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The response to the question below was authored by Marc Mitnick DPM
Left side of foot pain, heel and ball of foot pain
by Missy
(Cincinnati, Ohio)
Hello,
I am a 44 year old Pe teacher who has been experiencing foot pain since October. I have had numerous xrays, 2 MRI's and numerous injections in the foot and arch. I spent 2 1/2 months in a walking boot, then ankle brace and have been fitted and been wearing orthotics since the end of Dec. The pain in the ball of my foot is really bothering me to the point that my toes and foot goes numb. I am really frustrated with this and tired of dealing with it. The last MRI was on 7/3 and am waiting for the appointment to hear the results. It was to see if it was a neuroma or capsulitisis. I go back to school in 6 weeks and dread having to stand all day with my foot feeling this way.
The foot specialist I am going to at my last visit mentioned 2 different surgeries that they could do. I am not sure what to do. Any recommendations or insight would be greatly appreciated.
Hi Missy,
As an outsider looking in I would think if you have the type of unremitting pain that you write about and have tried various treatments to no avail then you may have to consider surgery. Read my essay on "surgical considerations".
Having said that, it the diagnosis comes back as a Morton's neuroma you might want to inquire about denatured alcohol injections. I have been doing them for a number of years and it has dramatically reduced the number of neuromas that I ultimately have to surgically remove.
Marc Mitnick DPM
ADDITIONAL REFERENCES
Mayo Clinic
Johns Hopkins Medicine
MedlinePlus
Arthritis Foundation
University of Rochester Medical Center
Harvard Health
Drugs.com
American Academy of Pediatrics
Penn State Medical Center
National Institutes of Health
Columbia University Department of Rehabilitation
ScienceDirect
Stanford Health Care
Illinois Bone and Joint Institute
Mount Sinai Hospital
Institute for Chronic Pain
University of Florida Health
American Family Physician
Cedars-Sinai
University of Maryland Medical Center
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