I just wondered If anyone else had problems wearing shoes no matter what the fit. I've had problems with my feet for about 10 years now and finally want to do something about it. I've had insoles made which seem to help and keep my right foot which is pronated more stable but no matter what shoes I get I experience pain. Usually its stinging, burning type pain on the top of my foot and in the toes and a genral feeling of discomfort when having shoes on. But I cant seem to walk anymore than 10 minutes now without pain starting on the top of my foot and working its way down to my big toe. Over the 10 years i've been suffering I've had to wear my shoes really loose so the material doesnt touch the front of my foot too much. The podiatrist said that I may have tissue damage on the top of the foot but he says I have to wear my shoes more snug to help which hurts even more. I've read about people having tendonitis but would this have an effect on wearing shoes, would people with tendonitis feel stinging in there feet?
I've booked an appointment to have a mri scan done but this could take a few weeks Any advice would be greatful
Just wondered if anyone knew of any form of surgery that might help an severe over pronated foot? I've been wearing these orthotics that were made for me now for a few months and i'm still experiencing pain and discomfort in my right foot. I'm having to tie up my shoes pretty snug to stop my foot from rolling over but the pain I get on the top of the foot (tendon) is unbearable at times.If I am to loosen my shoes off a bit it helps with the pain but my foot just rolls over the insoles making them useless and I get severe discomfort from my foot moving and the shoes rubbing. Also I'm getting a sore spot on the outside of my foot now and pains in the front of my ankles and shins that is another thing that is starting to get me down. Please can anyone give me any advice whatsoever, it would be much appreciated
You need another opinion. Have you had x rays, MRI or any other tests ?
If your doctor hasn't explored any other possibilities with you it is necessary to see a specialist. You need to consult a foot and ankle reconstruction specialist. There are some podiatrists that devote their practices to correcting these deformities and can give you a realistic and objective opinion. They see the worst of the worst and actually fix them. A local podiatrist may not have the experience and may not have seen problems as severe as yours. Some doctors think that adjusting orthotics every month for years, and buying new shoes every month is the answer. While that is going on your problems become more severe and more difficult to treat. If symptoms are spreading to other parts of your body you need to get a definite diagnosis and plan for treatment - whatever that may be. The orthotics are probably not giving you the stability you need and there ARE other options out there. I hope you have insurance. Depending on where you live I may be able to tell you who you can see.
I live in the uk unfortunately and I guess this is a mostly US, Canadian forum. I have asked my GP about having a MRI scan and X-ray but he didnt seem interested what so ever. Our doctors over here are run by the NHS which our taxes pay for but I guess its down to money at the end of the day and if they dont see it as such a great deal they wont bother doing anything. The other option is to go private which I have been doing.
The private podiatrist I saw seemed polite enough but like you said he didnt do any sort of surgery and when I told him that the insoles were not working he didnt understand and blamed me for not wearing them right. "I genuinally cant tye up my laces too much as the it really hurts the top of my foot" I told him but it went straight over the top of his head. I havent been able to run properly in years because of my problem and he asked me if i did any kind of exercise, I couldnt really I explained and he said that it wasnt good at 27 not to get any form of exercise. I told him i get pain and discomfort from just walking around and he told me to just exercise through the pain
All the podiatrist's I have seen seem to just give me the push so I will take your advice snwtygr and go see a foot and ankle specialist if I can find one nearby.
I went to see a new foot specialist today and he told me the orthotics i received from the last podiatrist are absolute rubbish and are deffinately not designed for my foot. He told me the usual about me having a hypermobile foot and i definately need an orthotic to help with it. But the last ones i got were too flexible and not supportive enough and that they need to be carbon fibre and only half length too have any effect on my problem. So now im in a situation were I dont know what to do. I've heard all this stuff before and I dont want to go paying out £200+ if there not going to work, on the other hand these could be just what i need and could help me so much. I'll have to have a think about it i reacon
I too have lived with chronic foot pain and had 6 surgeries to correct various problems.
My main concern is with right heel pain and a lot of neuromas since there is almost no fat attached to my soles. I've tried a lot of things. I have no more health insurance and I'm hoping Ibuprofen will help but have to be careful because I have GERD.
Any advice appreciated.
Hello Rob77. I just had a similar situation as you. I had foot surgery and after the surgery I had persistent pain on the outside of my foot (actually both feet). The doctor said I supinated, was very sure of that, and I paid $200 for orthodics he built made of cork. I kept going back for adjustments but they always hurt. The physical therapist said I had the oppositr, very badly pronated feet and that if I kept wearing those orthos my toes would be worse. My foot dr disagreed with her after I told him. He told me to keep pushing off the toe which was killing me. I saw my primary care physician and we both felt I needed a 2nd apinion. This one said my podiatrist was wrong and that I am very pronated, I had to buy 3/4 length $25 orthodics called Superstep, I have to wear Berkenstocks and should NOT push from the toe, evrything opposite of what dr #1 said. He said the first orthos were too sof and did not give me the support I needed and made me walk wrong by over-stressing the big toe. I am feeling better as I increase an hour a day of use of the orthos. Then he will adjust them this week.
It IS frustrating they disagreed so much on what seems to be easy to diagnose, but I am feeling better and going with my instincts. I hope this helps.
Hi robb77 Sorry to hear that you're in so much pain and discomfort. I too live in the UK so I do sympathise with you its difficult to get to see who you want - us Brits tend to have to go within our PCT or where the GP buys his support, ie a hospital they dictate and they don't like it if you ask to see someone else, but then you how do you get to know who's good and who isn't?
I have a flat foot and also wear orthotics and I shall bear the carbon fibre half length in mind when visiting my NHS podiatrist again (2 months). I'd be interested to know who you went to see. I live in the Midlands.
The symptoms you describe sound like classic nerve entrapment symptoms. Especially the intolerance to shoes. If your pain is on top of your foot (the dorsal aspect), it may be an entrapment of the peroneal nerve that runs along the outside of the knee and innervates the top of the foot. There is a test called a Tinel's sign which your doc may have done. They tap or run along the course of the peroneal nerve on the outside of the knee just below the bone. If the nerve is irritated or entrapped, you will feel a shooting pain that is kind of like bumping your funny bone.
If these docs are disagreeing with each other, it seems logical that they should at least talk over the phone about your case. Why should the patient be left trying to figure things our for himself? I know how frustrating it is. Let us know what happens. I wish you the best of luck in finding an answer to this very frustrating problem.