Received 4th diagnosis HELPPosted by Marsha G. on 9/03/04 at 20:47 (159257)
I HAD GOT THE BONE SCAN RESUTS TODAY OF THE BONE SCAN.....I AM SCHEDULED TO SEE A ORTHOPEDIC DR TUESDAY IF FRANCES DOES NOT BLOW US AWAY....THIS IS THE IMPRESSION.....INCREASED ACTIVITY NEAR BASE OF FIFTH METATARSAL. THE POSSIBILITY OF A DANCER'S FRACTURE CANNOT BE TOTALLY EXCLUDED PARTICULARLY AS THE LEFT FOOT IS THE SYMPTOMATIC FOOT' I DO NOT HAVE PAIN AT THE 5TH METARTASAL. THE RADILOGIST DID NOT HAVE ANY OF MY HISTORY WHEN THIS TEST WAS TAKEN....NOW I HAVE A DIAGNOSIS OF. PLANTAR FACIITIS, TARSAL TUNNEL SYNDROME. RSD AND DANCER'S FRACTURE(WOULD I NOT HAVE KNOWN WHEN I DID THIS FRACTURE?)ANY COMMENTS......???
Re: Received 4th diagnosis HELPEd Davis, DPM on 9/04/04 at 18:11 (159335)
We would need to know a bit more about your histroy before being more helpful. It is very common for patients with PF to tend to roll to the outside of their feet, avoiding letting the arch flatten. Than can cause infalmmation about the 5th metatarsal base which may be hard to distinguish from a fracture. Have you seen a foot specialist?
Re: Received 4th diagnosis HELPMarsha G. on 9/06/04 at 18:47 (159429)
My history is long and complicated. I had full blown RSD 6 years ago from a sprain to my left foot. I underwent all the treatment for that and was doing well. Then in the fall of 2003 I developed right hip pain. Long story short I went to PT for the hip and they gave me flexible orthortics to wear. After this my foot began to hurt. It is VERY painful now. I have seen a foot specialist(he has been the most concerned and followed up with me) The foot specialist sent me to a neurologist due to my foot turning different colors, numbness, and cold to touch. They did a nerve test but I have not received the results. My regular Dr ordered the bone scan when I went for my annual check up because it took so long to get in to see the neuro. The foot Dr thought tarsal tunnel until the day he saw it looking the way it did. I am in constant pain until I get off my feet. At night I have to hang my foot out of the covers until the pain goes away. This takes about 2hrs. I am on 1200mg of neurontin but it has not helped. Tomorrow I see a orthopedic Dr for the first time....(with the bone scan) do you have any advice? I am 51 years old in good health. I do have hypertension (the foot pain has increased my BP) I know you cannot diagnosis me but I would appreciate any insight you might give. Thank You for your time
Re: Received 4th diagnosis HELPDr. Z on 9/06/04 at 19:14 (159433)
2. Stress fracture
3. Tarsal Tunnel.
4. L4 L5 problems
The RSD is at the top my list
Re: Received 4th diagnosis HELPMarsha G. on 9/06/04 at 19:25 (159438)
Thank you for your reply. Have you ever heard of orthotics causing this type of problem? The pain type is the same but I do not have all of the same symptoms I had 6 years ago with RSD. I do have sacralization of L5. I pray the orthopedic Dr can help. I have not given into this pain in my foot and I will not let it ge me down....thanks again and God Bless you for what you do....
Re: Received 4th diagnosis HELPDr. Z on 9/06/04 at 20:50 (159457)
I doubt it but anything is possible.
Re: Received 4th diagnosis HELPMarsha G. on 9/07/04 at 13:10 (159503)
Regarding the drs visit I had today. You were right on the money. The increased in activity is not a fracture.(one the bone scan) He feels it is imflammation. (just like you said) Also he feels my foot problem is Tarsal Tunnel, but he also said likely RSD. I just don't have all the symptoms. I guess you do not have to, to be sympathic related? Thanks again for responding. I will read up on Tarsal Tunnel. He put me on elavil to take at bedtime.(and continue with the neurontin) I hope this helps the pain....also physical thpy.'ultrasound and lontophoresis. .
Have a good day.
ps what ever this tarsal tunnel is, it is PAINFUL!
Re: Received 4th diagnosis HELPMarsha G. on 9/15/04 at 18:35 (159962)
I received the results of the nerve conduction test today, and they are 'negative'. Now I am so confused and do not know where to turn. In the meantime the Neurontin has been increased and I am still on elavil and still in PAIN, I am in physical thpy 3x per week. One person says RSD and the other has no opinion (or at least he did not give me one.) Does anyone have any suggestions as to what I do next. Does the negative nerve test rule out TTS? I feel like the 'diagnostic test are being treated and not my foot' I am in the prime of my life right now. I am not working and I still cannot do what I want to do because of my foot. Any suggestions????Please!
Re: Received 4th diagnosis HELPDarlene on 9/15/04 at 20:11 (159964)
A negative NCV test does not rule out TTS, but it could confirm it. Another poster mentioned that one has to have lost 50% of the nerve function to get a positive test result. Did you have surgery or an injury that would could cause RSD?
Did the doctor tap on the inside of your ankle behind the ankle bone to see if there was a positive Tinel sign? If positive you will feel tingling going from your ankle down to your toe(s).
What other symptoms do you have?
Re: Received 4th diagnosis HELPMarsha G. on 9/15/04 at 21:36 (159967)
I had full blown RSD 6yrs ago. After treatment I was ok. only painful at times. Then in April of this year severe pain in my foot. I did have a positive tapping test. After that an injection. On the next follow up visit I had no tapping response and more signs of RSD. I had a bone scan that showed increased activitiy near the 5th metatarsal, suggestive of a 'Dancer's Fracture'.(i do not think it is a fractue) Then the nerve test that was 'normal'. The physical thearpist thinks RSD, the orthopedic dr. thinks tarsal tunnel. I really don't care what they call it, I just want a cure.....today the neuro. said ' I find nothing phycially wrong with your foot' This made me feel he thought it was all in my head. It is not all in my head...Once again I feel like even though a test maybe negative or normal, they still need to LISTEN to the patient.
Thanks for letting me vent...
and thanks for responding...
Re: Received 4th diagnosis HELPRonB on 9/21/04 at 01:01 (160236)
Time for a doctor change. It is not in your head. You are in PAIN and need to be treated.
Ron (I have had bilateral TTS for 5 years now)