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any suggestions?

Posted by Deb D on 3/19/04 at 20:11 (147353)

My foot is constantly throbbing. Some times it burns and when it feels like it is alseep it feels like I'm moving it , but it's not moving? Does that make any sense?
I've have been seeing a Pod for the past year now. He can't pin point anything. So on Monday I go see an Ortho. Any suggestions on what you might think is wrong?

Re: any suggestions?

Ed Davis, DPM on 3/19/04 at 21:41 (147362)

Deb:
Is the sensation only on the bottom of your foot or top and bottom?
Have you had a nerve conduction velocity test (NCV)?
Ed

Re: any suggestions?

Deb D on 3/20/04 at 06:23 (147376)

It feels like it's in my foot. Yes I had a NCV last June. MY Pod never told me my results. He scheduled me another one for May. That's why I'm changing drs.

Re: any suggestions?

Lara on 3/20/04 at 14:16 (147403)

Burning and tingling are common symptoms of nerve pain. I had 5 doctors miss it before I found a doctor who recognized it. If it is, it could be Tarsal Tunnel Syndrome. A lot of good doctors aren't familiar with TTS and miss the diagnosis.

Re: any suggestions?

Ed Davis, DPM on 3/20/04 at 19:39 (147429)

Deb:
TTS affects the bottom of the foot only. You can access your records so read the NCV test which should be interpreted by the testor who is often a neurologist or a physiatrist.
Ed

Re: any suggestions?

Dr. Z on 3/21/04 at 08:51 (147448)

Very important to determine if this is coming from your foot and not your L4, L5,S1 lower back

Re: any suggestions?

Deb D on 3/21/04 at 10:30 (147462)

How can you tell it's not your foot but your back?

Re: any suggestions?

Dr. Z on 3/21/04 at 14:02 (147472)

The determination of where the pain is coming from is a skill that as well as an art. If your podiatrist can't find any foot cause then he or she should refer to a specialist who can rule out any cause such as the lower back. History, duration, distribution and such tests such as EMG and MRI are some of the testing needed to be carrried out for a better evaluation.

Re: any suggestions?

Deb D on 3/21/04 at 17:09 (147481)

After 1 yr of going around in circles with my POD maybe the Ortho can find or suggest something else. I'll know tomorrow. Thanks

Re: any suggestions?

Lara on 3/21/04 at 19:52 (147489)

Maybe the doctors can comment on this, but there are some treatments that are non-invasive and you can try even without a definitive diagnosis. Icing seems to help PF alot. Compression socks (like the ones people wear for varicose veins) help some people with Tarsal Tunnel Syndrome. I think there are a few other non-invasive things to try for some pain relief while still searching for a diagnosis but I'm not coming up with them immediate - except rest, which would help most things.

Laura