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Foot pain, numbness
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Montana_Mary posted:
Hi Dr. Clarice,

I am a 51 year old female in average to good health.Quick health background:
Overweight
No diabetes
No high cholesterol
No heart trouble or history
Mild asthma - rarely use rescue inhaler (maybe 6 - 8 times/year)
Hypertension controlled with medication (yesterday's reading 118/72.)

My problem is right foot pain, numbness, tingling - little feeling in toes but at the same time sensitive to blankets covering them, feeling of bunched up socks in ball of foot - drives me crazy. My foot feels hard, rounded and swollen which makes any shoe uncomfortable. Duration - now over a year - started with numbness and shooting pains up inside of foot and into big toe.

Tests/Treatments so far:
Xray, MRI and nerve conduction tests
Cortisone shots in foot, didn't help or minimal relief
Tarsal tunnel release 6/11 which relieved shooting pain but numbness has continued/worsened - First discussed doing a surgery to see if there was a Mortons or other neuroma, but after they found the tarsal tunnel issue through nerve conduction, they did that instead and are reluctant to do second surgery since that one didnt' work.
Orthotics (have had about two weeks - still extremely uncomfortable)
Ordered orthopedic walking shoes - don't have yet

I love to walk my two dogs but find I now dread it and it's about the only exercise I get. I have started riding an elliptical and am purchasing one for home use. Coupled with all of this, I had a bad accident in November 2011 and severed and tore tendons in my right rotator cuff resulting in surgery to repair. I am in PT. I have tried riding my mountain bike to run the dogs, but it is causing too much pressure on my shoulder so my therapist said to wait awhile.

Despite being overweight, I'm very active and swim, hike, camp, and bike and especially love taking my dogs walking/hikiing. HELP!

Is there anything that is being overlooked? I am sure losing weight would be helpful, but I force myself to walk with the dogs and I also have a bad knee which has been causing additional issues. I want to get back to my active self. I am getting more and more depressed and my weight is not helping. I am scheduled for a orthoscopy Apri 27 to repair lateral miniscus tear and clean out two areas where cartilidge is sheered off, minor osteoarthitis so far.

I know this is really long and I don't mean to sound whiny. I am normally upbbeat and fun, but I don't even feel like myself anymore. I just want to get this fixed.

Dr. Clarice, please feel free to edit this - cut it down to size. I just wonder if there is something weird being overlooked. It has ruined my quality of life. I am on antidepressants (but from a long time ago, not related to this).

Thanks for any suggestion you can give.
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davedsel57 responded:
Hello.

Just an FYI that Clarice is not a doctor, but a moderator in the WebMD Communities. Dr. Maine is a doctor assigned as an Expert in this Pain Management Community. See his information on the right side of the screen.

Most of us are lay people in these communities who have personal experience with chronic pain for various reasons. It is against the rules to provide any type of diagnosis or medical advice.

To answer your question, it seems like everything that can be done is being done for you. What I do not see in your post is an actual diagnosis based on all your testing. That should be obtained to help your doctors provide an effective treatment plan. Most importantly, though, is to find ways to manage your pain which it looks like you are doing. Losing weight will most likely alleviate some of the pain. I fully understand how difficult that is as I am about 100 pounds overweight. Difficult as losing weight is, we must try out best to achieve a healthy weight which will improve our overall conditions.

I pray you continue to find effective ways to manage your pain.
Click on my user name or avatar picture to read my story.

Blessings,

Dave
 
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ctbeth replied to davedsel57's response:
Who is Clarice?

I see that we now have an Elizabeth. Perhaps Clarice is another new moderator.

Is Elizabeth someone who has been an active member of this community?
 
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davedsel57 replied to ctbeth's response:
I'm pretty sure the original poster meant "Caprice", but forgot to put that in my reply. Regardless, I believe our only assigned Experts are Dr. Abaci and Dr. Maine.
Click on my user name or avatar picture to read my story.

Blessings,

Dave
 
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Caprice_WebMD_Staff replied to davedsel57's response:
Dave's right; I'm pretty sure 'Caprice' was meant but, as explained, I'm no expert.

Elizabeth looked in for me one day last week. She's been with WebMD for a couple of years now but usually moderates other boards. We all help each other out when need be.

Hi Mary and welcome to WebMD! Thank you for that great rundown of what's going on and what you've tried. I'm sure one of our experts (Dr. Maine or Dr. Abaci) will provide some feedback when they get a chance though they can't offer a diagnosis, and I hope Dave's good advice was helpful to you.
We must let go of the life we have planned, so as to accept the one that is waiting for us.
~Joseph Campbell
 
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David Maine, MD responded:
Thank you for your post. There could be value in obtaining a follow-up EMG/NCS to see if there are any changes since the original (chronic vs. active processes). Have you seen a neurologist? Some small fiber neuropathies can present like this and a biopsy is necessary to diagnose. I am not sure what specialist you have seen but a fresh perspective from a foot and ankle physician might be of help. There are a number of different medication (oral and/or topical) that may be of benefit and this is worthy of discussion as well. Good luck to you...


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