthotics = pain :( Advice needed! View Thread
Posted by ian on 6/10/10 at 22:26

When I was a teenager (16-17 maybe) I had pain in the arches of my feet. I have high arches. I got orthotics prescribed. They took a couple weeks to get used to, but then basically worked perfectly for about 10 years. No problems at all.

But after that I started getting pain in my ankle. I think it was because the bottom of my right orthotic was wearing down. Okay, no problem, I will just go buy a new pair and problem solved... or so I thought...

Orthotic place #1) So I went to get my feet examined. The orthotic technologist said my feet were borderline, that is, she didn't necessarily reccomend orthotics, but if I thought they would help, she would make them for me. OK. I showed her my previous orthotics and explained how my pain was from my high arches. She did a thorough examination and casted my feet.

A couple weeks later I got the orthotic. There was no arch support it at all. I was really surprised and mentioned it to her. She told me to try them, so I did. The result was lots of pain in my arch. So when I went back she decided to make a new pair. This time instead of there being no arch support, the whole area under the arch was cut out(?!?!). she said that she was trying to drop my big toe or something. Again, the results: unsurprisingly arch pain.

I think the next time I went to the clinic I saw a different practitioner. I explained how I got two pairs in a row without arch support. So third pair was made. In great comedic fashion this one didn't have arch support either. It almost did, the problem was that the arch curved towards the vertical (like the curve y=x^2 )rather than towards the horizontal (like y=logx, if you're not a math person, don't worry about these explanations ;). Interestingly the practitioner said that nobody makes the orthotics the way my 10-year-old pair were made. He said they were made wrong. Ok... Needless to say this new model caused arch pain too.

There might have been one more pair made, and then finally they tried to copy the 10-year-old orthotic but failed miserably as one of my big toes didn't even touch the ground when wearing it.

After 4-5 painful pairs of orthotics, this company kicked me out the door with a partial refund.

orthotic place 2) I decided to hunt down the doctor who had made my 10-year-old pair of orthotics. Surely he could do a better job...
the result:

Pair 1) no arch support (among other issues)
revision 1) finally some arch support but way too much and caused pain
rev 2) the outside of the orthotic was curved up and caused pain to the bone that sticks out in the middle on the outside of the foot under the pinky toe. I also need a valley cut because the tendon that runs from my big toe to the back of my foot grinds into the orthotic
rev 3) the pinky toe problem is not fixed. One valley is cut properly for the tendon (although not deep enough). The valley cut on the other foot misses the tendon completely.
rev 4) the doctor remembers the pinky problem (although the outside of their orthotic is not ground down enough so still causes pain. My tendon from my big toe still cuts into the orthotic near my heel (although I think it might be cutting into the flesh as well... I really can't tell anymore)

and now I am about to go in again for rev 5 :-(



I really don't think my problem is that unusual, it seems quite simple to fix
1) high arch (needs support)
2) the tendon from my big toe digs into the orthotic (although with my 10-year-old pair this was never a problem as the bump in the orthotics never even went out that far)

3) the pointy bone in the middle of the outside of my foot (under the pinky toe) digs painfully into the orthotic. (This was never a problem with the 10-year-old pair as the orthotic never went out that far).


Some of the problems with my new orthotic
1) it's about a 1cm wider than the old pair. The doctor says this can't be changed but:
a) the pointy bone in the middle of the outside of my foot always digs into the orthotic, even though the doctor has grinded it down a fair bit
b) because the orthotic is so big, my feet move around a little bit so I think it's impossible to expect my tendon to stay in the valley (even if in valley is made perfectly) in the orthotic...

I'm completely frustrated and have no idea what to do anymore. This doctor has gone to a new orthotic making company/process so he says it's not possible to make them like how my 10-year-old pair was.

Frustrating... it's been 1 year since I tried to replace my orthotics. 2 companies about 5 different pairs and 3 revisions of orthotics... and always feel pain and can only walk short distances.

Anybody have any words of wisdom for me?

Thanks,
Ian

Result number: 30

Message Number 265672

No Doctors to Answer. But anyone else can View Thread
Posted by Tony M. on 6/10/10 at 20:24

Since I seem to be attacked for my question in my previous post and it was stated that I Should say if I wanted a doctor or someone else to answer, I will stick to someone else.

If you have has TTS for a while know, what other issue's has it caused you?

My TTS is work related (do to an accident) and I have had surgery, pain meds, PT, rocker boot, other meds, cortizone shots and other Misc stuff that has done zero to help me. After my surgery, going on 6 months ago, it has gotten worse.

I am coming to a point know where I have a few options:

1.) Have a spinal cord stimulator implanted and deal with those issues and have my monetary pay from WC run out.

2.) Settle with Workers Comp. and worry about my future medical myself.

3.) Don't Settle but stay on Workers Comp. and loose my monetary pay (do to State Limits on WC) and be unable to work and end up loosing my home.


SO I am using this site to assist me in determining what other type's of issue's may or may not arise from having TTS.

My complaints currently are:

1.)Toes going numb.
2.)Feeling like someone jabbing me with a sharp knife in my toes.
3.)Same sharp knife being dragged down from the top of my arch to the bottom of my foot.
4.)Numbness on bottom of foot.
5.)Pain on inside of ankle.
6.) New issue with the back of my ankle hurting when I walk.
7.) Electrical zaps or what ever you want to call it in my foot.
8.) I feel as if I have no padding on the ball of my foot.
9.) My knee hurts about every other day know...From limping I think.

I cannot put my foot on the floor but for a few minutes and I cannot stand but a few minutes without it being extremely painful.

I am between a rock and a hard place.


I am collecting any information I can to help me.

If anyone who has TTS or had it can help me answer my question, I would be great full.

If all you plan on doing is attacking my question, then feel free to put a sock in it.

Result number: 31

Message Number 265652

Re: Future issue's from TTS View Thread
Posted by Bill C on 6/10/10 at 09:54

John C., I will preface my comments with the usual 'every case is different' statement. You ask a very important question.

As an 18 year sufferer of TTS I will tell you how it has impacted me. 18 years is roughly one third of my life. I finally had surgery as a last resort 2 months ago and have noticed some improvement a specific type of pain, but still have some annoying symptoms that I hoped would go away but have not. One of these symptoms is the skin around my medial malleolus is very sensitive and anything touching it, like shoes, pant leg, etc. is very annoying. That problem is unrelieved.

I was very athletic when I was younger and continued to be into adulthood. I played very competitive hockey as an adult, even with this problem, until I was 48 years old. I am able to ďplay in painĒ which is something athletes and learn. (Having a metal rod placed in my neck finally ended my hockey career) As a result of maintaining activity, my weight is normal and I am still in reasonably good shape. I continued to lift weights (not legs) starting five days after surgery.

With that being said, I think the impact of TTS with me has been significant. I have emotional fatigue, pain fatigue, obsession over footwear, a financial burden from buying multiple shoes and gimmicks including orthotics, magnet insoles, braces, wraps, creams, acupuncture, ect. I also have toenail fungus on the big toe and 4th toe. I find it interesting that I only have it on those 2 nails and have had it since my symptoms began. Both toes have some numbness. All the other toes with normal nails have normal sensation. When I look at pictures of me when I was young, the first thing I look at is what kind of shoes I was wearing.

There are other issues where people think I am a hypochondriac, a whiner, a malingerer, etc. Example: My father has known about my ankle problem for years and still acts like a jerk if the problem is mentioned. Not long ago when he found out I was having surgery, he asked me, 'Whatís wrong with your ankle?' I have explained my symptoms to more than 10 different doctors over the years. Some looked at their watch, others became glassy eyed, almost all said to ďtry these orthoticsĒ.

I think the problem can also evolve into other issues like a Mortonís neuroma, back pain, and so on (it has with me). My calf on the affected side is one inch smaller than the other. My affected foot has shrunk causing me to wear 2 different size shoes.

If you ask me in ten years, when I am 28 years into this, I will probably have even more issues.

Result number: 32

Message Number 265613

Re: Alcohol Injections / Morton's neuroma /Cryosurgery, for Will View Thread
Posted by Aust on 6/09/10 at 07:49

With this nerve block is it possible to distinguish between bursitis and a neuroma? I too have the click and neuroma like symptoms (pain in the area, pain that has radiated down the third and forth toes, burning. No neuroma was seen under ultrasound but bursitis was. I dont know anything about a nerve block with local but if performed is it possible that the pain from bursitis could also be relieved making it difficult to distinguish between bursitis and a neuroma?

Result number: 33

Message Number 265612

Mortons Neuroma? View Thread
Posted by Aust on 6/09/10 at 07:18

Hello everyone,

Firstly I would like to say thanks to the doctors for answering our questions and helping us suffers beat this troublesome mortons neuroma.

I have had a niggling pain in my left foot for years between the third and fourth metarsal heads (due to wearing narrow slip on shoes)that become very painful January 2009 after I tore my hamstring causing me to place excessive pressure on the metarsal region when walking. I then put more pressure on the right foot and got the same pain in the right foot.

Well its been 6 mths now and my feet are still both sore. I had 2 cortisone injections in the left 'bad' foot for bursitis (as under ultrasound no neuroma was seen and bursitis was). BUT I think/suspect I have a neuroma or similar damage to this nerve as in addition to having the mulders click (which I know can be caused by bursitis) and have had the pain raiditing down the toes. My toes have even seperated and now have a gap between them. I am puzzled however as I spent a month in a wheel chair trying to give my feet max rest and the 4th metarsal joint on both feet became sore and swollen. the pain and swelling has subsided in the left foot but the right foot is still sore in the joint and i am fearful that the pain could easily come back in the previoulsy worse left foot. One doctor said the nerve damage could have caused this joint pain. I also had x rays, a bone scan and blood tests to rule out arthritis, fractures etc. As yet I still do not have a clear diagnosis and am waiting to see a foot surgeon and will have an mri then(Australia has a referral system and it can take months to see a private surgeon). My pain has decreased after taking panafcort and more ibuprofen but remains.

I am terrified of the stump neuroma. I am only 29 and this has ruined my year and dont want to be in pain for the rest of my life. I am considering flying to america to have the cryosurgery. Also in Australia they do not commonly do the alcohol injections.

My questions:

1. What are the risks of cryosurgery? Is it just scar tissue? Is it possible to get a stump neuroma from cryosurgery?

2. Is it possible to get a stump neuroma from alcohol injections?

3. Is it possible to have alcohol injections or cryosurgery if you cant see the neuroma under ultrasound?

4. How is the diagnostic nerve block done?

5. What are the risks of alcohol injections?

6. What is improtant in administering alcohol injections? I might be able to convince a doctor here to give me the injections but they would have no prior experience performing this procedure.

7. Any advice for my situation?

THANK YOU VERY MUCH.

Result number: 34

Message Number 265610

Re: Alcohol Injections / Morton's neuroma /Cryosurgery, for Will View Thread
Posted by Aust on 6/09/10 at 07:10

Hello everyone,

Firstly I would like to say thanks to the doctors for answering our questions and helping us suffers beat this troublesome mortons neuroma.

I have had a niggling pain in my left foot for years between the third and fourth metarsal heads (due to wearing narrow slip on shoes)that become very painful January 2009 after I tore my hamstring causing me to place excessive pressure on the metarsal region when walking. I then put more pressure on the right foot and got the same pain in the right foot.

Well its been 6 mths now and my feet are still both sore. I had 2 cortisone injections in the left 'bad' foot for bursitis (as under ultrasound no neuroma was seen and bursitis was). BUT I think/suspect I have a neuroma or similar damage to this nerve as in addition to having the mulders click (which I know can be caused by bursitis) and have had the pain raiditing down the toes. My toes have even seperated and now have a gap between them. I am puzzled however as I spent a month in a wheel chair trying to give my feet max rest and the 4th metarsal joint on both feet became sore and swollen. the pain and swelling has subsided in the left foot but the right foot is still sore in the joint and i am fearful that the pain could easily come back in the previoulsy worse left foot. One doctor said the nerve damage could have caused this joint pain. I also had x rays, a bone scan and blood tests to rule out arthritis, fractures etc. As yet I still do not have a clear diagnosis and am waiting to see a foot surgeon and will have an mri then(Australia has a referral system and it can take months to see a private surgeon). My pain has decreased after taking panafcort and more ibuprofen but remains.

I am terrified of the stump neuroma. I am only 29 and this has ruined my year and dont want to be in pain for the rest of my life. I am considering flying to america to have the cryosurgery. Also in Australia they do not commonly do the alcohol injections.

My questions:

1. What are the risks of cryosurgery? Is it just scar tissue? Is it possible to get a stump neuroma from cryosurgery?

2. Is it possible to get a stump neuroma from alcohol injections?

3. Is it possible to have alcohol injections, or cryosurgery, if you cant see the neuroma under ultrasound?

4. How is the diagnostic nerve block done?

5. What are the risks of alcohol injections?

6. What is improtant in administering alcohol injections? I might be able to convince a doctor here to give me the injections but they would have no prior experience performing this procedure.

7. Any advice for my situation?

THANK YOU VERY MUCH.

Result number: 35

Message Number 265600

Tarsal Tunnel Pain/Sensations View Thread
Posted by Cyn on 6/08/10 at 13:40

Hey everyone! Just wanted to see what people experience in terms of pain ans sensations due to TTS. I have pain and discomfort in so many areas, it's really weird; although I know everyone's situation is different in ways, I bet many of you can agree that you've experieinced certain things......like numbness in toes and across top of my foot, sharp and shooting pains throughout the foot area, pain and discomfort along the outside of my foot, and sometimes, my whole ankle locks up and feels like it's going to explode! I would love to take walks, etc., but it just hurts too much. Am looking forward to my surgery this fall so I can back to 'normal'..whatever that is...thanks for your input!

Result number: 36

Message Number 265519

Re: 2nd toes too long-- removal of toe joint possible? View Thread
Posted by Dr. DSW on 6/03/10 at 20:48

Yes. You should make an appointment with a local doctor for an evaluation, x-rays, etc. Most doctors will not perform surgery for cosmetic reasons (though some will), and it's not covered by insurance. 'Cosmetic' foot surgery costs would have to be paid by the patient.

However, if there is pain or discomfort due to the excessively long toes, insurance should pay for any necessary procedures.

Result number: 37

Message Number 265514

2nd toes too long-- removal of toe joint possible? View Thread
Posted by kathyh on 6/03/10 at 13:11

The toes next to my big toes are so long (especially the rt. one) the getting shoes to fit are a problem. By the time I have a shoe that fits comfortably on my rt. foot, the shoe slips off my lft. foot. I never wear sandals as these long toes are embarassing to me & ingrown toenails on them are a problem. Is there anything that can be done surgically to alleviate this problem?

Result number: 38

Message Number 265491

feels like a hard pea under my foot View Thread
Posted by Debbie on 6/02/10 at 23:38

When I stand barefoot on my left foot it feels like I am standing on a little marble. It is just below the second toe. With a shoe on, I can't feel it. It does not hurt. In addition, my big toe sort of locks up, and when I lift it, it gets sort of numb across the next 3 toes. Both of these were happening of and on, but now seems to be every night. Any ideas???

Result number: 39

Message Number 265461

Re: Just Misserable View Thread
Posted by vb on 6/01/10 at 15:16

Dear.Just Misserable, I understand everything you are going through.I am taking 4x300mgs of neurontin aday and 3 hydrocodones aday and well they are working as long as I stay at home my feet can not take the heat at all and walking is out of the question.I can walk around the house some what and clean but then it gets to the point that I got to just set down and forget it all because if I don't then my meds don't work and the sharp knife in my arch's and tight toes and the jabbing pains in my big toes starts and then I kick the bed all night.and will not sleep worth a dime.But I will tell you that holding your feet in cold water does help and stay away from the caffene it does make it worse.There for a while it really got to me physically and mentally.But it was partly my fault because of not wanting to take the pains pills I did not want to get hook on them but I came to realize that only was I misserable but that I was making my whole family misserable also.I am seeing a dr for the depression well its some one to talk to it keeps you from talking all the time about the so o so o to your family and friends.well on bad days I still complain I can't help it.My surgery was a long time ago and it was not done right but who know's it still may not have help.And also I have been taking medrol dose pack every month now for a while I am due one now but trying to hold of because of side affects. I had a friend tell me that she had the shots in her feet for other problems she does not have TTS but anyway she said they put her to sleep because of it been so painful and he gave her a double dose of steroids and her feet have been fine since and she said that had been about 6 months ago.I went and talk to the DR that did her's and he said he would do it for me also and that it would help TTS.The only thing stoping me is insurance but I am going to have it done.I have been told that when giving in shots like that that you don't have the same side affects.I am wanting to have this done soon that's another reason why I am trying to put off taking the medrol dose pack.I wish you the best maybe you could talk to your DR about the shots and giving you a double dose and puting you to sleep to do it I had the shots 3 wks after my surgery and I never dream a shot could hurt so bad.keep in touch and let everyone know how you are doing.VB

Result number: 40

Message Number 265446

Just Misserable View Thread
Posted by Tony M. on 6/01/10 at 01:01

My little rant... Its 1:00 am


SO I am lying here on the couch again. I hate lying in bed when my foot hurts this bad because all I do it toss and turn and my wife has to wake up early for work. I try to let her sleep as peaceful as I can.

I can't take Oxycodone anymore because I was getting terrible migranes from them. It didn't start until the second 15 day prescription I got and it took me a week or so to figure out what was giving me migranes only because of my allergies.

SO I am on hydrocodone and these don't do anything for me. I am not big on pills and try not to take them unless absolutely needed.

I have taken 3 x 750mg (total 2250 MG) in the past 6 hrs with no relief.

I am getting no relief from elevation. Pain on a scale of 1 to 10 with 10 being the worst, I am a 9. I only say 9 because just when I think it can't get any worse, it does.

I am still taking 3 x 400mg of neurontin a day. I see no results from that.

I feel like someone is taking a sharp knife and running it from the top of my arch to the bottom of my foot. My toes are tight and hard to bend. I feel like I am walking on something on the ball of my foot. Jabbing pains in my big toe.

And in 2 weeks, I will be 6 months Post Op for Tarsal Tunnel Release.


I posted this in hopes it makes me feel better. I don't cry about my ankle to my wife very often so tonight I thought I could vent to anyone who will listen.

If my doctor doesnt prescribe something better for the pain then hydrocodone, then I may be forced to have daily migranes from the oxycodone I still have left just so I can get some relief and some sleep.

Result number: 41

Message Number 265393

Re: Mini-update View Thread
Posted by Laurie C. on 5/27/10 at 10:36

Peripheral nerve recovery can be amazing.

I had a complete drop foot - had no ability to pull my foot up or to move my toes. Doctor released my nerve and I regained full movement in the recovery room.

Result number: 42

Message Number 265385

Re: Surgery for missalligned Toes View Thread
Posted by Dr. DSW on 5/26/10 at 19:05

As an engineer, your thought process unfortunately doesn't always apply to the human body, in particular this small area of the foot.

Unlike simple pieces of a puzzle that can simple but 'put back together', bones are living/dynamic structures, which differ significantly from static/inanimate objects.

If any of your fractures are significant and intra-articular/involving the joints, in an area as small as the toes, it is often less complicated to simply remove a portion of the bone and let the patient go upon his merry way. This often results in a toe that doesn't necessarily have to be shorter, if the procedure is performed correctly.

The other option is to attempt to align the fracture sites and the small bones and use internal fixation/hardware to maintain and realign the fracture fragments. Depending upon the size/configuration of the fractures, this can cause more trauma and not always be practical. This can cause more eventual damage and will most likely require prolonged non weightbearing/immobilization allow the fracture sites to heal and to not compromise the integrity of the internal hardware whether it includes screws, wires, pins, etc.

When a doctor makes his/her choices, it is rarely the 'easiest' way to perform a procedure, but it based on the best procedure for the pathology, and the procedure with the best potential outcome with the least potential risks. There is a benefit/risk ratio that is taken into consideration.

You can not compare this to the hand or other parts of the body. These are small bones that are not utilized for fine motor skills, and depending on the level and severity of the trauma, surgical removal of a piece of the bones to maintain alignment and decrease pain MAY be the best choice, not necessarily the easiest choice or a short cut.

Result number: 43

Message Number 265378

Re: Good Feet question View Thread
Posted by John B on 5/26/10 at 12:46

Any arch support will help your problem; some better than others. Usually the firmer the support, the more relief but also the longer it takes to get used to. Also the shape of the support (does it support 1,2,3 or 4 arches) and the proper size of the support are VERY important factors.

Most Good Feet Supports are 1/2 the price of most custom supports and have warranties . AND you can try them first so you know what you are getting and if it works for you. AND you can bring in your own shoes (dress, western, heels, sandals) to see if they fit. AND they have trained people to fit you (BTW-your feet are rolling out because (a) your shoes are broken out or to wide, or (b.) your Powerstep dosen't fit you properly or isn't firm enough to hold your outer longitudinal arch.) AND you have live support if you are having trouble. OH yeah, AND as you found out, It costs nothing to try them.

Also, for an on again off again PF problem, maybe it isn't worth it to you. The same support helps others with severe back pain and sciatica, knee pain, bunions, hammertoes, ankle pain. Many of these people have had joint replacements/surgeries and still have pain. You didn't get a song and dance...you got an explanation. Does your new car run well when the tires aren't balanced or aligned? How long does your new house stand if you don't build it on a firm, level foundation? Your body is no different. Time and gravity have been working on you (why your feet aren't growing but they are changing shape and size). ANY SUPPORT CAN HELP YOU BUT GOOD FEET ALLOWS YOU TO SEE FOR YOURSELF!

Result number: 44

Message Number 265374

Re: Had Tarsal Tunnel Surgery 3/18/10--3 WEEK UPDATE View Thread
Posted by jen on 5/26/10 at 10:03

i had tts on 3/29.....what a horrible road! i still have a ton of pain! cant put my heal down at all im walking on my toes! my doc said i was full weight bearing right out of the recovery room! my incision opened. alot of swelling. found a new doc....the plan is, heal the incision, start PT and talk about going back in?!?!?!? i still have tarsal tunnel!!! uugghh i honestly do not know what to do?? another surgery or not! cant walk anyway!

Result number: 45

Message Number 265373

Re: Surgery for missalligned Toes View Thread
Posted by Bill E on 5/26/10 at 09:48

Thanks for the reply. Yes I did consider, and am quite sure I did damage to the small joints. I am also fairy sure the doctor that looked at my feet, is seeing the reduced gap in my toes as arthritis, which I feel is actually a trauma induced reduced gap, I donít think you develop arthritis at 50 and overnight.

I think what I am trying to understand is; what is the best path to repairing the joint damage? If it is shortening the bone fine, but I just want to be sure that is the best and only route to aligning the bones and creating some gaps in the joints. As an engineer, it kind of bothers me as the best solution, the bones used to fit and were aligned in my foot, and I just don't fully understand why they now need to be shorter. It seems like a short cut (no pun intended) to getting the bones to align.

Thanks
Bill

Result number: 46

Message Number 265369

Re: Surgery for missalligned Toes View Thread
Posted by Dr. DSW on 5/26/10 at 07:15

A podiatric surgeon is just as qualified to perform this surgery as an orthopedic surgeon.

As per most of my posts, there is no possible way for me to provide an accurate answer without evaluating your actual x-rays.

However, whether or not you had hammertoes or arthritis prior to the incident, you state you 'just smashed and mangled your feet'. Did you ever consider the fact that when you 'smashed and mangled your feet', you also caused significant damage to those small joints?

Regardless, the often, the only way to realign a traumatized toe(s) in a situation like yours, with actually the least amount of trauma during surgery is to simply remove a small piece of bone to allow the toe(s) to realign. This procedure is very common, relatively simple and has a very high success rate. The only other alternative would probably be to fuse the toes. Removing a small piece of bone (not the entire bone) would allow continued movement in the toe, where a fusion would allow the toe to move but no motion in the actual joints of the toe.

The goal of any surgery of this type is to FIRST reduce any pain you are having and second to reduce the actual 'deformity'.

I strongly recommend that if you have any questions or concerns, you simply ask your doctor.

Result number: 47

Message Number 265365

Re: Another Issue starting.. I think View Thread
Posted by J. Smith on 5/26/10 at 00:51

Wow !! This really helped me :) God Bless u for writing. I had TTS surgery and I have pain in the ball of my foot between the 3rd and 4th toes. it shoots up towards toes and shocks me all the time! so I am going to call my Doctor tomorrow and request a ultrasound to see if this is my case..Thank you sooooo much!

Result number: 48

Message Number 265363

Surgery for missalligned Toes View Thread
Posted by Bill E on 5/25/10 at 22:44

I did a cannonball in a shallow pool 1 year ago, and broke 4 toes on my right foot (1st through 4th toes) and 2 toes on my left (1st and 2nd toes). I am 6fot 6 and weigh 280 and did the jump in 3 feet of water so it did some damage. At the time I did not have insurance and was told there was nothing that could be done anyway. I did get x-rayís and they showed small pieces of broken bone where each toe met my foot.

When the toes on my right foot broke the big toe leaned towards the right at about an additional 10-15 degrees from where it originally was. The 2 through 4th toes curled under and leaned towards the left. Well a year has gone by; I still walk with a limp and quite a bit of pain. I finally have insurance and went to see a podiatrist about the problem.

He said I have arthritis in my big toes and hammertoe on my right foot. I looked at the surgical procedure for hammertoe and it looks like they remove part of your toe to correct this. My problem with doing the surgery he recommends is that I did not have hammertoe or arthritis before the accident; I just smashed and mangled my feet. It would seem that the correct procedure would be to break and pin or splint everything back into alignment, not start removing pieces.

Anybody have an opinion on doing a hammertoe operation to correct misaligned heeled broken toes or suggestions on the best way to deal with misaligned bones? I was also wondering if an orthopedic surgeon would be a better choice, in this case.

Thanks
Bill

Result number: 49

Message Number 265327

Re: corns and tatoos View Thread
Posted by lashaun on 5/24/10 at 01:02

I am african amer and i have a white corn on my 4th toe. I want to know if i get a tatto to cover it up will it come off when i have my toes scrub while getn a pedicure?

Result number: 50

Message Number 265306

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

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

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

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

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

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

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

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

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

Result number: 51

Message Number 265214

Re: Toe nail removal View Thread
Posted by Roberta T on 5/18/10 at 20:23

Had the nails on the second toe of each foot removed--they were pincer nails (ingrown) from having 'Greek toes'. Didn't hurt when he did it, hurt like hell for a week after the anesthetic wore off; now it's MUCH better. Popped them off like a Coke bottle lid. OUUUUUUUCH.

Result number: 52

Message Number 265213

Re: Toe nail removal View Thread
Posted by Roberta T on 5/18/10 at 20:23

Had the nails on the second toe of each foot removed--they were pincer nails (ingrown) from having 'Greek toes'. Didn't hurt when he did it, hurt like hell for a week after the anesthetic wore off; now it's MUCH better. Popped them off like a Coke bottle lid. OUUUUUUUCH.

Result number: 53

Message Number 265175

Metatarsalitis and Yoga View Thread
Posted by BarbaraT on 5/16/10 at 16:50

My second toes are longer than my big toe and I have been struggling with metatarsalitis in one foot. It seemed to get better while I was temporarily away from my yoga practice and then returned when I began yoga again. Could the act of rolling over my toes while moving from 'baby cobra' into 'downward dog' position where my toes are quite flexed aggravate this? The pain is down along that longer toe.
Thanks

Result number: 54

Message Number 265104

Re: post op course variances View Thread
Posted by Annette on 5/10/10 at 16:45

It's great to hear you are doing well--wow--it sure shows how everyone is so different in their recovery/post op!! I am 7 weeks post op and unfortunately I still have pain in one of the problem areas. I have severe pain under my 4th toe (and even on top). I have tingling, throbbing, sharp pain. It hurts when I'm just laying around. But--I am walking in shoes! I recently went to the mall (and to Target), and walked around, so I'm hoping this 4th toe pain will soon pass?? It seems like it travels around the outside of my foot, up my outer ankle area and up the side of my leg (and I have sciatica pain as well)....The TTS area is still a bit numb, and except for some zings every once in a while, it's not bad at all. I went off my percocet, but periodically might take one a day when it hurts. Other than than, I'm not on anything.

I've seen (and shown my dr.) the research where some doctors believe in moving the foot around right away--I kinda did both. I listened to what he said, but still massaged the area around it, stretched my toes, and was just super careful until the wound was closed. The doctors on this site are amazing and have great advice. Listen to what your own dr. says, everyone is so different! If anyone out there (or one of the doctors) has heard of this '4th toe' pain, it would be great to hear what you think. Hang in there everyone!! :)

Result number: 55

Message Number 265100

Re: post op course variances View Thread
Posted by Bill C on 5/10/10 at 14:09

I am sorry that you are not better after your surgery. I have suffered with tarsal tunnel of the left ankle for many years. I am thankfull that my right ankle is fine. My problem is suspected to be the result of a severe ankle sprain while playing hockey. Chemotherapy for leukemia may have contributed to the problem. As I mentioned, I am just commenting on the differences between post-operative care between the doctors. I am in no way pain free and am not doing anything because it feels good. I am carefully walking as intstructed to do. I don't believe that I am pushing it, because I am doing exactly as instructed.
I was instructed to walk no more than 40 feet per hour the first week, 80 feet/hour the 2nd, and 120/hour the 3rd. I am now at the middle of the 4th week can ambulate ad lib. I was told to wiggle my toes the first week but not move my foot. Weight bearing progressed to full by the second week. I was told to start moving the foot the 3rd week.
I wonder if differences mean that means there is not enough basic research on the subject? Have there been studies done comparing one group with weight bearing and no casting comparing to non weight bearing and casting? I know that the rest of the body can suffer from being sedentary. I made it a point to do upper body strength traing starting 2 days post op. My bench press has actually improved in the 3 an a half weeks since surgery.
You mentioned a possible neuroma as well. I had that procedure 3 years ago which helped somewhat. I wonder if neuroma develops as a result of TTS?

Result number: 56

Message Number 265095

Re: post op course variances View Thread
Posted by Michelle on 5/10/10 at 13:01

WOW! I have been non weight bearing for 4 weeks now. My doctor said that the reason I can't put weight on it is because when they do the TT release and sew you back up the only sew the outer layer of skin (instead of all layers as with other surgeries) to give the nerve room to move where it needs to go. I think it is great that you are up and walking around. I personally, am terrified to start walking. The bottom of my foot is still so swollen that when I do put it down on the group my toes don't touch the ground! Good luck to you on the rest of your recovery!

Result number: 57

Message Number 265089

Re: post op course variances View Thread
Posted by Tony M. on 5/10/10 at 10:27

Wow...

You just had surgery and your pushing it already.... Unbelievable.

I was hard casted for 10 days and then had stiches removed. I was given motion/stretching excercises that started the same day the cast came off and was non-weight bearing for 5 weeks. I used a knee walker for those 5 weeks. No crutches. Also, Icing, elevation and meds for swelling.

My personal opinion, and its just my opinion, that you are way over doing it and aren't allowing the nerve to properly recover and heal. You can be your own worse enemy in your recovery. Just because today it feels good, doesn't mean you should be out and about. Because that could be hurting your chances for a full recovery of that nerve.

My surgery did not go so well for me. I am almost 4 months post op and my condition has worsened. I am allowed to do minor shopping (in and out) and little stuff around the yard. But I am having alot of pain issues as before with lots of numbness on the bottom of my foot. I take 1200 mg of neurontin daily along with pain meds (oxycodone). I have even considered not driving for awhile because it has become an issue.

My biggest issue is if I put my foot on the floor (sitting position) my foot starts hurting bad and starts swelling and if I stand very long, my foot becomes almost unbearable pain wise. So I tend to sit with my leg propped up most of the time. I have had many a days where after I have taken my shoe off, I have what feels like a million needles poking the bottom of my foot. I also get the same pokes in the ends of my toes.

My doctor talked to me about him going back in and removing scar tissue, which may not even do anything after removed and pain management. He also mentioned neuroma. ( I think thats how you spell it). My doctor is going to give it more time before making any other decision in hopes I just need more time.

You have to be diligent yourself and use common sense. Your nerve needs time to heal. The more time you spend on your foot, the slower and longer the recovery process will be and the more activity you do so soon means the lesser the chance the surgery will be a success.

Take it easy. No concerts, running, long walks on the beach or anything else for a bit. Its your feet and you only get 1 pair, so take care of them.

My doctor wants to give my foot every opportunity to heal correctly and for the surgery to be a success. I won't do anything stupid to ruin my chances even though for me, it isn't going so well currently. But I must try.

Result number: 58

Message Number 265082

Surgery for Posterior Tibial Tendonitis View Thread
Posted by JuliaDK on 5/09/10 at 21:03

I have been told that my chronic ankle pain (on and off for the past ten years, with many sprains and falls) and now acutely painful for the past eight months, is due to PTT (Posterior Tibial Tendonitis). I have the classic fallen arch and 'extra toes'. Surgery has been recommended, consisting of (1) transfer of the flexor digitorium longus to the posterior tibial tendon, (2) calcaneal osteotomy, and (3) gastroc-soleus slide. What is the prognosis for such surgery, and how lengthy will the recovery period be?

Result number: 59

Message Number 265070

Re: cheilectomy recovery timetable? View Thread
Posted by hilary l on 5/09/10 at 07:29

Hi again .Had my op in feb and although the swelling nearly went during the 'toes above the nose period' it came beck as i started to walk more.I would be interested to hear how long this goes on for and why is there so much swelling with feet ops? No regrets though but look forward to my feet being normal again.Hilary

Result number: 60

Message Number 265067

Re: Pain Management for TTS View Thread
Posted by suzib on 5/08/10 at 20:48

Since my surgery I've had some happy twitchy toes and I'm using a compounded lidocaine lotion and it calms everything down. I also put on my other foot as I also have tts in that foot as well due to extra muscle cutting off nerve (same as left one was). For me it works and may be something you can discuss with your doctor. I'm 6 months out and the only side affect I have from surgery is the toe thing that I expect to go away over time. Some other things you can do is avoid caffeine and sugar, as well as nightshade vegetables (white potatoes, tomatoes, peppers, eggplant). They increase the inflammatory response in your body. but again it's something for you to research and discuss with your doctor.

Result number: 61

Message Number 265035

Is it too late??? View Thread
Posted by Jody on 5/06/10 at 20:04

I developed burning, tingling in the arch of my R foot and toes of the L after doing a lot of fitness walking last fall.

My internist screened for diabetes, lumbar problems, thyroid. All were negative. Was finally referred to podiatrist three months in, along with a neuromuscular specialist.

Podiatrist strapped feet, I got some relief. She recommended orthotics, but it took over 2 months to get them.

In the meantime, the neuromuscular specialists did emg testing which showed mild neuropathy in both feet. I asked about tarsal tunnel, but he didn't think so. After more bloodwork, said I have idiopathic neuropathy.

I used the orthotics for a couple of months and now have seen another podiatrist for a second opinion. She is suspecting tarsal tunnel now, and tried an injection in one of my feet as a test measure. If the injection provides relief, she says surgery is the way to go.

I am fearful of this surgery, as it seems the success rate is doubtful. After 7 months of this, is there still a chance for conservative measures to work, or is surgery the only way to go??

Thanks for your time.

Result number: 62

Message Number 264961

Re: Had Tarsal Tunnel Surgery 3/18/10--3 WEEK UPDATE View Thread
Posted by Michelle on 5/02/10 at 19:29

Hi...I had Tarsal Tunnel Release and Plantar Fasciatis Release Surgery on 4/12/10, so tomorrow I am 3 weeks post-op. I am so happy to read your post I could cry. Everything I've read online so far about these surgeries has been horrible! I am relieved to see that it just may work! I have been off my pain meds since the first week because they make me so sick. I only take them at night if I need to and usually that is every other night or so because I can't get comfortable. So far the doctor said everything is going great. My swelling at my 10 day post op was at a 2, which he said was great. I have been concerned with the amount of pain though. I have been having pain on the outside of my foot that the only way I can describe is like I'm being electricuted (sp?)...the pain is random and usually happens on and off, but I can feel the pain all the way up my leg, and I swear into my brain! Other than that, the bottom of my foot feels like I've walked on it alot and I have pain in my calf. Ihave been on crutches and the doctor said we will try to put weight on it on Tuesday. One concern I have is that I cannot bend my toes. I'm hoping this is from being non weightbearing and not moving it. DOes anyone else have this? Thank you!

Result number: 63

Message Number 264957

short big toes View Thread
Posted by momsbroke2 on 5/02/10 at 15:26

Hello,
My husband...after years of being a mailman, well, his big toes are short and never touch the ground. The doctors here say that in his upper top foot, the 2nd toe joint has a large gap between the joints. Not touching at all. Husband can not walk far and when he does his 4th toe swells and actually turns blackish purple. We can not get any help here in N.E.Oregon. Can you help us find a surgen or doctor to help him?
Thank You so much,
Momsbroke2

Result number: 64

Message Number 264956

short big toe View Thread
Posted by momsbroke2 on 5/02/10 at 15:18

Hello,
My husband...after years of being a mailman, well, his big toes are short and never touch the ground. The doctors here say that in his upper top foot, the 2nd toe joint has a large gap between the joints. Not touching at all. Husband can not walk far and when he does his 4th toe swells and actually turns blackish purple. We can not get any help here in N.E.Oregon. Can you help us find a surgen or doctor to help him?
Thank You so much,
Momsbroke2

Result number: 65

Message Number 264870

Metatursalgia and metatursal pads View Thread
Posted by trina on 4/27/10 at 22:07

I have a couple of questions regarding metatursal pads. I have orthotics and metatursal pads placed about 10 months ago which helped with the metatursal pain. Recently when I'm walking it feels like there is pain in the forfoot extending into the toes. It feels like I'm toeing off on the very edge of my feet. It doesn't matter what shoes I wear: Aasics Nimbus 11, Petegonia hikers which are relatively new even former with SAS shoes as well.

Do metatursal pads wear out and need to be replaced? Any other suggestions? I'm a teacher and this is killing me! i did gain 10 poiunds this year would love to loose if I could only walk.

Result number: 66

Message Number 264828

hello View Thread
Posted by heidis on 4/25/10 at 20:34

my big toes hurt me my ankles swell I feel pain from the bottom of my foot and it make my whole leg hurt

Result number: 67

Message Number 264826

hello View Thread
Posted by heidis on 4/25/10 at 20:20

my big toes hurt me my ankles swell I feel pain from the bottom of my foot and it make my whole leg hurt

Result number: 68

Message Number 264813

Re: Toe nail removal View Thread
Posted by linda on 4/24/10 at 20:47

i just had my big toe nails removed yesterday. it was a very simple procedure and the pain isnt as bad as i thought it would be. Ive had ingrowns removed 3 times which were supposed to be permenant and each time they came back so i opted to completely remove the nail. I was out doing the grocery shopping and cleaning house today with only a slight burning feeling in my toes. I have a wonderful dr now compared to the one that handled the ingrowns all these years. Just a little help for the people with lamasil.... putting vicks vapor rub on your toenails and using a tooth pick to get it under the edge of the nail will remove nail fungus after 7-14 days and it only costs about $2. my dr told me this a few months ago becuase my mom has had problems with toe nail fungus for years and the lamasil didnt work for her. after 2 weeks of vicks vapor rub her fungus was gone and never came back. Hope this helps someone.

Result number: 69

Message Number 264797

Re: Chronic Insertional Achilles Tendonitis/Retrocalcaneal Heel Spur View Thread
Posted by MinusOneBump on 4/23/10 at 09:41

I'm curious what your doctor's reaction was when you told her what you'd been doing. I hope there isn't an increased risk of rupture.

I'm 5.5 weeks out now and was released from the boot 5 days ago. My incision is healing well. My heel does have some inflammation and I was presribed an anti-imflammatory. My achilles is not painful but my heel is. It's very tender where the bone was shaved off. I'm in a regular shoe with a wedge. I'm walking around with a pretty good limp doing mostly what I need to do, but taking it easy yet. No yard work, certainly won't be mowing the lawn for awhile. By the end of the day I can't wait to go to bed and get off the foot. As for PT, I added working with a stretchy band while seated, but only pushing downward, not up past 90 degrees. No weight-bearing exercises like going up on my toes. I can start massaging the incision in a week or so. The skin is still very papery and new so I need to wait. I go back to the dr in 5 weeks.

I guess in summary we're at the same timeframe post-surgery, but with very different degrees of rehab. There's no way I could have a second surgery so soon and be able to function. But it sounds like you're doing very well and are ready for #2. I hope it goes well!

Result number: 70

Message Number 264778

Bone spurs on back of heel View Thread
Posted by Stephanie P on 4/22/10 at 01:32

Hello
I had bone spurs on the backs of both heels as a teenager that had to be surgically corrected in order to wear shoes. Now I have a protrusion a little higher up (achilles area) that is sore to the touch. I also have pain when I am on tip toes. Does this sound like tendonitis? Is it related to the bone spurs from my teen age years?
It looks like the heel spurs did, just higher up.
THanks so much. You are always so helpful!

Result number: 71

Message Number 264766

011 View Thread
Posted by linda s. on 4/21/10 at 10:07

i had neuroma surgery last aug.never really healed properly,now i have a seroma.it leaks daily at wound site.for the past 2 days the pain in area under toes and toes 2 and 3 is extreme.also my second toe does not bend at all and hurts with any movement of toes.i am beside myself can any thing help this pain.

Result number: 72

Message Number 264729

Re: Finally got surgery View Thread
Posted by Jaf on 4/18/10 at 23:11

Gonna call my TT & pf surgery a failure for now have more pain than I had before but Doc. says it could take up to a year before it helps, tomorrow is my last day of pt had it for 6 weeks, my foot being on crutches, then a boot for almost 6 weeks locked up toes wouldn't bend and ankle wouldn't move, but for now my toes bend but really hurt, back to where the were before pf surgery but should have bent more and my ankle bends better but also hurts, ankle still swollen some, that may take 3 months more to go away, my doc says he's never seen a case were your toes bend less after pf surgery, if it gets better I'll post.

Result number: 73

Message Number 264702

Re: cheilectomy recovery timetable? View Thread
Posted by mel b on 4/16/10 at 15:32

Hi
I had cheilectomy on 22/03/2010,had stitches out last week, had to go back yesterday because of the stinging in my toes, the Dr said I shouldn't have had another bandage put on,so nurse removed and he made me walk barefoot across the room,as previously was told not to walk on it. Tried all afternoon yesterday to walk, felt good until 3am foot and leg below knee very red and toes rock hard, so today foot up all day, called hospital but nobody gives me any advice. Yesterday Dr said I need to put on a shoe and start walking, it feels so sore, should I just percevere even though it really stings. Its getting me down and my boss wants me back to work in a few weeks
Help Im getting worried pains not going to stop

Result number: 74

Message Number 264642

Re: Tarsal Tunnel View Thread
Posted by Jenny W on 4/12/10 at 13:22

Hi Fanny,
I am 11 wks post op from TTS and PFR, I still have some pain. I had the same pain across my toes too. It will get better in time I had my surgery Jan 25. The pain I have now is in my heel, not pain in the regular since, but it feels like i am walking on glass, my dr says it will go away in time.

Result number: 75

Message Number 264623

Unable to bear weight on feet View Thread
Posted by Cheryl on 4/11/10 at 14:46

I have been dx'd with plantar fascitis...I have a spondyloarthropathy but I cannot stand to be on my feet but the foot VA doctor just looks at me....He tried those inserts, but my feet also feel crushed in shoes and I can't bear to wear shoes either...I do have a s1 radiculopathy on my left side, but both feet hurt...I do feel a nerve pain on my right foot in the morning on my middle toes though when I first get out of the bed.

I have heard people with rheumatoid arthritis have a plantar pad atrophy but this is my whole foot, although my plantar area looks kind of flat...I have felt tearing between the heel and the forefoot before...

Any ideas? Are there foot specialists that I don't know about? I can't do anything longer than 30 mins or less some days.

Thanks,
Cheryl

Result number: 76

Message Number 264610

Re: So, do you think I could be a candidate for ESWT? View Thread
Posted by Cher on 4/10/10 at 18:59

That is helpful to me, thank you.

I also have an appointment now set up to see a podiatrist that uses this procedure to get his thoughts on it.

I will keep your thoughts handy as well when I go for a real life examination.

I have a bilateral issue with tons of pain. But I don't know that it is the same kind that people with PF normally complain of. i.e. my 1st step of the day isn't bad, it's as I take 5-10 that I start noticing pain. At rest however, I feel throbbing in the area that PF tends to usually exist--after I've been walking.
In the evening when I try and walk on my feet, I feel like I would like to walk on my toes instead of my heels.
So I don't know if that's any indication.

Thank you for your response.

Much appreciate your time spent here helping us.

Cher

Result number: 77

Message Number 264597

Re: Failed MTP Titanium Joint Replacement Surgery View Thread
Posted by PattyK on 4/10/10 at 02:42

Hey Ken,

I am 57 years old. I am a music teacher (gr. K-8: band, choir and general music). This is my 35th year teaching and I taught on a cement floor for 34 years. I use creative movement and dance in my teaching the K-6 general music classes. Pretty aerobic, a class every 40 minutes...10 a day. I don't 'exercise' but have never been lacking for energy. I am very active in general but never have done any formal exercising. Never have had a weight problem. I am presently planning on joining a fitness club just to make sure I stay in shape. My FAST tempo that I walked prior to my surgeries isn't quite there, but improving every day. I was moved to a different room last year so I am no longer teaching on a cement floor.

The cement floor was pretty unforgiving on my big toe joints, I suffered a little pain in '08 and last spring '09 I started having limited motion in my right big toe. I do think my condition was a result of how my feet were not properly aligned combined with the cement floor and my high activity level.

I had a hemicap surgery on my right big toe in Nov. '09 And the left big toe hemicap surgery in Jan. '10. The original decision by my foot surgeon was to do a joint clean up on each big toe. That was changed after I went to my pre-op appointment. My foot doctor consulted other foot surgeons and made the decision the day before my surgery to change the procedure from a joint clean up to a hemicap patial joint replacement. Even though my left big toe had just a little pain and very good range of motion, he took new x-rays and decided the cartlidge was very damaged and thin and it would be best to do the exact same surgery with the hemicap partial joint replacement.

I am back to work and doing very well. Standing and still using lots of creative movement in my teaching. I don't sit at all, except for my 15 minute lunch. My left toe is still in the healing process but I can tell it will be fine. It's pretty sore and swollen by the end of the day but I ice it when I get home and it's fine in the morning.

I am trying to avoid harsh shifting activities like tennis. I do lose my balance when I make quick 'turning'. I am not much of runner, but I have joined a fitness club so I can exercise using equipment that doesn't involve bending my toes. The most recent surgery toe does feel like it has something 'stuck' between my toe bones at times, usually at the end of a long day of teaching.

My doctor said not to run and not to walk exclusively for exercising. I may be able to do more walking later on when I feel my feet are totally healed. He did say if I do my physical therapy I should have a decent range of motion in the end. I am still in physical therapy 2 times a week. He did advise me NOT wear heels more than 1 inch. I don't wear heels except for directing concerts.

My insurance covered all but $600 for both foot surgeries. The total bill for both surgeries including follow up appointments was around $24,000. My foot surgeon was in my insurance's network, but they told me he was also in their 'super' network. My physical therapy is a little less than $200 an hour. I have been going 2 times a week since Nov. I just pay a $10 co pay. I also missed about 4 months of work, but had enough sick time built up over 35 years to be able to stay home and keep my feet elevated above my heart most of the time. I still have sick time left. Did you have to return to work soon after your surgery? I think being able to rest and have my feet propped up helped my successful recovery.

I understand the hemicaps were perfected in 2003 and in 2008 the most insurance companies covered them in the USA. I was never told it was 'experimental'. I was told it was much better to be able to do a partial joint replacement versus a total joint replacement. But it was my foot surgeon's first hemicap surgery, the hospital's first hemicap surgery and the physical therapy facility's first hemicap client.

I wish you luck with your foot recovery. Hope my 'foot saga' gives people some encouragement.

Patty K

Result number: 78

Message Number 264593

So, do you think I could be a candidate for ESWT? View Thread
Posted by Cher on 4/09/10 at 20:42

Some months ago I was here for the TT board. Due to symptoms going that direction, positive nerve conductivity test, bilaterally. Had TTR surgery done on one side. 4.5 months later. No change. On 6 vicodin a day and wish it could be more! Not even sure now I had/have TT.

Brief history: Sept. 2009, running/working out as usual. Have heel pain. Think I'm not stretching out good enough. Tell my chiropractor about it. She thinks 'plantar fasciitis'. Get on an icing/stretching/ultrasound/massage/inserts schedule. No change. Gets worse. I'm a 35 year old, 130#, 5ft. 6, healthy otherwise.
Chiro. sends me directly to podiatrist. Tried taping me up, inserts, injections, nerve conductivity study along with my decreased to 'homebound/pain of level 10 all the time' offers he thinks TTRelease could help.
Nope. It didn't. VERY expensive custom orthotics worn for weeks. No help.
I have a hyperpronated subtalar joint, but he doesn't think significant enough to cause this pain. Did an MRI last month. All looks good except for he said I have inflammation on both sides which he said is plantar fasciitis. He mentioned perhaps releasing that might help. But because he is so bewildered that my TTR didn't take and it seemed obvious it should (I had an extra muscle and a venus network of blood vessels wrapped around a nerve)....he says 'something else' is going on here. Claims I don't fit the normal foot problem box.
I have pain in heels, soreness through whole foot, backs of ankle very sore, sometimes feel pain in calfs too. Could it all be connected to PF inflammation?
Before the TTR surgery I saw other podiatrists who thought dr. that did surgery was on the right track. So that's why I did it.
I did a few months of physical therapy in and out of the pool and no relief.
I stay at home except for small outings--church, hair salon, dr's appointment. I use a walker usually when I go out in case I have to stand very long. I cannot walk very far without my ankles/heels feeling so sore I feel I must sit. (remember I used to run for miles a day and be an active mom to my 4 kids).
If I could walk on my toes I think I might would be ok.
I've seen another neurologist and a few general practitioners. I've had a full workup of blood from all. Testing for all kinds of metals, weird neuropathies, diabetes, etc. Everyone is bewildered.
Only thing that came back bad was that I am Vitamin D deficient. Which may be my answer to some relief down the line. Neurologist says he's seen some pretty bad stuff from D deficiency.
But it's been 6 weeks on D therapy and no change yet. On 6 vicodin and 2 naproxen a day.

Alllllllll of that to say. I'm wondering what the risk would be in trying ESWT with plantar fasciitis and maybe achilles tendonitis in mind. And if you think it's even worth pursuing.
I'd really rather not risk an invasive procedure if I don't have to. And I cannot live like this for very much longer. I don't want to kill my liver by the time my feet are well.
By the way, dr. did injections on one foot in Dec. It didn't make things better so he suggested further injections wouldn't take either.
So, what does that give me as far as odds that ESWT could work?

Thank you for your thoughts!

Result number: 79

Message Number 264583

Back of Heal Pain View Thread
Posted by DawnSeven on 4/09/10 at 12:09

For 8 or 9 months I've been suffering with pain on the bony part of the back of my heal. It hurts to press on it, and it hurts to walk, particularly when that foot is in the rear and I'm rolling onto the ball of that foot before swinging my leg forward for the next step. It is only pain on that exact spot. I have no pain at all if I stand straight and rise up on tiptoes, nor when standing. I have no foot pain at all on the bottom of my heel, along the bottom of my foot, or the ball of my foot. I was thinking it was achilles tendonitis or something (as the stiffness and pain are much worse in the morning) and got the diagnosis that it was likely plantar fasciitis and do a regimen to treat that (which can't hurt me) and if the pain persisted to return and be checked for a bone spur. The 1 page information sheet I was given on plantar fasciitis isn't ringing true for me. I don't have pain anywhere on the bottom of my foot, and I'm not a runner or anything. Can plantar cause just the pain I've mentioned and not any others? I know everyone is different. Thoughts?

Result number: 80

Message Number 264573

Had Tarsal Tunnel Surgery 3/18/10--3 WEEK UPDATE View Thread
Posted by Annette on 4/08/10 at 23:55

It's been 3 weeks today and things have improved! I had my staples taken out 2 days ago, and I'm allowed to get the wound wet (not soaked) in a shower, but not a bath. I have steri-strips over it and it's healing very well. I use hydrogen pyroxide and steristrips and then wrap gauze around it after. My doctor says I still can't put any weight on it for another 2-3 weeks, but I can wiggle my toes and 'draw the alphabet with my feet'.

My pain has diminished SO much, and only hurts a little when I extend the foot. I still have the 'zings' of pain periodically, but all in all, I'm feeling SO much better.

My Dr. wants me to still wear either the cam boot or the boot I used to wear for my Plantar Faciastis to sleep at night, just to keep the foot in the correct position (I sometimes cheat and don't wear anything).

Honestly the most pain I'm feeling right now is my left shoulder and arm, I think my arm/shoulder hurts from the way my weight is distributed and how I'm leaning when I use my knee walker.

I'm still on percocet but only 1 a day instead of 1 every 4 hours. If I start to hurt a bit, I take one.

This recovery is HARD...I hate relying on others. I can't drive, and it's a huge adjustment emotionally to have to plan everthing you do (like forgetting a washcloth when you are already in the shower!). I'm very optimistic...and my Dr. says the first hurdle is over, that the wound didn't 'de-hiss'...so my recovery is going well! :)

Result number: 81

Message Number 264521

foot problem View Thread
Posted by Rebeca D on 4/06/10 at 14:39

I have been seeing a podiatrist for my foot pain. He says I have chronic plantar fascitis. I have some pain near the heel, but mostly the rest of my foot feels swollen on the bottom. I feel like I am constently walking on some sort of bubble from the swelling. It is very uncomfortable and painful at times. I have burning near the toes, and the ball of my foot feels swollen the most. I can also feel extreme tightness in my foot. My Dr. has been giving me cortizone shots, which don't work. In fact they seem to make the problem worse. He took an MRI of my foot and said that I had the largest bone spur he had ever seen. I asked about P.T. and he said he didn't think it would work with my chronic condition. My regular Dr. says if I don't have heel pain then it is not Plantar Fascitis. I rarely have heel pain first thing in the morning, but my whole foot might hurt. Now I am confused and not sure what to think, only that I want some relief. I am open to any suggestions. I am also looking for a shoe that would help. I need good support though as my foot tends to roll inward.

Result number: 82

Message Number 264490

Re: Bunions View Thread
Posted by KathyG on 4/05/10 at 12:13


Hi Doctor,

I'm not the first poster but I was wondering about something. I have not studied the subject on the internet yet. Are bunions caused by Osteoarthritis or is that totally different?

I have no intention to have surgery on my toes but I've developed painful arthritis (PCP confirmed, not my POD) in my toes and finding comfortable shoes is a challenge again. I do think my orthotics are helpful but my big toe and the one next to it are steadily trying to move as far away from the other three toes on the foot. In the meantime, I have secondary neuopathy which is quite painful.

Oh, and the reason I don't want to have surgery is that I can't use crutches due to severe arthritis in my shoulders, back and neck. I've had joint replacement on my hands but they wouldn't be too happy about using a walker. Overall, my feet will have to get much worse for me to consider surgery.

Thanks for any information you, or any of the other doctors can offer!

Result number: 83

Message Number 264466

Re: callous and scar tissue bottom of foot from surgery View Thread
Posted by cheree on 4/03/10 at 14:29

My daughter has had numerous ops to her foot, lymphatic tumors developed and were removed from on top of tthe foot, however more grew between the toes, from the big toe and formed underneath the toes so the last op they removed them but had to cut down onto the underneath of the foot, the tendons on top have also shrunk causing the toe next to the big toe to lift and directly between these two toes is the callous and scar tissue which we cannot soften She lives in great pain daily. Please can you help
Cheree Durban South Africa

Result number: 84

Message Number 264464

gastrocnemius slide View Thread
Posted by taniae on 4/03/10 at 13:00

I had bilateral gastrocnemius slide operation in 2004. I was told by the surgeon that He had done this operation many times. As I knew him I trusted him. Post op both of my feet were s planter-flexed my soles of my feet touched the bed. I could not my the foot but could move my toes. The physio came to see me but was alarmed when he saw the position of my feet and that he could not move them. He therefore went to get the consultant. The consultant would not come up. I was told to use my dressing gown belt around my foot to pull the foot up. Only 4 days latter splint were made for me that I had to wear at night. Since this operation I have had significant pain in the posterio-medial aspect of the lower leg. The right lower medial side of the leg there are places now wear the skin and muscle goes in and out. The muscle contracts on its own and I am in pain for hours.I also have bilateral Achilles tendinitis, knee pain bilateral greater trochanteric bursitis and synovitis. I have chronic pain syndrome and now I am about to loose my job due to health and I have been told it will be difficult to get a job. I feel that I was lied to by the consultant over his knowledge of the operation and I feel that I should of had my feet in a splint to hold them in neutral position. Was this also the correct op for somebody who is hyper-mobile? (Ehlers Danlos type 4)

Result number: 85

Message Number 264455

Re: How can I get rid of a corn on my second toe View Thread
Posted by Michelle on 4/02/10 at 13:05

I too have corn on my toes. I finally found the solution to my problem. For fifteen years I never showed my toes...now I can. There is a company called tajjcosmetics and they make an amazing product that conceals the discoloration. After getting a pedicure I just simply conceal it with the corn concealer. It matches my skin tone and best of all it is waterproof. I think everyone should try this product It is amazing. Whatever you do, please dont get any surgery The concealer is the BESSSSSSSSSSSSSSST.

Result number: 86

Message Number 264454

Re: How can I get rid of a corn on my second toe View Thread
Posted by Michelle on 4/02/10 at 13:05

I too have corn on my toes. I finally found the solution to my problem. For fifteen years I never showed my toes...now I can. There is a company called tajjcosmetics and they make an amazing product that conceals the discoloration. After getting a pedicure I just simply conceal it with the corn concealer. It matches my skin tone and best of all it is waterproof. I think everyone should try this product It is amazing. Whatever you do, please dont get any surgery The concealer is the BESSSSSSSSSSSSSSST.

Result number: 87

Message Number 264431

Re: Having Toes cut Out-Linda W View Thread
Posted by vb on 4/01/10 at 14:31

Hi,DR.Z Thanks very much but I live in KY.I would be willing to go to another state but now I am going through a very hard time with my feet and my dad.He has been the hospital for the last week and was even sent two a hospital in TN.Where they told us that they could not help him so they sent him home.He has C.O.P.D.and is on Oxygen.And he has two well I can't say or spell it but I will explain and you will know what I am talking about they are in his Arterys and one is 5.2 cm and the other is 5.7 and both are in his belly.they are like ballons in his arterys they could burst at any time and he will bleed to death and he also has a bad heart he had open heart surgery years ago and now they say one of his values to his heart is gone right gone.They said they did not know how long he would last but he is bad he keeps getting lung infections in the hospital for a week and out for 2 wks and then back again.When they sent him to TN for surgery on those things I knew they would not be able to do surgery because of his lunds.I am sorry for going on and on.I have walked hospital halls untill a time my feet feel numb and at time's they hurt so bad that I took extra meds I had no choice my dad and family needed me.He also carbon something building in his blood and they could not get it down any.I am sorry I will shut up I guess I just needed to talk.VB

Result number: 88

Message Number 264381

Heel Injury- what could it be? Do i need to see a doctor? View Thread
Posted by Melinda on 3/30/10 at 11:39

I guess I should start by saying my ankle got hurt a few weeks ago- and not a normal ankle injury..the bone on the inside of the ankle was where it was tender and my ankle began cracking pretty much every time I moved it and also felt extremely stiff. I have hurt my ankles many times and never anything like this- it wasn't necessarily overly paiinful, just strange. I play soccer a few times a week in adult recreation leagues and was able to continue playing on my ankle with a brace until I came down very hard on my heel last week.

I have no idea if these are related injuries or just ironic that they are on the same foot within the same few weeks. But it is the heel injury/pain that I am much more worried about. In fact, my ankle has not bothered me since my heel got hurt. I do not know if this is because the heel pain is that much worse that it is masking the old ankle pain or if the ankle has healed.

I could not put any pressure on my heel for about 4 days after it happened and and only a little pressure for the next few days and have been icing it every day. Last night (a week later) I tried to play soccer again because I was feeling fine with walking & running on it, of course when I run its more on my toes so it doesn't hurt my heel as much anyways. Its a recreational league so not too competitive, but probably too soon to be trying to play. I taped my foot, had an ankle brace and some orthodics for my shoes. The orthodics make me feel like I am on air but don't make the heel pain go away or make it any easier to actually put pressure on my heel. After playing for about 10 minutes it got bad and now I am back where I was a week ago when it happened with barely being able to put any presure on my heel.

Based on this website and others discussing plantar faciatis- I do not believe I have that. I can pinpoint when the original pain started and it did not occur over time, it seems more of a specific injury. From reading articles, it seems the only kind of heel 'injury' is a fracture, but I also do not believe that it is fractured because I don't think I would be able to walk on it at all- is this wrong? Do I need to seek medical attention for this or might it go away on its own? Any ideas on what it may be are greatly appreciated. (sorry for the lengthy story)

Result number: 89

Message Number 264372

Mortons Neuroma and hammer toe View Thread
Posted by Chris C on 3/29/10 at 23:36

I've had a neuroma between my 2nd and 3rd toes for about 5 years. I had 2 cortizone shots when first diagnosed which lasted over 3 years. I had another shot a couple months ago and two days later I developed a hammer toe in my 2nd toe. The shot didn't work. I still feel like I'm walking on a live electrical wire. I also feel like my sock is balled up on the bottom of my foot and now the hammer toe makes my foot feel cramped and finding shoes I can wear is so difficult. My question is, could the shot have caused the hammer toe?
Also, what would you recommend I do to relieve my discomfort? I've heard about alcohol shots killing the nerve without surgery...any comments on them? I should mention that I have orthotics and I also have a bunion on the same foot. If I opted to have surgery, which I've been told I would have to have to repair the hammer toe, could the bunion, hammer toe and neuroma all be done at one time?

Result number: 90

Message Number 264354

Change of shoes + pain. View Thread
Posted by Jody on 3/29/10 at 13:42

I have been dx'd with high arches and pronation, and my podiatrist suggested orthotics. I have since moved and had the orthotics made by a cped. While waiting for the orthotics, I switched to Birkenstock sandals because I have developed tingling and numbness in my arches and toes.

Since using the Birkenstocks and the orthotics, I have been having spine trouble, especially in my neck, which was fused 10 years ago. Can this change of footwear be affecting my spine this way????

Result number: 91

Message Number 264344

Re: When to admit to hospital due to pain not responding to Rx View Thread
Posted by JuliaD on 3/28/10 at 23:07

Hello,

I've read most of your posts. I am and have been researching this dreaded RSD disease for my daughter who had it after a brake pedal injury and lis franc sprain and edema of the metatarsal and cuboid.

These are the things that help so far.
Alternate aspirin, motrin, ibuprofen and add TUMs
Epsom salt baths<<>> magnesium sulfate
Staying WARM avoid cold and ice at all cost
Mirror box therapy if you have a good limb to use to reflect and watch
Bennadryl 3x day to take swelling down from auto-immune response.Less swelling = less pain- Also histamine is part of the pain cycle.
DXM tablets nightly and daily. NMDA antagonist otc.. without any additives Dextromethorphan- HBr
Clonazepam 3x daily for stress and anxiety and to calm the system
Lamictal
We are on a titrate up of Low Dose Naltrexone currently at 3mg.
We use high dose vitamin C 1000 mg
Vitamin D 1000mg
Multi-vitamin
Alpha Lipoic Acid
Super Anti-oxidant supplement
(she is allergic to neurontin, lyrica, and cymbalta)
Lexapro small dose SSRI
Zanaflex muscle relaxer.

We are going to do the ten day dose infusion of Ketamine because it has spread,and the last Sympathetic Nerve block didn't do much of anything to relieve any pain. The epsom salt baths help tremendously with flares and that sort because they cause the blood vessels to expand and the muscles to stop cramping,and heat of the limbs. While in the warm water extend the fingers and toes and move them about best you can. Stay WARM..Get soft things to keep warm in.

The injury was in 12/09, dx of RSD Jan/10 one remission but returned due to not knowing how to handle the remission.. be careful take it slow
Pace yourself. but MOVE.. desensitize all you can with items that are rough. 3 min walking 6 min rest. double rest for activity -take breaks.

We got stuck somewhere the other day when my daughter had a flare and it had spread to her face.. WE had no epsom salt to toss in the bath and asked about it and the lady said she had milk of magnesia.. At the time my daughter's face was burning like peppers were rubbed all over it. The Milk OF Magnesia was poured on a warm wet cloth and put on her face and within 2 mins it stopped burning.

The key is to do these things immediately. Do not wait..She is on no pain medications. She is bi-polar so they didn't want to get her into an addiction problem after the accident.. So far no one has given them to her either. NONE> I might have to sell the farm, but she will have the ketmine infusions because what is it all worth anyway if you have a farm and your kid is in pain. she is an adult by the way. Sometimes she takes 4 or 5 baths a day, but it is better than sitting in the chair with the blanket over her head burning. She is brave and I see her cringe with the rough materials rubbing them on her feet that hurt. Research what works for others. I took a list of things that others said helped and am using that to minimize her pain. I Hope that some of my research helps anyone with RSD /CRPS Do not cast a foot with RSD/CRPS

Julia

Result number: 92

Message Number 264329

Re: Stump Neuroma View Thread
Posted by ROB K on 3/28/10 at 00:32

Hi Jill
It seems to be over a year since you had your surgury in Alabama, I am wondering how the recovery went and where you are now as far as foot pain after surgury. Would you do it again? I am dealing with a foot neuroma between my second and third toes and have had the shots which hace not worked, use the pads and a custom othotic which helps just a little, and am now considering surgery therefore I ask?
Would you still recommend it and would you still recommend the Dr in Alabama?
Thanks
ROB

Result number: 93

Message Number 264321

Re: both feet, toes numbness sometimes tingling or coldness inside View Thread
Posted by stan b on 3/27/10 at 11:28

For a few months I was getting a feeling of numbness in the toes of both feet. This increased and added tingling and sometimes a cold feeling on the inside of the feet besides the toes. this has now gotten worse at night, I wear socks and slippers to bed otherwise just touching the mattress with my toes feels like pressure pushing at the toes. Lately I wake up with my feet feeling like lead until I get up and walk around. I saw my doctor last week and diabetis was ruled out. in about 7 days I am being set up for imaging for an ultrasound arterial doppler of lower extremities test. Years ago I had 2 bouts with herniated disks and wound up in traction {did not help much). I did have a series of epidural shots also years ago and they helped for about nine months. 2 years ago, I had badly inflamed sciatica nerves which lasted about 4 months that was helped by physical therapy and advil. I also had an MRI perhaps 7 or 8 years ago that showed that I have spinal stenosis. also even though I am 73 I still work out 4 times a week with heavy weights I have been doing this for almost 60 years. When I was 12, 13 years old I was diagnosed with very bad flat feet and wore steel plates. I stopped wearing them as a teenager and never thought about my flat feet until now. What do you recommend. Thanks Stan B

Result number: 94

Message Number 264297

Re: helpful things to have for post tarsal tunnel release surgey (or I guess most foot surgeries!) View Thread
Posted by Annette on 3/26/10 at 05:34

Hi Dr. DSW,
Thanks--yes, I totally understand. My dr. doesn't want me to get it anywhere NEAR the water...but ugh, I had to come up with some type of plan, and he recommended the press/seal. For my 1st surgery (EPF Release), I had bought a store bought 'water proof' sleeve--it actually looked like a huge condom--sorry but that's how it looked. I got in the shower, thinking 'oh, it will keep it completely dry'. Well, I get out, take it off, and the water just had ran right down my leg into the sleeve like a little pond at my toes...and I came out with a completely wet foot, the dressing was soaked.

This time I actually 'hang' my leg out of the bathtub and keep it elevated on a tiny chair. I sit in the bath seat, and just manuever my elevated leg with the shower curtain around it, and use my hand-held shower head. I still seal it up good with the press/seal and tape, just in case. So far, so good--not one drop has leaked in and I'm super careful. One week down, about 6 to go...

My husband of 22 yrs., our 19 yr old son & 17 yr old daughter roll their eyes at me now when I even ask for anything--even a bottle of water! I guess taking care of me is getting old--the dog is getting better treatment! Anyways, no matter what keep the wound dry--you don't wanna go through it again. And, as Dr. DSW says..don't do anything unless your dr. has given you permission! :)

Result number: 95

Message Number 264294

Re: Having Toes cut Out-Linda W View Thread
Posted by Dr. Z on 3/25/10 at 21:46

Hi Vb
It sounds like you are very upset, angry etc. I just want you to know that TTS can be very difficult and in the best of hands the outcome can be more pain and other problems. This is why conservative treatment before surgery is always attempted. If you live near Chicago I can recommend a very good surgeon who speciality is helping poor outcomes form surgery

Result number: 96

Message Number 264264

Re: Hallux Rigidus surgery and recovery options View Thread
Posted by Charlotte on 3/24/10 at 14:39

I'm 19 years old and have suffered with my feet since i was born.
I had the hallux valgus operation about 5 years ago on both fee but the problem has reoccured (in both) but this time both my big toes are dislocated which obviously hurts quite a bit.
Its also causing me to walk on the sides of my feet to take the pain away from my big toes. This is making my back, hips, knees and ankles hurt and click a lot.
I am going for walking tests etc in a couple of weeks and to get some insoles made for my shoes again. But we tried this before and It did not help and also look awful. I have also been told by my surgeon that they want to do the hallux rigidus operation at the end of this year. They also told me that even if I have the operation my walking and movement in my feet will gradually get worse in about 10 years.
I also have cronic arthritus in my big toe joints.
Im so scared about the pain and recovery time of this operation. But what other options do I have. I cant even buy shoes right now unless I get horrible wide fitting orthopedic shoes. Being 19 I want to go out and wear pretty shoes and dance and do things that normal girls my age do. Im so depressed.
Sorry for rabbiting on but Its nice to find people who have been through this operation.
Charlotte x

Result number: 97

Message Number 264256

Re: Opinions and Thoughts View Thread
Posted by Annette on 3/24/10 at 06:43

I'm only 6 days post-op, so I will be following your progress closely. I'm not sure how you dealt with a cast for 10 days, I have a cam boot since yesterday and I take it off every 3-4 hours (just for about 10 minutes), because I can't stand the constriction/pain. I'm not moving it, just letting it 'breathe' for a bit. I have an article that I found and it's very interesting, making me think twice about keeping my foot so still.

http://www.podiatrytoday.com/article/7884


I gave it to my surgeon before the surgery, and he actually knew the dr. that wrote it. He said he doesn't want the wound to 'de-hiss', that's why it's in the cam boot.

Have you started any physical therapy, massage or stretching? I try to move my toes back and forth, but that's pretty much it for right now. I'm icing behind my knee every chance I get. Let me know what you think of the article.

I really feel your pain. I'm on hydrocodone too, doesn't really work for me either. I have shooting pains all over at random times, tingling, but so far no numbness. I truly hope you start to feel better--believe me, I feel for you. :)

Oh, and not sure how you are getting around, but I really recommend the knee walker from CVS..it's $99, has brakes, a compartment, and a seat.

Result number: 98

Message Number 264245

Opinions and Thoughts View Thread
Posted by Tony M. on 3/23/10 at 20:11

SO its been just over 2 months since my TTS Release Surgery. He is what is going on and I would like everyones opinions and thoughts.

If you tap along the Tarsal Tunnel I have shooting electrical/Tingling feelings that go under my arch into the bottom of my foot.

AT the bottom of my arch I have a numb spot about the size of a Large $1 Coin.

I have numbness on the bottom of my heel around the outside.

I have some shooting pains going to my big toe and sometimes to my small toes.

My foot hurts and hurts and hydrocodone doesnt do anything for it.


I had Tarsal Tunnel Release Surgery and had a Ganglion Cyst removed from my tendon in the same ankle.

It felt better once the hard cast was removed 10 days after surgery and has slowly felt worse and worse. I have done everything the doctor has asked of me and more.

Any ideas? Suggestions? or Opinions?

Anything Please.

Result number: 99

Message Number 264218

Re: Had Tarsal Tunnel Surgery 3/18/10 View Thread
Posted by Annette on 3/23/10 at 05:11

Hi Dottie,
Although I wish you weren't part of this 'club' haha--it's comforting to see that other people understand as it's hard to deal with when you don't deal with the kind of pain we suffer all day long. I hope your pain diminishes with the new treatment--it sure sounds promising!! I am not diabetic either, but when nerves are causing pain, it might not matter? Neurontin worked pretty well for me, but it made me gain about 20 lbs., so I stopped about a year ago.

So I went to dr. today, he opened up my bandage and I have a pretty large red hematoma in the shape of a circle above my ankle bone, and it's the size of the palm of my hand. The wound has 'de-hissed' a little bit on the bottom, and it was leaking. I'm now on antibiotics.

Ugh, the worse thing is now I'm in this black cam boot (alternative to a cast according to him), and it's hurting so bad. The pad of my foot on the outer side under the 4th toe is throbbing and it seems like it's pressing up against that bone. I have throbbing, shooting pains all over. He said my foot had started to 'turn in' and he needed to keep it in place, (kinda like a night splint). I don't see him for another week.

Did you have to do any stretching exercises (like toes, etc) after your tarsal tunnel surgery? I'll keep trying to post my progress. It's only been about 4 days, so I guess I'll just have to be patient. I'm having headaches and nausea at night, I'm guessing the percocet is giving me some side effects. My left foot (good foot) is super tight and I have pf in that foot, so of course it's acting up right now since I'm relying on it for everything!

Please keep in touch, and if anyone else out there can give me some pointers on this recovery and what their surgery was like, that would be great!

Result number: 100

Message Number 264152

Had Tarsal Tunnel Surgery 3/18/10 View Thread
Posted by Annette on 3/20/10 at 07:03

Before having my surgery, I would try and find out more info on my foot pain and find other people suffering with what I was going through, and it was very hard to find information. Not alot of people understand what we go through and I'm hoping this helps someone like me, as I've been suffering for the past 5-6 years. I've been through alot, and I'll try and post my history and progress the best that I can. I'm a 44 yr old female, 5'7, weigh 175 (used to be 210 lbs when I was on neurontin which helped the nerve pain but made me gain alot of weight). 5 years ago, I started out having right knee pain with swelling under my kneecap , and developed some vericose veins (not bad but visible compared to left leg). After numerous MRIs, the doctors could not find anything wrong. Then my right heel started to develop sharp pain.

I tried night splints (3 different kinds), custom orthotics, ice, stretching, PT, neurontin, steriods, anti-inflammatory prescription meds, active release technique, ultrasound, accupuncture, numerous cortisone shots, etc. After about 3-4 yrs of pain, I had endoscopic pf release surgery in Sept. '08. The pain diminished in my heel somewhat but I still had lateral pain, and developed severe shooting pain under my 4th/5th toe. I sometimes felt like I was walking on my 'skeleton bones', like there was no padding in my foot. It literally felt like I had bruises on the bottom of my feet. The pain was worse at nite, shooting pain, tingling, throbbing. I couldn't even explain where the pain was, because some days it was the arch, other days the bottom outside of my foot, then my 'neuroma' under my 3rd toe. My foot constantly 'ached', and I would have shooting, stabbing, and sharp pains all day long. After more cortisone injections and a MRI (which showed nothing wrong), I was at my wits end and decided to go through with the TTS surgery 2 days ago (with the same foot dr. that did my EPF surgery).

After my surgery, my dr. said I had a vein that had wrapped around my nerve numerous times, and there were 3 different spots that were very tight. I'm sorry I don't know the correct terminology, but he is certain that my pain was caused by the TTS.

I woke up in recovery and I could feel alot of pain in my foot (same thing happened after the pf release surgery--not sure why, but for some reason the block didn't work very well). He injected more meds and numbed it, it's wrapped up like a mummy from my toes to my knee.

I have been on percocet (10-650) every 4-6 hrs, and I'm in pain, but honestly it's not as bad as I thought. If you have this, you know the pain we've been through, so after surgery it hasn't been that much worse. I slept pretty well last nite and went from 3am til noon, woke up with no pain. After getting up, it started to hurt and started the pain meds every 4-6 hours.

I'm experiencing throbbing, tingling, some shooting pains up my calve. I bought a knee walker for $99 at CVS--it's a walker with brakes and a seat that I put my knee on. Much better than crutches, I recommend it. I also put a bath seat in my tub, and have a small folding chair in my bathroom that I can prop my foot on it.

I'm icing (under my knee) every hour. On monday I will have the dressing changed and will be placed in a CAM walker boot. I won't be able to have any weight bearing for approx. 3 weeks.

I had my surgery on Thursday a.m...it's now 4am on Saturday morning. I'm on pain meds, I will try my best to post my progress the best I can (I'm a little disoriented and dizzy). Gonna try and get some sleep--I think the oxycodone has me a bit 'wired' :)

Result number: 101

Message Number 264117

Re: Having Toes cut Out-Linda W View Thread
Posted by vb on 3/18/10 at 14:32

Dear DR.DSW don't get mad at me just wanted to talk to someone.I never thought anything about mention where I had my procedure performed.I see where you was coming from and why you deleted it.As you are the only one that well may have readed that post.I thought that I might search the web and see if they had a post or what ever you would call it and guess what they do and do you know that no where on the site did I hear or see anything about them treating TTS.Just talking to you as a friend.nothing else if they did alot of or knew alot about TTS they would have mention it on their site you would think .well after all he said they was seeing patients in 9 surounding countys.I wonder if its like that in the big city's they just don't see many with TTS.This must be a very rare thing.Me finding me a DR out off state may not help me at all.And anyway My guess is the damage it already done.I guess my only hope is that she don't do as good of job on anyone else as she did me.VB

Result number: 102

Message Number 264110

foot problem View Thread
Posted by str1 on 3/18/10 at 01:12

I've had plantar fasciitis in my right foot for close to 2 years. While the condition is better, it is not 100%. However, my question is actually about my left foot. About two weeks ago, I've developed some tenderness and pain between the 1st and 2nd metatarsal. It's more of a dull throb than an acute, sharp pain, and I only feel significant pain when I push off with my left toes (as if standing on my tip toes).

I partly feel my plantar fasciitis has persisted for so long because I wasn't very proactive in the beginning. I was really only aggressive with plantar fasciitis in the 2nd year--physical therapy, stretching, strengthening, icing, custom orthodics, etc, etc, etc.

That said, how should I best approach the pain in my left foot (the pain between the 1/2 metatarsals)? Should I just rest it and stay off it as much as possible, or should I be proactive and stretch it, strengthen it, walk on it? Basically I'm not wanting to repeat my experience that I've had with plantar fasciitis, so I'm not sure if rest or aggressive stretching/strengthening is the best approach to the non-pf foot?

Result number: 103

Message Number 264107

Re: Having Toes cut Out-Linda W View Thread
Posted by vb on 3/17/10 at 21:01

OK,I am sorry.VB

Result number: 104

Message Number 264106

pain shooting out big toes View Thread
Posted by vb on 3/17/10 at 20:58

Pleas DR.DSW will you answer this one question for me.I guess you remeber me I have TTS.The shotting pain out my big toes are really bad like every few minutes sense yesterday morning could caffeine be making this worse I have been trying to figure out what I have been doing different.VB

Result number: 105

Message Number 264102

Re: Having Toes cut Out-Linda W View Thread
Posted by Dr.DSW on 3/17/10 at 17:54

vb,

Your post was deleted because you mentiond the name of the practice where you had your procedure performed, and there were some negative comments in that post.

The owner of this site and I have decided that it simply is not fair to mention a doctor's name or the name of a practice with any negative comments, if that doctor does not have the opportunity to defend himself/herself.

We are not isolating your post, but have deleted many posts that mention any doctor or the name of a practice with any negative comments. We feels it's simply not fair to the doctor unless the doctor has an opportunity to respond.

So in the future, please just state that you are unhappy with a doctor or discuss anything you'd like about a doctor, but please don't mention the doctor's name or name of the practice.

Thanks.

Result number: 106

Message Number 264096

Re: Having Toes cut Out-Linda W View Thread
Posted by vb on 3/17/10 at 15:53

Hi Linda I know what you are saying about the husband I don't think my husband worry's about anything.He leave's everything to me.Well my big toe is at it again the pain if it lasted for long at a time I think I would lose it no joke.I call and make a appt with the foot DR that cut my toe nails out for next tuesday he has open up a office here in the town I live in but he is only in there on Tuesdays and that is every other Tuesday its sad I don't have alot of foot DRs to choose from here the one that did my surgery and the one that out my toes nails are cumberland foot and ankle and that is all we have and they are in every other county on different days of the week today is london KY.I might could see him tomorrow at corbin thats about 30 minutes away also they are never book that bad you can just about go when you want to.To me that saids something in its self.But he only charges 45.00 a visit.And I am desperate.Linda I don't wait till bed time to cry you know all the stress can work a person and the pain I think if I was not in this pain I could deal with everything else (I think) I started going to see a head DR that is what I call them anyway.Well she can't help the pain so how can she help me she more or less just listen to me and I cry on her shoulders instead of my family but that is only once a week and there is six more days lelf.I really think that I am starting to stress her out that is kind funny is'nt it.Linda my sister inlaw is a medical assistant and she make's $13.00 a hour.Where we live everyone in the medical field alot of people drive's 2 hours to lexington where they get payed alot more for what they do.Lexington pays $15.00 a hour for medical assistant's so that does sound like to less amount.Have you check at the health department's they offer my sister inlaw more but she said it would not be worth it because of the driving differents.Linda just hang in there you will find a job that will pay what is right.A couple of years ago my sister inlaw turned down a job that if she had had taken it she would now be making alot more than what she is she just got a raise in December.She was just making $9.00 a hour and I promise I am not lieing.she has been where she is right now for about 10 years she complain about her pay for ever and sad to say but they finally gave her a raise and then cut her down to 3 days a week.Things are just so bad right now and I don't think its going to get any better for a while.I got to go it will get better just hang in there.VB

Result number: 107

Message Number 264082

Re: Plantar fibromatosis/ Paroneal Neuropathy View Thread
Posted by dale a on 3/17/10 at 01:19

Hi Sandy; I am a 48 year old letter carrier and have plantar fibromatosis on both feet as well as polyneuropathy.My feet have all the same symptomes as you except my feet feel like their getting crushed in a vise.I was diagnois with plantar fibromatosis and fibromyalga around the same time in 1996.In 2001 I had the lump removed from the bottom of my left foot and in 2003 five smaller ones grew back.In 2004 one grew on my right foot.Two weeks ago I was told that I have polyneuropathy which is untreatable because they dont know the cause.Just after surgury in 2001 I felt numbness in three of my toes.I am going in tomorrow for blood work to find out what drugs they will put me on.For the last eight months I can only stand for one minute at a time ( with shoes on),my feet would swell,and when Im not on anti inflammatories the lumps them selves would swell and not my feet.My shoes are one size larger than my feet.I also have gerd.I do believe all my diseases are related.

Result number: 108

Message Number 264081

Re: Having Toes cut Out-Linda W View Thread
Posted by LindaW on 3/16/10 at 22:53

Hi VB, sorry about the death in your family. I remember a while back probably about 15 years ago, my great toes, the nail use to fall off, but always grew back thicker and darker. My pinky toenails are very thick also, but have never turned a color. I think the only reason why they kept falling off was, that they were always submerged in water/always had sneakers on. You see, when I was a kid, and until I was in my early 30's, I use to swim every day of the week and was also involved in Drum & Bugle corps and for that, we had to practice in a parking lot on black top and in sneakers all day. I was told that my feet couldn't breath. Well I hope our toenails get better over time. I do not have the problem that you do. I think on my part it was just improper care of my feet when younger.
You know today I went on another frekin interview for a full time position as a Medcial Assistant and the woman only wanted to pay me $9.00 an hour. I said thank you, but no thank you. I told her and she saw on my resume that I had graduated at the top of my class and have already been in the medical field for 5 years and her comment, was what she was offering me, was the going rate. Now I know that she was way off on the amount. I asked her if she took into consideration that I am experienced and know what I am doing with very little training needed. I just turned the big 50 years old a couple of months ago and I don't think that I should have to start at a pay of that less amount like a young person that has just graduated from school and are in their 20's. I'm sorry, I am just so frustated with this whole thing. My husband has now been out of work for 2 years and was and still is collecting unemployment, but that will be running out soon. He just has no interest in going back to work and won;'t start worrying about it until it is almost too late. He is an electrician, but there is hardly any work going on around here and is at the age where he does not want to travel anymore. He also counts on me to carry the health insurance. Why does it seem like most husbands don't worry about things until it is too late?????????? I will probably cry myself to sleep as I do almost every night. Well have to go now.
LindaW

Result number: 109

Message Number 264078

swollen foot after surgery View Thread
Posted by tnt on 3/16/10 at 20:29

I was in a car accident in may and my left foot was crushed.
surgery was done. I had pins in 4 of my toes. I was layed up for 3 months. Could not go back to work or stand on it. Its been 10 months now and things have gone back to normal except my foot is still swollen and after standing 8 hours aday at work it feel sore.
the doc said there was alot of nerve damage but is this normal?

Result number: 110

Message Number 264073

Having Toes cut Out-Linda W View Thread
Posted by vb on 3/16/10 at 15:56

Hi,Linda Well I had my toes nails cut out one on each foot because they grow in and every other month I would sat down and dig them out they would be so sore.It would take about 5or6 weeks for them to grow back.I work with a girl that had had her big toes nails cut out and that is what gave me the ideal.she said she had the same problem hers look a little funny but who care if it work.mine was cute to look it but very painful when the nail would get grow out and they did not get long they started hurting swellen long before they got long.I can't wear sandles because they rub my feet raw so I don't care what they look like looks an't everything.But remember linda everyone is different mind still grow's out just alittle and starts hurting somewhat but the different's in then and now is the little that grows back is so thin that it does not take much for me to get them out of the quick.It seems like I have one problem after another my husband's cousin die and we went to the funeral home last night and my feet did not feel that bad at all until about 1 oclock this morning and they started to kill me all morning and all day bad I have cry all day and still they are hurting I have already had 2 lorcet plus and 2 neurontins and started medrol dose pack today 6 of them and that was at about 10:30.I just finish up a medrol does pack 4 wks ago and I am thinking that they have gotten out of my system and that is why my feet got so bad because in all I don't think I stood at the funeral home over 30 minutes last night.Well needless to say I never got to go to the funeral today my husband never went to work today I had him up early very early,but he did go to the funeral he is a casket bearer so I said go on I will be ok my sister came and stay with me for awhile and now my daughter is home so I will make it. I know one thing in july when my husband can take insurance out on me I will have insurance I don't care if we lose everything we got at less maybe I won't lose my mind.Life is hard.Linda wonder if some of the foot DRs realize just how painful TTS is I don't think some of them do.I am a happy go lucky person so when my mother or one of my sisters call they can tell when there is something is wrong.My mother is 70yrs old and I hate for her to worry about me.She call my husband answer the ph and she knew that something was wrong because my husband never miss work unless I am sick he will go on if he is sick unless he's bad so she knew and that made me cry even more she does not need to be worry about me.My dad is real sick he is 73yrs old and on oxygen he has C.O.P.D and he takes 3 breathing treatments aday he is not doing any good.I will shut up for now my nerve's are high from been so upset I could go on and on.BYE for now reply a.s.a.p.VB

Result number: 111

Message Number 264067

Beyond The Economy and our Foreign Policy. View Thread
Posted by John H on 3/16/10 at 11:58

Slowly but surely the Administration is making some drastic changes to our foreign policy and defense.

1. Early on President Obama went on a tour of apology to Europe and the Middle East for the the things the United States is perceived to have done. Somne of the same people who bombed the Twin Towers, the Cole, the Barracks, etc.

2. We promised to close Gitmo in response to pressure from the Middle East and the Euro Zone. This at the same time the Muslims are beheading Americans. Where is the apology there?

3. In the past two weeks Secretary Clinton and the President have been all over Israel. We very much seem to be distancing ourselves from a true friend and the only Democracy in the Middle East. Israel is left to wonder will the U.S. come to their aid in the event of a large scale attack. Our new position would seem to give reason for the enemies of Israel to attack. Israel now has reason to go it alone and perhaps attack the nuclear facilities in Iran. What gives rise to this new policy? Was this on Obama's mind from the start?

4. We have terminated our anti missile plans in Poland and Checkoslovakia leaving both our public, the Checks, and Poland to wonder just what is our foreign and defense policy?

5. This past week the President announced he is discussing with Russia reducing our nuclear missiles force by a stunning 50%. At the same time China continues to increase their force and Iran continues to work on a long range delivery system.

6. We cancelled the large order of the F-35 the most advanced fighter in the
world.

7. Our Army is hard pressed to keep from rotating troops into the Middle East every other year meaning we do not have enough troops to fight another ground war along with what we are doing now. At one time our military policy was to have enough troops to fight a war on two major fronts. A President's first responsibility is to protect the nation. That is required by the Constitution.

8. We continue to let go known terrorist from Gitmo who have gone back to Al Qaeda and killing Americans. If one looks closely at some of the law firms defending the detainees at Gitmo you would be totally stunned. These lawyers have the right to send mail and packages to these clients that cannot be read by the Gitmo authorities. Some of the items and literature sent in by these lawyers are information on how to resist and other literature printed by persons outside our nation who are sympathetic with the detainees. Yesterday's Wall Street Journal had a full page editorial on this subject and how these lawyers appear to be sympathetic with the terrorist not just representing them. Their history would also point to that. They have filled lawsuit upon lawsuit and have our Government tied up in knots answering paperwork.

9. Attorney General Eric Holder continues to appoint attorneys who are on the fringe and far left and attempts to withhold information from the Congressional Committees. On his own, Eric Holder made the decision to read the underwear bomber his rights only 50 minutes after he was captured. We will never know what information this man had that may have saved lives. Why would he do this when this attempted bomber was clearly and enemy combatant. As much so as the bombers in the 9/11 attack.

10. For the first time in history a President has leveled a criticism at the Supreme Court during his address to Congress. The Supreme Court is on the same level as the President as is the Congress. Why?

Looking at these one at a time one might not be alarmed but taken together there is a pattern developing. To me this pattern is frightening. Where is this nation headed and who are these people making the decisions as to the direction we are headed. Are we going in this direction by accident? Our Congress does not appear smart enough to look at the big picture and are more concerned with politics and health care. We seem to be swatting at mosquitoes while the tiger is carrying us away.

Result number: 112

Message Number 264066

Re: Damage from ESWT View Thread
Posted by monte on 3/16/10 at 11:52

I would like to share a prior experience. I had ESWT perform a while back by a doctor not on this board and when he injected my foot, he inserted the needle directly into my tarsal nerve. Needless to say, i nearly jumped out of my chair and he told me to sit still...hahaha. All injections that i have had to numb my feet were never directly in the nerve, they were along side the nerve. The medication will seep in. Anyway...for weeks after, I had pain in that area and I wouldn't bend over forward to try to touch my toes because pain would shoot through the nerve. I was nervous that I was going to have another problem. The pain and symptoms resolved themselves over time. It too a while but they went away. I have to be careful about flexing my foot too. I hope this helps and I hope your pain from the block also subside.
Monte

Result number: 113

Message Number 264064

Re: VB twitching/jumping View Thread
Posted by LindaW on 3/16/10 at 06:24

Hi VB, you sound so frustrated and I feel so bad. Some doctors just seem like they do not care. Once they treat you for something, I think that they think that is the only option for you and then send you on your merry way. Why did you get a couple of your toenails cut out? My podiatrist had wanted to do that to me, because both of my great toes toenails are discolored, but were treated with a topical at first and then with a pill. It did help somewhat, but one is now back to being discussing looking. I told him no way was I going to let him cut out my toenails. My toenails was the very first reason why I started going to a podiatrist. All of the years preceding that, I just wore shoes and not sandles, because I was embarrased by them. Well it is now almost 6:30 in the morning and I think that I need to get back to bed since I have been up since 4:00. The next time we talk, I think that we should switch over to the social board, since we are talking about other stuff. Talk to you soon.
LindaW

Result number: 114

Message Number 264063

surgery to make feet arched and foot spasms View Thread
Posted by Kris on 3/16/10 at 01:15

My feet getting spasms where the toes move on their own and they separate from each other, or my foot bends. The other day my three left toes were making my foot bend to one side and they got stuck like that for a while. Also, my feet are flat. I once broke a bone is my foot for unknown reasons, but I think both feet do this so that can't be the cause.

Result number: 115

Message Number 264044

Re: VB twitching/jumping View Thread
Posted by vb on 3/15/10 at 15:43

Hi,Linda I did tell the last foot DR I went and see back in july and he just sat there and looked at me did not even comment.He did not know why I was having sharp pain shooting through my toes.I really do believe he did not know. That is way I never went back to him I just gave up on DR's around here The one that did my surgery after it did not work I would tell her things and she did the same thing just sat and stare at me made me feel like they thought I was lying I did not know one single person with TTS until I found this web site I sat and told the 2 DRs I seen sense my misrey started everything that my feet was doing and they just sat and stare.They both mention physical therapy and I did try that help maybe alittle I went to myrtle beach last year and cry everyday because I could not get out and do anything my feet bout kill me I said I would not go back this year and spend that kind of money and be miserable so I am not going this year as it turn out I am not working and can't afford it anyway but we are going to pegion forge TN in late june me and my sister rented a cabin for 4 days maybe we will have a good time.pegion forge is less than 2hrs from where I live myrtle beach is about 8 hrs big differents and less gas money.And about the insurance well I do have a daughter that is 13 and they still won't give me one.I call they place and they said because I was sign up on my disability that that was good for one year and that I could get medicad but when my husband went to sign me up they said no go figer.They did give my daughter one thou I think I do qualify but some one there does not want to do the paper work.makes me sick I work with a girl in her early twentys and her husband would not lift a finger to do anything and because she was working her him and the son got a medical card.she could have taken insurance out on them but she save that money because the goverment gave them insurance there was others also they was not going to pay for insurance when they could get a medical card that coverd everything.I carry insurance on me and my kids for the last 12 yrs until I quit my job last july.although the last job I had you had to be there for a year before you could take out insurance at that time me and my kids had nothing and that is the truth I was so tickle to get insurance and the last foot DR I see act like there was nothing he could do for me He cut 2 toes nails out for me and then I could not wear me tennis shoes and I wore house shoes for a week to work my feet hurt so bad that by the end of each day I felt like that I could have been hit by a car and I would not have hurt any worse after the frist week I could not bring myself to go back I still could not wear my tennis shoe's.The Foot DR told me that it would take about amonth for them to heal.when I had this done I never even thought about me not being able to wear my tennis shoes.But I feel like he should have knowed and warn me surly I was not the first patient that he cut their toe nails out and they call back and said hay I can't where my tennis shoes I need a excuse for work he never told me that I would need to take time off or any thing and he knew I was working on concrete and had TTS and wearing any other shoe would kill me.maybe I was stupid but as a DR I feel he should have knowed he should have been there and done that with other patients surely there where others that work on concrete had a toe nail cut out and could not wear their shoes and he had to give them a excuse for work he never said any thing so never had a toe nail cut out before I sure never thought any thing about it UNTIL I went back to work on monday got up and thought what am I going to wear had no choice sandles rubs my feet raw so I wear house shoes that took care of the toes but kill my feet maybe I should have call him and said I need a excuse for some time off but I was mentaly wore out to my witts end I just gave up. after a week I quit my job and wore house shoe's every where I went for about a month still not realizeing that I was destorying me feet I know I should have but I never, walking on concrete with TTS in house shoes does not mix trust me that is why I think my feet are so bad now they I thought was bad before but now I know they could get a whole lot worse.and I am sure they can get worse than they are now but I just can't amagine how I could stand it.OK I will shut up for now talk to You later.bye for now.VB

Result number: 116

Message Number 264031

Re: VB twitching/jumping View Thread
Posted by LindaW on 3/14/10 at 12:55

Well VB, you will get better someday. You are alot worse than I was/am. I had thought your surgeries were more recent than that. You know, no matter what, we have it rough and that stinks. It would be nice if insurance companies in this country would give us a break. I know most of them do, but you either have to be disabled/have children. I am not either. ( this is how it works in the state that I live in (RI) and they do not consider what we have wrong with us being disabled.I don't know about the pain in your toes. I do not get pain in my toes except after I have been walking for a long time. Like next month my husband and I are going to Vegas for a week with 6 other couples. We have all been going for about 6 years now and have a blast, but the only thing that still worries me, is my feet and back. My feet have gotten a lot better, but my sciatica still is affected after a long walk. The reason why I mentioned Vegas, is because all you do is walk and walk and walk, which is good exercise, but that is when the nerves in my feet start twitching alot. Have you mentioned to your current doctor about the pain in your toes? I am sure I will talk to you later, but now I have to go to Walmart and the gym so I can be a little more fit for next month.
LindaW

Result number: 117

Message Number 264029

Re: VB twitching/jumping View Thread
Posted by vb on 3/14/10 at 00:10

Linda you are ok I understand I have and are there everyone needs some one to talk to. I think thats what keeps us going.And we are in a dilema.I don't understand why the nerves are twitching and jumping it does not really hurt but after they do that awhile then they start scramping and that hurts when the nerves are twitching and jumping then my big toe will jump and jurk my kids will sat and watch and laugh no junk they think it funny and like I said they hurt untill they start scramping I just wonder why they are doing that if thats a bad sign or what.I all so have pain in my big toes like some one is sticking a needle in them and that is awful I mean terrible I can't hardy stand that I know it time for meds when they start that.let me know what you think and hang in there you will find a job and if the pain had stop than maybe the switiching and jumping will to you are on a lot better road than me.my surgery was 5 years ago feb the 28 and my feet has never stop hurting never they go worse.reply a.s.a.p VB

Result number: 118

Message Number 263948

foot pain View Thread
Posted by freckles on 3/09/10 at 21:16

Hi,
Yesterday after working out at gym, my son got away from me on parking lot and I ran after to him to get him safely into my car. Afterwards, the inside of my left foot halfway between my heel and toes hurts very badly, There is also a small lump, that is tender to the touch, and I cannot bear weight on it. So to get around I am limping or hopping on one foot. I have tried wrapping it and using ice, but pain is still bad. What should I be doing for this?

Result number: 119

Message Number 263917

Re: Alcohol Injections / Morton's neuroma /Cryosurgery, for Will View Thread
Posted by will on 3/08/10 at 15:33

Thanks for these great comments.

I noticed you said,

'I am ultra-conservative performing this procedure, and choose my patients wisely, and never perform the surgery unless I'm sure there is a a neuroma. I make sure it's confirmed via ultrasound or MRI.'

I have had an MRI and ultrasound which DID NOT show a neuroma, however my POD dismissed this and said they don't always show up on those tests.


But my doc claims he can 'feel' my neuroma by manipulating my foot???

My main complaint in numbness in sole of foot and burning, tingling on top of toes. I am not having much 'sharp' type of pain in my foot...if that makes sense.

ONE MORE QUESTION, if you don't have a neuroma, and your get the shots, could the alcohol damage your foot?

And is there a way a POD could definitively rule something as a neuroma?

Result number: 120

Message Number 263913

Re: Earth Shoes View Thread
Posted by RachelB on 3/08/10 at 12:26

I have quite limited ankle dorsiflexion among other things (I have mild spastic CP), and I actually just recently bought a pair of earth shoes because I was hoping that they might help to stretch my Archiles and calf muscles and such. (I tend to walk on my toes, knees flexed, balancing further forward). Having read the information off the website, which suggests that the shoes should encourage the basically the oposite pattern, I thought they would be ideal.

However, given the feedback from various posts, I'm concerned that I'll end up doing myself some serious damage due to overstretching. Any thoughts? Would the earth shoes be safe to use (and/or actually beneficial) if I was just to wear them intermittently?

Any thoughts would be appreciated...

Result number: 121

Message Number 263812

Foot pain and now a lump View Thread
Posted by BrendaJ on 3/04/10 at 15:34

Hello,
I have had years of foot pain. Went to a podiatrist and he said it was not plantar fasciatas and had no idea what it was. Big help needless to say. Went to a second podiatrist. He said it is achilles tendenitis. I went to a couple of months of therapeutic massages (which they massaged all the way my legs and it was excrutiating) and my feet. Did a lot of exercises and stretches they gave me for months. I still do some of the stretches but it never seemed to improve and I cannot afford to go to a therapist 3 times a week. The pain goes all the way up my legs when I sti for a while or get up in the morning as well as the bottom of my feet hurting. Not so much my heels though. Now all of a sudden yesterday while sitting down at my computer, I went to get up and it felt like there was a lump in the bottom of my foot just below the second and third toes. It is slightly painful and uncomfortable. Any advice would be appreciated.

Result number: 122

Message Number 263775

Re: Numb toes - negative EMG View Thread
Posted by Dr. Wedemeyer on 3/03/10 at 12:01

they changed from white to blue right in front of the doctor when I removed shoe.

This does not happen in entrapment neuropathies Dave.

Result number: 123

Message Number 263765

Re: Numb toes - negative EMG View Thread
Posted by Dave S on 3/02/10 at 15:11

I'm age 42, about 200 pounds. I haven't had low back pain in probably 15 years or mores (I see a chiropractor occassionally, but usually for neck problems). I get zero pain in the toes. Some discoloration... they changed from white to blue right in front of the doctor when I removed shoe. I saw a chart where that nerve includes half of the second toe, and it's as if half that toe is numb while smallest one is completely numb. My Dr. thinks he can send me to a pain mgmt Dr for another EMG as he thinks this guy will be able to do the test better for that nerve than the neurologist he sent me to. I'm concerned about wasted time (and money) in doing so. I think my Dr. did x-ray my lower back, but he also had me get a cat scan and last month of the whole left leg and some kind of ultrasound and no issues there. The EMG the neurologist did 3 months ago left my Dr. saying there were no issues from the lower back that could be causing it. As I type this, no numbness. I do notice that when sleeping (on my left side) those toes invariably always go numb to some degree for part or all of the night. It varies during daytime.

Result number: 124

Message Number 263753

Re: Numb toes - negative EMG View Thread
Posted by Dr. Wedemeyer on 3/01/10 at 17:50

Dave do you have a history of low back pain? Have the toes changed temperature or color? Raynaud's can be quite painful after a time actually.

The terminal branches of the larger nerves are difficult to test and until a certain degree of injury occurs to a peripheral nerve, EMG testing will be negative.

Result number: 125

Message Number 263751

Re: Numb toes - negative EMG View Thread
Posted by rob8647932 on 3/01/10 at 16:00

It could be your lumbar (low back) S1 or L5 nerves. Check out the

http://www.chirogeek.com/000_Sciatica_General_Infor.htm

Result number: 126

Message Number 263742

Numb toes - negative EMG View Thread
Posted by Dave S on 3/01/10 at 11:39

Small toe and the toe next to it in left foot are numb. Numbness comes and goes. I get it standing, sitting, walking, sleeping (almost always when sleeping). Sometimes it persists for days; other times comes and goes through the day at varying levels. No pain, just numbness and can still feel with the toes. This problem has existed for several years. Had an EMG and said no issues but that Dr. said the nerves are too small to test down at that level of the toes. Is that true? Family Dr. thought maybe Raynauld's. He wants me to get EMG from another DR (a pain mgmt dr). Blood work and cat scan and ultrasound he sent me for all indicated no circulatory problem. Can they test those toes? Who should I go to? How do I know if a neurologist can do such a test since the first one said he couldn't?

Result number: 127

Message Number 263733

Re: a little improvement finally View Thread
Posted by Laurie C. on 2/28/10 at 15:40

Tom,

Re: your comment re: podiatrists 'don't know what theyre talking about' is a generalization. Perhaps you need to find a good podiatrist.

I developed a drop foot about 5 weeks ago (basically my ankle and toes were paralyzed). My podiatrist released my peroneal nerve and less than 24 hours later I had regained full movement and was no longer paralyzed.

My podiatrist who is also fellowship trained in Foot and Ankle Surgery is my godsend. He definitely knows what he is talking about.

Result number: 128

Message Number 263730

Help? View Thread
Posted by Linda on 2/28/10 at 14:35

I have pins and needles in both feet - arch and toes. Docs have done a bunch of blood tests and found no problems. An xray shows I don't have a heel spur.

I have seen the podiatrist, she strapped my feet which seemed to make them feel better and told me I need an orthotic. She also told me I could walk as much as I want. She told me that the orthotics would fix things for me as I have high arches and was walking without enough arch support, which pinched my nerves.

A neurologist then did a test and said I have some neuropathy, but he doesn't know why, as blood work was fine.

Do you have any ideas??

Result number: 129

Message Number 263716

Re: Complications from ESWT View Thread
Posted by dud on 2/26/10 at 22:15

You say you wouldn't go for a release with a VAS of 4, and I tend to agree with you. The frustrating part about this is I will not be able to be as active as I want to be, ie no running or long hiking. But, I am thankful that my pain is not worse, so as I weigh the pros and cons, I lean to not having anything done.

You ask, 'Any type of local steriod injection done post eswt '. If you mean immediately after, then the answer is no. However, about 2 years after the procedure, I went to a long time respected POD here in Oklahoma and had the same symptoms. He wanted to inject the area of my right foot in the tarsal tunnel area, but a litte down toward the beginning of my arch with a steroid injection. Upon insertion, I felt like I was being electrocted as sharp, burning pulses shot from that spot underneath my foot down to my toes. I told him to take the needle out immediately and he did and he told me in 30 years of practicing he had never seen anything like that!

Unfortunately, I think I am the 1 in a 1,000,000 case that no doctor can figure out. I appreciate your feedback and will probably not pursue any surgical options at this time.

Assuming I have had tarsal tunnel for 6+ years, is there anything at all that might make it better (ie stretching, orthotics, etc) and if I don't do anthing now will it progressively get worse as I age? The good news is it is no worse now that it was 6 years ago. In some ways it seems to be better, probably as I have gotten used to living with it.

Result number: 130

Message Number 263696

a fine line View Thread
Posted by stacy on 2/26/10 at 13:31

I am curious about your opinon about something. I understand that a podiatrist deserves to make a living. That being said, it seems that some practices have blurred the line between the office feeling like a medical office and a retail store. The doctor that did my surgery is board certified and seems to be quite competant; however over the past year, his office feels like a retail store. He sells a side line of nutritional products. Now he has a 'nail spa' for pedicures as well as a PT in his office. I did go to the pt after my surgery and I couldn't believe it but they charged $12.00 for theraband to do your exercises at home. A few patients in the room expressed their outrage and the pt said that it was not her idea but policy set by her boss (the owner of the practice that did my surgery). Over the years, I have gone to different physical therapists and NONE of them charged for therabands. There are adds all over his office for Keriflex and he constantly sends out mailings to encourage you to come in. He also has contests for patients to win pizes by referring new patients. Yesterday we got the most absurd hokey mailing to encourage patients to bring in a friend. If you bring in a friend, you get a free pedicure. I had fungus on four toes. Despite taking oral lamisol, one of my big toes continue to be thick and somewhat discolored. When I asked the doctor about options, the only one offered was lazer treatment followed by keriflex. This is not covered by insurance and would cost close to $450 out of pocket. When I told him that I don't have that kind of money to treat fungus on one toe, he appeared to be annoyed. Before I could ask him about alternative treatments that would be covered by insurance, he walked out of the room.

I feel that he is a competant doctor and I really like one of his partners also. However, I have a hard time being confident in a doctor when I feel as if I am walking into a retail establishment. I want a doctors office to feel like a doctors office.

What is your opinion about this situation? How common is this? Is this the wave of the future?

Thank you in advance for your response

Result number: 131

Message Number 263695

No heel pain, but taping helps, could this be PF?? View Thread
Posted by Linda on 2/26/10 at 13:11

Have very high arches and developed tingling and pain in both feet, arches to toes. Not anything wrong with my bloodwork. Doc has taped the arches a couple of times which seems to help. Tells me to go back to walking. Does this sound like PF???

Result number: 132

Message Number 263693

Re: Finally got surgery View Thread
Posted by Deb K on 2/26/10 at 09:55

Jaf,
thank you for this post. My podiastrist just scheduled me for surgery on my left foot - TT, PF, Heel spurs and neuromas. The burning and pain in from the balls of both feet into the toes is sooo bad I cant sleep anymore. Now, I have heel spurs and PF in my left heel, just got 2nd cortisone shot yesterday t help releive that pain to hold me over until surgery.
I am scared though, I would like to hear if after a month you feel any relief, if the buring doesnt subside, that I am not sure I should go through with it casue that is why I would be having the surgery!

thanks again.

Result number: 133

Message Number 263650

Re: caloused sores between toes View Thread
Posted by D. Ho on 2/24/10 at 00:25

I know your post is old but am wondering if you found out what it was and how it was treated? I have the exact same problem. feels like im walking around with pins stuck in my pinky toes...remove the callous and it is still very very painful and there is a pin sized hole as you described...

Result number: 134

Message Number 263633

Mortons neuroma surgery View Thread
Posted by kelly evans on 2/23/10 at 00:20

Hi, I had mortons neuroma surgery 8 weeks ago. My neuroma was between my second and third toe, my podiatrist told me if was the largest neuroma he had ever seen(the size of a lima bean) My foot still burns when I get in the shower or anytime I put my bare foot on the floor it turns dark red and I have pins and needles all the way up to my knee. I still cant put any wieght on the ball of this foot with my crocs on but can heel walk, I can not even heel walk barefoot. My podiatrist told me today this was all normal. I still cant bend any of the toes on this foot. I dont feel like this is normal, but he is the doctor. Please some advice from another professional field could really ease my mind or let me know I need to see someone else.

Result number: 135

Message Number 263629

Re: Haglund's Deformity View Thread
Posted by MickeyF on 2/22/10 at 12:43

Anyone Listening

I will be three weeks post surgery tomorrow and the pain I am having is crazy. I am still taking prescription pain pills and I dont like that at all. I am having pain on the outside of my foot have way up towards my toes. It feels like thee is a nerve caught in the foot and I am still swelling really bad. I dont know what to do. I have called the doctor and the nurse acts like this is normal, but my surgery on my other foot was nothing like this. I really dont know what I can do. I try wrapping the foot before putting it in the boot, but it doesnt help, I cant even walk around walmart to get what I need without being in severe pain. Does any one have any suggestions.

Result number: 136

Message Number 263625

Re: cheilectomy recovery timetable? View Thread
Posted by Hilary L on 2/22/10 at 09:37

Thanks again Dr Ed.(and Hi from the UK)5 days post op, pain meds for 2 to 3 days after the anesthetic block wore off but no big pain at all.Went back to see sugeon this morning, went into the hospital on crutches and left walking and weightbearing .Yes ok I did have a slight limp but only because of a little discomfort.I have exercises to do and will have stitches out in a weeks time. I did as I was told and kept 'my toes above my nose' so swelling is now gone,dont know how this will be now I am walking a bit again.No painkillers at all now.Will let you know if swelling comes back.Hilary

Result number: 137

Message Number 263606

Re: cheilectomy recovery timetable? View Thread
Posted by Lee S on 2/21/10 at 00:46

I had this surgery on both feet in December. I only took pain meds for two and a half days. I have been more frustrated by the long recovery time than any pain. Honestly, the toes only hurt when I step wrong on them. I would describe the discomfort as more of a 'tired' feeling when I am on my feet all day. I am 50 years old and was hiking in the mountains three to five times a week with my three dobermans before surgery. It has been about two and a half months, and I can walk just fine, but am still timid about 'rolling' over my big toes. My toe joints are still soar, and don't like weight on them, so I'm still walking on the outsides of my feet to a large degree. I also still have quite a bit of numbness under one of my feet. I notice it gets a little easier all the time, but I still feel it will be a few months before I can resume my long walks on the uneven terrain.

Result number: 138

Message Number 263586

Numb toes - negative EMG View Thread
Posted by DaveS on 2/19/10 at 13:18

Small toe and the toe next to it in left foot are numb. Numbness comes and goes. I get it standing, sitting, walking, sleeping (almost always when sleeping). Sometimes it persists for days; other times comes and goes through the day at varying levels. No pain, just numbness and can still feel with the toes. This problem has existed for several years. Had an EMG and said no issues but that Dr. said the nerves are too small to test down at that level of the toes. Is that true? Family Dr. thought maybe Raynauld's. He wants me to get EMG from another DR (a pain mgmt dr). Blood work and cat scan and ultrasound he sent me for all indicated no circulatory problem. Can they test those toes? Who should I go to? How do I know if a neurologist can do such a test since the first one said he couldn't?

Result number: 139

Message Number 263550

Re: other pain after heel pain? View Thread
Posted by AndrewUK on 2/18/10 at 06:57


Dear Dr Wedemeyer,

Thank you for your reply.

Inflammation of the large joints - when I first had heel pain back in early 2008, I had some very mild knee pain for about a week. The pain was under the knee cap and it wasn't swollen. My doctor said I probably had Osgood-Schlatter disease (I was 29). Three days after I wore a pair of Crocs RX ,the heel pain disappeared. And the knee sharp pain disappeared as well. (I also told my doctor I started a new job which required standing. And I had had sedentary lifestyle before changing to a new job.

In 2008 I also had increased urination and all the blood tests were normal -- my doctor said I have a sensitive bladder.

I haven't had any of the above symptoms since mid 2008. (The only symptoms I have is sometimes I have sore eyes if I spend too much time at the computer. But it's very mild and all I have to do is not to use my PC for a couple of hours. It's never very red)

Admittedly, I am starting having soreness in the back of my heel. (the back of Calcaneus? under the achilles tendon) But it's very mild and I suspect that was from taping and excessive weight bearing stretching....

The exact words from the specialist is that 'plantar fasciitis isn't that painful as this. You may have Reactive Arthritis'

The pain I have is that I simply cannot walk much.. I can probably walk to the bathroom and kitchen for simple task. And I haven't been able to do any shopping.

This time the heel pain (both heels) appeared two weeks after I changed to another standing job in Oct 2009. In Jan 2010, I started to have sharp pain along the fascia whenever I walked after rest. The midsole pain gradually decreased but the heel pain gradually increased 4 weeks ago. As the pain in the heels increased, I also started to have soreness and discomfort around the joints of phalanges and metatarsal bones. (no discomfort around the toes and no sausage toes)

They did blood test in 2008 for liver and kidney function and blood glucose. All came back normal.

The tests they have done this time are
1) 27 Jan 2010 - X ray Calcanei: Report says 'Normal appearances in both calcanei. The suggestion of a small traction apophysis at the insertion of the achilles. No other abnormality has been seen'
2) Ultrasound 9th Feb 2010 - plantar calcaneal bursitis. Plantar fascia is 3.4mm. No bone spur. One ultrasound guided steroid injection at the right foot was done on Feb 9th but I haven't noticed any difference..

That's all. They haven't given me any blood test this time. This doctor (specialist) is a GP who has special interests in sport injury and musculoskeletal issues.

I am just curious if they are on the right tract... I am currently waiting for an appointment in a hospital and I don't know if they'll do any test.. I don't even know if I should see a podiatrist, orthopaedic doctor, sport injury specialist or a rheumatologist.

Many thanks for listening.

Best wishes,
Andrew

Result number: 140

Message Number 263528

calcaneal osteotomy View Thread
Posted by stact on 2/16/10 at 21:59

I have not been on this forum for a few months as my mom had a stoke and I have been balancing work, family and issues with my mom. In a nutshell. I had a modified kinder/hyprocure. 6 weeks later, I had a hyprocure removal as it backed out. I had a slow and frustrating healing process. 5 months post op, the toe of my sneaker caught on the floor and the pain in the surgical foot was about a six or seven for the rest of the day despite icing and resting. The next few days, pain was less so I figued all was fine. 4 days after the incident, I was having difficulty making it through the day and my ankle felt as if it was collapsing. I also noticed that the post surgical arch appeared to have flattened somewhat. I called to see the doctor. The doctor who did my surgey was out for four days but one of his partners was in so I saw him. The partner did a complete exam including watching me walk, stand, rise on my toes and took new x-rays. He looked at the digital images and superimposed a line from the heel to the forfoot. After looking at the films, he said that the allignment of my foot was the problem and alluded that he would not have don modified kinder alone. I had to stop pt because my tendon was VERY swollen. I an wearing a brace whenever I walk to try to calm things down. If things calm down, then I will be able to start pt up again. So far,I have been wearing the brace for 3 weeks. When I wear the brace, I can make it through a day at work, but as soon as it comes off, my foot throbs and becomes painful just walking to the bathroom. I feels as if my foot collapses and that my ankle pronates. The doctor feels that due to the allignment of my foot, without the calcaneal slide, I will continue to have problems. The other option is wearing a custom made brace for the rest of my life. He would also clean up the posteior tibial tendon and repair any new tears that have occured. I am SOOOOOOOOOO frustrated. Two surgeries later, I am left with two numb toes from the hyprocure (not painful but annoying) and ongoing pain from the the origional problem. It appears that the origional surgeon did the surgey correctly but not the correct surgery. In trying to be conservative, he may not have done enough to correct the situation. I am not happy about the possibility of a third surgery and part of it redoing part of the old surgery. I do have an appointment to have someone else look at my foot. The partner had no problem with me getting another opinion and infact said that he would do the same. What can you tell me about the calcaneal osteotomy? Pros cons etc. Any insights you can offer would be appreciated. I HAVE to be able to walk/work as due to the economy I am now the main breadwinner. I don't want to go from the fire into the frying pan.

Result number: 141

Message Number 263514

Re: bilateral TTS? View Thread
Posted by Laurie C. on 2/16/10 at 10:11

I have had bilateral TTS as well as bilateral peroneal nerve palsy. I have no back problems as demonstrated by MRI and lack of symptomotology. I have had all the work ups three times over for any rheumatological problems by two different rheumatologists as well as seen three neurologists (one from a university level medical school) and they can't explain why I have had these issues. My most recent peroneal nerve palsy was surgically fixed last week - I went from having 0 movement of my ankle and toes in dorsiflexion to normal movement within 24 hours of the surgery. There was a very tight fascial constriction on my nerve which I understand as simply choking off my nerves' ability to communicate with my foot muscles.

I'm healthy otherwise - exercise 4-5 times week. I weigh 134 and my only vice is chocolate and diet Coke.

Result number: 142

Message Number 263494

3 surgeries and still can't walk - need surgeon View Thread
Posted by Marie Theresa M on 2/15/10 at 13:11

I live in CT but will travel to NY or MA.
I've had a Christman Snook. A wedge removed from my heel and a rod put through after they pulled it together. Three tendons transferred from all the smaller toes and all of them did not take. One tendon is left from the large toe and is torn. Causing great pain. There are no viable ends to reattach it anywhere. Once the tendon goes what will happen to the muscle in my calf? Arch was shored up, bone spurs removed in the same area where tendon is torn. Tendon strands and scar tissue had to be separated. Outside of ankle is weak. Does not support weight. Cuneiform? something done with foot reshaped and cow bone tamped in. Plate across the bone and screws. All three surgeries were in effort to build an arch. Unable to walk. Pain is debilitating. Looking for a new surgeon. Any ideas.

Result number: 143

Message Number 263493

3 surgeries and still can't walk - need surgeon View Thread
Posted by Marie Theresa M on 2/15/10 at 13:09

I live in CT but will travel to NY or MA.
I've had a Christman Snook. A wedge removed from my heel and a rod put through after they pulled it together. Three tendons transferred from all the smaller toes and all of them did not take. One tendon is left from the large toe and is torn. Causing great pain. There are no viable ends to reattach it anywhere. Once the tendon goes what will happen to the muscle in my calf? Arch was shored up, bone spurs removed in the same area where tendon is torn. Tendon strands and scar tissue had to be separated. Outside of ankle is weak. Does not support weight. Cuneiform? something done with foot reshaped and cow bone tamped in. Plate across the bone and screws. All three surgeries were in effort to build an arch. Unable to walk. Pain is debilitating. Looking for a new surgeon. Any ideas.

Result number: 144

Message Number 263492

3 surgeries and still can't walk - need surgeon View Thread
Posted by Marie Theresa M on 2/15/10 at 13:09

I live in CT but will travel to NY or MA.
I've had a Christman Snook. A wedge removed from my heel and a rod put through after they pulled it together. Three tendons transferred from all the smaller toes and all of them did not take. One tendon is left from the large toe and is torn. Causing great pain. There are no viable ends to reattach it anywhere. Once the tendon goes what will happen to the muscle in my calf? Arch was shored up, bone spurs removed in the same area where tendon is torn. Tendon strands and scar tissue had to be separated. Outside of ankle is weak. Does not support weight. Cuneiform? something done with foot reshaped and cow bone tamped in. Plate across the bone and screws. All three surgeries were in effort to build an arch. Unable to walk. Pain is debilitating. Looking for a new surgeon. Any ideas.

Result number: 145

Message Number 263472

Re: How can I get rid of a corn on my second toe View Thread
Posted by Ann on 2/14/10 at 18:24

Hi ladies well I'm 33 and I've been dealing with this since I was 20....yes and Iíve tried everything...makeup, coffee paste you name it. Nothing has worked my last resort is to go see a cosmetic surgeon to see if they can help. A friend said that they might be able to do a skin resurfacing to help Iím praying that it works. Iím so tired of these ugly feet and I have it on my big and 2nd toes..yes both feet. Iím looking for a good doctor now I want to work with someone that works with African American skin therefore hopefully I will have better results. Any who I will keep yall posted on my results.

Ann

Result number: 146

Message Number 263469

Re: Life after a subtalar fusion View Thread
Posted by Barb S on 2/14/10 at 17:33

Hi Suzanne,
I had subtalar fusion with auto and allo graft on 1/19/10. (Surgeon took bone graft from my shin bone, directly below my knee and they used donor bone to open up my totally collapsed joint.) I progressed quickly through the major pain meds, morphine in hospital post surgery, to Percocet after that, to Oxycontin/Oxycodone during the first week at home. Before week two I was off of everything, mostly because I hate taking pain meds but also because my pain tolerance has increased over the years. Basically the worse my ankle got, the more it hurt, the more pain I was able to put up with. However, that only lasts so long and I knew I needed this surgery eventually. I got to the point where I couldn't walk the length of a grocery store and definitely couldn't walk the mall anymore.
So...I'm nearly one month post surgery. I'm on my first 'real' cast. Post surgery I had been placed in two, half -splints of sorts and ace bandages until the swelling went down. I've been told that I will probably get another cast after this one and I am so very much hoping for an 'air cast.' Is that removable? I've been bothered by cramping in the leg that the cast is on and, as you can imagine, there isn't a thing you can do. I can only wiggle my toes and stretch as much as I can and wait it out! OW!
Dr.'s office recommended Tonic Water with quinine...yuck.
After my second cast, whatever kind they give me, I believe I get the 'boot cast' and this will be roughly on the same day I'm scheduled to go back to work --that date is exactly two months to the day of my surgery. I think that is very unrealistic given the fact that I will be expected to get my last cast off and 'walk' out of the dr.s office in the boot cast! HA! So I am scared about that because some days work requires me to be on my feet a lot doing training sessions and walking the room to keep folks awake and motivated! Then there's the balance factor too: My other foot needs this surgery as much as the right one did. I'm sure I'm going to be completely unsteady, at least for a while. I'm afraid of falling and breaking something! However,I have the rollabout too and I just love it. Its a rental because my insurance deems is 'unnecessary.' Imagine that. It doesn't help me much at home (split level) but is great when I go out and I know will help at work--even if I have the walking boot. I'll probably use a combination of both for a while until I feel more steady. You should do whatever makes you confident and comfortable at work. Perhaps speaking to your HR representative or your boss and explaining the accommodations you need: sitting more frequently; ability to elevate your foot; closer parking; etc.might be helpful. Any good company would rather see you at work with your foot in the air, than out and not working I bet.
Hope this helped a little.
Blessings,
Barbara S

Result number: 147

Message Number 263458

from aimee View Thread
Posted by aimee on 2/14/10 at 08:50

I'm a new foot sufferer and sorry to learn so many have chronic foot problems. Here's what I've found/learned over the past month. Thought I might have a stress fracture but it's tendonitis. The feet are certainly labor intensive when they're injured and it's hard to know what to do - walk or not walk without medical guidance to rule out bone problems.

The podiatrist wrapped my arches, gave me Celebrex, and gave me 4 exercises recommended by the American Orthopaedic Foot and Ankle Society: towel curls, wall/achilles stretch, squats, and calf declines. A little help but certainly not enough and the wraps were killing my bunions. Found the following products and info to be a great help with much trial and error once I knew better what was happening to the feet. I do have custom orthotics on order.

+New Balance Health Walkers
+Birkenstock Arizonas - store here says they can hollow room for the bunions and the arch support is wonderful
+Futuro Infinity Precision Fit Ankle Support (gives a gentle lift to the arches, serves to hold Body Glove ice bag (very flexible bag and doesn't swet) against parts of feet if ice bath not possible)
CVS pharmacy carries them.
+Foam toe separators at Walgreens (helps the bunions and supposed to help the fascia)
+Soft foam donut (necessary after so much sitting...rubber one too hard). Got a plastic one also whenever I get back to the office.
+Good back support becomes essential. Still hunting for the perfect chair.
+Painters deep plastic tray at Hardware store - can do a quick 15-20min ice bath feet without toes mostly out of ice water and add/remove ice to tolerance. Icing should only hurt the first minute until you get numb.
+Neoprene toe covers (bicycling product) online to protect the toes - might need get some elastic to hold them tight if ever need to really submerge an ankle again.

Targeted exercises for that tendon connecting the 5th metatarsals and plantar fascia help is at the Univ of Michigan Sports Medicine provides patient info to rehab foot probs
The hardware store had 2 of 2x4 wood so made a small 4' step to do decline exercises one-legged. Used the arch aid wraps to hold them together since those bruised my flexor tendons anyway. Baby squats probably serve a similar purpose.

General foot flexibility guidance is at AOFAS site. I have a small massage rubber ball to roll under the feet than something hard like a golf ball but some folks have tough feet. I know how to give my feet a foot massage so I'm trying to do that in the morning with towel stretches to loosen up the feet and keeping the arches wrapped at night too.

Hope some of this might help others.

Result number: 148

Message Number 263413

Re: BLUMJK View Thread
Posted by suzib on 2/11/10 at 20:59

My surgeon has given me a prescription for a topical nerve gel that I have prepared at a pharmacy that does compounding. Works very well. it is keto/lido/gaba/clondine 10/5/6/0.2. I have some nerve damage in the toes and this works wonders. Really calms things down. basically a topical neurontin/lyrica type thing.

Result number: 149

Message Number 263395

Help for tarsal tunnel. View Thread
Posted by Sievert on 2/11/10 at 10:19

Can tarsal tunnel be the cause of my neuropathy of the foot?

I use ice and ibuprofen. I stretch with a belt - pulling back my toes.

I can't see my foot doc again until the end of the month. Is it ok to go walking? Should I use an elastic brace on my ankles?

Thanks

Result number: 150

Message Number 263389

Re: NEWEST MEDICATION FOR TTS AND NEUROPATHY View Thread
Posted by joanne b on 2/11/10 at 06:12

I tried Metanx whilst I was on Metformin, Glyburide, and a number of other drugs (22 pills in the morning) last summer.
For some strange reason and I think it was drugs interaction, when I added Metanx to my regime, suddenly withing about 1 week, my memory started to suffer to the point that I could not remember what I did one week ago on the weekend. This went on for about a month and a half. Even though the benefit is good here (I am a diabetic)from Metanx, the loss of memory became more and more pronounced so since it was the only drug introduced in that recent time, I just discontinued the Metanx and my memory returned to normal in about a week and a half. I have not taken it since. Now my blood sugars are much better controlled as I take insulin and I only take about 8 pills in the morning and 1 at night, I am going to try to take Metanx again and see if I do not have any memory problems. If it works I will be so happy. I control my diabetic neuropathy which is pain in the bottom of my feet with lyrica and davocet. This brought my increased used of lyrica down from 6 a day with advil to 3 or 4 times a day with the lyrica/darvocet combination. Also, may I mention that sometimes eating potatoes will ease the pain. It has for me but while it doesn't make you gain weight, it doesn't make you lose either. My endo insists now that I eat at least 6 ounces of meat a day for my diabetes. I hope the Metanx works this time. I will post again to this chat room.

Result number: 151

Message Number 263381

Re: foot pain (post-pregnancy) View Thread
Posted by beth on 2/10/10 at 21:45

Hi, Im also having foot pain after baby, now 7 weeks in, I also had a few months before but thought would go away after the baby, the swelling went but not the pain..it tingles, burns, numb toes and electric like shots..at night numb toes keep me awake. I am on Voltarin to mask the pain a bit and booked to see a foot specialist but first appointment a month away..I have googled lots and think its Tarsal Tunnel..has anyone heard of it or had it go away by itself, all articels seem to suggest surgery!ekkk

Result number: 152

Message Number 263359

ruptured plantar fascia View Thread
Posted by JanA on 2/10/10 at 14:56

I ruptured mine 1/14/10 was put in night splint with crutches for two 1/2 weeks; then 2/1/10 to approved shoes with prostep insert. I still have shooting pain in my arch, cramping in toes and constant heel pain. I have been icing, taking Ibuprofen and doing stretches recommended. My question is being I still having so much pain; should i have stayed off my foot longer or in a cast vs night splint? Should I change anything at this point?

Result number: 153

Message Number 263327

Re: L5 Lumber View Thread
Posted by Dr. Wedemeyer on 2/09/10 at 14:41

Michael if you have a 3 year history of heel pain without ever having had any lumbar symptoms, I would veer away from thinking that this si spinal related )based on what you have revealed here). Is there any leg pain, numbness or tingling associated with the heel pain? What portions of the foot/toes are affected? Is this in one foot or both?

Curiously your MRI shows inflammation but was there any mention of thickening of the plantar fascia?

Result number: 154

Message Number 263315

Re: Good Feet arch supports really hurting me View Thread
Posted by Ej on 2/08/10 at 23:08

Good Feet inserts turned my second toe to overlap the big toes on both feet . Now this has effected my abllty to walk or wear shoes; have to tape toes in place . I'm in constant pain and feel my back has been effected as well. Can't afford legal or medical advice and would appreciate any feedback from you concerning legal avenues of compensation. Please contact me at ejwbugs at hotmail.com.

Thanks, Ej
/Users/ej/Desktop/ picture of feet after using Good Feet inserts and their shoes /Photo 256.jpg

Result number: 155

Message Number 263302

Re: cheilectomy recovery timetable? View Thread
Posted by Loni on 2/08/10 at 14:35

Had to make up my mind, job or cheilectomy. I've been making excuses not to do it for 3 years. I can take the time for surgery NOW. Right big toe 2/3/2010. took my boot off today and did some floor excersise and stretchs. I have some burning at the incision but am determined to get my toe moving. Wiggling toes, spreading toes and weight bearing no problem, just have to ease into bending the toe upwards. as soon as the dr says so I will be rubbing vitamin e on the scar and work on range of motion. I had to do this NOW, at 60, I wanted to give it my best shot..I had bone spurs and cartilegde fragments and arthritis..must stay positive..FEET DONT FAIL ME NOW!!

Result number: 156

Message Number 263255

PF and Topaz View Thread
Posted by Jim on 2/05/10 at 12:22

Docs,

I have had severe pain from my calf muscles to the tips of my toes both top and bottom of my feet for 7 years now. I have been diagnosed with everything from PF to Tarsal Tunnel Syndrome. My MRI and X-Ray all appear normal, blood test, nerve conduction studies are all normal and I have no shooting pain or swelling. At night when I lay down, most of my pain goes away and my first few steps in the morning have very little pain. My pain all starts 5 minutes after I get my boots on.

My new DPM believes I just have a severe case of bilateral PF and wants to do the TOPAZ Procedure. My only question is, since I have never had 1st step heel pain in the last 7 years, could I really have PF, and is the TOPAZ procedure a good one?

Jim

Result number: 157

Message Number 263254

Re: How can I get rid of a corn on my second toe View Thread
Posted by loveme on 2/05/10 at 11:53

Hi my name is shanta i have the same problem with my toes i purchase the corn remover at the local store and put it on three of my toes and they are now white and i have brown skin my husband never seen my toes i went to the tattoo shop and they let me know that it wouldn't last long and it sure didn't it only last for up to two weeks if that, so my toes are now white again and i never will wear open toe shoes until it is fixed

Result number: 158

Message Number 263251

Re: How can I get rid of a corn on my second toe View Thread
Posted by loveme on 2/05/10 at 09:32

Hi my name is shanta i have the same problem with my toes i purchase the corn remover at the local store and put it on three of my toes and they are now white and i have brown skin my husband never seen my toes i went to the tattoo shop and they let me know that it wouldn't last long and it sure didn't it only last for up to two weeks if that, so i toes are now white again and i never will wear open toe shoes until it is fixed

Result number: 159

Message Number 263250

Re: How can I get rid of a corn on my second toe View Thread
Posted by loveme on 2/05/10 at 09:30

Hi my name is shanta i have the same problem with my toes i purchase the corn remover at the local store and put it on three of my toes and they are now white and i have brown skin my husband never seen my toes i went to the tattoo shop and they let me know that it wouldn't last long and it sure didn't it only last for up to two weeks if that, so i toes are now white again and i finally told my husband why i got the tattoos on my feet and he looks at it and says there is nothing wrong with it but i know it is and i never will wear open toe shoes until it is fixed

Result number: 160

Message Number 263249

Re: How can I get rid of a corn on my second toe View Thread
Posted by loveme on 2/05/10 at 09:23

Hi my name is shanta i have the same problem with my toes i purchase the corn remover at the local store and put it on three of my toes and they are now white and i have brown skin my husband never seen my toes i went to the tattoo shop and they let me know that it wouldn't last long and it sure didn't it only last for up to two weeks if that, so i toes are now white again and i finally told my husband why i got the tattoos on my feet and he looks at it and says there is nothing wrong with it but i know it is and i never will wear open toe shoes until it is fixed

Result number: 161

Message Number 263236

My quest for a new shoe View Thread
Posted by Donna on 2/04/10 at 17:40

I have been wearing the NB 1123 and to be honest they have helped with my foot pain a lot. My only problem with them is that I never thought they were to attractive. In my opinion they look like I am wearing them on the wrong feet!
So I set out on my quest to find another athletic shoe that was just as comfortable for me but cuter. I tried at least 8 different pair in different brands. I tried Saucony, Brooks, different New Balance and after all is said and done I ended up buying another pair of the New Balance 1123.
Truth is you have to wear what works for you. I have wide feet, toes that tilt upwards so I need a deep toe box, PF in one foot, overweight, and tend to supinate. Your right....I am a real piece of work but I have to accept me for what I am.
The moral of the story is that when it ain't broke don't fix it.

Result number: 162

Message Number 263227

Re: Haglund's Deformity: Surgery results View Thread
Posted by mickeyf on 2/04/10 at 00:19

Dear Oscar and Lynn
My first surgery years ago went like this. My doctor made the cut on the outside of my foot and removed the deformity. I was then placed into a half cast and crutches with no weight on it for one week. I then had my stitches removed and was put into a surgical shoe. the old ugly blue no bending velcro type for three weeks. I then was released into the tennis shoe, took me a couple of days to get use to being able to bend my foot again. I then started wearing regular shoes in about a month or so, which helped toughen the scarring. Never had therapy of any sort, and it has been wonderful since.
I just had my left one done tuesday and everything is different. I was put into a cam boot immediately, no crutches (yea) and instead of doing the cut on the outside of the foot he did it on the inside of the foot. The cam boot, definitely protects it and I can walk it. It kind of rolls like a regular shoe. I have been taking my pain meds regularly, but not because my heel hurts but my toes do when i have it up. I have been out to the store and to have lunch with a friend already. I do know that this surgery also consisted of him stretching out the tendon a little bit because before surgery I could not put my heel on the ground. I also know that I have to have therapy this time. I also have to be in the cam boot for eight weeks. Sorry if there are any typos or if I go from one thought to another, i am floating right now because of my pain meds.

This is a surgery that I would have again if the deformity ever comes back. I have a long history of surgeries and this has been one of the easiest.

Oscar why does your doctor say that you are not a good canidate for surgery. That is very interesting to hear. Before my last surgery I went to therapy for four weeks and it didnt help me. I would maybe go get another opinion.

Result number: 163

Message Number 263226

Re: Haglund's Deformity: Surgery results View Thread
Posted by mickeyf on 2/04/10 at 00:18

Dear Oscar and Lynn
My first surgery years ago went like this. My doctor made the cut on the outside of my foot and removed the deformity. I was then placed into a half cast and crutches with no weight on it for one week. I then had my stitches removed and was put into a surgical shoe. the old ugly blue no bending velcro type for three weeks. I then was released into the tennis shoe, took me a couple of days to get use to being able to bend my foot again. I then started wearing regular shoes in about a month or so, which helped toughen the scarring. Never had therapy of any sort, and it has been wonderful since.
I just had my left one done tuesday and everything is different. I was put into a cam boot immediately, no crutches (yea) and instead of doing the cut on the outside of the foot he did it on the inside of the foot. The cam boot, definitely protects it and I can walk it. It kind of rolls like a regular shoe. I have been taking my pain meds regularly, but not because my heel hurts but my toes do when i have it up. I have been out to the store and to have lunch with a friend already. I do know that this surgery also consisted of him stretching out the tendon a little bit because before surgery I could not put my heel on the ground. I also know that I have to have therapy this time. I also have to be in the cam boot for eight weeks. Sorry if there are any typos or if I go from one thought to another, i am floating right now because of my pain meds.

This is a surgery that I would have again if the deformity ever comes back. I have a long history of surgeries and this has been one of the easiest.

Oscar why does your doctor say that you are not a good canidate for surgery. That is very interesting to hear. Before my last surgery I went to therapy for four weeks and it didnt help me. I would maybe go get another opinion.

Result number: 164

Message Number 263177

Re: Advice sought for "Diffuse Myofascial Pain" with detailed history View Thread
Posted by Dr. Wedemeyer on 2/01/10 at 14:19

Mark,

based on these statements 'Many times I used to wake up with my foot in 30+ degrees extension and toes curled........and 'The way I was able to fix this was.........1/2' heel risers....'

Equinus and function at the ankle has to be a major component of your complaint and will contribute to metatarsalgia due to the attitude of the forefoot. A demonstrably tight GSAT complex will produce a profound effect on gait and foot function,especially the first ray which is confirmed by this comment: 'Medically, an MRI indicated mild flexor tenosynovitis'...'ultrasound showed normal plantar fascia (not thickened)' could mean chronic 1st ray dysfunction secondary to sagittal plane dysfunction because you describe more arch pain than heel pain (which is where most of my PF patients experience pain due to fasciosis, which does not appear to be repesent based on the US).

Mark it is possible that if the scenario that I am describing is valid in your case that the appropriate orthoses could still do a lot to mediate your complaints.

Result number: 165

Message Number 263143

Re: TTS release View Thread
Posted by candace on 1/31/10 at 09:49

well it seems that your surgery was a bit more extensive then mine and my doctor wants me to do what I feel comfortable doing but recommends as much time off of work as possible in order to heal properly. I got laid off back in July and am currently on a temp job so it's more me than him. I woke up this mornign to some pain but trying to make the most of it in terms of not over medicating. I hate the crutches and won't be attempting and sort of weight bearing including toes for at least another week. One things for sure, I'll have some serious arm strength when this is all said and done.

Result number: 166

Message Number 263141

Re: Subtalar Implant View Thread
Posted by Dr. DSW on 1/31/10 at 08:45

From the clinical signs and symptoms you describe with the collapsing arch and 'too many toes' sign, it confirms what I told you in a prior post that you have posterior tibial tendon dysfunction.

Your present doctor probably also told you that you 'hyperpronate' which some doctors that specialize in biomechanics don't believe exists. There may be excessive pronation due to dysfunction of the PT tendon, but they don't believe in the term 'hyperpronation'. A well respected podiatrist that specializes in biomechanics who despises that term is Dr. Kevin Kirby.

Regardless, for mild and 'flexible' cases, a subtalar implant/arthreisis may help, but I can't tell you without examining your foot. However, it is often necessary to also perform an Achilles tendon lengthening in conjunction with this procedure.

The implant acts by blocking motion in the subtalar joint that causes the excessive pronation. The most common side effect of this procedure is 'over sizing' the implant with resultant lateral ankle pain. I ALWAYS recommend that surgeons place one size down from the implant size that 'measures' during the procedure, to prevent this complication.

Yes, the procedure is relatively simple and can be reversed.

For a very good explanation, visit the HyProCure website. But when visiting the website, PLEASE keep in mind this site is written and owned by the company and is basically a very biased/one sided view/'propaganda', so you MUST keep it in perspective. It is NOT an objective website.

Result number: 167

Message Number 263138

Subtalar Implant View Thread
Posted by Penelope on 1/31/10 at 00:34

I wrote on here before with a list of unresolved symptoms and unsuccessful doctor visits concerning diagnosed PF and tendonitis going on for over a year and Dr. DSW suggested possible PTTD.

Well, I am seeing a new doctor (who has really listened to me and answered questions and helped to explain things). Seems to think that all problems are stemming from over pronation and collapsing arch upon weight bearing. Looking from the back, ankles fall inward and area below bulges out. Too many toes sign. And pain hasn't been satisfactorily helped with orthotics or any other treatments.

Suggested subtalar implant to fix this. I have read up on this procedure and understand it and know of possible complications. I know you cannot tell me if this procedre would be appropriate for me. But I would like to hear your opinions of it. Is this a common procedure for doctors to perform? Do you think it is a good procedure if done on the right patient? I understand it is reversable if not tolerated. However, I cannot seem to find much information online about bad outcomes for this procedure. Is that because the outcome is generally good or maybe because there is just not a lot of information on it? I was just surprised not to find too many 'bad' stories since there seems to be so many bad foot surgery stories out there. It just seems like a simple surgery with not a lot of drawbacks and that kind of makes me nervous because it seems like maybe I am only hearing one side of the story. I want to hear the bad stuff!!

Also, the one thing about the procedure that doesn't quite make sense in my mind is how a small screw-like thing inbetween two bones is NOT supposed to cause pain. It just seems to me like preventing excessive motion and having your weight coming down on such a small object would cause bone pain when it stops the motion. Or potentially cause pain years down the line due to repeated pressure on your bones in one spot? I mean, this must not be the case because it seems to work for people? But could someone explain this better so it makes sense to me?

Result number: 168

Message Number 263132

Re: Advice sought for "Diffuse Myofascial Pain" with detailed history View Thread
Posted by Mark R on 1/30/10 at 17:57

Thanks for the amazingly fast responses. Point taken on the comment and apologies. This occurred about 18 months ago at a low point in my morale and it really bothered me. I admittedly don't know what was going on in his life that day. I can also appreciate the increasing pressures on docs these years with movement towards patient volume versus quality time, which is sad.

Back to the issue. I have done a good deal of calf massage and Dr. Koh hammered on them before. I have had mixed results though, with sometimes it getting better and others not at all. My issue is likely multi-factorial though, so can be hard to isolate improvements. I have noticed that the night splint and muscle relaxers to keep my morning, even before standing up, soreness down. Many times I used to wake up with my foot in 30+ degrees extension and toes curled.

One more thing that leads me to believe this could be true, or in combination with an already too tight PF, is experience with snowboarding boots. Years before I had the chronic pain, I always had a heck of a time buying boots/bindings that would not kill the soles of my feet. When strapping into the board or doing long toe-side traverses, which basically collapses your arch, my feet would scream bloody murder. The way I was able to fix this was very stiff boots, 1/2' heel risers, and limiting binding pressure. I have tried risers in shoes lately with only limited success, though, perhaps due to being too far along for the easy fix only to work.


I will do some more research and try to spend extra time on attempting to see if this is the issue.

I am an engineer and so like to compare to a control. Would you recommend focusing on 1 foot only or is there risk of gait or other things complicating things?

If the PF is caused by that, how long into a focused effort can results realistically be seen so I am sure to give it ample time?

Besides limited ankle flexion, are there any other 'telltale' things that you would see if I came down for an evaluation?


Thanks so much,

Mark

Result number: 169

Message Number 263129

Re: TTS release View Thread
Posted by candace on 1/30/10 at 17:08

well today is day three and so far so good, been keeping it elevated since I got hoe Thursday and I can honestly say that the pain is minimal. I seem to have more irritation from being so restricted in my movement than anything else. I've been getting aroound on the crutches just to go to the bathroom but that's about it, thank ood ness I have someone taking really good care of me. I'm a little concerned about going back to work on the 8th hoping that it won't be a shock getting around and that I'll be down to one crutch by then. When you starting walking again, did you get sort of an electric shock down from your heel down to your toes...I feel that sometimes and just wonder if it's bad or just soemthing that I should be experiencing.

Result number: 170

Message Number 263108

Re: Help me while I wait for diagnosis, please. View Thread
Posted by Stu55 on 1/29/10 at 14:02

Tried aced bandage around arch and ankle last night and feet are worse today. Almost feels like I have 'numb socks' on. It does not hurt to touch my feet. Tests by podiatrist showed I could feel pin pricks, etc on feet. She did find my toes are stiff when she tried to flex them backward. Feet seem to hurt the same whether shoes are on or off.

Result number: 171

Message Number 263101

Re: Haglund's Deformity: Surgery results View Thread
Posted by MickeyF on 1/28/10 at 22:27

Hi everyone, i am 36 and i have had haglunds deformity in both feet. I had my first surgery about 15 years ago on the right foot, it included removing the bone growth and bursa. The doctor did not need to remove the tendon and reattach it. He made the incision on the side and after a week of no weight barring and a removable cast for a week, i was in a walking shoe for two weeks and back into tennis shoes after that. I didn't even have physical therapy afterwards. It was well worth it.

Then about five months ago I started having pain in my left heel, I knew exactly what it was. I tried ignoring it for a couple of months thinking that it would get better, but only got worse. I finally went to the same doctor again and he wanted to try therapy on it first, I went to pool therapy and land therapy for the last 4 weeks and at first it felt better, but now I cant feel heat, cold or light touch on the back of my leg or heel. I cant put my heel down on the ground because my tendon is that tight. I also cant flex my toes up in the air. I went back to the doctor just last tuesday and I am having surgery this next tuesday. I cant wait to have it done, I have had my share of surgeries and this was one of my easiest. I might be sore for a few days but nothing like I am now. The only dfference between this surgery and my last is now they have the walking boot, so I will be in that for six weeks, just because he thinks that he might have to do some moving of my nerves also.

I think that there are doctors out there like mine that can do the surgery without having to remove the tendon. If any one has any questions please post and I will respond. I will also keep you updated on my status after surgery. thank you

Result number: 172

Message Number 263093

Re: Ultrasound guided plantar fascia release View Thread
Posted by Ray on 1/28/10 at 17:38

i've just had a PF 2/3 release and a gastrocnemius release at the same time in both feet (I wrote about it on the PF board) Surgeon said would only do 2/3 as foot needs some PF to hold the arch up. I've had PF for 12 years and tried everything else available with no success. In my case the case for surgery was enhanced as I have high arches and my toes are curled back with only the ball of my foot and the tips of my toes touching the ground (along with the heel). This overall foot structure benefits most from the procedure.

Ray.

Result number: 173

Message Number 263073

Re: Foot pain from Yoga...for Julie View Thread
Posted by Julie on 1/27/10 at 16:42

Hi Jen

Your desk is the perfect place to do the foot yoga exercises. As I believe you've been finding them helpful, you could certainly increase your practice of them. I don't think you can overdo them -but if you are extra-enthusiastic watch for any adverse effects and back off if you need to.

The exercises I gave for the toes and ankles are a part of a longer sequence, called Pawanmuktasana (it means energy-releasing exercises). It is core for me, both in my practice and my teaching. The exercises work through all the joints of the body, and are simple and powerful; and if you practise them well, by which I mean slowly, mindfully, and with your full awareness, you will get much of the benefit you seek from yoga, including (especially) the mental aspect. They are both calming and energising, and on the physical level they help us to retain full range of motion in the joints, and often regain movement that has been lost through injury, enforced rest, or ageing.

You should really learn them from a trained teacher. But I've had a look at a couple of websites, and have found one with decent instructions and illustrations for the whole sequence. http://www.yinyoga.com/ys2_2.2.7.1.4_pawanmuktasana.php

Follow it through, for the lower body and upper body exercises. You can do them sitting on the floor, as the instructions and illustrations indicate, or sitting in a chair. (They can also be done lying on the floor, or standing: they're very adaptable.)

If you get interested in the theory, this is a good article about the sequence. http://www.yogamag.net/archives/1997/ajan97/pawanmuk.shtml

Julie
.

Result number: 174

Message Number 263062

Foot pain from Yoga...for Julie View Thread
Posted by Jen R on 1/27/10 at 11:29

Hi Julie...

I wanted to let you know that I have now worked along with that Yoga for Weight Loss video 3 times in a one week span...last night being the last time. I regret to inform you that my freakin feet/arches are really really painful today. I did do the exercises barefoot all 3 times. I think that there are specific stretches/poses that are the culprit of my pain. There are several times where you start in a kneeling position and straighten the legs...and one at the very beginning where the pose looks like you are lunging forward. Back foot has toes under and superflexed. Obviously, I am going to have to proceed with more caution. I was (and am still) hoping that I can get many benefits of yoga without making my feet worse.

Additionally, I ordered the Suzanne Deason Pilates video and the Gentle Yoga video which will give me other options that I suspect will have mostly sitting and non-weight bearing stretches.

As I told you earlier, I don't give up easily...which is probably one reason my feet got like this (being too stubborn to get medical attention while continuing to coach, play ball, etc)...but I'd like to think I am older and wiser now. The thought of my feet being any worse just scares the crap out of me.

So...thank you so much for sharing your insight with me. The information you have already given me will help me continue my pursuit of the yoga experience that is right for me.

Jen

Result number: 175

Message Number 263056

Re: DR. DSW - will the pain stop increasing? View Thread
Posted by Laurie C. on 1/26/10 at 20:44

Dottie,

I know how you feel....I have had three hip surgeries in 18 months along with my ankle surgeries and my most recent hip surgery 8 weeks ago. I am looking now at needing to have my peroneal nerve released as I have lost all ability to dorsiflex my ankle and toes. I see my doctor on Thursday, but we have already talked previously that it was looking that I might need to have this done.....The good news is that I had my other nerve released last April and it responded very quickly and within 3 months my EMG/NCV had converted to normal ranges.

I am not saying 'uncle' yet....

Result number: 176

Message Number 263047

Re: 12 Years of PF View Thread
Posted by Ray on 1/26/10 at 11:48

Surgery was done thurs Jan 14th so nearly 2 weeks ago - i've been in 'recovery boots' 24-7 since. Both feet & calves were done so even with crutches I'm fairly immobile. I am lucky in that I get full pay sick leave with doc's cert so no concerns there. It would have been very difficult to heve gone to work like this.
Sleep at night is not so good as I keep waking up with serious pain in my toes due to blood circulation/pooling (not an issue during the day) although I've managed to reduce that by sleeping in a sitting position (v-shaped in fact as I need to keep legs elevated).
Stitches come out on thursday and I'm told 'I'll have to stretch and walk' - I thought to myself that's the whole point isn't it - walking!. Boots also off on thursday but have to put them back at night to keep the dorsi-flection at 90 degrees.
No discernable change in feet yet although they are still quite sore when not elevated and calf muscles are sore to use when moving on crutches.
Some sites I researched before surgery.......
http://www.podiatrytoday.com/article/7076
http://www.podiatrytoday.com/article/7202
http://www.amsurgical.com/procedure_detail.php?page_label=patients_egr&PHPSESSID=1aff678b4...

The surgical cut is done on the Gastrocnemius Aponeurosis (detailed in the 3rd of the above links) rather than the Achilles Tendon.

As far as I can tell (talking with the physio after the op) mine is the first procedure of its kind done here in Ireland but the surgeon has only recently set up shop - having learnt his trade in the US for years.
I have access to medical journals (being a recently qualified medical physicist) and have researched the procedure, but only found articles dated since 2005, so its clearly a relatively new procerure.

Result number: 177

Message Number 263034

Pain and Tingling after TTS and PFR View Thread
Posted by amyw on 1/26/10 at 00:26

I underwent a Tarsal Tunnel Release and Open Plantar Fascia Release on January 8th. I wore a plastar splint for 2 weeks after surgery and was complete non-weight bearing on crutches. Two weeks to the day after surgery, the stitches were removed and I came home with an ace bandage still wrapped on my ankle, a velcro closure shoe and my crutches. My surgeon advised me to begin weight-bearing as tolerated.

I do have a bit more movement with each passing day, but am having a lot of swelling and tingling. It almost feels like an electrocution type of feeling. Most of the tingling is in or behind my big toe, but I also have it in my 2nd and 3rd toes in the front when I flex my ankle. And then there is a stabbing/shooting pain that will just come and go in 5-10 second intervals. Almost like someone is taking an ice pick and jabbing it into my foot. Plus, the pain is almost unbearable in my heel when I try to put weight on it - I guess that is from the Plantar Fascia Release?

The tingling is more bothersome than painful. It's just really uncomfortable to have these electric feelings constantly running through my feet. Even as I sit here it is just going up my toes. How long will this continue and is it something that is normal? Should I be calling my doctor or am I on the right track?

After reading so many horror stories on here, I just don't know what is normal. Sorry for writing a book...I'm concerned that I might not be on the right track.

I guess I just don't know how much of this is normal and what I should expect. How long will the pain last?

Result number: 178

Message Number 263031

dont know the cause View Thread
Posted by Mauricio on 1/25/10 at 22:49

Yes, I know its my own fault for what I am about to tell you haha. 3 days ago, I was with my friend. We saw a small ledge, not too big, and we decided we wanted to jump it. My friend jumped first, and he landed fine. So then I jump, but unfortunately my right foot landed on frozen mud that was hard as a rock. Now I have a swollen heel, and it hurts a lot to walk on it. So now im walking on my toes, since it hurts to walk on my heel. But it also hurts to walk on my toes. And since I'm walking on my toes, its hurting my ankle and shin in the process. I'm not sure if its just a really bad bruise or something more serious. thanks.

Result number: 179

Message Number 263027

Severe Tingling after Tarsal Tunnel Surgery View Thread
Posted by amyw on 1/25/10 at 21:03

I underwent a Tarsal Tunnel Release and Open Plantar Fascia Release on January 8th. I wore a plastar splint for 2 weeks after surgery and was complete non-weight bearing on crutches. Two weeks to the day after surgery, the stitches were removed and I came home with an ace bandage still wrapped on my ankle, a velcro closure shoe and my crutches. My surgeon advised me to begin weight-bearing as tolerated.

I do have a bit more movement with each passing day, but am having a lot of swelling and tingling. It almost feels like an electrocution type of feeling. Most of the tingling is in or behind my big toe, but I also have it in my 2nd and 3rd toes in the front when I flex my ankle. And then there is a stabbing/shooting pain that will just come and go in 5-10 second intervals. Almost like someone is taking an ice pick and jabbing it into my foot. Plus, the pain is almost unbearable in my heel when I try to put weight on it - I guess that is from the Plantar Fascia Release?

The tingling is more bothersome than painful. It's just really uncomfortable to have these electric feelings constantly running through my feet. Even as I sit here it is just going up my toes. How long will this continue and is it something that is normal? Should I be calling my doctor or am I on the right track?

After reading so many horror stories on here, I just don't know what is normal. Sorry for writing a book...I'm concerned that I might not be on the right track.

Any help would be appreciated.

I guess I just don't know how much of this is normal and what I should expect. How long will the

Result number: 180

Message Number 263007

pain ball of both feet toes burn and numb View Thread
Posted by Mike D on 1/24/10 at 02:01

I do have some lower back pain, I do go to a Chiropractor. I have had my neck and lower back checked thru many tests at the Mayo Clinic after mri's they said some degeneration and and narrowing but didn't see a problem (normal for my age 54 at that time last year). I had numbing in 1/3 of my right hand and loss of full feeling and strength, pain down my neck, shoulder, and arm. I'm a golfer this lasted about 2 1/2 months and was unable to play. By the time I went the clinic the pain had gone away. I also mentioned that the ball of my of each of my feet felt pain and some pain in my toes. Thru some testing they said I had elevated glucose they felt could be diabetes my number after fasting 8pm the night before was 127. They told me to have it checked out with my Doctor at home after a blood tests my ac 1 test was 6.1 an ok range, but my uric acid was high I think it was around 11. My Dr. prescribed allopurinal and some thing else. I continued to have pain, it felt like nerve pain in my toes at night when I went to bed. I did do more follow up with a glucose tolarence test and after the test Dr. said I did not have diabetes my number 148 a little high but ok (He said change my diet). I stopped taking the allopurinal and 5 months later had a gout attack lasted a week continued my allopurinal and have had no further attacks, but I still have pain in both balls of my feet numb toes, and seem to have some loss of movement in the two toes close to the big toe and some burning. It seems to be getting worse. My lower back has been giving me trouble recently any thoughts? I have been very active all my life I'm 6' 205 lbs. and in pretty good shape but have put on some weight because of being less active. I have played basketball from time I was eight years old to up to six months ago (54 years old) at least weekly and golf twice a week. I do high blood pressure and cholesterol both controlled bp 110/75 and 180/99. Help

Result number: 181

Message Number 262983

Re: Bicycling safe for PF? View Thread
Posted by Ray on 1/23/10 at 11:18

I've had PF for 12 years now and only attempted cycling again a year ago - it only caused problems if it put the ball(toes) of my foot on the pedals. If I cycle with the arch of my foot on the pedal it causes no problem.
HOWEVER - I've just had surgery - the specialist felt I had way too tight calf muscles and did a calf-muscle 'cut' so when it heals it will do so in a longer position and take pressure(force) off my heal bone which in turn will take force off my PF.
I say however because cycling does put more strain on calf muscles which may have put more strain on my PF but as I say when not on the balls of feet - I could not feel any problems.
I lost 14lbs since last June with the cycling so it certainly was great for that and so in prep for the operation.

Ray.

Result number: 182

Message Number 262978

Re: yoga for people with pf View Thread
Posted by Julie on 1/23/10 at 01:25

Hello Jen

I think Dr DSW will allow me to reply: he knows that I am a yoga teacher with many years of experience of teaching and training teachers, and have posted on this board in the past.

The basic answer is: it depends on what type of yoga you do. There are many different schools. Two of the most popular styles, Iyengar Yoga and Ashtanga Yoga (otherwise known as 'Power Yoga') are heavily based on strong standing poses, which would not be a good thing for most people with PF. That is to some degree an individual matter: you may be ok with standing for long periods of time; most people with PF wouldn't be, and I wouldn't recommend them for this reason.

Other forms of yoga are more holistic, and place more weight on breathing, relaxation and meditation. In classes of this kind there will be more non-weightbearing work, seated and lying on the floor, and I believe that a class of this kind is more suitable for anyone with PF.

You need to choose your teacher carefully. It's received wisdom that you do yoga in bare feet, and there are good reasons for this: better balance, good contact with the ground, freer movement of toes and ankles possible. But most people with PF find that going barefoot exacerbates the PF. If you do, then you should tell the teacher that you need to wear your trainers while practising, and his/her response will be a good indication of her professionalism. Some teachers are rigid, and insist on bear feet - I would back off from any teacher that took this attitude.

If the class you are attending is an Iyengar or Ashtanga class, there are some things you need to be aware of. Ashtanga Yoga is done quickly: you move from one strong pose to another strong pose without time to consider whether what you're doing is going to hurt you or not. Even fully fit people hurt themselves doing this style of yoga. As far as I'm concerned, this is a real No-No for anyone with PF or any other injury or physical problem. My advice for anyone with PF would be: Don't go to an Ashtanga Yoga class.

In Iyengar yoga the moves are slower and the poses held for longer, so you do have time to consider whether you should be doing them or not, but most of the stretches are very strong, as you've already discovered, and it's questionable whether you should be doing them.

My advice would be to look around for a softer style of yoga. The Satyananda and Krishnamacharya traditions are much more geared to the individual, and in every way more suitable to anyone with a physical problem of any kind

If you decide to persevere with the class you have just attended, I recommend that you speak to the teacher if you haven't already done so, and inform her (or him) fully about your problems. Judge from the response whether s/he will take your needs into account and give you individual help.

Finally, it goes without saying that for individual help to be given the class needs to be small - no more than 12. No teacher can look after 20-40 individuals - and many classes are, unfortunately, that large.

(I know you are doing the foot yoga exercises I posted here years ago - stick with them, whatever you decide about a class. They've helped many of my students with their PF.)

I hope this is helpful. Good luck. I have practised yoga for 40 years and it has helped me through many difficult times. I hope you'll find a teacher that is right for you, and that you will enjoy yoga.

All the best,

Julie

Result number: 183

Message Number 262976

Re: I got tattooes on my toes View Thread
Posted by CG on 1/22/10 at 23:47

Sorry to tell you Homegirl, but I did cocoa butter for months and nothing. I also used vitamin e capsules and nothing. My podiatrist doctor said that it's not going to go back to its original color the reason is hypopigmentation. I have 1 1/2 yr with this issue and nothing. I don't mess with it anymore. I don't mind when it's pink cus it doesn't look that bad, but when it looks white eeekkk I can't stand it. If you find a solution please share. Thanks!!!

Result number: 184

Message Number 262956

yoga for people with pf View Thread
Posted by Jen R on 1/22/10 at 10:30

Hi,

Do any of the doctors have an opinion about people diagnosed with bi-lateral PF doing yoga as a form of exercise? I am a beginner and had my first session last night. While I see that there are certain stretches to be leary of that involve extending the leg with the toes flexing the bottom of the foot...is there any adverse long term problems associated with doing yoga? My feet are a little more sore than usual today but maybe I just need to be a little more careful??? I am wondering if the fact that my left foot hurts more than the right is due to my heel inversion and the stances where legs are extended and balancing weight between the two feet.

Thanks,

Jen R

Result number: 185

Message Number 262936

Corn Removal Surgery View Thread
Posted by Homegirl on 1/21/10 at 14:26

Now that the corns are gone. The spot where the corn were are lighter than the surrounding toes skin. Will the area where the corn existed darken and blend with the surrounding toes skin? If not, is there some kind cream I can purchase that will help?

The light area is shaped like a corn.

Thank you for your response and assistance in this matter.

Result number: 186

Message Number 262935

Re: I got tattooes on my toes View Thread
Posted by Homegirl on 1/21/10 at 14:20

Thanks for your feedback. Recently, I followed the home remedies to remove a corn using lemon and vinger. It worked really well, however, currently, I have a light spot on the toes where the corn previously existed. My goal is to changed the light spot to the color of my skin (toasted brown). From a distance, the light spot looks like a corn. It is shaped like one. I am still uncomfortable showing my feet. I am currently trying coco butter to return the pegimentation back to this area. I am not sure if it is working. I am completely open to any ideas. Lastly, a pharmacist stated, the area will eventually darken. I don't completely believe that.

Result number: 187

Message Number 262904

Re: I got tattooes on my toes View Thread
Posted by CG on 1/20/10 at 13:40

No, I haven't. I'm actually scare to try any type of home remedies since thtats what happen to me to begin with. But, if it's an actual corn that you have then the lemon might work for you and a pumice rock. Google home remedies to remove a corn. Good luck!! I was thinking of trying to match it with a tattoo but not sure since someone here has comment that it faded and went back to the same color.

Result number: 188

Message Number 262903

Re: a 'world-class' doctor & what shoes should I wear? View Thread
Posted by VB on 1/20/10 at 11:01

Tom I bought easy spirits at a store call belks.But alot of shoe stores carry them I got mind saturday they have like vents at the toes and holes on the sides they are lite weight tennis shoes like you I got to have lite weight.Tom they are the only thing I can wear now and if I wear them long then they start hurting my feet and my feet will start burning they are the best shows I have found that works for me and they was 65.00 which I did not think that was bad considering I payed 95.00 for a pair of sandles that I can not wear at all.Maybe they would work for you.Hope this will help.VB

Result number: 189

Message Number 262902

Re: I got tattooes on my toes View Thread
Posted by Homegirl on 1/20/10 at 10:23

Were you able to correct the white/pink corn scars on your toes? Is there a remedy?

Result number: 190

Message Number 262890

Re: Scientific American on Neuropathy - FYI Cut & Paste Section View Thread
Posted by Dottie on 1/19/10 at 16:13

For anyone interested, I cut and pasted the 'good part' of the transcript. It seems that a gentleman who had severe neuropathy tried a treatment with capsaicin cream -- so strong that he had to be put under anesthetic - and it gave him his ability to run again. My therapist actually whatched the segment on public television and thought of me immediately. I wonder if there is any medical professionals or pain clinics who are doing this procedure for patients like us. I think I will do a little more research on Wendye Robbins, the person who conducted the treatment discussed here:


ALAN ALDA: (Narration) One man who's that happy researchers are again exploring the pain-killing properties of peppers is a long-term survivor of AIDS, living in San Francisco. A few years ago, he began suffering agonizing pain in his feet due to a condition known as neuropathy.

GEPPETTO: The pain was very, very deep inside my feet, just underneath the toes. The best way I can describe it was that there was broken glass in there, on the nerves, to the point my life was just becoming very sedentary.

ALAN ALDA: (Narration) An active runner and volunteer with the AIDS quilt project,

GEPPETTO: Apodaca became housebound, his pain controllable only with powerful drugs.

GEPPETTO: I thought that if this pain continues, and if all they can do for me is tranquilizers, then I just didn't want to go on any further. And that's pretty much where I was until I met the pain management crew and Wendye Robbins .

ALAN ALDA: (Narration) Wendye Robbins, an anesthesiologist, figured if hot peppers numb pain in the mouth, why not elsewhere?

WENDYE ROBBINS: That was part of the originality of the invention, was realizing that the same nerve fibers that are present in the mouth and signal hot or spice when we eat them are also present on the foot and therefore can probably be interacted with in the same way.

ALAN ALDA: (Narration) Geppetto's treatment begins with a powerful local anesthetic smeared on his feet.

WENDYE ROBBINS: Before we put capsaicin on him we have to make sure he's pretty numb. Otherwise the capsaicin itself would be exquisitely painful.

ALAN ALDA: (Narration) The mask protects against the fumes from the capsaicin cream.

WENDYE ROBBINS: This is a hundred fold more potent than the stuff that's available commercially. This is 7.5% by weight. If I was to touch this to your foot, or to the foot of anyone else who wasn't anesthetized, it would be excruciatingly painful.

ALAN ALDA: (Narration) What the researchers have found is the molecule in our nerves that hot peppers activate when they cause their painful burn. The molecule sits like a trapdoor on the surface of the pain fiber. Capsaicin unlatches the door, allowing calcium ions to rush in -- and so firing off the pain message to the brain. Here's what happens when capsaicin is added to living cells that are cued to light up when the trapdoor opens.

MICHAEL CATERINA: If you were to take the neurons that normally respond to pain in our bodies and subject them to this same sort of assay, this is exactly what they would look like. They would start off purple and then when you added capsaicin to them, they would all light up. A silent scream.

ALAN ALDA: (Narration) The researchers discovered that very hot water also makes cells give this same response. In fact, the original job of the trapdoor molecule in our bodies may have been to detect and warn of dangerous heat. So here's the ultimate reason peppers are hot - capsaicin fools our cells into thinking they're on fire! Right now Geppetto's feet know the feeling only too well.

GEPPETTO: I'm beginning to feel a very, very, very hot sensation on my feet right now.

ALAN ALDA: (Narration) But just as the hot pepper candy relieves mouth sores, so Geppetto's much more dramatic treatment should relieve his much more devastating pain - once the burn wears off.

GEPPETTO: The first time we did it, my initial feeling when I got home was that the pain was so bad from the capsaicin that I couldn't realize that it was going to get any better. And as the third day came around and I was able to put on shoes comfortably for the first time, it was like being born again.

ALAN ALDA: (Narration) This time

GEPPETTO: was running again within the week - and if his previous treatments are a guide, he'll remain virtually pain-free for months. Meanwhile, Wendye Robbins hopes that many other patients with debilitating pain can also be treated with pepper's chemical heat. You see what I mean? One thing in science just seems to keep leading to another.

Result number: 191

Message Number 262879

rear heel symptom View Thread
Posted by Jen R on 1/19/10 at 07:41

As most of you doctors know, I was diagnosed with bi-lateral PF about 10 years ago. I do have morning pain now but did not have that pain up until the last few years. However, even before I was diagnosed I had (and still have) three distinct symptoms which I never tied together until perhaps it was too late to treat. One is the feeling after standing or running like I was standing on bones...with no padding. The second is a pressure feeling in my feet when I'd wear an athletic shoe with padding...especially a new shoe. When I'd remove the shoe there was instant relief.

The third symptom which I have not discussed very often and would like to address now is the pain around the back rim of my heels. When I lay on my back...whether it be on a glass tanning bed or my nice soft bed...the back rims of my heels ache like a toothache and gets progressively worse until I remove the pressure by turning over or getting up. My right foot has an incisional scar on the back rim of the heel from my osteotomy in 2001 but this pain exsisted before and still remains the same after all these years. Additionally, doing some of the foot yoga exercises where I'm really flexing my ankle and then my toes seems to tug and aggravate that area at times.
Is this a symptom that might indicate anything in particular???

Thanks,

Jen R

Result number: 192

Message Number 262876

Medial calcaneal(?) nerve issue View Thread
Posted by Jamiejones on 1/19/10 at 01:47

Hi- I recently noticed a severe intense burning/stinging pain on the inside of my heel. From diagrams it looks like where the medial calcaneal nerve is. This is the inner side of my foot on my heel about on inch up from the ground and one inch in from the back. I do not train in sports, work out or stretch lots. This pain is completely absent at all times unless I bend forward at the waist as if to touch my toes or pick up laundry etc. And is directly related to how far forward I go. It covers about a nickle size area but is a very intense burn/sting- if I try to bend further (as if to touch my nose to my knees it is so intense it's unbearable. However the pain is relieved by standing back upright almost immeadietly, unless I've stayed like that for awhile like when tying my shoes while standing in which it might linger for a minute or two after standing back up. What could be causing this? And is there anything I can try to do to relieve it. It is a very intense pain, and I have a pretty high tolerance for pain. Almost feels acid is eating through my skin, or a hornet sting. but then just goes away when I stand back straight. What can I do to help it? Thank you so much for any advice.

Result number: 193

Message Number 262862

Re: Numb Feet and Pain in the ball of both feet View Thread
Posted by MikeS on 1/18/10 at 17:18

Thanks for responding.

Both feet are numb. It radiates from the big toes (most numb) to the back of the heel (least numb.)

The pain it a constant pressure (4 out of 10), or when walking the pain is in the ball of the foot (7 out of 10.) It has been going for about 4 years now and has slowly gotten worse. The feet 'burn' a little (though that's not the overwhelming concern.)

I've seen foot doctors, had MRI on my spine, had xrays of my feet, had shock tests and had other test (don't remember the name.) Doctors say 'Guess you are going to just have to live with it.'

Wearing socks creates pressure on the feet which makes me not want to wear socks (or shoes.) I'm currently wearing shoes probably 1/2 size too big to keep from having them hurt too much. My feet still hurt (more) when wearing shoes.

The big toe joints are very stiff; the other joints are fine. Periodically the top of my left middle toe feels like it is being shocked.

I have high arches and am 46. I did ashtanga yoga for 6 years prior to the onset of this condition and was in very good shape (I often wonder if anything I did in yoga caused the problem.) Now I'm in not very good shape because it hurts just to get out of bed.

I'm really sad to hear you think you might not be able to help. My feeling is my doctors either have too many patients and spend very little time thinking about my problem or they don't really spend much time researching patient problems outside of their immediate peer network.

Result number: 194

Message Number 262826

Numb Feet and Pain in the ball of both feet View Thread
Posted by MikeS on 1/16/10 at 18:42

Hi, I've had a problem that is slowly but progressively getting worse. It started with number toes and now has evolved to numb feet where it hurts to walk, hurts to put on socks, even hurt to just sit here.

I've seen all manner of doctors and then tell me I'm perfectly healthy and that they can find no problem but the pain just gets worse. I can't really exercise since most all exercise requires me to use my feet. This has had a huge negative impact on my quality of life.

Help?

Result number: 195

Message Number 262816

Re: Non Surgical success? View Thread
Posted by Rob Wilson on 1/16/10 at 13:29

Dr DSW

I have not tried any of these non surgical treatments. Just yoga toes and acupuncture. Can you refer me to a doctor in cleveland or Akron area of Ohio for these types of treatments. Thanks

Result number: 196

Message Number 262814

Vascular problems + Avascular Necrosis after Bunionectomy View Thread
Posted by Barbara L. on 1/16/10 at 12:26

Hi, I am 47, female, healthy, and not overweight. I had an Austin Bunionectomy 1/9/09, just over a year ago. Didn't have a bunion, but I had early Hallux Limitus, so had an osteotomy to shorten the 1st metatarsal. I was off work for 3 months and followed all doctor's orders. I continued to have swelling, especially when I stand for any length of time and when my foot gets warm, whether it's the weather, a hot shower, my electric blanket, etc.(When foot gets too warm, the swelling comes on very fast.)

In October, '09, I had an MRI, which showed a non-union and AVN (Avascular Necrosis / Osteonecrosis). I used a bone stimulator for 2 months (still using it, hoping it will help AVN). A CT scan Dec,'09,showed the nonunion healed, but showed some sclerosis in the area of the AVN. My doctor wants to see what happens with more time. My fear is it will continue to deteriorate. I, however, just made an apt. with a vascular surgeon because I believe the swelling I get almost every day, once my foot gets toasty, is not from the AVN but from vascular damage done during the initial surgery. My doctor said the veins over the MTP joint are cauterized during surgery. My sense is that when my foot gets warm, and the blood flow increases, that whatever veins are left (that were not cauterized) cannot handle the increased blood flow, so blood leaks into the tissues. When it swells, it starts in the area of the incision and then spreads to most of the foot. Sometimes my toes turn purple. My doctor said it could be arthritis causing this, but I don't believe that...(it was nothing like this before surgery). Also, if my doctor was too 'aggressive' in the surgery and cauterized more than he should have, could that have led to the nonunion and the AVN? And, finally, with these problems, I'm afraid I may have healing issues / complications in any future surgery I may need to have, i.e., fusion of 1st MTP joint if AVN gets worse. I appreciate any feedback. Thanks so much for your time!

Result number: 197

Message Number 262810

Re: biomet two piece hinge device for big toe implant View Thread
Posted by james wolf on 1/15/10 at 23:00

dr. wander thank you for all the information and advice as i respect your advice and opinion but your statement in point 4 is incorrect i have no, no, no surgery date set from the initial telephone call (please reread my original statement as i'm going this wednesday for an initial visit with him and a physical exam and new x-rays before any decision is made by me for surgery (if in fact i ever have surgery i been burned once and i assure you this will be a thoughtful decision before anyone performs surgery on my big toes again);i will revisit dr. spinner again and asked the questions you suggested;i would prefer having the procedure locally its easier on me for local follow up if problems arise;i was thinking to as him if he could refer a local colleague he would recommed that he knows and trusts and he may have practiced with at hollywood memorial west that has done this procedure many times;thanks again for all your help and advice i will keep you informed

james wolf plantation florida

Result number: 198

Message Number 262802

Re: biomet two piece hinge device for big toe implant View Thread
Posted by james wolf on 1/15/10 at 16:44

dr. wander i spent and hour on the phone with dr. richard koeing dpm on tuesday and he has seen my x-rays from dr. spinner (taken four months) he stated he has performed over 1000 operations over the past 12 years removing and old implant and replacing it with biomet two piece device (top device is embedded into bone and bottom device is cemented into place (talked to the engineering manager at biomet and he gave me the information no screws or plates and spoke highly of dr. koeing);dr koeing stated of the 1000 operations about 5 or 6 had to redone;and told me that if the operation failed by chance i had enough bone to have and arthodesis;you misunderstood one of my statements from the first post the nurse he operated on actually said she now has 85% flexibilty in the toe and no pain he never stated the percentage in fact he said many 'healthy big toes' do not have 85% and said realistically i would probably have 30% +;the device should last about twenty years if i'm still on this planet;have all the bloods tests,ekg,etc. done locally and results faxed to him;check into the hospital in morning the procedure is about over an hour (fully under)99% of the patients leave the hospital the same and check into local hotel for the night and return to his office next morning if ever is fine i can go home and see him in a month;wear a booth for 6 weeks and no golf or bowling for 3 months and wait a minimum of 3 months before the other toe is done;does this seem like standard procedure to you;remember i must travel 3 hours from my home to his office and hospital;any comments or questions would be appreciated;i meet with him wednesday for consulation and new e-rays and will keep you informed;because of the constant pain as of today i am seriously considering this operation

thank you for all your help and questions and are there any further questions i should ask next week i would appreciate

james wolf

Result number: 199

Message Number 262797

Haflinger's are great! View Thread
Posted by Kathy G on 1/15/10 at 13:57

It's been ages since I've posted but I just wanted to mention a shoe I've tried and had great luck with. I have atypical PF in that my pain is in my arch most of the time, although I've had heel pain.

Since I've stopped posting, I've been diagnosed with an unknown type of Osteo/Rheumatoid arthritis. I've had four surgeries on one of my hands and one on the other. Feel much better with my joints replaced or fused. My neck vertebrae are fused, except for two of the them and I have chronic pain which is being treated well.

About a month ago, out of the blue, my Morton's neuroma started to hurt. I wasn't surprised since I was starting with bilateral arthritis in my toes.

I was going through some of the shoe websites and found these Haflinger clogs, made of boiled wool. I figured I had nothing to lose since shipping and return was free. I bought three pair and I love them. My right toe, which was very painful and starting to slip under my big toe, straightened out after a couple of weeks. The neuroma pain is gone.

I am allergic to wool and tend to have hot feet but these shoes are neither hot nor itchy. I was so impressed, I ordered some of their slippers.

I have one pair I thought I should return because I didn't think I really needed that many pair of shoes but it's so cute. It's a dark charcoal gray with wild flowers embroidered on the top of the shoe. I got permission to return them but now I'm thinking I'm going to break them in!

That's one important thing about them. You must be patient. They felt big on me and kind of sloppy. After a short period of wearing them, they seem to mold to one's foot.

Just wanted you all to know of a brand I wasn't aware. I hope they help some of you!

Oh, and they accommodated my big toe which is turning up and the fact that my second toe is longer than my big one. No wonder I have trouble with my feet; they were imperfect from the day I was born!

Follow people's recommendations as to size. I would have thought I was a 40 because I wear a nine with my orthotics in a running shoe but the 39's fit fine as the comments suggested they would - even with my orthtotics.

Good luck to all of you struggling with foot pain. It takes a long time but PF does go away and most people don't replace it with arthritis! Just be patient and do Julie's foot exercises. I stopped and I swear that's why the Neuroma came back.

Result number: 200

Message Number 262790

Re: I got tattooes on my toes View Thread
Posted by CG on 1/14/10 at 18:09

A question for D.S. So you don't recommend getting the foot tattoo to cover a corn? I wore these painful shoes that made two of my toes turn dark, I'm brown skin but my toes turn really dark. I google home remedies and discover that u can use lemon to lighten scars and etc (not a good idea). So I did n it's like it burn my skin and now my skin on those toes are pink and at times looks white too and now looks like a corn. But it doesn't hurt or anything so I don't think it's a corn. Don't know what to do. Also I have foot surgery scars (bunions) so surgery is the last thing for me. Please any advice anyone it would be gladly appreciated. I hate gettig a
pedicure, don't even like to shoe my feet ever.

Result number: 201

Over 100 records returned. Search was stopped

© heelspurs.com LLC

Powerstep Night Splints Ibuprofen Cream ProStretch LED Light Therapy