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Purplish Coloration

Posted by Kathryn B. on 1/30/03 at 19:19 (107409)

I have posted before about metatarsalgia and a brownish red coloration of my toes. Dr. Z recommended an MRI of the feet. I got that MRI, and it only showed some right osteoarthritis (which I would say existed and was not bothering me before a two week episode of foot cramping that started my foot pain). Then tibial sesamoid inflammation on the left. There was no finding of neuroma. Dr. Z mentioned an MRI might show Raynaud's, and I am wondering if I might have this, as I have been noticing a purplish bruise like look on the bottom of my big toes and the forefoot area before that. However, this comes and goes. One hour, I might check and it look like that, another hour I can check and it looks normal light pinkish. My toes also seem too white at the tips (more than they used to). The reddish-brown areas on the top first joint of each toe was attributed by my podiatrist to folliculitis. But, anyway, the MRI did not show a circulation problem, but then, they did not use the dye contrast type...so would it show??? I do have an appt with an orthopedic foot specialist and with a rheumatologist coming up, and my GP mentioned a Doppler after he sees what they think. But I would sure like to know if this sounds like anything one of you are familiar with. Thank you!!!

Re: Purplish Coloration

Kathryn B. on 1/30/03 at 19:23 (107412)

Also, I would just add that my foot pain seems more painful than I would expect for inflammation of the sesamoid. By mid-day, I would rate my foot pain as 'moderately severe.' Though I am still working and do walk quite a bit on my job. It seems strange also that I had cortisone shots to the area between second and third toes bilaterally that felt wonderful for a few hours (though hurt a lot after that for a couple of weeks) Just very confusing!

Re: Purplish Coloration

Dr. Z on 1/30/03 at 20:32 (107419)

Raynaud's can't be determined by an MRI. A good physical examination with good history can rule this out or in. A vascular doctor would be the best choice if there is any doubt. A Rhuematologist can evaluate you for any other diseases associated with Raynaud's.

Re: Purplish Coloration

Kathryn B on 1/31/03 at 08:01 (107466)

Thank you, Dr. Z!! I feel I am having much more pain than is consistent with the MRI. I have an appointment with a rheumatologist next week. Thanks again. It is so kind of all of you to use your free time to help us in this way.

Re: Purplish Coloration

Dr. Z on 1/31/03 at 08:16 (107470)

Rheumatologist can determine raynauds and if there is any other conditions that maybe associated with your foot

Re: Purplish Coloration

Kathryn B. on 1/30/03 at 19:23 (107412)

Also, I would just add that my foot pain seems more painful than I would expect for inflammation of the sesamoid. By mid-day, I would rate my foot pain as 'moderately severe.' Though I am still working and do walk quite a bit on my job. It seems strange also that I had cortisone shots to the area between second and third toes bilaterally that felt wonderful for a few hours (though hurt a lot after that for a couple of weeks) Just very confusing!

Re: Purplish Coloration

Dr. Z on 1/30/03 at 20:32 (107419)

Raynaud's can't be determined by an MRI. A good physical examination with good history can rule this out or in. A vascular doctor would be the best choice if there is any doubt. A Rhuematologist can evaluate you for any other diseases associated with Raynaud's.

Re: Purplish Coloration

Kathryn B on 1/31/03 at 08:01 (107466)

Thank you, Dr. Z!! I feel I am having much more pain than is consistent with the MRI. I have an appointment with a rheumatologist next week. Thanks again. It is so kind of all of you to use your free time to help us in this way.

Re: Purplish Coloration

Dr. Z on 1/31/03 at 08:16 (107470)

Rheumatologist can determine raynauds and if there is any other conditions that maybe associated with your foot