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The response to the question below was authored by Marc Mitnick DPM

persistent foot pain even after two surgeries

by Debbie
(USA)

Dr. Mitnick, Thanks again for your reply. Sorry if I'm not explaining this really well. I first went to the dr. because of the terrible bunion pain. The bunion was really bad and it hurt constantly. After the surgery, I had this arch pain that I didn't have before. I also had started to have the outside/top of foot pain. I went back to the dr. after a year of this. I gave it a year because I know it takes time for stuff to really heal. The dr. did xrays and thought the screw that he'd put in during bunion surgery was causing the arch pain because it was loose. I thought that was it too. He thought the pain on the outside/top was caused by a neuroma so he removed it when he did surgery to remove the screw. Now I not only still have the other pain, I also have the nerve stump pain on the bottom of my foot which I didn't mention before because I know it takes time to heal and its only been a little over three months. Also now I'm dealing with the numbness of two toes but I can stand that. It's just that the arch of my foot continues to feel like its cramping all the time and the outside/top behind my little toe just aches all the time. It's not as bad if I'm not on it but when I am its constant. My toes are all pretty stiff and won't bend very far. I try several times a day to move them as much as possible because I'm sure if I don't the stiffness will only increase? Again, thank you so much for your time and

help. I appreciate it very much.

Debbie

OK Debbie, the time line of events is starting to make some sense to me. If you are having the type of arch cramping pain that you describe and an x-ray shows no abnormality then I would get an MRI to examine all the soft tissue of the foot. Since I do not know exactly where in the arch your pain is the screw might have been the culprit and certainly was justifiable removing it solely on the basis that it was loose (and would be an issue sometime down the road). If your arch pain is near the area where the screw was placed then there is a possibility there was soft tissue damage as a result of the original surgery and an MRI would pick that up. That soft tissue damage might be the cause of your arch pain. Constant "cramping" may also be a symptom of nerve damage so that would have to be ruled out.
As a result of your neuroma surgery you may be left with a stump neuroma , which is a very common complication of neuroma surgery. You are right, it is only three months and you may have further improvement there as well. If not, I find that denatured alcohol injections can be very helpful in relieving that pain.
So in summary, have an MRI, try an isolate the structures of the foot that are causing the pain, if it is only soft tissue damage physical therapy may still be of benefit. Let me know the results of the MRI. (include this post with the MRI results; I answer so many questions, I do not want to get my answers confused)
Marc Mitnick DPM

Comments for persistent foot pain even after two surgeries

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Apr 04, 2008
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Thanks for the advice
by: Debbie

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

Apr 03, 2008
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Very helpful
by: Anonymous

Its a great thing that this doctor takes the time to answer questions for everyone.

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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

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

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

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(location unknown)

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(location unknown)

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Thank you for your time and expertise in answering my question…..

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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Steve

Dear Dr.Mitnick

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Regards,

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South Africa

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Mansfield Ctr, CT

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Steve

Placentia, California

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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.

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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

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

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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)

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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

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Natalie

unknown location

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Arlington, VA

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

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San Clemente, CA

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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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Poland

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Seattle, WA

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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

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Russ W.

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-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

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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

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Melody

Lenoir, NC

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

Rustam

Bellevue, WA

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Jodi

location unknown

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persistent foot pain even after two surgeries

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