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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

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(location unknown)

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(location unknown)

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(location unknown)

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(location unknown)

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Unknown

Unknown location

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Unknown location

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New Zealand

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Arizona

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Thanks, Kathy

Florida

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

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Poland

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South Carolina

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location unknown

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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!

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Poland

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Seattle, WA

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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

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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!

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Evansville, IA

Dear Marc

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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!

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Albany, NY

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Jill S.

location unknown

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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.

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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

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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......

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location unknown

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Wisconsin

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

Julie

location unknown

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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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Lenoir, NC

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

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Bellevue, WA

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Jodi

location unknown

persistent foot pain even after two surgeries

Comments for persistent foot pain even after two surgeries

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