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questions to ask...

Posted by anna k on 2/10/03 at 19:22 (108741)

Hello again....

thank you for all the responses on my thread in the Orthotics forum about shoes for standing and orthotics...

Reading through this site I'm getting a lot of information and realizing I need to pursue the issues in my feet further with my doctors....but unsure which direction to move in.

I was diagnosed with PF in my left foot last summer. At the time I couldn't walk on it at all and had to lay off all physical activity and standing. I was given a cortisone shot which helped for about a month and then fitted for rigid 3/4 orthotics in July.

I went back to part-time work cooking in Sept which had me on my feet 3 days/week about 10 hours/day. About halfway through my shift I'd start feeling pain in the heels of my feet.

Additionally I started having problems in the balls of my feet. I was not wearing my orthotics at work but Dansko clogs...and thought maybe the shoes were creating the problems as I had no problems in the orthoctics when I walked and worked out.

Had another 6 weeks off and last week returned to work. Am now wearing the orthotics to work. Today I tried some New Balance shoes and was more comfortable than I have been in months in terms of heel pain...what pain I did have was immediately alleviated when I was done working and could rest about 15 minutes at home..

but the balls of my feet are really becoming a problem. I'm experiencing tingling in my toes and in the balls...not constant but occasional during the day and actually more intense when I'm off my feet for any length of time(ie driving home, or sitting for a short break). When I come home though and take off my shoes I have terrible buring across the ball of my foot and am unable to walk for about 15 minutes. I've been home now for about 3 hours and my toes are still tinglign off and on and I' still have some burning on the balls of my feet...

So....I haven't been thrilled with my podiatrist but there are others I can be referred to. Do I go to a podiatrist, an orthopaedist, a neurologist or just my GP to start? My pod shot xrasy of my feet but never addressed my gait or biomechanics...

Sorry for the long post...would like to a make an appt this week and am unsure which direction to go. Would like to have a better idea of questions to ask at the appt as well. I do not experience near the grief I think most people do with these types of problems and want to prevent the problems from becoming worse if I can...I'm a normally very active person and would like to stay that way. :-)

Thanks for your input! THis really is a great site!

Re: questions to ask...

Julie on 2/11/03 at 03:02 (108776)

Anna, I'm glad you're going to pursue your foot issues further!

Is your GP a good, open-minded doctor? Does s/he know you well, and is there trust between you? I ask because if the answes are yes, I have a feeling you might do best by starting with your GP. If you thought well of your podiatrist, I would say start there, but as you don't, and as you don't know what is wrong, going to another specialist might turn out to be a blind alley.

Tingling and burning are usually signs of nerve involvement, which could be starting from your spine, and as you stand for long periods that could well be at the root of your problems. A complete going-over would be a good idea.

Re: questions to ask...

Julie on 2/11/03 at 03:02 (108776)

Anna, I'm glad you're going to pursue your foot issues further!

Is your GP a good, open-minded doctor? Does s/he know you well, and is there trust between you? I ask because if the answes are yes, I have a feeling you might do best by starting with your GP. If you thought well of your podiatrist, I would say start there, but as you don't, and as you don't know what is wrong, going to another specialist might turn out to be a blind alley.

Tingling and burning are usually signs of nerve involvement, which could be starting from your spine, and as you stand for long periods that could well be at the root of your problems. A complete going-over would be a good idea.