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For those that have tried everything and no relief.

Posted by Dr. Zuckerman on 6/18/00 at 18:02 (022008)

I have some patients that have just plain foot pain pf everywhere. I send them to a pain specialist or anesthesia department for an epidural in the lower back area. This can sometimes just shut down the pain cycle. The foot nerves go into the back. this could give you a relief from the constant cycle of pain. Just food for though An epidural can also stimulate blood flow to the foot, in addition to reducing spasms, cramping and pain.

Re: For those that have tried everything and no relief.

Pauline on 6/18/00 at 19:09 (022010)

Dr. Zuckerman,
What's the update on your pain. Do you have it under control now. What have you been trying?

Re: For those that have tried everything and no relief.

john h on 6/18/00 at 19:36 (022011)

having had a bad back for 22 years pf was a double whammy for me because i used sporting activities to control my back pain. within the past 60 days i had 2 lower back epidurals. they relieved my back pain for about 4 days. i followed this up with 6 facet joint injections at the L3/L4, L/5 S/1 levels for diagnostic purposes. the doctor thinks i possible have facet joint syndrome. next monday i will have a procedure called 'Radio Frequency deneration of Medial Branch to the Facet Joints' 'ouch'! It is an out patient procedure where a probe is inserted into an area where the nerve serving the facet joint (s) is located and then radio frequency waves numb this nerve. the nerve can remain numb for 3 months to a year and there is a 50% chance of pain relief. a shot in the foot is a walk in the park compared to all this needle probing in my back. i sort of forget my foot pain when i walk into the clinic for these deals. a real miracle would be for this to cure my feet and back with one shot of high frequency radio waves.

Re: For those that have tried everything and no relief.

Scott R on 6/18/00 at 19:43 (022012)

Dr Z, if it's that noisey, ya'll need to get some disposable earplugs or those heavy-duty head-cuffs (whatever thet're called). The big ear muffs are nicer. No shoving in the ear and no ear wax...

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Re: test

scott r on 6/18/00 at 19:49 (022013)

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Re: For those that have tried everything and no relief.

Scott R on 6/18/00 at 20:25 (022014)

John, I'm sure you already know it, but in case you didn't, pressure on S1 could be cause plantar pain, and either it or L5 or L4 could cause tarsal tunnel pain. I think.

Re: For those that have tried everything and no relief.

Dr. Zuckerman on 6/18/00 at 21:07 (022019)

L4-L5 can give you tarsal tunnel pain.!!!!

Re: For those that have tried everything and no relief.

Dr. Zuckerman on 6/18/00 at 21:09 (022020)

I either talk to the patient or listen to music with headphones. My assistants don't want to use anything. I tell them but they won't use anything. I guess it going to be work related disability for the staff

Re: For those that have tried everything and no relief.

Dr. Zuckerman on 6/18/00 at 21:12 (022021)

It's under control. Its just annoying at times, and last nite was annoying so I took some vioxx. In addition I use Miked W. foot massage device. It didn't help me but I used it on my wife for her calf pain. She is a walker (10miles daily) and it made her fall in love with me again.

Re: For those that have tried everything and no relief.

john h on 6/19/00 at 09:21 (022043)

each time i have gone to a spine specialist or foot specialist i always pose the question 'could my back probem be causing my foot problem?'. the answer is always no. when i got immediate relief in my foot from a cortisone shot which lasted about 3 weeks i sort of ruled out the back problem. wendy noted when her feet hurt her back hurts. pain in either area will cause a contraction in the muscles creating more pain in the back. both back and foot problems are frequently a tough diagnosis. doctors commonly prescribe anti depressants and anti convulsants for chronic pain it certainly points out the mind body connection in pain

Re: For those that have tried everything and no relief.

john h on 6/19/00 at 09:24 (022044)

i use my personal trainer to keep my wife in line. that is why mike calls it a 'personal trainer'!

Re: For those that have tried everything and no relief.

cindyp on 6/19/00 at 12:07 (022053)

So what I am wondering with these treatments is the long term affects? How long do they last and are they sometimes permanent? Please Please.

Re: For those that have tried everything and no relief.

Pauline on 6/18/00 at 19:09 (022010)

Dr. Zuckerman,
What's the update on your pain. Do you have it under control now. What have you been trying?

Re: For those that have tried everything and no relief.

john h on 6/18/00 at 19:36 (022011)

having had a bad back for 22 years pf was a double whammy for me because i used sporting activities to control my back pain. within the past 60 days i had 2 lower back epidurals. they relieved my back pain for about 4 days. i followed this up with 6 facet joint injections at the L3/L4, L/5 S/1 levels for diagnostic purposes. the doctor thinks i possible have facet joint syndrome. next monday i will have a procedure called 'Radio Frequency deneration of Medial Branch to the Facet Joints' 'ouch'! It is an out patient procedure where a probe is inserted into an area where the nerve serving the facet joint (s) is located and then radio frequency waves numb this nerve. the nerve can remain numb for 3 months to a year and there is a 50% chance of pain relief. a shot in the foot is a walk in the park compared to all this needle probing in my back. i sort of forget my foot pain when i walk into the clinic for these deals. a real miracle would be for this to cure my feet and back with one shot of high frequency radio waves.

Re: For those that have tried everything and no relief.

Scott R on 6/18/00 at 19:43 (022012)

Dr Z, if it's that noisey, ya'll need to get some disposable earplugs or those heavy-duty head-cuffs (whatever thet're called). The big ear muffs are nicer. No shoving in the ear and no ear wax...

the following is a test. http://test.com , http://test.com . http://test.com http://test.com
http://test.com
http://test.com


Re: test

scott r on 6/18/00 at 19:49 (022013)

http://test.com , http://test.com . http://test.com http://test.com
http://test.com
http://test.com

Re: For those that have tried everything and no relief.

Scott R on 6/18/00 at 20:25 (022014)

John, I'm sure you already know it, but in case you didn't, pressure on S1 could be cause plantar pain, and either it or L5 or L4 could cause tarsal tunnel pain. I think.

Re: For those that have tried everything and no relief.

Dr. Zuckerman on 6/18/00 at 21:07 (022019)

L4-L5 can give you tarsal tunnel pain.!!!!

Re: For those that have tried everything and no relief.

Dr. Zuckerman on 6/18/00 at 21:09 (022020)

I either talk to the patient or listen to music with headphones. My assistants don't want to use anything. I tell them but they won't use anything. I guess it going to be work related disability for the staff

Re: For those that have tried everything and no relief.

Dr. Zuckerman on 6/18/00 at 21:12 (022021)

It's under control. Its just annoying at times, and last nite was annoying so I took some vioxx. In addition I use Miked W. foot massage device. It didn't help me but I used it on my wife for her calf pain. She is a walker (10miles daily) and it made her fall in love with me again.

Re: For those that have tried everything and no relief.

john h on 6/19/00 at 09:21 (022043)

each time i have gone to a spine specialist or foot specialist i always pose the question 'could my back probem be causing my foot problem?'. the answer is always no. when i got immediate relief in my foot from a cortisone shot which lasted about 3 weeks i sort of ruled out the back problem. wendy noted when her feet hurt her back hurts. pain in either area will cause a contraction in the muscles creating more pain in the back. both back and foot problems are frequently a tough diagnosis. doctors commonly prescribe anti depressants and anti convulsants for chronic pain it certainly points out the mind body connection in pain

Re: For those that have tried everything and no relief.

john h on 6/19/00 at 09:24 (022044)

i use my personal trainer to keep my wife in line. that is why mike calls it a 'personal trainer'!

Re: For those that have tried everything and no relief.

cindyp on 6/19/00 at 12:07 (022053)

So what I am wondering with these treatments is the long term affects? How long do they last and are they sometimes permanent? Please Please.