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Neuroma & cortisone

Posted by Tim on 9/10/04 at 12:33 (159646)

I have been told by the Doctor that I have Neuroma in both feet. 6 days ago I was given Cortisone shots in both feet. After the first initial 12 hrs my feet were more painful than before. I still cannot walk on both feet normally because of the pain, and need to use a cane. Dr. thinks I had an allergic reaction to the cortisone. Anyone have the same experience.

Re: Neuroma & cortisone

Kathy G on 9/10/04 at 13:25 (159648)

I'm so sorry to hear that, Tim. No, when I had cortisone shots for my neuroma, I felt much better. Same with when I get them for the osteoarthritis in my hands.

Hope you feel better soon.

Re: Neuroma & cortisone

Karen G on 9/10/04 at 14:23 (159655)

hi kathy i had cortisone in 2feet and i was in more pain afterwards,for about 5days i had to hold on to things to get around the pain was so bad. It did make the pain and burning worse. The doc said it had the adverse affect and this happens to some people..I would have like him to have told me this before i had the shots i would never had them.. karen

Re: Neuroma & cortisone

Tim on 9/10/04 at 15:08 (159667)

Karen, how long did it take for the pain to finally go away and did it help in the long run.

Re: Neuroma & cortisone

Mark Evans on 9/13/04 at 17:17 (159832)

Unfortunately, some patients develop a steroid 'flare' following injections. This is your body reacting to the presence of the steroid. Mostly it is seen when injections are given into joints and not when it is infiltrated around a nerve. This is not to say your doctor injected into the joint. It is an unfortunate reaction. I will not usually inject both feet at the same time, but it is a matter of judgment and preference.

Re: Neuroma & cortisone

john h on 9/15/04 at 10:59 (159941)

Mark: I have had both feet injected about 3 times each over a 9 year period. The Doctor in all cases did only one foot noting that for some reason if you have PF that if an injection in one foot helps it often also helps the other foot.

I agreed with him on that as my experiece with bi-lateral PF was that if one foot got worse for what ever reason the other foot also got worse. My first injection in one foot gave me relief for about 3-4 days and it also gave relief to the other foot for reasons I do not know. The Doctor has been in practice for many years and has seen this occur more often than not.

I think most people with bi-laterial PF I have talked to experience the same thing I have and that one foot usually follows the other when it comes to pain. This begs the question are we head cases, does the injection in one foot actually help the other foot (does not seem plausable), or is this just another mystery of PF?

Re: Neuroma & cortisone

Mark Evans on 9/15/04 at 16:31 (159957)

John,

If one foot feels better you can automatically off load the opposite foot. Less extra pressure may equal less pain- I am speculating, but I have to admit this is not a story I have been told by any of my patients.

PS Could also be after the first injection the patients just didn't want an injection in the other foot and told tht story to the Dr to get him off their backs (just teasing...)

Re: John h....

Mark Evans on 9/15/04 at 16:32 (159958)

just realised this thread was actually about Morton's Neuroma - interesting story all the same!

Re: Neuroma & cortisone

john h on 9/16/04 at 09:11 (159976)

Mark I actually told the Doctor I wanted an injection in both feet. I have heard similar stories many times. Getting PF in both feet in the same time is a puzzlement in itself yet it is very common from the post I read here. Both of my feet are always very much the same and this has been going on for 9 years. On my left foot I had a Baxter procedure, TTS surgery and a Chelilectomy all on the same day. My great toe was of course cured but my PF remained very much the same in both feet. No heel spur, no morning pain. Some pain on palpatation (sometimes). I function with a pain level from 1-3 most days but have on occasion spike to a 5 if I do something really dumb like try to run. I have tried almost every medical conventional therapy over the nine years and a lot of things bordering on Voodoo. The one thing that I can point to an truthfully say it helps is Birkenstock sandals. I have seen perhaps 10 Doctors including Podiatrist, Foot and Ankle MD Surgeons and Sports medicine specialist. All say I have PF. I have just recently noticed your post. Are you a Podiatrist? Your special insights are very welcome because as you can see we have some really hard core cases here and many of us have spent over $10,000 in seeking treatments. I have had a total of 7 ESWT treatments. I know of one guy who had 12 ESWT treatments (he was actually cured). Dr. Z and Dr Ed have been with us for many years and have stayed the course..

Re: Neuroma & cortisone

Mark Evans on 9/17/04 at 17:47 (160091)

Hello John - thanks for detailing your experiences. I am a foot surgeon (Podiatrist) and I work in England. I also see many patients who have heel pain. Heel pain is a common problem and my service receives new referrals each week. Although many cases respond to simple treatments a small percentage appear to be resistant to all of the best efforts. Why does conventional treatment fail ? Does medical science fail the patient or vice versa?

Finding a common denominator to explain why pain persists in some pateints is kind of the holy grail here. Because I work in a socialised system of health care, and I am a salaried member of staff, I have no financial pressure to treat patients. The disadvantage I guess is we cannot make as comfortable a living in England, as my colleagues elsewhere!Alas, each system has its own problems.

I am especially interested to know more about ESWT - I want to hear from patients who have had good as well as poor results. ESWT is not yet very common in England, and I am considering introducing the technology.

Re: Neuroma & cortisone

john h on 9/17/04 at 19:44 (160095)

Mark I have had 7 ESWT treatments. Three on one foot and 4 on the other. I have had treatment with two different machines both high energy. Dr. Z on this site uses high energy and Dr. Ed on this site uses low energy. Low energy treatment is by far less expensive. Due to the protocol established by our FDA (Food and Drug Administration) and the expense to bring this treatment to market it cost much more in the states than in Europe or Australia. I communciate with a provider in Australia who charges around $300 for 3 treatments with the low energy machine. The same treatments in the the U.S. will cost around $750. The high energy Ossatron is done in a hospital setting in the U.S. but can be done with a local in other countries. Cost here can range from $4000 - $8000 for one treatment on one foot and is not always covered by insurance even though it is FDA approved. The high energy machine DR. Zuckerman and many othe Podiatrist use is done with a local and typicall one treatment cost around $2500. I actually had several high energy treatments without a local and after the first 10 shocks my foot was numb and I experienced no pain. There is a lot of data on the success of this type treatment as it has been used in Europe for many years. Dr. Ed can give you an idea of the equipment cost. Personally I think it should always be tried before surgery as it is a walk in and walk out non invasive procedure. You can find some information on the expensive high energy Ossatron at http://www.healthtronics.com
Dr. Z has been doing this for some years and has a lot of data I am sure he would share with you. I have no idea if this is covered under you medical care in the U.K. There are many proven treatments for many diseases that are not covered in this country under various insurance plans but I can walk into almost any Doctors office without a referral with no more than a 3 day wait and it is covered under our Medicare Program. My family Doctor I just walk in without an appointment any day and be seen within 30 minutes. We have some disagreements about high energy vs low energy but without question low energy is less expensive. I have not tried the low energy treatment which normally consist of 3 separate treatments but when it shows up in my city I will give it a go. We have had a number of posters from the UK including our long term poster Julie who seems to be cured or almost anyway.