sewing needle in heel
I have a sewing needle in my heel do not know how long.Started experiencing pain in foot all of a sudden.Went to a foot specialist and they took a xray of my foot and saw the metal in my foot,told me the pain is not from the needle it is plantar fasciitis. It's been 4 weeks foot is still very painful.Have not worked for 4 weeks.I also have back issues and every time I go to physical therapy if hurts my back,so they want to do an MRI for my back and the foot doctor says it's ok to have the MRI. I am nervous to have the MRI with the metal in my foot.Also the foot doctor says he is not going to take the metal out of my foot it would cause more problems.I am not convinced that the pain in my heel is not from the needle.RESPONSE
This is a tough one since I do not have the luxury of actually examining you. It would have been nice if you could remember how long the needle has been in your heel. Not for nothing, but I think most people would remember stepping on a needle, simply because they would have remembered the pain.
Let me start by saying that it is possible to have a needle in your foot and not have pain. I have seen instances over the years where patients will tell me about having a needle in their foot for years and it has never bothered them.
I agree with your foot specialist, in that depending how deep the needle
is, it can be a real issue trying to remove it.
Having said that, if it turns out the needle is the source of your foot pain, then you may have to consider having it removed.
I have no idea if your pain is from the needle or from plantarfasciitis. Plantarfasciitis in the heel tends to occur in a specific portion of the heel and if the needle is not near that area then your doctor may be correct in his assumption.
If the needle, however, is close to the spot where plantarfasciitis generally occurs, then it may be the source of your pain.
You do not mention what kind of treatment you have had for your heel pain, but off the top of my head, I cannot think of any plantar fasciitis treatment that would actually improve the pain from a foreign body. So if you have had some kind of treatment and it has not helped in the least, I might lean towards the needle as being the problem, but again, I am just guessing here.
If you do go for an MRI of your back just mention to the radiologist that you have a needle in your foot, let them decide what to do. Having the needle is not a reason not to have an MRI.
I think the best advice I can give you is if you are uncertain of your doctor's diagnosis, go get a second opinion from another foot specialist in your area. Request your x-rays from the first doctor, to save the expense of a second set of x-rays.
Marc Mitnick DPMDISCLAIMER