Not what you're looking for? CLICK HERE INSTEAD



Chronic pain in ball of foot after bunion surgery (nerve pain?)

by Lars
(CA)

Left foot, fifth metatarsal

Left foot, fifth metatarsal

I am 45 years old, 6'2" and 166 lbs. I had bunion surgery on both feet almost 6 months ago (bunionectomy with fixation). After about 2 weeks, I was able to start walking some and after 3 weeks, the pins were removed. I gradually worked up from a few minutes to 30 minutes; after 8 weeks I was taking daily walks of about 30-45 minutes. There was extra pressure under the fifth metatarsal (especially on the left foot), but was told that it will go away and nothing worry about. It has not gone away.


After about 10 weeks, there was one day when I took two walks of about 45 minutes in the same day; I felt barely any discomfort except for at the end of the last walk when my feet started getting sore and a bit painful. The following days were fine, but about a week after that day I suddenly regressed and my feet became quite painful and I had a hard time walking at all. I stayed off my feet for several days and it calmed down some.

I am not sure if the extra walking that one day had anything to do with it, but I still have not recovered from that regression. I am now over 5 months past the surgery and still cannot walk (or even stand) without discomfort / pain. If I walk more than about 5-10 minutes, it tends to flare up again and hurt more for several days.

The pain is centered around the fifth metatarsal on both feet (the left is the worst), but the whole ball of the foot seems tender and sensitive (with fleeting pain in other areas, such as the first metatarsal). The pain is of an aching, burning kind (slightly prickly - hard to describe). However, some weeks ago, there was a couple of periods of a few hours when the feet felt almost normal – virtually no discomfort or extra pressure on the fifth metatarsals.

The podiatrist who did the surgery does not know why it still hurts and said it can take up to a year to fully heal.

Since there is absolutely no sign of improvement and this condition is keeping from doing anything that requires more than 5-10 minutes of being on my feet, I am getting desperate and do not want to just sit and wait for it to hopefully eventually go away.

I recently saw a highly regarded orthopedic surgeon for a second opinion. He noted that the fifth metatarsal on the left foot was not correctly set (I do not remember the word he used): the pinkie toe is pointing a bit upwards instead of being flat as the other toes, which make the area where the bone was cut a bit lower than it should; this explains the extra pressure under the left foot fifth metatarsal. I have attached a picture to illustrate.

Question #1: is it common that the surgeon accidentally fixates the metatarsal not quite straight like this?

So there is a mechanical issue with the left fifth metatarsal, but that does not explain why other areas of the foot, as well as the right foot also hurt. The pain in the other areas (not around the fifth metatarsal) is more diffuse (=the ache is usually less intense, but still burning and slightly prickly).

I have tried two pairs of orthotics, but they provide only little relief (even with metatarsal pads); however, perhaps once the nerve issue (or whatever it is that is causing the general diffuse ball of the foot pain) has been resolved, the orthotics will work fine for me.

On the surgeon's suggestions, I have done blood tests for arthritis, lupus, etc. They were all negative.

Question #2: as a last resort if nothing else has worked, what is your opinion on a revision surgery to straighten out the left foot fifth metatarsal? 70% of the pain is in this area.

I did physical therapy for a few weeks, but that only provided temporary relief after each visit (perhaps the ultrasound or massage). Rolling a ball under my foot and calf stretches daily did not seem to help.

Question #3: Do you think Voltaren gel for a couple of weeks could help? The amount of pressure under the fifth metatarsals varies, so perhaps inflammation is causing variation in swelling of the metatarsophalangeal joint?

Your opinion and recommendations would be greatly appreciated.

RESPONSE

Hi Lars,

Question #1: is it common that the surgeon accidentally fixates the metatarsal not quite straight like this?

I am assuming your original pain was on the outside of the fifth metatarsal as opposed to the under side of the metatarsal head. This is usually the problem.

That being the case your surgeon probably performed an osteotomy, cutting of bone, to move the metatarsal head closer to the fourth metatarsal head. It appears that not only did he move it over, but he also slightly plantarflexed it (moved it downward) when he fixated it. That is why you have the added pressure underneath the head

In foot surgery, when a metatarsal head is plantarflexed, it will force the toe upward. This is why your fifth toe is not touching the ground.

In defense of your surgeon, this type of surgery is not an exact surgery and problems like this can and do happen. I have no hard statistics on how often it happens but I would venture to guess not terribly often, because in most cases the patient does not have any issues even if the alignment is "off" a little bit.

What I do not like about your whole narrative is the fact that you did so much walking early on after the surgery. You mention K wires were removed and I will assume they were the only means of fixation for the osteotomy. If I am wrong let me know.

Call me conservative, but when I do these types of procedures, and use k-wires, I also put my patients in walking boots to further stabilize the osteotomy site and have them rest their foot, not go out on long walks.

That is also the reason I only do one foot at a time when doing an osteotomy, to give the surgical site all the protection it needs to properly heal.

What I am saying here is that all the walking you did with minimal protection may have dislodged the osteotomy slighty and may be part of the problem.

So, unless I do not totally understand the time line here, I am concerned about the instructions you were given after surgery.

I think it is worth mentioning that one possibility for your pain might be from damage to the nerves on the bottom of your foot which may have occurred during surgery. Either excessive dissection or using too large a bone saw blade might have actually done damage to the nerves of the branches of the lateral plantar nerve that pass through that area. Difficult to know from this side of the internet.

Question #2: as a last resort if nothing else has worked, what is your opinion on a revision surgery to straighten out the left foot fifth metatarsal? 70% of the pain is in this area.

First of all, it has only been six months since the surgery and your surgeon is correct that it can take upwards of a year for bone to remodel itself, although I do not think your problem is in the bone, but you never know. You would not consider revision surgery until at least one year has passed.

Making the assumption that the osteotomy site has completely healed, both on x-ray and clinically by pressing on the bone itself to see if there is any pain, my suggestion would be to consider a cortisone injection underneath the head of the bone, or even consider a round of oral prednisone.

I suggest this because over the years when I have had post op patients with "soft tissue" issues of pain, I have found that an injection or a round of oral prednisone can be very effective in alleviating the pain.

As far as revisional surgery goes, you will have to use my "risk vs. reward" formula. What any honest surgeon will tell you is that every time you have surgery on the same spot, particularly a small area such as the fifth metatarsal head, additional surgery could make matters worse usually because of excessive scarring that occurs.

If you do eventually have a second surgery you better make sure the surgeon knows exactly what the problem is, because in these instances the risk vs. reward ratio is working against you.

Question #3: Do you think Voltaren gel for a couple of weeks could help? The amount of pressure under the fifth metatarsals varies, so perhaps inflammation is causing variation in swelling of the metatarsophalangeal joint?

Voltaren is harmless enough to try and probably useless in the long run. I have tried it a number of times and have been underwhelmed by its effect, but there is no downside risk to using it.

Based on what you have written, I do not think this is a joint problem, but again, I do not have the luxury of actually examining you. Joint pain generally does not cause burning. Personally I think an injection or oral prednisone would be a better option.

Good luck.

Marc Mitnick DPM
DISCLAIMER




Comments for Chronic pain in ball of foot after bunion surgery (nerve pain?)

Average Rating starstarstarstarstar

Click here to add your own comments

Aug 22, 2015
Rating
starstarstarstarstar
Chronic pain in foot after bunion surgery & Scar Tissue Release
by: Lars

Hello Marc,

Thanks for your reply!

Re. # 3 (feet burning): yes there is some abnormal sensation in the right foot as well, but I did had the same surgery on that foot (at the same time).

I will get my lower back checked out (I guess even though it all started with the foot surgery, there could have been some asymptomatic condition in my lumbar spine that now has become symptomatic).

Re. forceful manipulation, can I ask a couple of follow up questions?
1a) Do you know many patients that have done this?

1b) Have you seen it make the joint worse or cause issues (how safe is it)?

Thanks again,
Lars

It will not make matters worse, and I have done it a number of times over the years and I will assume any one who does joint surgery has done it as well, on more than one occasion.

Aug 22, 2015
Rating
starstarstarstarstar
Scar tissue release
by: Lars

Hello Marc,

It has now been almost a year since my surgery and there has not been any improvement. I would like to provide an update and get your feedback.

The surgeon recommended that I try immobilize the left foot for 6 weeks "to let it heal", but this turned out to be a really bad idea - after 2 weeks of this my left foot felt freezing and using an IR thermometer I found out that the skin temperature on the left foot was 7 degrees lower than the right foot! I started walking again immediately and used hot foot baths, etc. and the skin temperature difference went away. However, the left foot almost constantly _feels_ cold ever since (mainly on top or inside side) and I have to take frequent short walks to keep the coldness in check. I walk about 5 miles a day (broken up into several 10-30 minute walks).

The feet seems over-sensitized some some extent: if I walk more than 30 minutes, the ball of the feet burns (left foot is worst). Even only standing barefoot or with socks on a carpet is a bit uncomfortable - the texture of the carpet / socks feels a bit like fine gravel underfoot.

So the foot is painful / uncomfortable pretty much constantly (either aching pain or feeling cold). But there is usually no pain or discomfort (or very little) when I wake up in the mornings (including when I wake up at night sometimes). One oddity is that whenever I go to the beach and swim some, the feet feel almost normal and I can walk barefoot on rough surfaces with virtually no discomfort afterwards. This lasts for 2-3 hours.

There is still extra pressure under 5th MTPJ (some on right as well), and most of the discomfort is there. A cortisone shot in the area did nothing.

There is an asymptomatic Morton's neuroma in the 3rd interspace (but it might recently have become symptmatic - there is fairly frequent pain around that area now as well). I most likely had this neuroma before the surgery. A podiatrist that specializes in chronic pain (including CRPS) has given me a cortisone injection (with local numbing mixed in) into the neuroma and the foot felt better for a few hours (only). I had additional numbing shots into the neuroma (one of them at the same time as a full ankle block), but that did not give relief (perhaps some for the numbing period). It was after these injections that the neuroma might have become symptomatic - perhaps the repeated poking with needles woke it up...

I am taking gabapentin (900 mg/day) and I think it helps some (but not as much as it did when I first started [on 300 mg/day]).

I have seen a neurologist, but she found nothing wrong in her basic functional testing. I have requested a diagnostic ultrasound to check for nerve impingements around the surgical site (and other areas, in case of issues from compensating when walking for a long time).

I have seen a pain specialist who treats a lot of CRPS / RSD patients and she told me that I do _not_ have CRPS, but that there is central sensitization involved. She did a diagnostic lumbar sympathetic block and the foot immediately got nice and warm and felt comfortable, but it only lasted about 2 hours (=until the local numbing agent wore off). This seems to indicate that the pain is at least partially sympathetically maintained. However, the pain specialist also indicated that there is likely a structural issue as well, given how being on my feet causes discomfort.

I have seen another DPM (very skilled and reputable) that did a second reading of the MRI and told me that I have scar tissue in the 5 MTPJ, which causes the toe to be elevated and the extra pressure underneath the joint (see photo in initial post). He told me that he can release this scar tissue / adhesions under local anesthesia using forceful manipulation. I would LOVE to get rid of the extra pressure and discomfort in the 5 MTPJ (it has been there from right after the surgery), but I am afraid that the pain (once the numbing wears off) will trigger further neurological pain (even though I do not have CRPS, there are similarities).

Questions:

1) What is your opinion about forceful manipulations to release adhesions in the 5 MTPJ? Is it usually safe and successful? Note that I plan to do this the same day as my second lumbar sympathetic block to minimize risk (and perhaps take Hydrocodone every 4-6 hours for a couple of days afterwards as well).

ANSWER: This is the standard treatment for adhesions. Although the area will be somewhat painful afterwards, ice and pain medication should do the trick.

2) A physical therapist told me that he can release the scar tissue by massaging and increasing the range of motion (over repeated sessions). Is this method as effective (in the end) as a forceful manipulation by a DPM?

ANSWER: no harm in trying, probably less downside then forceful manipulation under local anesthesia.

3) Regarding my feet being over-sensitized (burning after being on my feet, etc.), could this simply be that the nerves are still healing from the surgery, or what could this be?

ANSWER: I do not see this as being due to damage to the nerves as a result of the surgery, simply because your whole foot is affected and if I read correctly you also have abnormal sensation in the other foot as well. The neurological aspect of your problem sounds like it is coming from your lower back. I am glad your neurologist has ruled out CRPS because your narrative certainly sounded like it. Have you had a recent x-ray? You might consider one simply to see if there is any sign of bone demineralization, something seen in CRPS.
Although your circulation issue may be neurological in origin, have you had a vascular consult? The foot getting cold and then warming up again could be a sign of an arterial blood clot. You are in your mid-forties and that should be ruled out simply to be on the side of caution.

4) Any other advice you can give me?

I much appreciate whatever advice you can give me on this.

Thanks,
Lars

Mar 14, 2015
Rating
starstarstarstarstar
Chronic pain in foot after bunion surgery
by: Lars

Hi Dr. Mitnick,

I just had an MRI done on the left foot (the worst one) and the findings were, "non-specific inflammation."

I think "non-specific inflammation" means general inflammation in the area, but since the test for auto-immune issues (Rheumatoid Factor, CRP, Uric Acid, Sedimentation Rate & ANA) were all negative, I am a bit confused on this. Perhaps you can clarify a bit?

Also, even though it says "non-specific", 80% of the pain and discomfort is by the surgery site (5th metatarsal, forefoot).

Would you say a cortisone shot is still indicated?

Thanks again - I really appreciate your help!!
Lars

Ps. The burning I experienced for a while vanished after I started using new orthotics (Good Feet [works much better than the custom ones I had]). I can now walk longer as well (30-45 minutes instead of only 10-15 before).


Hi Lars,

I am not surprised that your blood work came back negative. It seems to me all your problems are the result of the surgery, not any outside factors.

The MRI just points out the obvious; you have inflammation and that is why you are having pain. A cortisone injection would certainly be an option, as would physical therapy and perhaps oral anti-inflammatory medication. You could even try a topical anti-inflammatory medication like Voltaren gel.

You want to try and get rid of the pain, short term, and hope long term, wearing a good orthotic resolves the excess pressure on the affected area.

Marc Mitnick DPM

Mar 06, 2015
Rating
starstarstarstarstar
Chronic pain in ball of foot after bunion surgery (nerve pain?)
by: Lars

Hi Dr. Mitnick,

Thanks a lot for your detailed response!

Regarding the k-wires, yes they were only for fixation for the first 3 weeks.

I asked the surgeon about how much I can walk once I could start walking, and he did not caution me about walking as long as I did it gradually and not if it hurts to do it.

I think you are right about nerve damage. I am trying other orthotics now and can walk slightly longer (about 10-15 minutes) before the fifth metatarsal on the left foot starts aching. But the bottom of my feet burn afterwards (especially the left foot). The burning is mainly on the ball and plantar fascia.

As an aside, even before my surgery I sometimes felt some burning in my feet after long walks (= about an hour in brisk pace), but not nearly this intense.

Will nerve damage from surgery like this usually heal eventually (=within a year or so)?

A friend mentioned neural prolotherapy; do you think this could help in healing the nerves?

I would not mind trying a cortisone shot, if there is a chance that it will break the cycle and resolve the issue (instead of just temporary pain relief).

Lastly, I will have an MRI next week of the left foot.

Thanks again for taking the time to guide me on this!!

Lars

RESPONSE

Hi Lars,

The burning on the ball of your foot and plantar fasciitis are probably not related to the surgery itself but more than likely from having to walk in a surgical shoe or cast during that three week period before the K-wire came out.

If you were having those similar pains prior to surgery, then chances are they may remain an issue and will have to be dealt with separately.

I am familiar with prolotherapy, but have never heard of neural prolotherapy, so cannot offer an opinion.

As I tell my patients regarding a cortisone injection. The relief may range from none at all, to total relief for the rest of your life, to anything in between. There is very little downside to the injection and may end up being a simple solution to your problem.

Good luck.

Marc Mitnick DPM
DISCLAIMER

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Ask the doctor.






download from Apple Store
Get it on Google Play



MY PRODUCT RECOMMENDATIONS
(items I prescribe in the office)


Orthotics for multiple types of foot pain
best buy in a pre-made orthotic
click link below


SuperStepOrthotics


Orthotics for heel and arch pain for those who must wear dress shoes
click link below


redithotics


Topical pain reliever
click link below


blu-mjk


Relief for nail fungus
click link below


clotrimazoil


HONESTe Online Member Seal
Click to verify - Before you buy!






I've been doing some aggressive research lately (it's how I found your incredible website) and realize now that my symptoms are not consistant with the diagnosis.

Jennifer

Hunterville, NC
….after reviewing your amazing site (great for the avg. jill). So thank you very much!!!

Liesbeth

NY
I am really, really impressed with your plain-speak explanations for the various conditions.

Jacqueline

NJ
This was an extremely helpful site. I have an appointment on the 18th and your info. Was right on target…..

Jack

Fla
A well organized site containing much information written in a manner that the average reader can comprehend.

Jean

Ontario, Canada
I found your website and articles most interesting.

Andrew

Fla.
Thank you for a quick response. I think your site is the best information site on foot pain and I have viewed many.

Judy

(location unknown)
I came to your website, footspecialist.net via www.foot-pain explained .com which I think is also your website? I thought explanations for different types of problems were well addressed and thoughtfully stated for the patient in mind.

L.W.

New York
You have an amazing and extremely informative site. I enjoyed looking through all of the data and stats.

Yvette

Memphis, TN
Thanks again so much for the information in the article. Very interesting.

Anna

Scotland
Great article. I have had plantar fasciitis since I was in high school……..

J. Simmons

(location unknown)
Dear Dr. Mitnick, The orthotics arrived four days ago and I slipped them into my shoes immediately. I was skeptical as to the usefulness of the item, they really didn't look very exotic. I have to say though, after using them for just four days, I have experienced grand relief from my foot pain. Even the very first day, I was able to do a lot of work while on my feet with at least a 75% reduction of pain. It has only gotten better every day, and I go nowhere without my shoes with the orthotics. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen. Since getting the orthotics, my life has returned to normal and I feel good again. Just wanted to say thanks for the recommendation for a very effective item, I had no idea what a change this item could affect.

Yours truly,

J.C. Forbes

Tennessee
Thanks for the Response, you hit it on the head.

Steve

Redondo Beach, CA
Thank you for your time and expertise in answering my question…..

LH

(location unknown)
First, thanks for putting together this website. Its the most informative site I have found dealing with foot problems. Last June I started having pain and swelling at …….

Joe

(location unknown)
First of all, thank you for having all this useful information available in one place. I've been through most of your website and based on my research, pain and evaluations I think I've narrowed things down quite a bit.

Pete M.

(location unknown)
Thank you for the best site I have found when researching foot pain.

Glenda B.

Madison, Alabama
Thanks for replying so quickly. I was a bit concerned. I think your website is great, and chock full of info.....

Carol

Denison, TX
Dr. Marc, Thank you so much for your reply which seemed to be right on. I have researched many sites but you put me on the right path to the possible answer. My foot pain may not rule the rest of my life after all! I believe I'll make a sign that reads, "THE END IS NEAR!" Thanks Very Much,

Dawn

West lafayette, IN
Dear sir...no doubt you get positive comments re your site...May I please be added to the list of your admirers. In all of my years of web surfing I would say your site is right there with the very best. Thank you for taking the time to write the terrific info you provide and for putting things into laymen terms for us mere mortals. I pray you have much on going success and thank you again for a deed well done. As for me I did not find much help for my symptoms and will continue on my quest. Were you anywhere in the South I would make and appointment...Thanks again dear sir...m.e.

Michael E.

Tampa, Florida 33624
Hi. This is a great site! I'm a healthy middle aged woman who is in good health, but.....

Kelly

Texas
Just a wee word of thanks for your wonderful website...It is a terrific service...Thank you for providing your knowledge and help...With highest regards, m ebeling

Michael D. Ebeling

Tampa, Florida 33624


Thanks for a most interesting website, which has helped a lot.

Steve

UK


Dear Dr.Mitnick

I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.

I thank you for putting together this incredible website.

Regards,

Dragica W.

Edmonton,Canada


....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!

Roxy

South Africa


You have an unusually clear, informative and well-written website for laypersons. Thank you for that.

Matthew W.

Mansfield Ctr, CT


First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.

Steve

Placentia, California


First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)

Unknown

Unknown location


I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.

Ric J.

Unknown location


I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.

Ron R.

Pacific Grove, CA


I used to work for a podiatrist (front desk) back during summers in college years ago, so I know the benefits of good care. Again, I want to thank you for an EXCELLENT website. It was so great to get to your site (top of google search) and actually find all the answers I needed EASILY and QUICKLY! Clearly you put a ton of work into it and I really appreciate it.

All the best,

Victoria

Alameda, California


By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!

Anonymous


Thank you for your very interesting and informative site!

Anonymous




Hi. I come to your site often looking for information. It is really informative and I appreciate it very much. I have RA and have been having considerable amount of foot pain...... Dee RN


Thanks very much for the wonderful informative site.

Catherine

New Zealand


Thank You for my answer! I have been schedule for a bone density scan, allingment, and I am in the process of getting orthotics made, and checking out the natural remedies. Thank again! What a great web site!

Sincerely

Josette


Yes I want both pair of orthotics. You don't have an option of ordering 2 at one time so I had to place the order twice. Thanks. My husband likes these and wants to put them in all of his shoes. (referring to Superstep orthotics)

Cindy H.

Arizona
I searched the internet everywhere for a clear description and illustration of my symptoms/problem. http://www.foot-pain-explained.com/ was where I ended my search with answers. If I lived in Jersey (left 30 years ago) and didn't live in Florida I would definetly make an appointment with Dr. Mitnick.

Thanks, Kathy

Florida
1st of all THANKS A LOT for your great site......

Anna

Poland
Thank you so much for your response. I will let you know how I am doing if you would like. Your website is awesome!

M P

South Carolina
Hello! I want to thank you for such an informative website! I found you based on my ankle pain search and am happy to realize that there may be a relatively simple cause and solution....

Natalie

unknown location


...Thanks for your fantastic service.

Gary

Arlington, VA


Thank you so very much, that would be much appreciated. I love those insoles, by the way. (referring to Superstep orthotics)

Kelly W.

San Clemente, CA


Dr Marc is fantastic...He seems to know exactly what you are feeling with the problems you are having. I wish he was in my home town so I could go to him with my problems!!!!!!!!!!!!!

Pam

location unknown


Great insights! Thanks Doc, you're the best.

Glen

location unknown


I have been experiencing foot pain of various sorts and am working to figure out what it is. I found this site and can only say BRAVO!! What an excellent site! The time it must have taken to put all this together must've been a daunting task! I am sure it has helped so many people. Thank you so very much for doing this.

Bre

location unknown


Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.

anonymous




Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!

anonymous




Staying at home after hallux surgery I spend quite a lot of time seaching info useful for avoiding problems which might come back. Today I found your site and I am .... delighted it happened. It's one of the best site I found last days.

Anna

Poland




Thanks for taking time to read and answer so many questions. It is truly a public service!

Esh

Seattle, WA


I just wanted to say that I am very greatful for this website!!

Bonnie

location unknown




Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.

Bill

New Jersey




Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.

Debbie

location unknown




Wow, that is exactly the information needed!!! thank you thank you thank you!!! I appreciate this help so very much from Marc Mitnick DPM. Excellent information and help to improve One's life.

Chrissy

location unknown




Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!

Tracy

Evansville, IA




Dear Marc

I just want to say thank you for the quick response and the good info. I find it amazing and a super nice thing that you do here by answering medical questions at no charge.

Russ W.

location unknown




Your website is full of a lot of helpful information, and I am very impressed with the time in which you responded to my post. Thank you again for your time and consideration in your response.

-Sunny.

location unknown




Thank you very much for the information, I will consider it. Excellent web site.

Jackie

San Diego, CA




Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

Rivi,

Albany, NY




Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

location unknown




THANK YOU SO VERY MUCH FOR YOUR TIME AND EFFORTS, YOU ARE SO VERY APPRECIATED. THANK YOU FOR ALL YOU DO.

Jackie

Whichita, KS




thanks again, this site is very helpful.

mark

Boston, MA




Like others have stated...This site is amazing and I am so thankful that it was created.

....Keep up what your doing. Your a life saver.

Michelle

Colorado




Thanks again for the information provided on your site. It's easy for non-medical folk to understand your writing, and helps provide better communication between patient and doctor.

annielou

Colorado


Wonderful advice

by: Anonymous

This is the best site for foot problem info.


Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown
Again, I really appreciate that you responded to my inquiry, and that your mention of Parkinson's helped me to find my way to a diagnosis of this difficult to diagnose disease. Most patients see on average 16 doctors before they are diagnosed. I hope that you can help other people that ask for your expertise in the future.

Barb D.

Canada
I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......

Bonnie

location unknown
Again, Thank you from the bottom of my heart for taking the time to answer my question....your an angel!

Nancie

Wisconsin
Thank you for your response. You have provided some great insight (to my question)....

Julie

location unknown
Thank-you so very much for responding so quickly and in such detail to my question!! I will give my surgeon a call today!! This website is terrific!!!! Thank-you again!

Renae

North Carolina
Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown


Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Florida
Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown
Your webpage is excellent, I commend you on sharing your knowledge to the public.

Robert

New Jersey


Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

location unknown


I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!

Melody

Lenoir, NC


Thank you so much Doc for a quick and thorough response!

Rustam

Bellevue, WA


I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!

Jodi

location unknown