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Edema,pain,and Discoloration

by Jill
(Milford,Ct USA)

Hello Dr M,If you remember me,I had written to you several months ago after a bench had fallen on my left foot and crushed the left 3rd toe and fractured the 2nd toe on 8/26/2010. Since then I had 3 surgeries to try to save the 3rd toe. April 2011 was the last surgery to amputate it. After that surgery I was left with swelling on the top upper and side of my left foot and a stump neuroma. I had a series of 7 alcohol shots an MRI which showed nothing,then 5 cortisone shots. Finally my Dr surgically removed a big Stump Neuroma and freed a ligament from scar tissue. 10 days later I felt flu like symptoms and under my cast a burning feeling. Dr said it was Staph infection,and 2 the next day I had a debridment done.Two days after that I wake up in agony with Cellulitis. I am hospitalized and have another debridment and a piece of bone removed. Tiny piece.5 days later another debridment,the wound vacuum would not fit because of the shape of the wound. All of my 7 surgeries were done through the same cut. Was stitched up.3 1/2 months later I am still suffering. I now have Edema all the time. Discoloration and pain still top,side and now bottom where neuroma was. i have been wearing a compression stocking and elevating and icing foot. Can't wear New Balance

with the orthodic because foot is too swollen,even went up a size in shoe. Podiatrist says 2nd toe is now a Hammer toe and can cause a stress fracture,Xrays showed none. Please help me,tell me what to do. Podiatrist says He cannot do anything else for me. I am at the end of my rope Almost 2 years dealing with this issue. I want to know what should be my next step.


RESPONSE

Hi Jill,

Have you ever had a vascular examination of your affected foot? If I recall correctly, you are relatively young and it seems to me that your problems (and complications) are way out of proportion to your age. That would then lead me to wonder if there is a circulation issue. Additionally, although it is a remote possibility, Complex Regional Pain Syndrome (CRPS) should also be ruled out. (You can read my article on CRPS)
I cannot be of much more help as I am on the other end of the internet and have never actually seen your foot.
If you have been using the same doctor throughout this whole ordeal, perhaps it is time for a second opinion; sometimes a different professional will take a different slant on the big picture going on here.
I wish I could be of more help, but am limited simply by the fact that I have never actually examined your foot.

Marc Mitnick DPM
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NJ
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Ontario, Canada
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Fla.
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Judy

(location unknown)
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New York
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Memphis, TN
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Scotland
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(location unknown)
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J.C. Forbes

Tennessee
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Redondo Beach, CA
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LH

(location unknown)
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(location unknown)
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(location unknown)
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Madison, Alabama
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Denison, TX
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Texas
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Tampa, Florida 33624

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UK

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Regards,

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Edmonton,Canada

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South Africa

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Mansfield Ctr, CT

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Placentia, California

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Unknown

Unknown location

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Ric J.

Unknown location

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Pacific Grove, CA

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All the best,

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Alameda, California

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Anonymous

Thank you for your very interesting and informative site!

Anonymous



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New Zealand

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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. https://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
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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


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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


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Glen

location unknown


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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



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Anna

Poland



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Seattle, WA


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Bonnie

location unknown



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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.

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-Sunny.

location unknown



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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



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

Michelle

Colorado



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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.

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Canada
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location unknown
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Wisconsin
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location unknown
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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!!

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Lenoir, NC


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Rustam

Bellevue, WA


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Jodi

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