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An update on me...for those still interested

Posted by wendyn on 3/04/03 at 21:24 (111822)

And it give me somethiing other than my homework to do...

Finally went and saw my GP about the lump on my shin last month (it's been back since before Christmas). I had the same thing about 5 years ago when I used to do high impact aerobics and jog. Bone scans and xrays that time didn't show anything.

This time he told me to wait 8 weeks, and come back sooner if I had any more. Developed a second one last week, so I went back today. He think that it's some type of soft tissue stress reaction from the way I walk. He's quite concerned about the size of the bunion on my right foot - as well as the bunionette. I've also got a lump on the back of my heel by my achilles tendon. My left foot looks fine. My right foot looks like it belongs to an 80 year old woman.

He's sending me back to the orthpedic surgeon who did my bunion surgery 10 years ago (I asked for her because the Foot and Ankle surgeon last time suggested I see her - and the F&A surgeon is also an arrogant weenie).

The GP is concerned that I am going to get passed off again between the two surgeons - because no one knows what to do with me.

As he wrote out the highlights on the referral (TTS, Bunions, RSD, and the shin lumps)...he shook his head and said 'We'll send it out - but this ought to scare _anyone_ off'.

So - I'm feeling really positive about all this....

Re: An update on me...for those still interested

Sharon W on 3/04/03 at 21:32 (111824)

Oh, Wendy, I'm so sorry to hear that! It seemed like everything has been going really well for you these days.

I'm beginning to know the feeling, of having enough things going on to 'scare off' most doctors from agreeing to treat you.

All I can say is, good luck & please keep us posted.

Sharon

Re: An update on me...for those still interested

BGCPed on 3/04/03 at 21:45 (111826)

Is the bubmp on the right also? It seems odd that y ou have so much involvment on the right side and left is fine. I would have them send you to a person that can do a very good biomechanical eval and look for a possible leg length difference. Some times when there is such an assymetry in chronic symptoms that can be a factor

Re: An update on me...for those still interested

BGCPed on 3/04/03 at 21:46 (111827)

p.s. how does it feel when you snow shoe or go curling?

Re: An update on me...for those still interested

Necee on 3/05/03 at 00:43 (111833)

Hi Wendy,
Hope that you find out soon what is going on, I know you're getting tired of this reoccuring problem. I'm sure everything will be just fine.
Let us know what happens, and all the best to you.

Happy trails....

Necee

Re: An update on me...for those still interested

wendyn on 3/05/03 at 07:08 (111839)

BG - the right leg is the one that is all 'twisted' - I think they call it a tibial tortion. I think it affects everything right up to my SI joint.

You can see it quite well in that picture on the social page.

Other than the RSD - my left foot is okay (sounds like an odd statement doesn't it?)

A good biomechanical eval would be fine - but what will that solve for me in the end? I know I'm supposed to wear orthotics, but shoes of any kind make the bunions worse. I'm going back in April to the pod to be re-casted for the orthotic Birks...maybe that will help.

Still with the Canadian jokes? Have you seen Men With Brooms?

I have never tried snow shoes or curling, and I'm not teribbly interested to. Snow shoes would require me to be out in the snow for an extended period, and the yelling in curling would drive me insane.

(Can't even stand it on TV...what is WRONG with those people!???)

On a different note - it is supposed to be $%^ing cold here for the rest of the week (we are getting hammered with winter since about mid Feb). This is how we paid last year too, spring never showed up until June.

Re: An update on me...for those still interested

Suzanne D on 3/05/03 at 07:26 (111840)

Wendy, I had been happy to read that your RSD has not been causing too many problems lately. I am truly sorry about this problem. I remember reading about the skin lump before Christmas.

I am hoping you will be able to get some answers soon! You deserve some time free from any of these problems!

Take care in your winter weather. Our winter in Kentucky this year has given me more of an appreciation for how tired you can get of continual ice and cold and how eager you can be for Spring!

Suzanne :-)

Re: An update on me...for those still interested

Carole C in NOLA on 3/05/03 at 09:12 (111847)

Wendy, OF COURSE we are still interested! I'm glad you don't have to go back to the arrogant weenie of a F&A surgeon.

Don't worry about scaring them off. If they aren't up to a good challenge, then maybe you would be better off with someone else anyway!

With any luck this is the path to a more pain-free, lump-free life.

Carole C

Re: An update on me...for those still interested

john h on 3/05/03 at 09:18 (111849)

Wendy: I have not seen Men With A Broom but I am a man with a broom.

Re: An update on me...for those still interested

john h on 3/05/03 at 09:25 (111851)

Wendy: A couple of years ago I hit my shin on the dishwasher door. there was a small wound but nothing serious. After about 4 months it turned an ugly color and becamed raised. My GP thought a skin specialist should look at it as it was red and purple and bigger than the original wound. The raised area has finally gone down to skin level after nearly 2 years. The specialist could never give me any idea as to what was going on other than in the area of the shin there is very little blood flow and any injuries,etc to this area will be very slow to heal. They area is still very noticable but no longer raised and other than an occasional itch does not bother me.

Re: An update on me...for those still interested

Suzanne D on 3/05/03 at 09:34 (111852)

You can bring your broom and come visit anytime, John! :-) Actually you - or any of my friends here - would be welcome WITHOUT your broom. (But I would try to use mine before you visited!)

Suzanne :-)

Re: An update on me...for those still interested

bgcped on 3/05/03 at 09:44 (111853)

does your bunion hurt even in running shoes? also an orthotic can sometimes be made to relieve a bit of the dtrees on the tibia. If you have torsion or rotation sometimes tipping the ortotic a bit (as long as it doesnt create foot issues) can help.

For the bunion have them measure your arch length as well as heel to toe length. Arch length can sometimes vary greatly meaning the shoe fits your toes but bends in the wrong place.

Mat want to try a running shoe with mesh top like a new balance 879 or similar. I f you doint have a wide square toebox in the shoe or the leather or stitching cross over bunion it can be murder

Re: An update on me...for those still interested

bgcped on 3/05/03 at 10:01 (111855)

p.s. if the right leg is the in valgus, or knocked in make sure they correct foot enough to get leg as straight as possible. also if you have worn a motion control running shoe it will give even more support, that is assuming you over pronate. i would again have them double check for a leg length, even have 2 people do it as sometimes the side that is more collapsed and misaligned can be longer.

This is just a suggestion but even if one person says 'no your ok' look again

Re: An update on me...for those still interested

Carole C in NOLA on 3/05/03 at 11:33 (111864)

Wendy, maybe this is just the way you are standing in the photo, or maybe related to the tibial torsion, I don't know, but...

Is your right knee considerably lower than your left knee?

It looks like it is quite a lot lower, in the photo. It does seem like your right leg might be longer, or else maybe there's something messed up in your right hip (unless it's just the photo, the way you were standing, the angle of the camera, etc).

Obviously I know ZERO about such things, but looking at your photo I think the suggestion that was given to have your leg lengths double checked by two doctors may be very good advice. Couldn't hurt.

Carole C

Re: An update on me...for those still interested

wendyn on 3/05/03 at 13:06 (111881)

You and BG are both right - there are hip and leg length issues.

The problem is - what can be done?

I know orthotics may help - but yes - even running shoes hurt. I've been wearing a motion control - but it seems to make my bunions worse.

The wait for the orthepedic surgeon I really want to see is.....3 years.

Nice.

I could see the weenie sooner.

This is why I quit going to the doctor.

Re: An update on me...for those still interested

Richard, C.Ped on 3/05/03 at 14:12 (111889)

I did some curling the other day at the gym. :-)~
Richard

Re: An update on me...for those still interested

Carole C in NOLA on 3/05/03 at 14:13 (111890)

Well, could you pay privately to see the orthopedic surgeon you really want to see? Then you'd at least know what you were on the waiting list for and if it was something easily fixable you might spare yourself three years of pain.

As far as what can be done, there are a lot of things that can help and your doctor will know what they are (I sure don't! LOL). I'm sure a lot of us know people who have broken a leg badly, in an auto accident for example, and ended up with a shorter leg. I know one thing that they did for a friend of mine in that situation. They can do a little build-up on the bottom of the shoe for the shorter leg, and even a build-up that's not that noticeable can sure help the symptoms. That's what my friend's doctor did many years ago, anyway. Very few people noticed that the sole of one shoe was much thicker than the other. There are probably a multitude of ways to deal with it, depending on how severe the problem is, what you will accept, and so on.

Carole C

Re: An update on me...for those still interested

Carole C in NOLA on 3/05/03 at 14:15 (111891)

I did some curling last night, with my hot rollers and curling iron.... :)

Just kidding around! But my hair sure is curly today. lol

Carole C

Re: An update on me...for those still interested

Ed Davis, DPM on 3/05/03 at 14:50 (111902)

Wendyn:

It sounds like there are some unresolved biomechanical issues. Recurrence of a bunion, particulary with severity implies poor midtarsal joint mechanics and too much mobility in the first ray (first metatarsal + big toe + first cuneiform). A bump on the front of the shin at about the half way point may be from a stress reaction at the origin of tibialis anterior.
Tibialis anterior overuse can occur due to tight gastrocnemius-achilles or as a response to overpronation.
Ed

Re: An update on me...for those still interested

bgcped on 3/05/03 at 15:21 (111909)

Do your orthotics have a big or significant amount of posting under the 1st met head?. Sometimes too much is put there in an attmept to control pronation but it can also have a negative effect on the bunion. Being over there it is hard to say what exactly but I think there is something that has been missed. Why dont you zip down to Dr Ed? I am sure he is not too too far away compared to a 3 year wait.

Re: An update on me...for those still interested

wendyn on 3/05/03 at 19:57 (111933)

Dr Ed - you're pretty good!! I have been diagnosed with a couple of those things that you mention....this is from the last letter that the arrogant weenie wrote (I will stop calling him that tomorrow when I'm in a better mood)

...'she stands with pes planus bilaterally.....seated she exhibits a gastroc equinus contracture with a hypermobile medial column.....weightbearing AP lateral films reveal dorsolateral peritalar sublaxation and pes planus deformities.'

I have been working on the achilles stretches for years now, and in yoga I can almost put my heels to the floor in 'downward facing dog' - so I have to think it's getting better.

The big lump is on the front of my shin - just towards the inside, and about one and half inches from my inside ankle bone. The new one is pea sized, and about an inch above the first. It's also further in, resting right in the inside of the tibia. Both of them hurt. I do zero impact activities - other than walking (never recreational walking).

The surgeon who operated on the bunion (dorsal bunion) 10 years ago, told me that I would start to have trouble again in 8 to 10 years.

Re: An update on me...for those still interested

wendyn on 3/05/03 at 19:59 (111934)

Carole - it's not an issue of $$. She's in top depand because she is so good (not that this other guy isn't - he's supposed to be an awesome surgeon)...also, I think that she's accepting very few new patients which just extends her waiting list.

The doctors office is sending me back to Dr. Weenie. I see him May 20. It will probably be a big waste of time, but I'll go anyway.

Re: An update on me...for those still interested

wendyn on 3/05/03 at 20:00 (111936)

BG - my orthotics are 3/4 length - so there is nothing under my toe. I had full length ones once, and had a lot of trouble with them.

Where is Dr Ed?

Re: An update on me...for those still interested

BGCPed on 3/05/03 at 20:20 (111941)

If I am not mistaken Dr Ed is upper Washington, not real far from Can border, I think? You can still have forefoot post in a 2/3 device. In your case if it is possible I would try to make sure you have enough hindfoot correction and some elevation. Per your photo if you are wt bearing on that r leg as opposed to just on the left and standing relaxed with r bent, then you have something going on for sure.

It is just a possibility but many 3/4 I see dont have correct hindfoot and over done forefoot correction. If you can imagine as you walk your rearfoot rolls inward too much then as your wt gor to forefoot the device is pushing up. Think of holding a wash rag and wringing it out.

I dont want to geive you more things to worry about or get you more confused but I think for sure something critical has been missed

Re: An update on me...for those still interested

Ed Davis, DPM on 3/05/03 at 20:49 (111944)

Seattle area.

Wendyn. I think that BG is referring to a post or wedge just behind the big toe joint.
Ed

Re: An update on me...for those still interested

Ed Davis, DPM on 3/05/03 at 20:54 (111945)

About 2 1/2 hours from the Canadian border.

The 'dorsal' bunion is a clue that reinforces BG's concern about a forefoot varus post, the intent of which is to decrease overpronation but may be pushing up on the first metatarsal causing jamming of the first MTP joint, which in turn is detrimental to first ray (part of the medial column) problem.
Ed

Re: An update on me...for those still interested

wendyn on 3/05/03 at 20:54 (111946)

Right - Seattle - not far!!

Re: An update on me...for those still interested

wendyn on 3/05/03 at 21:01 (111948)

That's okay - thanks for trying to help. I had a physio therapist who said much the same thing as what you're saying(several years ago). In fact - it might be exactly the same thing.

He did make me a pair of orthotics, very similar to what you describe. I was completely unable to tolerate them. Don't know why.

The pair I have currently were made by a podiatrist - who specializes in orthotics. My previous pod used to send all of his 'difficult' patients to this doctor, because he seemed to be able to find orthotics that worked even for people who hadn't had any sucess before.

You know what - I bet his orthotics are okay, the problem is that I don't wear them very often. I wear the orthics in my running shoes at the gym, and at work in my dress shoes. I only wear the dress shoes one to two days per week max - because they hurt my bunions.

The rest of time I stomp around in birks.

It's most likely the birks that are helping my TTS and my bunions - but wrecking my shins.

I'll definately go and get casted for some new orthotic birks - maybe that will help for the summer. I will also go find some new running shoes this weekend (minus the motion control).

Not sure exactly what you meant about the picture - that's just me standing still for a picture. That's how all my pictures look - pretty weird huh? I didn't even realize that's what I looked like until I took a good look at some of the pictures from that summer.

Re: An update on me...for those still interested

BGCPed on 3/05/03 at 21:46 (111955)

Motion control shoe may not be all bad given your pathology. If I may guess correctly, the part about your orthotic you couldnt tolerate was the arch? maybe felt too high or like a golf ball? maybe it also made bunion hurt more?

I hope you dont take this as bugging you but I think you have slipped through the cracks so to speak. There are several ways to skin a cat orthotic wise and some of the best people miss it sometimes. As for the picture, if you try to stand still for a minute do you usually bend your right leg rather soon. If you try to stand wt bearing equal on both sides do you tend to drift and bend r leg?

Have your hubby, or mail man, look at you standing barefoot in shorts and t-shirt. Just look at level of shoulders and illiac crest, the bumps on your hips where belt would hang. If you see a slope or uneven level that can also indicate. They dont always work but sometimes a 1/4 lift under one side can do wonders

just a few thoughts

Re: An update on me...for those still interested

wendyn on 3/05/03 at 21:59 (111956)

Hmmm - standing barefoot - my right knee just bends right away. If I straighten it - it feels like it hyper extends. Why's that? (Never noticed that before)

I know I'm crooked by my hips - every pt I've seen (or chiro) has pointed it out.

I will have the pod check my alignment with the birk orthotitics, as well as the regular orthotics.

If I can't wear them in shoes - they will never help though!!!

(you guess correctly on why I couldn't tolerate those other orthotics - felt like a golf ball in my arch and it made my toes hurt)

You guys are sharp today.

Re: An update on me...for those still interested

BGCPed on 3/05/03 at 22:46 (111966)

TODAY? like I said you have slipped through the cracks. I would suggest you go down to see Dr Ed. I see probably 5 pt a week like you with a bag full of shoes and orthotics that didnt work all the way. I dont mean to point finger at anyone you have seen but with little info and a picture we have figured out a few possibilities.

If they all pointed out your pelvis was tipped what did they do or propose to do about it? After they treated you what was the reason they gave for you still being tilted? This may sound dumb but if you have heard it from different people then they shouldnt have released you till you were straight. if it took more treatment, pt and back adjustment or just proper fo and/or shoe.

This is just a easy test and not a way to dx a something but try to put a thick magazine under your left foot and see if it is more comfortable on your hips, knees and legs. See if you can stand without such an urge to bend you right leg. AGAIN this is not to figure out if you do or dont have a structure imbalance just something to see what a difference a bit of lift can make.

You do need to get to somebdy good to give you a difinitive dx and tx.

Re: An update on me...for those still interested

wendyn on 3/06/03 at 08:20 (111976)

You listen like a man BG.

Even if the orthotics are right - will they help if they are in my closet?

I will try the same things you suggested with the birk orthotics, and my orthotics on. I will ask the pod about it when I see him in April - and have him check my alignment.

I will also ask Dr Weenie to check all of these things when I see him in May.

Sound good?

My biggest problem is still finding a shoe that I can put an orthotic in, and wear for any length of time. Shoes in general seem to hurt either my bunions, my tarsal tunnel area, or cause more problems with my RSD.

(Seattle is about a 15 hour drive from here I think...so it's close - but not that close)

Re: An update on me...for those still interested

bgcped on 3/06/03 at 09:10 (111983)

athank you and may I respectufully say you process logic like a woman?

please not slamming from others Wendy and I have an unwritten rule we can bust each others chops.

I may have missed something, what type of shoes must you wear for work? Do you have a sit down job or standing? If you can give me a bit of an idea on what you can or will wear . Birks are good but they can control the foot as much as it looks like you need. They let the forefoot spread but lack control.

There are a few nicer looking shoes that are somewhat comfy and roomie but they wont control your foot enough.
This is what I tell patients, it is time to go on a shoe diet. If you cant or wont then things must be changed to accomodate. Please any help from you and sorry if you answered some of these already. I dont put the toilet seat up either

Re: An update on me...for those still interested

wendyn on 3/06/03 at 13:31 (112022)

You pee on the seat?

You and I will never be married.

I am also painfully logical. (I'm just starting a philosohpy course in logic and critical thinking - I'll let you know how I do)

I have a desk job - and technically the attire is office wear. I manage to pull of Birks most of the time (I'm trying to start a trend in frump wear).

The one and only pair of 'dress' shoes that I own, are Reikker (sp?). The pair I bought resemble granny shoes. They have a fairly wide toe box, but a narrow enough heel that my foot doesn't pop out (I have a very narrow heel). I normally wear a 36 for size, I bought these in 37 and there's enough room for my orthotics.

I bought these ones because they are solid under the arch - so they feel strong enough to provide adequate support for my wobbly ankles. Right now I wear them 1 or 2 days a week (max) and never in the summer. I bought them at a speciality shoe shop after spending hours trying to find _any_ type of office shoe that I could wear orthotics in. I only wear them 1 to 2 days a week, because even these cause a real flare up in my bunions.

I am due to look for new dress shoes, but I find the whole shopping for shoes painful and frustrating.

p.s. my whole idea of fashion sense (when it comes to shoes) went in the garbage over 4 years ago with all my nice shoes

Re: An update on me...for those still interested

bgcped on 3/06/03 at 15:08 (112040)

I dont do it on the seat, I said I dont put it back down, 2 very different things.

There is a brand called munro that are ok. When you are not at work you should get used to firm rigid footwear like light weight hiking boot or heavy motion control running shoe. I hope when you get foot measured again and perhaps orthotics re-worked. I still think something has been missed

Re: An update on me...for those still interested

wendyn on 3/06/03 at 16:13 (112045)

And again, like a man, you meant you don't put the seat down - but you said that you don't put it up.

And instead of checking to see if that's what you wrote - you assumed you did.

Re: An update on me...for those still interested

bgcped on 3/06/03 at 18:01 (112051)

thats because being a single guy i can leave it up...down..... or go all over it (i dont but i have that option) i can also drink out of anything in the fridge. dont have to knock over 6 different bottles of hair care products in the shower. i can rent action movies and not pretend i like chick flicks. there are good and bad to it. i also dont have to tolerate a bunch of multi colored throw pillows, pot pourri (sp?).

Re: being single

Carole C in NOLA on 3/06/03 at 19:42 (112061)

Isn't being single and living alone great? I love it.

I don't have to pick up after anyone else, there is never anything in the tub like gravel or motor oil or something else manly and weird that one doesn't normally expect, I don't have to be terrorized by excessively violent movies when I'm trying to relax, and I don't have to wage war if I want to buy something prettier than metal office furniture. I can eat healthy food like chicken salad without someone making fun of it and demanding large quantities of red meat and beer. I love men but I don't want to live with anybody right now.

Living alone doesn't mean being lonely, either, though that can be a big potential problem. Still, plenty of married people are lonely, and plenty of single people living alone find the companionship they need.

By the way, I only have three multicolored throw pillows in the living room. Actually one is just solid tan, and two are sort of a tapestry design. I'll definitely consider bringing home a bunch more multicolored throw pillows next time! I do have some lovely Tiffany-style lamps, and paintings and other things that look feminine and which some men might not appreciate.

Carole C

Re: being single

BGCPed on 3/06/03 at 21:27 (112068)

thats cool but thats what i mean

Re: An update on me...for those still interested

wendyn on 3/06/03 at 22:13 (112075)

BG - living with 4 men, I have a deep understanding of the toilet seat issues.

I have 3 throw pillows in my living room (all bought for me as gifts), and 3 in my bedroom (also gifts).

My house is not at all feminine though - no frills or lace here. Very IKEA.

Re: An update on me...for those still interested

Richard, C.Ped on 3/07/03 at 10:35 (112118)

Richard....married with child and loving it. ;-)
Richard

Re: for Richard...

Suzanne D on 3/07/03 at 17:11 (112175)

Have you had a chance yet to try the chicken and rice casserole? I was just wondering if you all liked it.

Suzanne :-)

Re: For bgcped

marie on 3/07/03 at 19:48 (112194)

Whenever my husband starts to long for a more manly lifestyle I always suggest that he just gets rid of me and marries a guy. That way he and his mate can fart outloud, drink beer, watch football every day, and watch documentries about WWW II every night. They can have unmatched recliners(matched ones would be to girly), eat meals on a card table and leave the toilet seat up. Oh my the possibilites are endless.....about this time he gives me one of those looks and asks 'when are we going antique shopping again?'

Lucky for him I'm not too flowery or prissy. Lucky for me he'd rather snuggle up with me than live with a guy.

Re: for wendy

marie on 3/07/03 at 19:56 (112196)

Wendy I sure hope you get this bunion problem under control. Sounds like you've gotten some good advice. Please keep us updated. I didn't get along well at all with orthotics. I have been taking a break from doctors and all of it. But I want to try some different orthotics.

I live with three guys too. That's why all our cats are girls. I have to have someone on my side.

later,
marie

Re: for wendy

BGCPed on 3/07/03 at 20:40 (112208)

I know that there are differnces between the sexes. Thats what makes it great and sometimes a pain. The option of taking a nap with a guy is not an option, women are too great in my mind to even entertain that.

Re: for bgcped

marie on 3/08/03 at 09:09 (112235)

That's why the married to a guy thing always works on my husband. I love living with three men and I don't have a single complaint about it. Men are some of my favorite people to be with. You're right we are different, thank goodness. LOL.

marie