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Old 11-03-2012, 08:52 PM   #1
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Severe Pain Arch of Foot

I have been searching for an answer for almost 2 years...I noticed one day that my right foot looked different. The arch is higher than the other foot. Of course I googled it and it looks like pes cavus foot and an area on my upper calf that appears to have atrophy, it is like a dented area. I saw a neurologist and he did a emg test of my spine and calf. Also, a mri of spine. He said the tests were normal and he would keep an eye on things. Then I saw an orthopedic surgeon he did x-ray and mri of my ankle and spine. He said normal aside from some osteophytes that were normal for my age of 42. And told me to stretch the calf muscle. Over the course of seeing these doctors the passed 2+ year my foot has gotten much worst. I now have pain with Every step I take! I am desperate for an answer and for relief. It there anyone that has an idea?

 
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Old 11-03-2012, 10:45 PM   #2
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Re: Severe Pain Arch of Foot

I agree 100% with the ortho man. Look up stretching exercises for plantar faciatiis on the Internet. The plantar facia is the band that runs under the foot and if that is too tight, it can raise all sorts of problems with your feet and your walk because it connects to the major tissues in your leg, which connect to your hips. Don't let anyone operate on it!!

 
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Old 11-03-2012, 11:31 PM   #3
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Re: Severe Pain Arch of Foot

Hi thank you for the response. I have been doing the stretching for sometime and no improvement. I agree with No surgery. But, I a reaching a point of desperation with the pain. I just wish I knew what the cause is. And the foot is smaller then it used to be. It is atrophying. I fear not being able to walk.

 
Old 11-03-2012, 11:43 PM   #4
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Smile Re: Severe Pain Arch of Foot

[QUOTE=Carjenben;5083225]I have been searching for an answer for almost 2 years...I noticed one day that my right foot looked different. The arch is higher than the other foot. Of course I googled it and it looks like pes cavus foot and an area on my upper calf that appears to have atrophy, it is like a dented area. I saw a neurologist and he did a emg test of my spine and calf. Also, a mri of spine. He said the tests were normal and he would keep an eye on things. Then I saw an orthopedic surgeon he did x-ray and mri of my ankle and spine. He said normal aside from some osteophytes that were normal for my age of 42. And told me to stretch the calf muscle. Over the course of seeing these doctors the passed 2+ year my foot has gotten much worst. I now have pain with Every step I take! I am desperate for an answer and for relief. It there anyone that has an idea?[/QUOTE



Hi carjaben,
When i first read your post i was going to tell you that i had plantar fasciatis. That i went to an orthopedic whose practice is limited to feet. He was also @ an orthopedic only hospital in major medical center. Not a podiatrist!! He xrayed, examined, put me in a "space boot" for 4 weeks, never another problem. Then, i read about your calf and thought of a condition my niece had where the fascia was so tight it cut off blood supply to muscle in foot & muscle removed. Now, i think you should do exactly what i did. That i described above. Ortho practice limited....etc. Are you having really bad pain on leg? Where exactly on foot? Im so sorry this is happening & for so long. Ugh! God bless you. Thank you gmak

 
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Old 11-03-2012, 11:53 PM   #5
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Re: Severe Pain Arch of Foot

Sorry, while typing i missed your 2nd post. It sounds exactly like my niece. Get MRIof whole foot. Ct also. MRA too. Need to check vessels feeding foot muscles with blood & the nerves visualized that tell muscle to contract & relax. Get to ortho practice limited to feet @ major med center pronto. Call Shriners orthopedic hosp in houston. Ask for PT dept & ask them if they could recommend person in your area. Hope this helps! Keep us posted. Anytime i will be hear for you. An ear? Friend? Help? Thank you gmak


P.s. fascia is white fibrous tissue that covers all skeletal muscle, like the white stuff on skirt steak or beef fajita meat. Get to PT now for professional therapy. Ask one of drs you have to fax order to a physical therapy dept of your choice. Imho only

Last edited by gmak; 11-04-2012 at 12:07 AM. Reason: add word ps

 
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Old 11-04-2012, 12:03 AM   #6
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Re: Severe Pain Arch of Foot

Hello Carjenben, see my post troly59. Your story sounds like mine. 1 1/2 yrs of arch pain, calf atrophy,foot and medial ankle pain, 5 Drs (2 pods 3 ortho) diagnosis, Type 1 accessory navicular( that I was told and read, is rarely symptomatic) pulled away causing major scaring in/of the posterior tibial tendon. This damage was NOT seen on any of the X-rays or the 3 MRI'S. I also had 3 emgs and tried every conservative measure including 3 rounds of PT.
On 9/19/12 I had a fdl tendon transfer and spring ligament repair, and 2 lateral ligaments repaired. Dr said the PTT was scared like a lump of bubble gum around the AN. That section had to be removed, so the need for the tendon transfer.
So if you don't have plantar fasciitis arch pain, which the two podiatrists insisted I had. My arch pain was vertical, like a hook going into my arch and it did not hurt more in the morning like PF does. Orthotics hurt more,feeling like it pushed up on the AN.
Advice, see an orthopedist from the AOFAS web site and question Accessory navicular and spring ligament. My calf atrophy came from the PTT not working correctly which controls and activates the calf muscle.
My sister has complained of arch, medial ankle, and calf pain for yrs, again no dx. After my experience she finally after yrs of being told it was nothing, got a dx of the same AN in the same foot. AN are hereditary.There are 3 types.

Good luck.

 
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Old 11-04-2012, 04:30 AM   #7
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Re: Severe Pain Arch of Foot

It could be the ptt. The posterior tibial tendon is the major tendon holding up the arch. You need to see a foot and ankle specialist. When I first starting experiencing the joys of flat foot symptoms, it began with arch fatigue and arch pain. It went on to pain on the medial side of my foot. As it advanced, the pain shifted to the outside of my foot and heal. They may need to have an MRI done to confirm dx. By the time I had surgery, my accessory navicular bone had fractured off. Symptoms will continue to progress.

 
Old 11-04-2012, 08:01 AM   #8
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Re: Severe Pain Arch of Foot

Quote:
Originally Posted by Carjenben View Post
Hi thank you for the response. I have been doing the stretching for sometime and no improvement. I agree with No surgery. But, I a reaching a point of desperation with the pain. I just wish I knew what the cause is. And the foot is smaller then it used to be. It is atrophying. I fear not being able to walk.
If your foot is atrophying it is a good chance that the muscles have not been used for some time. I cannot remember all that I wrote yesterday, but all the muscles in my legs were atrophying because of orthotics and I have been in physical therapy for months because of it. You may look into that because they know how to build up muscles. Also, there are exercises for strengthening the foot and I think you can find them, if you go to the Internet. Look up strengthening the ankle and you should find something. Good luck.

 
Old 11-16-2012, 03:27 PM   #9
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Re: Severe Pain Arch of Foot

Carjenben and Troy59, I am so happy I found this post. Your descriptions, especially Troy59, is almost identical to mine.
It began with an attack of Plantar Facsiitis that wouldn't go away. Calf atrophy with a line that looked like my calf was cut in half. Pain in the arch and eventually my left foot started to slightly roll in PTTD late stage 1. I just returned from a second opinion on surgery. I am really uncomfortable and sometimes in pain which can be quite nasty at times. I am sick of it but really anxious about the surgery.

I also have Accessory Naviculuar I.

My biggest concern with the surgery is the 70% success rate. I was told 25% stay the same and 5% have more pain.
Trying to "wrap my head around this."

 
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Old 01-12-2013, 06:10 PM   #10
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Re: Severe Pain Arch of Foot

Quote:
Originally Posted by Carjenben View Post
Hi thank you for the response. I have been doing the stretching for sometime and no improvement. I agree with No surgery. But, I a reaching a point of desperation with the pain. I just wish I knew what the cause is. And the foot is smaller then it used to be. It is atrophying. I fear not being able to walk.
If you can do it, see a physical therapist for guided therapy. It's so much better having someone who knows what they are doing oversee your non-surgical treatment.

I have pes cavus that was also found to not be neuropathy related... i've had three surgeries over the past 15 years and really wish I had committed to a stretching program under the guidance of a physical therapist from the beginning, rather than trying to do the exercises by myself... getting frustrated... and giving into surgery due to desperation with pain, knowing that I didn't give the stretching enough effort and looking for a quick fix.

But make sure you find a PT that you work well with, and who encourages you through the pain in the *** of stretching programs... even if you have surgery, you will need to do PT eventually or risk future issues followed by more pain... take it from me... as I am three months in to my post-op rehab and still having pain!!

 
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