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Foot drop: due to pinched siatic nerve 15 years ago

Posted by Lance P on 5/12/01 at hrmin (047624)

Hello,

Let me start with a little history, I had an accident 12-03-1985, that broke my right femur, dislocated and crushed my right hip and ball of the right femur, as well as pinch the siatic nerve, causing a foot drop and loss of feeling on the top of my right foot. Surgery was performed and they added a steel rod down my right femur and two srews were placed in the ball of the femur to hold it together. Now, I was fairly young at the time, 19 in November, and there was a possiblity that my bones would mend themselves and if not I would have to get the ball section of the femur replaced. As of now, that has not been mentioned or even suggested by any of the Orthopedic physicians that have examined my condition over the years.
Last year I had x-rays taken of my hip and leg, I have developed spurs on my right ball femur and spurs around the hip socket of my right hip. I didn't have x-rays taken of my foot at that time. This is not my concern in this message, it's my foot drop.
I must add I have not been to a foot specialist and I'm not too sure what to do about my foot issues.

OK, the history is done, I think. My foot has been causing me some sort of soreness type pain, kind of like a real intense ache. I have gained some feeling in the top of my foot over the years but that is about it. My movement is still limited to downward pressure only. I am not sure what could cause this very uncomfortable pain. My only relief is to apply pressure to my foot or hold it in a 90 degree, or better, position. But once I release the pain comes back almost immediately. I wear boots most of the time (Justin Ropers, cowboy boots) and occasionally I wear tennis shoes, High tops only. I don't use a brace to support my foot.
My questions,
1. Should I use a brace to support my foot inside my shoes?
If so, what do you recommend?
2. Should I change my shoes/boots?
If so, what do you recommend?
3. Do you have any suggestions about my pain in my foot?
4. Will I develop spurs on my heals as well from a foot drop and is there something that I can do to prolong and even prevent that from happening?

One more thing, my boots always wear on my left foot much faster than my right foot. To the point that my left boot has a hole in it and the right one looks almost brand new on the bottom. Is this common with a foot drop?

Thank you for your time and consideration, I look forward to reading your suggestions. This is a well informed website, I am glad to find it.
I live in Central Illinois but I will be moving back to Houston in the fall, do you have any suggestions as far as Foot Doctors go?

Thank You,

Lance, in pain, Pruett

Re: Foot drop: due to pinched siatic nerve 15 years ago

Dr. Zuckerman on 5/13/01 at 03:45 (047628)

There are braces for your specific foot and ankle condition. A complete gait analysis should be done with a complete range of motion and neur-muscular evaluation. Foot and ankle braces and or orthois can really help to place your foot in the proper position and help to prevent the foot pain and possible damage in the future. So go see a podiatrist for a complete gait analysis

Re: Foot drop: due to pinched siatic nerve 15 years ago

bg cped on 5/13/01 at 06:25 (047630)

You also want to bring a shoe or two along, with that much assemetry in the sole of shoes you may have them check for a leg length difference. It is not uncommon, especially with that type of injury you had. On cowboy boots they can do a build up on the sole, that could help a great deal if it is a problem.

Re: Foot drop: due to pinched siatic nerve 15 years ago

Richard, C.Ped on 5/14/01 at 10:51 (047710)

Hi Lance,
Sorry to hear about all the trouble you are having. There are braces used for foot drop called Ankle Foot Orthosis, or AFO for short. They can be custom made or bought generic off the shelf. That, along with a custom foot orthosis could help your condition.

I agree with Brian, C.Ped. Have your legs measured to see if you do have one shorter than the other. Modifications to help this is very easy to do.

Richard, C.Ped

Re: Foot drop: due to pinched siatic nerve 15 years ago

Dr. Zuckerman on 5/13/01 at 03:45 (047628)

There are braces for your specific foot and ankle condition. A complete gait analysis should be done with a complete range of motion and neur-muscular evaluation. Foot and ankle braces and or orthois can really help to place your foot in the proper position and help to prevent the foot pain and possible damage in the future. So go see a podiatrist for a complete gait analysis

Re: Foot drop: due to pinched siatic nerve 15 years ago

bg cped on 5/13/01 at 06:25 (047630)

You also want to bring a shoe or two along, with that much assemetry in the sole of shoes you may have them check for a leg length difference. It is not uncommon, especially with that type of injury you had. On cowboy boots they can do a build up on the sole, that could help a great deal if it is a problem.

Re: Foot drop: due to pinched siatic nerve 15 years ago

Richard, C.Ped on 5/14/01 at 10:51 (047710)

Hi Lance,
Sorry to hear about all the trouble you are having. There are braces used for foot drop called Ankle Foot Orthosis, or AFO for short. They can be custom made or bought generic off the shelf. That, along with a custom foot orthosis could help your condition.

I agree with Brian, C.Ped. Have your legs measured to see if you do have one shorter than the other. Modifications to help this is very easy to do.

Richard, C.Ped