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In Pain For To Long now

Posted by CatherineS on 2/20/01 at 16:58 (039480)

I am a letter carrier by trade. Around 4-5 years ago I had a heavy object fall on my foot. Ever since then, off and on I have had alot of problems with my feet. I thought and still think it's because of the constant standing my job involves, anyway to get more to the point, around 2 years ago my feet were bothering me so much I went to my Dr. He sent me for xrays and I had heel spurs in both my feet. The right one was worse. Over a period of time, I received 3 cortizone shots in my right foot. Looking back I think the first shot helped. By the 3rd shot I couldn't even put any pressure on my right heel at all. I went through the summer of 2000 like that, trying to work. In Aug. I went back to my Dr., who advised my work no walking or standing. I'm sure it must be easier in the U.S. than in Canada to get a specialist appt., but here it took me to the begining of Oct. After seeing the Orthopetic Surgeon, he recommended releasing the fascia. I thought that was going to be the answer to having a brand new foot, and eventually feet. I was wrong, on Oct. 16, 2000 the nightmare began. I am having more pain in the right foot than I ever had, I have burning sensations, tingling, no movement of the 2 smaller toes, no wiggling of toes, extreme pain underneath my toes, going up my ankle; thats the right foot. The left foot is worse than it ever was, I guess from taking so much extra pressure? I had a bone scan that shows inflammation through both feet and ankles, and I just had nerve studies done today 2/20/01. The specialist said, I now have TTS. I am to see a Pain specialist on 3/2/01, who might be giving me more cortizone needles. Is this wise? I have taken diclofenac/misoprostol, that made me feel awful. I've also taken prednisone, but to no avail. I use a cane now. I can't drive anymore, I can't go to any stores with out pain, and I still can not work. Recently, I been told I might never letter carry again. Is that something I should be looking at? Needless to say, I am on on anti- depressants. I am sorry this is so long, but I'm confused. Where do I go from here? More needles, more surgery? I just don't know, and was hoping to get some advise from from another source other than my own. Should I see another Orthopedic Surgeon?

Re: In Pain For To Long now

Laurie R on 2/20/01 at 17:19 (039481)

Hi Catherine,
Frist of all I would like to welcome you to the board. I don't have the answers you are looking for. I am sure someone here can help you. Hang in there .You sure have been through so much. My doctor thought I also had TTS through EMG test and it turns out that I have tenosynivitis in one of my tendons. I had a test called tenogram that shown the new findings. I like you have been in so much pain. I also have PF. I am waiting to get approval for surgery to fix the problem. You came to the right place. I have all the symptoms of TTS ,maybe after they open my foot and ankle it will show TTS two. This foot stuff can get pretty crazy after a while.

Please if you have time read Scott's PF book on the top of the page ,it helped me alot.

My very best to you. Laurie R

Re: In Pain For To Long now

Dr. Zuckerman on 2/20/01 at 21:35 (039517)

You need to demand to see a pain management specialists. You could have RSD. Get a second opionion . The longer this is put off the less chance you have for recovery. There are to be a diagnostic work-up of the entire lower extrmity including the lumbar-sacral area of your back.

Read Scott Book is very good but this need to have an examination and evalutaion as soon as possible. Don't wait . Don't wait.

Re: In Pain For To Long now

CatherineS on 2/22/01 at 20:50 (039688)

Thank you for responding so quickly, but I have a couple of more questions. What is R.S.D.? And why would my lower back have anything to do with my feet? The reason I ask, is because in the spring of 2000, I had a back injury.

Re: In Pain For To Long now

CatherineS on 2/22/01 at 20:55 (039689)

Thank you so much for your message, I'll be sure to ask my Dr. about a tenogram. I do hope all goes well with you. Take care.

Re: In Pain For To Long now

Laurie R on 2/22/01 at 21:20 (039693)

Hi Catherine,
Please let us know how you are doing. Hang in there . Do you have a good doctor? Or I should say are you comfortable with your doctor. If you are going to ask for a tenogram ,I just want to tell you that the radiologist that did mine said that they don't do this type of test to many places. I had to go to a major hospital an hour away from me. I live right near a trauma big hospital and I asked my Pod if I could of wen there and he said that they do not do the test there. My best to you.Laurie R

Re: In Pain For To Long now

Julie on 2/23/01 at 01:58 (039710)

Catherine, please take Dr Zuckerman's advice and go for the full evaluation he suggests. There have been quite a few postings on RSD here lately - you can search the site for them by typing in 'RSD' in the search box on the home page.

Make sure whoever you see knows about your back injury. Foot problems can be caused or complicated by back problems. You may have had a herniated disc which impinged on a nerve - possibly the sciatic nerve, which travels down the back of the leg and ends in the heel - and that can result in pain anywhere in the lower extremity.

Julie

Re: In Pain For To Long now

Laurie R on 2/20/01 at 17:19 (039481)

Hi Catherine,
Frist of all I would like to welcome you to the board. I don't have the answers you are looking for. I am sure someone here can help you. Hang in there .You sure have been through so much. My doctor thought I also had TTS through EMG test and it turns out that I have tenosynivitis in one of my tendons. I had a test called tenogram that shown the new findings. I like you have been in so much pain. I also have PF. I am waiting to get approval for surgery to fix the problem. You came to the right place. I have all the symptoms of TTS ,maybe after they open my foot and ankle it will show TTS two. This foot stuff can get pretty crazy after a while.

Please if you have time read Scott's PF book on the top of the page ,it helped me alot.

My very best to you. Laurie R

Re: In Pain For To Long now

Dr. Zuckerman on 2/20/01 at 21:35 (039517)

You need to demand to see a pain management specialists. You could have RSD. Get a second opionion . The longer this is put off the less chance you have for recovery. There are to be a diagnostic work-up of the entire lower extrmity including the lumbar-sacral area of your back.

Read Scott Book is very good but this need to have an examination and evalutaion as soon as possible. Don't wait . Don't wait.

Re: In Pain For To Long now

CatherineS on 2/22/01 at 20:50 (039688)

Thank you for responding so quickly, but I have a couple of more questions. What is R.S.D.? And why would my lower back have anything to do with my feet? The reason I ask, is because in the spring of 2000, I had a back injury.

Re: In Pain For To Long now

CatherineS on 2/22/01 at 20:55 (039689)

Thank you so much for your message, I'll be sure to ask my Dr. about a tenogram. I do hope all goes well with you. Take care.

Re: In Pain For To Long now

Laurie R on 2/22/01 at 21:20 (039693)

Hi Catherine,
Please let us know how you are doing. Hang in there . Do you have a good doctor? Or I should say are you comfortable with your doctor. If you are going to ask for a tenogram ,I just want to tell you that the radiologist that did mine said that they don't do this type of test to many places. I had to go to a major hospital an hour away from me. I live right near a trauma big hospital and I asked my Pod if I could of wen there and he said that they do not do the test there. My best to you.Laurie R

Re: In Pain For To Long now

Julie on 2/23/01 at 01:58 (039710)

Catherine, please take Dr Zuckerman's advice and go for the full evaluation he suggests. There have been quite a few postings on RSD here lately - you can search the site for them by typing in 'RSD' in the search box on the home page.

Make sure whoever you see knows about your back injury. Foot problems can be caused or complicated by back problems. You may have had a herniated disc which impinged on a nerve - possibly the sciatic nerve, which travels down the back of the leg and ends in the heel - and that can result in pain anywhere in the lower extremity.

Julie