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ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

Posted by claudia on 4/26/01 at 17:21 (045868)

hello dr's and friends. before i could even arrange for an appointment with another doc, kindly recommended by dr. wander, for a second opinion, i began to develop some SERIOUS pain with the new taping of my foot which was \begun on monday; incredible pressure and shooting pain, waking me from a sound sleep....one ANGRY foot! my initial reaction was to call my doc who did the surgery so i did and he said definitely a week of steroids now and if that doesn't calm things down he will cast me. um......i have a sneaking suspicion i should be concerned about the steroids. aren't they going to like make me high and happy and then i will crash very loudly and badly when i stop taking them? is this the only side effect i need to be aware of after using them for one week????? anyone?????

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

wendyn on 4/26/01 at 18:20 (045875)

Doctors - isn't there some concern about putting someone on steriods right after surgery? Don't steriods supress your ability to heal and knock out your body's inflammation response?

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

claudia, to wendyn on 4/26/01 at 21:01 (045912)

hey wendyn...is four months considered 'right after surgery'???????

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

wendyn on 4/26/01 at 21:17 (045915)

I dunno - I'm not a doctor. I guess not...but all I know about steroids is that they can be very helpful and they can also be very dangerous....as one Dr Z once quoted 'They can make you feel good all the way to the morgue'. Talk to a pharmacist - get your second opinion - and hopefully the doctors here will respond.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

Dr. David S. Wander on 4/26/01 at 21:23 (045918)

Claudia,

The steroids suggested by your doctor sound's like a 'dose pack'. This is several days of steroids that are given at a higher dose the first day and then the doses taper down over the next several days. The steroids will not make you high or give you a buzz. The steroids are a very potent anti-inflammatory, but do not heal the problem. Steroids can inhibit wound healing, immunity, etc., but should not cause a problem at this point post operatively. The steroids can cause a problem in the early post operative phase, since the healing process would be partially inhibited. Your body naturally produces cortisol- a natural occurring steroid. When you take an exogenous source of steroid (pills, injections, etc.) your body is fooled into thinking that the levels are OK and stops producing it naturally. Prolonged steroid use can cause atrophy of the gland that produces the natural steroids. That is why you can't stop taking the steroids abruptly, you must taper slowly to allow your body to sense that the levels are falling and to begin naturally producing the correct levels. The steroids may give you some temporary relief, but I doubt if any long term relief will be obtained. Get to that second opinion ASAP. Good luck.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

claudia, to dr. wander on 4/26/01 at 22:24 (045920)

May I ask why you do not think long term relief will be obtained?

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

a p.s. to dr. wander from claudia on 4/26/01 at 22:36 (045922)

can you respond to this question too? thanks....several people have said i should seek my second opinion from an orthopedic doctor. i am not sure why this suggestion is being made. any thoughts on this?

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

Dr. Zuckerman on 4/27/01 at 06:02 (045931)

What you need is an experienced foot and ankle specialists and I am sure that Dr. Wander has pointed you in that direction,whether it be ortho or pod just experienced is most important. Let me take a look at your entire post again to get me up to speed with your foot problem and I will state my opinion on your long term situation.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

claudia on 4/27/01 at 06:52 (045934)

oh. okay.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

Dr. David S. Wander on 4/27/01 at 13:41 (045990)

Claudia,

I'm not sure whether the steroids will provide long term relief. The reason that I state this is because steroids to not treat the problem, they treat the symptoms. Steroids are not a cure, but can be beneficial in the overall scheme/treatment regimen. As far as going to a podiatrist vs an orthopedist, that's your call. The podiatrist I recommended in your area has an excellent reputation and I have confidence in his abilities. Most of the public opinion regarding orthopedists vs podiatrists is based on a lack of knowledge regarding the qualifications and scope of practice of today's podiatrists. However, if you decide to seek the care of an orthopedic surgeon, I'm sure you will get excellent care. If you make an appointment with an orthopedist, I would highly recommend one that has done a fellowship or specializes in foot and ankle care only. Good luck.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

claudia, day four of steroids on 4/30/01 at 09:07 (046224)

Well, the steroids seem to help with the pain but the swelling is still with me. Is this odd or normal? I was expecting the swelling to disappear actually. What a long strange journey this is indeed......

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

Dr. Zuckerman on 4/30/01 at 17:08 (046257)

How bad is the swelling is it extreme or mild.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

wendyn on 4/26/01 at 18:20 (045875)

Doctors - isn't there some concern about putting someone on steriods right after surgery? Don't steriods supress your ability to heal and knock out your body's inflammation response?

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

claudia, to wendyn on 4/26/01 at 21:01 (045912)

hey wendyn...is four months considered 'right after surgery'???????

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

wendyn on 4/26/01 at 21:17 (045915)

I dunno - I'm not a doctor. I guess not...but all I know about steroids is that they can be very helpful and they can also be very dangerous....as one Dr Z once quoted 'They can make you feel good all the way to the morgue'. Talk to a pharmacist - get your second opinion - and hopefully the doctors here will respond.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

Dr. David S. Wander on 4/26/01 at 21:23 (045918)

Claudia,

The steroids suggested by your doctor sound's like a 'dose pack'. This is several days of steroids that are given at a higher dose the first day and then the doses taper down over the next several days. The steroids will not make you high or give you a buzz. The steroids are a very potent anti-inflammatory, but do not heal the problem. Steroids can inhibit wound healing, immunity, etc., but should not cause a problem at this point post operatively. The steroids can cause a problem in the early post operative phase, since the healing process would be partially inhibited. Your body naturally produces cortisol- a natural occurring steroid. When you take an exogenous source of steroid (pills, injections, etc.) your body is fooled into thinking that the levels are OK and stops producing it naturally. Prolonged steroid use can cause atrophy of the gland that produces the natural steroids. That is why you can't stop taking the steroids abruptly, you must taper slowly to allow your body to sense that the levels are falling and to begin naturally producing the correct levels. The steroids may give you some temporary relief, but I doubt if any long term relief will be obtained. Get to that second opinion ASAP. Good luck.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

claudia, to dr. wander on 4/26/01 at 22:24 (045920)

May I ask why you do not think long term relief will be obtained?

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

a p.s. to dr. wander from claudia on 4/26/01 at 22:36 (045922)

can you respond to this question too? thanks....several people have said i should seek my second opinion from an orthopedic doctor. i am not sure why this suggestion is being made. any thoughts on this?

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

Dr. Zuckerman on 4/27/01 at 06:02 (045931)

What you need is an experienced foot and ankle specialists and I am sure that Dr. Wander has pointed you in that direction,whether it be ortho or pod just experienced is most important. Let me take a look at your entire post again to get me up to speed with your foot problem and I will state my opinion on your long term situation.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

claudia on 4/27/01 at 06:52 (045934)

oh. okay.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

Dr. David S. Wander on 4/27/01 at 13:41 (045990)

Claudia,

I'm not sure whether the steroids will provide long term relief. The reason that I state this is because steroids to not treat the problem, they treat the symptoms. Steroids are not a cure, but can be beneficial in the overall scheme/treatment regimen. As far as going to a podiatrist vs an orthopedist, that's your call. The podiatrist I recommended in your area has an excellent reputation and I have confidence in his abilities. Most of the public opinion regarding orthopedists vs podiatrists is based on a lack of knowledge regarding the qualifications and scope of practice of today's podiatrists. However, if you decide to seek the care of an orthopedic surgeon, I'm sure you will get excellent care. If you make an appointment with an orthopedist, I would highly recommend one that has done a fellowship or specializes in foot and ankle care only. Good luck.

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

claudia, day four of steroids on 4/30/01 at 09:07 (046224)

Well, the steroids seem to help with the pain but the swelling is still with me. Is this odd or normal? I was expecting the swelling to disappear actually. What a long strange journey this is indeed......

Re: ALL POINTS BULLETIN!!! DOC SAYS STEROIDS NOW!!!

Dr. Zuckerman on 4/30/01 at 17:08 (046257)

How bad is the swelling is it extreme or mild.