Originally Posted by imhdab
This may be a strange question -- can these pains possibly be caused by perimenopause?
My FMS is triggered hormonally. I flare badly every month right around the time I ovulate and usually feel better by the time my period starts. *shrug*
I do have a theory on your pain...
Are you familiar with Morton's Toe Structure? Morton's toe is when the second metatarsal (the long bone in your foot leading to the toe) is longer than the first metatarsal (which leads to your hallux, or your big toe). The bone leading to the big toe should be longer -- this is how your body is designed to balance itself when you walk. Those of us with Morton's toe will have a large callus underneath that second digit because the head of the metatarsal, being longer than that of the first digit, takes to brunt of our weight when we step forward.
Perhaps your toe surgery has simulated an imbalance like Morton's Toe, wherein you are favoring the big toes and inappropriately distributing your weight onto the other metatarsals. This could be putting stress on the different leg and foot muscles as they compensate for this imbalance. Does your orthotic extend down under your big toe? I've seen store-bought orthotics modified, cutting away around the other 4 toes but leaving a strip under the big toe to encourage that part of the foot to bear more weight during standing and walking.
Just a thought...