Fusion of 1st MTP on left foot,
Hello, I had a fusion of my 1st MTP. I drive a tractor trailer that requires me to double clutch approx. 200 times a day ( so many gears, and long days.) I should also add, that I had to have a sesamoid bone removed during my first surgery ( outer one.) I am having quite a bit of pain in the ball of my foot and the second toe as well. I also seem to have some lower back pain, that I did not have before the surgery. Are these problems normal? Should I look for a different job since the pain is daily? In your professional opinion will this go away ? Thank youRESPONSE
I wish I knew how long ago you had your fusion. This would give me a better idea of where you are in your recovery and might allow me to offer some insight going forward.
It is probably safe to assume that your occupation as a tractor trailer operator is part of the problem and not part of the solution. Constant pressing on the cluth with your foot can only exacerbate the problem because of the excessive stress placed on the ball of your foot.
I would also assume that your previous sesamoid issue was also the result of your occupation.
I am wondering if you wear any special kind of shoe or an orthotic of some sort in your driving shoes, something either in the shoe or orthotic to take pressure off the affected part of your foot. If not, that would be the place I would start.
I would think a rigid shoe or boot that has very little bend at the ball of the foot might be very helpful in taking some of the pressure off your great toe joint and second toe.
A prescription orthotic built in a certain manner to redistribute pressure away from the surgical area might even prove to be more helpful.
If you have not done either of these then you need to speak to your doctor about that possibility.
If you have tried either or both of these options and they have not helped and it has been at least six months from the date of your surgery, then you may be left with a foot that is going to continue to trouble you as you continue to attempt to use a clutch.
Unfortunately, there are some occupations that can wreak havoc on a foot and some times the only way to remedy the problem is to change jobs, but before you do that make sure you have exhausted the other options I have mentioned,
Marc Mitnick DPMDISCLAIMERIf you found this information helpful please let others know by SHARING on social media, thank you.