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Lateral Column Syndrome

Posted by Robin F on 8/31/02 at 17:47 (094088)

I had a double fasciotomy 11/01. Dr. said I'd recover within 6 mos. It's now been 10 mos. and I'm in worse pain than before my surgery. Since the surgery, I'v had cortisone shots & physical therapy. I stretch every day, sleep with night splints, take 2 Celebrex per day, rub an anti-inflammatory cream on each foot each day and I'm still in constant pain. It starts on the left side of the foot and moves to the arch and then the heel, by the end of the day. He now tells me I have lateral column syndrome and has referred me to a rehabilitation specialist who does acupuncture. Anyone have any success going this route? I'm open to any and all suggestions to help relieve some of this pain. Thank you.

Re: Lateral Column Syndrome

Dr. Z on 9/01/02 at 18:53 (094157)

This is a problem secondary to lack of support where the medial band of the plantar fasica was cut. Treatment consists of orthosis, local steriod injections if there is a discrete area of pain, phyical therapy. I interviewed a woman just recently who had an EPF done on her right foot and was in my office for ESWT evaluation for the other foot. I asked her about the healing time for her EPF foot. She told me it took two years. I was stunned by her answer. I have seen the lateral column pain take over one year to resolve and in some cases never completely go away. The plantar fascia is the a major supporting ligament it cut can cause and does cause biomechanical defects in the human foot.,

Re: Lateral Column Syndrome

Ed Davis, DPM on 9/04/02 at 16:01 (094469)

I think that treatment by the rehab specialist is a good idea as long as you have had the conventional treatments for lateral column syndrome: cuboid manipulation, orthotics with extra support under the calcaneo-cuboid joint....
Ed

Re: Lateral Column Syndrome

Dr. Z on 9/01/02 at 18:53 (094157)

This is a problem secondary to lack of support where the medial band of the plantar fasica was cut. Treatment consists of orthosis, local steriod injections if there is a discrete area of pain, phyical therapy. I interviewed a woman just recently who had an EPF done on her right foot and was in my office for ESWT evaluation for the other foot. I asked her about the healing time for her EPF foot. She told me it took two years. I was stunned by her answer. I have seen the lateral column pain take over one year to resolve and in some cases never completely go away. The plantar fascia is the a major supporting ligament it cut can cause and does cause biomechanical defects in the human foot.,

Re: Lateral Column Syndrome

Ed Davis, DPM on 9/04/02 at 16:01 (094469)

I think that treatment by the rehab specialist is a good idea as long as you have had the conventional treatments for lateral column syndrome: cuboid manipulation, orthotics with extra support under the calcaneo-cuboid joint....
Ed