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Exostosis spur of bone

Posted by Sissy B on 10/04/01 at 09:50 (062214)

Hello,

My name is Sissy. I am researching information for my mother. She was recently dx with Exostosis spur of the bone. Can anyone explain what this mean. Any information you have will be greatly appreciated. thank you in advance.

Sissy B.

Re: Exostosis spur of bone

JOHN H on 10/04/01 at 13:16 (062229)

SISSY: an extostois of the bone is simply an extra piece of bone. a true bone spur would be an extostosis of the bone. it can be treated conservatively or with surgery. ask your mom where the extra piece of bone is and what her symptoms are. the doctors will diagonse it with a x-ray. one of the docs will give you more info but will need to know where that extra fragment of the bone is.

Re: Exostosis spur of bone

Sissy B. on 10/05/01 at 12:02 (062300)

John

Thank you so much for your response. It was very much appreciated.

To answer to your questions, my mom has pain so bad in the morning that she has to crawl until she can tolerate wiehgt on her foot. She usually describe the pain as having a charlie horse in her foot. Sometimes she even has some of her younger grandchildren to stand on her foot to relieve some of the pressure off she has on the top of her foot.

On the top of her foot is a large bump that is easily visible with the naked eye when her pain is very very intense and sharp. Other times it appears as a small bump when the pain is tolerable. She tells me sometimes she can feel the bone pop into place somewhere and she is a little more comfortable and the large bump on her foot becomes smaller yet still noticable. She tells me that at times, it feels as though a sharp knife is push through her foot from the bottom to top. The pain literally knocks her on her behind and her foot becomes stiff as a board.

I hope this information helps you to help me more.
thank you again for your reply and your time.

Sissy

Re: Exostosis spur of bone for Dr Zuckerman Or one of our Docs

john h on 10/05/01 at 12:23 (062301)

dr z or one of you other good doctors could you please give sissy some more information on her moms condition. sissy: did your doctor tell your mom where the extra bone is located. i think the doctors on the board will need that information to offer her any perspective on her condition.

Re: Exostosis spur of bone

Dr. Zuckerman on 10/05/01 at 13:43 (062314)

This is usually bone spur that is caused by either an injury or some type of
repetitive shoe rubbing. It can form on toes , in between toes, on top of the foot. They can be very painful and cause the patient to limp or not be
able to wear shoes at all. If you can give me additional informaion, be very happy to further explain this to you.

Re: Exostosis spur of bone for Dr Zuckerman Or one of our Docs

Dr. Zuckerman on 10/05/01 at 16:04 (062321)

There could also be degenerative joint disease in the midtarsal
bones. Injection therapy with shoe and orthosis would be a very
important consideration for controlling this terrible pain

The tarsal bones bear alot of weight and with time and use
can and do develop osteoarthritic changes. This is what the
exostosis could be a part of

Re: Exostosis spur of bone

Sissy B on 10/05/01 at 23:41 (062353)

Dr. Zuckerman,

Thank you very much for your response. It is greatly appreciated.
My mom had X-rays of her left foot today. Unforunately, her foot specialist had and emergency during her visit and was unable to give her the time she needed for questions and explanations. However, his postoperative dx is saddle bone exostosis, dorsal aspect, left foot (please explain).
The surgery procedure he suggested is Resection of saddle bone exostosis, dorsal aspect (please explain). What type of surgery is this? Is it common. My mom's job requires a lot of standing, driving, and movement. She is a visiting Home Health Aid. How soon will she be able to return to work if she decideds to have the surgery.

The final pathologic dx is 'bone left foot', excision (gross only): corticomedullary bone fragments with attached dense fibrous connective tissue. consisting of five portions o fcorticomedullary bone without obvious articular surfaces. All five pieces are relatively flat and they range in size from 0.8 to 2.0 cm in maximum dimension. The corticomedullary bone is grossly unremarkable and each piece has a significant amount of connective tissue. What exactly does this mean?

I hope this information is able to help you help me. Please explain (in English) what this mean so I can help my mom understand her condition and why she is in so much pain most of the time. Mom is seldom able to wear shoes and struggles with many things we take for granted (walking).

Thank you in advance
Sissy B.

Re: Exostosis spur of bone for Dr Zuckerman Or one of our Docs

Sissy B. on 10/05/01 at 23:47 (062354)

John:

Thank you very much for giving me a begining and entrance into the world of understanding this type of problem. I felt like I was'nt getting anywhere. Now, I feel as though the ball is rolling in the right directions and hopeful I will get some helpful information very soon.
thanks so much. It means a great deal.

Sissy B.

Re: Exostosis spur of bone for Dr Zuckerman Or one of our Docs

Sissy B on 10/06/01 at 01:55 (062357)

John

i put your follow up message in the wrong place (sorry, I am a clutz when it comes to the computer, still learning). Your follow up is in the next response from Dr. z. (OOPS)
I did not want you to think that i was ignoring you. I really appreciate the help that you have given me for my mom.

thanks again
Sissy B.

Re: Exostosis spur of bone

Dr. Zuckerman on 10/06/01 at 08:54 (062365)

This is where there is an enlargement of bone of the top of the
foot. It is rubbing against the shoe. We call this hump foot
or saddle bone due to the shape and location.

Removal of the bone will remove the bone pressing on the shoe
. Depending upon the amount of removal of bone will depend
on the healing time. There is no breaking of bones with this
removal so she should be able to get around within one week
to ten days, while wearing a surgical shoe. I hope that this is helpful

Re: Exostosis spur of bone

Dr. Zuckerman on 10/06/01 at 08:57 (062366)

One more question. From the above message it sounds like she
had surgery on this foot already. Am I reading this correctly . You
are describing a report where bone was removed from the foot
already.

Re: Thank you, Dr. Zuckerman

Sissy B. on 10/08/01 at 23:04 (062518)

Dr. Zuckerman,

Thank you very much for the response. It was very helpful. I needed to understand her condition better in order to know if i need to go and spend few days with her because i live quite a distance from her.

Also, can you tell me what causes this bone enlargement? And if there is no bone breakage during the surgery, how is it removed?

Re: Exostosis spur of bone

Sissy B on 10/08/01 at 23:19 (062520)

Dr. Zuckerman

Yes, you are absoulutely correct. My mom had the surgery two weeks ago Thursday. I was not aware that the papers she e-mailed me was a description of her surgery procedure until after i read your response and then later asked my mother about it.

I am away in college and she kept the surgery to herself knowing that i would leave school to come and take care of her.

Her concern now is the pain and swelling she is still having after the surgery. She says her foot still feels numb and she is unable to move her toes. Is thes normal? She see her foot specialist again on Wednesday to have her stitches removed.

I have made arragements to go and be with her since she has already had the surgery. Maybe then, I will have more information. Approximately, how long is the healing process for this type of surgery?

Thank you in advance
Sissy B

Re: Exostosis spur of bone

JOHN H on 10/04/01 at 13:16 (062229)

SISSY: an extostois of the bone is simply an extra piece of bone. a true bone spur would be an extostosis of the bone. it can be treated conservatively or with surgery. ask your mom where the extra piece of bone is and what her symptoms are. the doctors will diagonse it with a x-ray. one of the docs will give you more info but will need to know where that extra fragment of the bone is.

Re: Exostosis spur of bone

Sissy B. on 10/05/01 at 12:02 (062300)

John

Thank you so much for your response. It was very much appreciated.

To answer to your questions, my mom has pain so bad in the morning that she has to crawl until she can tolerate wiehgt on her foot. She usually describe the pain as having a charlie horse in her foot. Sometimes she even has some of her younger grandchildren to stand on her foot to relieve some of the pressure off she has on the top of her foot.

On the top of her foot is a large bump that is easily visible with the naked eye when her pain is very very intense and sharp. Other times it appears as a small bump when the pain is tolerable. She tells me sometimes she can feel the bone pop into place somewhere and she is a little more comfortable and the large bump on her foot becomes smaller yet still noticable. She tells me that at times, it feels as though a sharp knife is push through her foot from the bottom to top. The pain literally knocks her on her behind and her foot becomes stiff as a board.

I hope this information helps you to help me more.
thank you again for your reply and your time.

Sissy

Re: Exostosis spur of bone for Dr Zuckerman Or one of our Docs

john h on 10/05/01 at 12:23 (062301)

dr z or one of you other good doctors could you please give sissy some more information on her moms condition. sissy: did your doctor tell your mom where the extra bone is located. i think the doctors on the board will need that information to offer her any perspective on her condition.

Re: Exostosis spur of bone

Dr. Zuckerman on 10/05/01 at 13:43 (062314)

This is usually bone spur that is caused by either an injury or some type of
repetitive shoe rubbing. It can form on toes , in between toes, on top of the foot. They can be very painful and cause the patient to limp or not be
able to wear shoes at all. If you can give me additional informaion, be very happy to further explain this to you.

Re: Exostosis spur of bone for Dr Zuckerman Or one of our Docs

Dr. Zuckerman on 10/05/01 at 16:04 (062321)

There could also be degenerative joint disease in the midtarsal
bones. Injection therapy with shoe and orthosis would be a very
important consideration for controlling this terrible pain

The tarsal bones bear alot of weight and with time and use
can and do develop osteoarthritic changes. This is what the
exostosis could be a part of

Re: Exostosis spur of bone

Sissy B on 10/05/01 at 23:41 (062353)

Dr. Zuckerman,

Thank you very much for your response. It is greatly appreciated.
My mom had X-rays of her left foot today. Unforunately, her foot specialist had and emergency during her visit and was unable to give her the time she needed for questions and explanations. However, his postoperative dx is saddle bone exostosis, dorsal aspect, left foot (please explain).
The surgery procedure he suggested is Resection of saddle bone exostosis, dorsal aspect (please explain). What type of surgery is this? Is it common. My mom's job requires a lot of standing, driving, and movement. She is a visiting Home Health Aid. How soon will she be able to return to work if she decideds to have the surgery.

The final pathologic dx is 'bone left foot', excision (gross only): corticomedullary bone fragments with attached dense fibrous connective tissue. consisting of five portions o fcorticomedullary bone without obvious articular surfaces. All five pieces are relatively flat and they range in size from 0.8 to 2.0 cm in maximum dimension. The corticomedullary bone is grossly unremarkable and each piece has a significant amount of connective tissue. What exactly does this mean?

I hope this information is able to help you help me. Please explain (in English) what this mean so I can help my mom understand her condition and why she is in so much pain most of the time. Mom is seldom able to wear shoes and struggles with many things we take for granted (walking).

Thank you in advance
Sissy B.

Re: Exostosis spur of bone for Dr Zuckerman Or one of our Docs

Sissy B. on 10/05/01 at 23:47 (062354)

John:

Thank you very much for giving me a begining and entrance into the world of understanding this type of problem. I felt like I was'nt getting anywhere. Now, I feel as though the ball is rolling in the right directions and hopeful I will get some helpful information very soon.
thanks so much. It means a great deal.

Sissy B.

Re: Exostosis spur of bone for Dr Zuckerman Or one of our Docs

Sissy B on 10/06/01 at 01:55 (062357)

John

i put your follow up message in the wrong place (sorry, I am a clutz when it comes to the computer, still learning). Your follow up is in the next response from Dr. z. (OOPS)
I did not want you to think that i was ignoring you. I really appreciate the help that you have given me for my mom.

thanks again
Sissy B.

Re: Exostosis spur of bone

Dr. Zuckerman on 10/06/01 at 08:54 (062365)

This is where there is an enlargement of bone of the top of the
foot. It is rubbing against the shoe. We call this hump foot
or saddle bone due to the shape and location.

Removal of the bone will remove the bone pressing on the shoe
. Depending upon the amount of removal of bone will depend
on the healing time. There is no breaking of bones with this
removal so she should be able to get around within one week
to ten days, while wearing a surgical shoe. I hope that this is helpful

Re: Exostosis spur of bone

Dr. Zuckerman on 10/06/01 at 08:57 (062366)

One more question. From the above message it sounds like she
had surgery on this foot already. Am I reading this correctly . You
are describing a report where bone was removed from the foot
already.

Re: Thank you, Dr. Zuckerman

Sissy B. on 10/08/01 at 23:04 (062518)

Dr. Zuckerman,

Thank you very much for the response. It was very helpful. I needed to understand her condition better in order to know if i need to go and spend few days with her because i live quite a distance from her.

Also, can you tell me what causes this bone enlargement? And if there is no bone breakage during the surgery, how is it removed?

Re: Exostosis spur of bone

Sissy B on 10/08/01 at 23:19 (062520)

Dr. Zuckerman

Yes, you are absoulutely correct. My mom had the surgery two weeks ago Thursday. I was not aware that the papers she e-mailed me was a description of her surgery procedure until after i read your response and then later asked my mother about it.

I am away in college and she kept the surgery to herself knowing that i would leave school to come and take care of her.

Her concern now is the pain and swelling she is still having after the surgery. She says her foot still feels numb and she is unable to move her toes. Is thes normal? She see her foot specialist again on Wednesday to have her stitches removed.

I have made arragements to go and be with her since she has already had the surgery. Maybe then, I will have more information. Approximately, how long is the healing process for this type of surgery?

Thank you in advance
Sissy B