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Need A Doctors Opinion

Posted by Mark H. on 11/25/02 at 22:13 (101156)

I posted a message on 11-23-02 titled Cronic Planters Fasciitis. I tried to give as much detail as possible. Is there a chance that I can get either Dr. Z or Dr. Coz to read this posting and give me a response? I know that it is very involved, but I am desperate. Thank You.

Re: Need A Doctors Opinion

Dr. Z on 11/25/02 at 23:44 (101161)

Please copy and paste this posting and I will try to help you

Re: Here is Mark's post, Dr Z

Julie on 11/26/02 at 02:15 (101165)

I've copied Mark's post below. If you want to read the whole thread, it's about halfway down the index on the Ask the Foot Doctors page. He posted it on Saturday.

Cronic planters Fasciitis
This is a thread posted in category: Ask the Foot Doctors . . View All Heel Pain Categories
Posted by Mark H. on 11/23/02 at 09:58
I hope someone can help me or give me other directions because I have become desperate. In June of 2000 I was involved in a tow motor accident. I hit a gap and my whole body was severly jarred, including jambing my left heel into the metal floor plate. About 5 to 7 days later I noticed what felt like a small bruise on the left inside of my left heel. The pain began to get worse over the next several weeks and I did a follow up report to the Medical Dept. Due to uncertain issues, I was never sent to see a doctor until Jan. 2001. I never missed work during this period of time and by then the pain was almost unbearable. Vibration was also extremely aggrivating. A high percentage of my job required me getting on and off the lift from 60 to 160 times a shift. You enter and exit the lift from the left side and your left foot is used in pushing to getting on and is the first part of your body getting off. (I have learned that this is called pronation.)
Finally seeing the Doctor in Jan.'01, x-rays were taken and I was told that I had a deep contusion of the left heel. After this initial exam, I noticed that my neck became tight and sore a the base of the neck. I was sent to be fitted with custom orthotics for the left foot and began wearing them the beginning of Feb.'01. There was minimal relief and there were adjustments made to them, but still no help. I was told that I had to give them 30 days before anything else could be done. Also during this time my neck was giving me more trouble.
The beginning of March '01 the decision was made to try a shot of cortzone. I took the needle on the 6th and felt great until the next day, when I realized that this did not work. I should mention that up until the cortizone, I was still working my scheduled rotations and did not miss work. Also after the shot, my neck was really hurting. I mentioned this to the doctor and he felt that it was just due to stress.
I was placed on restricted duty for about 8 days, and then was told that there was no more restricted duty for me and that I was now no longer allowed to work.
Towards the end of March '01 I was sent for a bone scan and it showed a 'hot spot' and therefore I was being sent for an MRI, which took place the beginning of April '01. In the mean time I reported that the pain was getting worse and that even driving a few miles would aggrivate the heel due to the vibration from the road.
I was told that I had Planters Fasciitis (never heard of that before) and that I should just take it easy. I also explained that whenever any one messed with my foot, my neck would really hurt, and then would go away slowly over the next 5 to 7 days. I was also experiencing a burning feeling in the whole heel area along with numbness and tingling in the toes of the left foot.
During a follow-up exam in May '01 (my doctor seemed to be getting frustrated with my issues)he had me flat on my back and raised my left leg and at about 70 degrees, the front half of my left foot went numb and tingling. He then suspected a possible back problem and scheduled an appointment with a back specialist. By the time I got into the back doctor (middle of May) the company decided to terminate me, thus causing me to lose my medical benefits.
The back doctor requested an MRI of my back, but that was turned down. He was also the company doctor. I offered to pay for the MRI out of my own pocket, but he talked me out of it due to the expense, and told me that 'time' was the next best thing to the MRI. I should mention that I never had any back pain, just the neck whenever anyone checked my foot. After 3 months of seeing the back doctor (once a month) and still showing no signs of back pain, I was sent back to the foot specialist in Aug. '01. He then reguested and EMG of the LLE and this took almost 4 months to get approved. Yes, this is and still is a Workmans Comp. claim and it takes almost forever to get anything approved.
The EMG was performed in Dec. '01 and we received the results in Jan.'02. I was told that the EMG really didn't show anything and that they were not all that accurate on anyone over 45 years old. I was 2 weeks shy of my 50th birthday when this test was done.
I was then scheduled for the cast therapy. The plan was for 3 weeks with the short cast, remove it, check the heel, and re-cast for an additional 3 weeks. (I failed to mention that a night splint was tried in May '01 and caused alot of pain from the heel, up the left leg, through the middle of my back and stopped at the neck. I notified the doctor immediately and was told not to use it anymore.) With-in 2 days of having the short cast on, I was ready to cut it off. You could draw a line from my left heel straight to me neck, the same experience as the night splint, except I couldn't take this thing off. I held off for 2 more days and notified the doctor that I could barely walk and that the pain was almost unbearable. He said that the program required a minimum of 3 weeks and that he would see me then. I suffered but made it. The cast was removed at the end of Jan.'02 and now for the first time, I did have back pain. A knot that developed in the middle of the back while the cast was on, now will not go away. He still wanted to put the cast on for another 3 weeks, but then decided not to because of all the problems that I was having. He then suggested EWST.
I finally got into yet another specialist for the EWST and after determining that I was a good candidate, it was scheduled for the end of May '02. The complete proceedure was explained and I was really looking forward to this. It was also explained that I should have no pain 7 to 10 days after the EWST and then it would all come back, but no worse that what I had been going through. Then over the next 3 to 6 months, I should be pain free.
With-in 2 hours of the EWST, my left foot was throbbing and I was having more pain than ever before. I contacted the doctor in 2 weeks like I was told, I just delt with the pain, and during the follow up I had to tell him that I was now having alot of weakness in the left knee. (Yes, something that I never experienced before the EWST treatment.) He did not understand why I would have these problems. Also, the knot in the back was horrible of about 10 days after the EWST. Unfortunately, this last doctor has recently decided to stop doing all Work. Comp. claims, it was too hard to get paid. He also told me that I need to see another doctor about the knee, back and neck.
I am in the process of going through my own family doctor to try to start figuring out what is really going on. Good news, my termination was ruled un-justified by a Federal Arbitrator and I have been restored to my current seniority and job and most important, MY BENEFITS. I can now have other tests performed that the company has been fighting. I have not yet been released to work. I was sent for a return to work physical with a company docter, and was told that I am showing signs of a back issue along with the PF.
In the process of trying to find another foot specialist sice my current doctor is dropping WC cases, I did go to another one in Oct.'02. He only spent about 5 to 10 min. with me, and seemed very bored with my issues. He did check my left heel and fould the 'hot spot' and really pushed hard. I felt my eyes role back into mt head, but he didn't seem to concerned. About 2 hours after this consultation, my left knee blew up like a balloon. I called him the next day and he never returned my call, and then called a few days later, and he still never returned my call. Since his exam, the knee has swollen, the knee is tight, the left leg is cramping, the knot in the back will not go away, and I still have the neck problem, Now when I get up in the morning and my left foot hits the floor, the pain goes straight from the heel, left leg, back and neck and lasts most of the day. I have just found out in the past several days that he has listed me as MMI. I am not happy with this doctor!! The swelling has finally gone down, but I had to deal with this for over a month.
Well, if there is anyone out there that has any suggestions, I would greatly appreciate it. I have been dealing with all this for over 2 1/2 years, and I am having a hard time accepting or dealing with doctors that make me feel like I'm a psyco. 'Deal with it' is not a medical term that I am ready to accept.
Reply to Message # 100986

Re: Here is Mark's post, Dr Z

Dr. Z on 11/26/02 at 06:51 (101172)

Hi
This is very hard to determine without a hands on examination but my first impression is a neuroma or a local nerve entrapement.

Re: flat feet

bob n on 11/26/02 at 17:53 (101204)

EWhat are the symptons of flat feet?

Re: Need A Doctors Opinion

Sheila S on 11/27/02 at 05:37 (101238)

Mark, I have a suggestion. I'm not a doctor. Except for your heel, your problem sounds very much like you should see a Chiropractor. The majority of MD's (particularly the kind you're going to) do not refer people to Chiropractors as they are still not well-accepted by the AMA. Before you say 'it's not my back, it's my neck and my heel' read on, please.

Chiropractors aren't that expensive if you have to pay for it yourself. A Chiropractor will take x-rays and SHOW you where/if your spine is misaligned and perform adjustments. If this is the problem, and I suspect it is, you would probably have to be seen 2 or 3 times a week for a couple months, then once a week, then once every two weeks and so on until you only go when you feel you need to. Most of them will work with you on payments and fighting with WComp. (By the way, studies through Workers Comp. commission have shown that people with back injuries heal better and faster, as much 50-75%, than people who don't use Chiropractics). It won't help your heel (unless your back is causing you to walk improperly and keeping the area inflamed) but I feel it may well help the rest of your symptoms.

Think about the 'mechanics' of what happened to you - all your nerves run from/to your spinal cord, which runs up through your spine (and neck) to your brain. Your left heel jammed into the floorboard, which would have to jam that side of your hip up, and jam that side of all your vertebra. Imagine your back rather like a small aluminum tube with a wire through the middle (the wire representing your spinal cord)....if you smack the can against the floor, it crumples both to the right and left. What happens to the wire in the middle? It crumples in various directions also, and can be pinched by the sides of the tube where it is dented.

As we continue to walk and be active with an injury like this, because of gravity our bodies (backs) automatically adjust for this crooked spine to try to level ourselves. Our brains will always try to keep our heads level as our vision sees it....thus all the compensating is done from the neck down. (example: have you seen anyone walking that has had polio, for instance? their legs and hips may be all crooked but they will hold their upper body straight? you see where the compensation and stress are applied). The longer an injury is in place, the longer it takes to repair the area, thus numerous visits to a Chiropractor; I will try to explain the mechanics of why numerous visits are needed too...(um, I can't think of a good example but...) say you have a warped piece of trim board in your house or something, for instance, it has been warped so long that to straighten it you have to push it up real hard and nail it...later the nail pops out, so you do it again...and again, but eventually it keeps getting put up there and begins to straighten over time until at last the nail quits popping out and it becomes straight. (yeah I know, it'd be easier to buy a new board...told you I couldn't think of a good example!)

The hips and neck are prime injury areas, they do most of the compensating for misalignment. It's general physics - if your hips are cocked up on the left, your back, and neck in particular, will automatically tilt to 'straighten' yourself.

You can study on Chiropractics and the mechanics of it on the internet and at the library. I have a STRONG word of caution though, do some homework before seeing one!! It's the only way to be sure you are choosing a good one.

20 years ago, I went to every doctor imaginable, including an Orthopaedic back specialist, and was told there was nothing wrong with my back, I just 'needed to exercise'. Desperate and grabbing for straws, I tried a Chiropractor. That was 14 years ago...if it hadn't been for my Chiropractor, I don't think I'd be walking today. HOWEVER, I went to a quack the first time...just someone's office I saw as driving to work every day. It didn't take me long to realize he was a quack (since then, I've heard many stories about the guy). So I decided to go to the library and study everything I could get my hands on about Chiropractics. THEN, I went to several and actually interviewed them (they don't charge for this type of visit). Yes, I had the gall to do that. Everyone should do this. I simply told them I was looking for a Chiropractor and wanted to talk to them about their methods, philosophies, and my problems before selecting one. (They didn't have a problem with my doing that, either.)

There are many different methods of Chiropractics and the best doctor will use any and all of them to acheive results. Don't choose a doctor that uses only one method and pooh-poohs all the others. A good Chiropractor also believes Medical Doctors are necessary and valuable. Don't choose one that thinks no one should see an MD.

I hope this helps you. If I didn't strongly feel this was the area of your problem, I wouldn't have bothered with this long, drawn-out letter.... =)

If you would like me to check with my Chiropractor about a colleague in your area, I'd be glad to. It may save you some trouble. Here's my email, (email removed)

Best of luck to you!
Sheila

Re: Need A Doctors Opinion

Julie on 11/27/02 at 08:57 (101243)

Sheila, that was a very good post. Thanks for taking the time and trouble to give such a thorough explanation of what might be going on with Mark's spine. I agree that his problems are probably all to do with the jarring to his spine in the accident, and suggested he see a chiropractor or an osteopath when he originally posted.

Mark, I hope you'll be able to do this, but do do your research first and find yourself a good practitioner. Given all you've said, I really doubt that you'll get anywhere by concentrating on your foot; I'd be willing to bet that that is only a symptom of a spinal injury, and that that is what needs to be addressed.

Re: Need A Doctors Opinion

G ROGERS on 11/27/02 at 18:59 (101287)

Just curious Mark! Do you by chance work in a paper mill? The term towmoter is familiar to me! I am convinced all the 'wrecks ' I have had over the years have caused me knee, foot and neck problems also! Just wondering!!

Re: Need A Doctors Opinion

Dr. Z on 11/25/02 at 23:44 (101161)

Please copy and paste this posting and I will try to help you

Re: Here is Mark's post, Dr Z

Julie on 11/26/02 at 02:15 (101165)

I've copied Mark's post below. If you want to read the whole thread, it's about halfway down the index on the Ask the Foot Doctors page. He posted it on Saturday.

Cronic planters Fasciitis
This is a thread posted in category: Ask the Foot Doctors . . View All Heel Pain Categories
Posted by Mark H. on 11/23/02 at 09:58
I hope someone can help me or give me other directions because I have become desperate. In June of 2000 I was involved in a tow motor accident. I hit a gap and my whole body was severly jarred, including jambing my left heel into the metal floor plate. About 5 to 7 days later I noticed what felt like a small bruise on the left inside of my left heel. The pain began to get worse over the next several weeks and I did a follow up report to the Medical Dept. Due to uncertain issues, I was never sent to see a doctor until Jan. 2001. I never missed work during this period of time and by then the pain was almost unbearable. Vibration was also extremely aggrivating. A high percentage of my job required me getting on and off the lift from 60 to 160 times a shift. You enter and exit the lift from the left side and your left foot is used in pushing to getting on and is the first part of your body getting off. (I have learned that this is called pronation.)
Finally seeing the Doctor in Jan.'01, x-rays were taken and I was told that I had a deep contusion of the left heel. After this initial exam, I noticed that my neck became tight and sore a the base of the neck. I was sent to be fitted with custom orthotics for the left foot and began wearing them the beginning of Feb.'01. There was minimal relief and there were adjustments made to them, but still no help. I was told that I had to give them 30 days before anything else could be done. Also during this time my neck was giving me more trouble.
The beginning of March '01 the decision was made to try a shot of cortzone. I took the needle on the 6th and felt great until the next day, when I realized that this did not work. I should mention that up until the cortizone, I was still working my scheduled rotations and did not miss work. Also after the shot, my neck was really hurting. I mentioned this to the doctor and he felt that it was just due to stress.
I was placed on restricted duty for about 8 days, and then was told that there was no more restricted duty for me and that I was now no longer allowed to work.
Towards the end of March '01 I was sent for a bone scan and it showed a 'hot spot' and therefore I was being sent for an MRI, which took place the beginning of April '01. In the mean time I reported that the pain was getting worse and that even driving a few miles would aggrivate the heel due to the vibration from the road.
I was told that I had Planters Fasciitis (never heard of that before) and that I should just take it easy. I also explained that whenever any one messed with my foot, my neck would really hurt, and then would go away slowly over the next 5 to 7 days. I was also experiencing a burning feeling in the whole heel area along with numbness and tingling in the toes of the left foot.
During a follow-up exam in May '01 (my doctor seemed to be getting frustrated with my issues)he had me flat on my back and raised my left leg and at about 70 degrees, the front half of my left foot went numb and tingling. He then suspected a possible back problem and scheduled an appointment with a back specialist. By the time I got into the back doctor (middle of May) the company decided to terminate me, thus causing me to lose my medical benefits.
The back doctor requested an MRI of my back, but that was turned down. He was also the company doctor. I offered to pay for the MRI out of my own pocket, but he talked me out of it due to the expense, and told me that 'time' was the next best thing to the MRI. I should mention that I never had any back pain, just the neck whenever anyone checked my foot. After 3 months of seeing the back doctor (once a month) and still showing no signs of back pain, I was sent back to the foot specialist in Aug. '01. He then reguested and EMG of the LLE and this took almost 4 months to get approved. Yes, this is and still is a Workmans Comp. claim and it takes almost forever to get anything approved.
The EMG was performed in Dec. '01 and we received the results in Jan.'02. I was told that the EMG really didn't show anything and that they were not all that accurate on anyone over 45 years old. I was 2 weeks shy of my 50th birthday when this test was done.
I was then scheduled for the cast therapy. The plan was for 3 weeks with the short cast, remove it, check the heel, and re-cast for an additional 3 weeks. (I failed to mention that a night splint was tried in May '01 and caused alot of pain from the heel, up the left leg, through the middle of my back and stopped at the neck. I notified the doctor immediately and was told not to use it anymore.) With-in 2 days of having the short cast on, I was ready to cut it off. You could draw a line from my left heel straight to me neck, the same experience as the night splint, except I couldn't take this thing off. I held off for 2 more days and notified the doctor that I could barely walk and that the pain was almost unbearable. He said that the program required a minimum of 3 weeks and that he would see me then. I suffered but made it. The cast was removed at the end of Jan.'02 and now for the first time, I did have back pain. A knot that developed in the middle of the back while the cast was on, now will not go away. He still wanted to put the cast on for another 3 weeks, but then decided not to because of all the problems that I was having. He then suggested EWST.
I finally got into yet another specialist for the EWST and after determining that I was a good candidate, it was scheduled for the end of May '02. The complete proceedure was explained and I was really looking forward to this. It was also explained that I should have no pain 7 to 10 days after the EWST and then it would all come back, but no worse that what I had been going through. Then over the next 3 to 6 months, I should be pain free.
With-in 2 hours of the EWST, my left foot was throbbing and I was having more pain than ever before. I contacted the doctor in 2 weeks like I was told, I just delt with the pain, and during the follow up I had to tell him that I was now having alot of weakness in the left knee. (Yes, something that I never experienced before the EWST treatment.) He did not understand why I would have these problems. Also, the knot in the back was horrible of about 10 days after the EWST. Unfortunately, this last doctor has recently decided to stop doing all Work. Comp. claims, it was too hard to get paid. He also told me that I need to see another doctor about the knee, back and neck.
I am in the process of going through my own family doctor to try to start figuring out what is really going on. Good news, my termination was ruled un-justified by a Federal Arbitrator and I have been restored to my current seniority and job and most important, MY BENEFITS. I can now have other tests performed that the company has been fighting. I have not yet been released to work. I was sent for a return to work physical with a company docter, and was told that I am showing signs of a back issue along with the PF.
In the process of trying to find another foot specialist sice my current doctor is dropping WC cases, I did go to another one in Oct.'02. He only spent about 5 to 10 min. with me, and seemed very bored with my issues. He did check my left heel and fould the 'hot spot' and really pushed hard. I felt my eyes role back into mt head, but he didn't seem to concerned. About 2 hours after this consultation, my left knee blew up like a balloon. I called him the next day and he never returned my call, and then called a few days later, and he still never returned my call. Since his exam, the knee has swollen, the knee is tight, the left leg is cramping, the knot in the back will not go away, and I still have the neck problem, Now when I get up in the morning and my left foot hits the floor, the pain goes straight from the heel, left leg, back and neck and lasts most of the day. I have just found out in the past several days that he has listed me as MMI. I am not happy with this doctor!! The swelling has finally gone down, but I had to deal with this for over a month.
Well, if there is anyone out there that has any suggestions, I would greatly appreciate it. I have been dealing with all this for over 2 1/2 years, and I am having a hard time accepting or dealing with doctors that make me feel like I'm a psyco. 'Deal with it' is not a medical term that I am ready to accept.
Reply to Message # 100986

Re: Here is Mark's post, Dr Z

Dr. Z on 11/26/02 at 06:51 (101172)

Hi
This is very hard to determine without a hands on examination but my first impression is a neuroma or a local nerve entrapement.

Re: flat feet

bob n on 11/26/02 at 17:53 (101204)

EWhat are the symptons of flat feet?

Re: Need A Doctors Opinion

Sheila S on 11/27/02 at 05:37 (101238)

Mark, I have a suggestion. I'm not a doctor. Except for your heel, your problem sounds very much like you should see a Chiropractor. The majority of MD's (particularly the kind you're going to) do not refer people to Chiropractors as they are still not well-accepted by the AMA. Before you say 'it's not my back, it's my neck and my heel' read on, please.

Chiropractors aren't that expensive if you have to pay for it yourself. A Chiropractor will take x-rays and SHOW you where/if your spine is misaligned and perform adjustments. If this is the problem, and I suspect it is, you would probably have to be seen 2 or 3 times a week for a couple months, then once a week, then once every two weeks and so on until you only go when you feel you need to. Most of them will work with you on payments and fighting with WComp. (By the way, studies through Workers Comp. commission have shown that people with back injuries heal better and faster, as much 50-75%, than people who don't use Chiropractics). It won't help your heel (unless your back is causing you to walk improperly and keeping the area inflamed) but I feel it may well help the rest of your symptoms.

Think about the 'mechanics' of what happened to you - all your nerves run from/to your spinal cord, which runs up through your spine (and neck) to your brain. Your left heel jammed into the floorboard, which would have to jam that side of your hip up, and jam that side of all your vertebra. Imagine your back rather like a small aluminum tube with a wire through the middle (the wire representing your spinal cord)....if you smack the can against the floor, it crumples both to the right and left. What happens to the wire in the middle? It crumples in various directions also, and can be pinched by the sides of the tube where it is dented.

As we continue to walk and be active with an injury like this, because of gravity our bodies (backs) automatically adjust for this crooked spine to try to level ourselves. Our brains will always try to keep our heads level as our vision sees it....thus all the compensating is done from the neck down. (example: have you seen anyone walking that has had polio, for instance? their legs and hips may be all crooked but they will hold their upper body straight? you see where the compensation and stress are applied). The longer an injury is in place, the longer it takes to repair the area, thus numerous visits to a Chiropractor; I will try to explain the mechanics of why numerous visits are needed too...(um, I can't think of a good example but...) say you have a warped piece of trim board in your house or something, for instance, it has been warped so long that to straighten it you have to push it up real hard and nail it...later the nail pops out, so you do it again...and again, but eventually it keeps getting put up there and begins to straighten over time until at last the nail quits popping out and it becomes straight. (yeah I know, it'd be easier to buy a new board...told you I couldn't think of a good example!)

The hips and neck are prime injury areas, they do most of the compensating for misalignment. It's general physics - if your hips are cocked up on the left, your back, and neck in particular, will automatically tilt to 'straighten' yourself.

You can study on Chiropractics and the mechanics of it on the internet and at the library. I have a STRONG word of caution though, do some homework before seeing one!! It's the only way to be sure you are choosing a good one.

20 years ago, I went to every doctor imaginable, including an Orthopaedic back specialist, and was told there was nothing wrong with my back, I just 'needed to exercise'. Desperate and grabbing for straws, I tried a Chiropractor. That was 14 years ago...if it hadn't been for my Chiropractor, I don't think I'd be walking today. HOWEVER, I went to a quack the first time...just someone's office I saw as driving to work every day. It didn't take me long to realize he was a quack (since then, I've heard many stories about the guy). So I decided to go to the library and study everything I could get my hands on about Chiropractics. THEN, I went to several and actually interviewed them (they don't charge for this type of visit). Yes, I had the gall to do that. Everyone should do this. I simply told them I was looking for a Chiropractor and wanted to talk to them about their methods, philosophies, and my problems before selecting one. (They didn't have a problem with my doing that, either.)

There are many different methods of Chiropractics and the best doctor will use any and all of them to acheive results. Don't choose a doctor that uses only one method and pooh-poohs all the others. A good Chiropractor also believes Medical Doctors are necessary and valuable. Don't choose one that thinks no one should see an MD.

I hope this helps you. If I didn't strongly feel this was the area of your problem, I wouldn't have bothered with this long, drawn-out letter.... =)

If you would like me to check with my Chiropractor about a colleague in your area, I'd be glad to. It may save you some trouble. Here's my email, (email removed)

Best of luck to you!
Sheila

Re: Need A Doctors Opinion

Julie on 11/27/02 at 08:57 (101243)

Sheila, that was a very good post. Thanks for taking the time and trouble to give such a thorough explanation of what might be going on with Mark's spine. I agree that his problems are probably all to do with the jarring to his spine in the accident, and suggested he see a chiropractor or an osteopath when he originally posted.

Mark, I hope you'll be able to do this, but do do your research first and find yourself a good practitioner. Given all you've said, I really doubt that you'll get anywhere by concentrating on your foot; I'd be willing to bet that that is only a symptom of a spinal injury, and that that is what needs to be addressed.

Re: Need A Doctors Opinion

G ROGERS on 11/27/02 at 18:59 (101287)

Just curious Mark! Do you by chance work in a paper mill? The term towmoter is familiar to me! I am convinced all the 'wrecks ' I have had over the years have caused me knee, foot and neck problems also! Just wondering!!