It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Orthopedic Message Board

Adult leg & foot deformities: femoral anteversion, metatarsus adductus


Post New Thread   Reply Reply
LinkBack Thread Tools Search this Thread
Old 05-11-2013, 07:02 PM   #1
chrisjs
Newbie
(male)
 
Join Date: May 2013
Posts: 5
chrisjs HB User
Question Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Hello, everyone. My wife is 35 years old and has multiple issues with her legs and feet. She's had these problems since childhood but never received proper medical care for them. She still to this day has never sought professional help for her issues as she's severely doctor-avoidant (an unfortunate by-product of her childhood neglect).

From examining her myself and doing internet research, I believe she may suffer from significant femoral anteversion and metatarsus adductus with some mild internal tibial torsion. Basically, she's knock-kneed with very high-arched pigeon-toed feet with toes that curve inward and overlap one another. Her knees naturally point inward, as do her feet, causing her a great deal of hip pain when she walks. She also has foot pain because the way her feet are angled, all the pressure is on the outside of her feet (excessive supination). She's developed severe "tailor's bunions" on the outer edges of her feet because of this. Her overlapping toes are painful as well.

From all the reading I've done, it seems femoral anteversion and metatarsus adductus usually resolve themselves naturally as a child ages. This was obviously not the case with her and the older she gets, the more pain these problems are causing her. What are her options for dealing with these conditions? I've seen surgery suggested for older children but what about a 35-year-old adult? Her legs and feet are completely misaligned and lots of abnormal stresses are occurring whenever she walks to compensate for this. Her leg muscle development is likely an indication of this as well. Short of surgery, what else can be done? If her feet were balanced somehow with orthotic inserts, could that help everything else align more properly? As I mentioned, her arches are very high and when she walks with her knees pointed inward, the outside of her feet take all the stress. The misalignment greatly affects her hips as well. What about her inward curling toes? Because of their odd shape, it's very difficult to find shoes that fit her comfortably.

I just want to know if she'll be stuck suffering with this for the rest of her life or if there's something that can be done. I'll follow up with more info, if needed. Thanks!

Last edited by Administrator; 05-11-2013 at 07:40 PM.

 
Reply With Quote
Sponsors Lightbulb
   
Old 05-18-2013, 02:21 AM   #2
Bonnee
Newbie
(female)
 
Join Date: May 2013
Location: Australia
Posts: 1
Bonnee HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Hi Chris, you are obviously very concerned about your wife, she is lucky to have you. I'm sorry to hear about her problems. My only background to metatarsus adductus (MTA) is through extensive reading on the topic now that surgery has been planned for our 6 year old daughter.
We were wondering how the condition presents in adulthood if untreated as we are very reluctant to operate on our currently asymptomatic, happy and active child. According to most orthopaedic texts, it is possible to treat adults with MTA, and associated conditions via surgery, but it is complex. She is only 35 and should consider all the options. She does need to see a good orthopaedic surgeon or a podiatric surgeon for advice. Please do your best to convince her to go. Good luck and best wishes

 
Reply With Quote
Old 02-17-2014, 05:31 AM   #3
alltwisted
Newbie
(female)
 
Join Date: Feb 2014
Location: Pelham. NH
Posts: 1
alltwisted HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Did you/she find a solution?
Her story sounds lot like mine.
I'm 37. I was teased as a child for having severe intoeing/knock knees but every doctor I saw said that I would grow out of it and it was not that bad. All I needed to do was to stretch/build muscle. I ended up practicing how to stand and walk to avoid the stares and teasing. But it made my pain worse. Still more doctors told me that I attention seeking. So I stopped complaining about the pain.
At 14 I started getting stress fractures (mostly left ankle) which more or less when untreated because the only answer was if it hurts don't do it. For years I keep getting stress fractures, sprains, muscle tears etc and was told to stop doing the activities and to stretch. I have eventually ran out of activities. And I get hurt just walking.
I have had tendonitis for decades. But despite seeking help I was blown off. I eventually stopped asking for help because it was too time consuming to fight.
All that I knew was that I had slightly low bone density which was assumed to be caused by birth control.

By last summer I could barely walk. I was limping around on my toes. I had/have plantar fasciitis. I went t a foot doctor who helped me with my pain but told me that it would never really go away unless I fixed my legs. My intoeing stopped be from being able to use night splints and such because I could not hold my feet straight long enough.

I had to call around to over 30 doctors to find one that would actually be interested in helping me fix my complicated problem. I found most doctors just what to focus on fixing broken and not fixing abnormalities. Or when your problems cross over to more than joint then they avoid. I was surprised because I am close to Boston

I am finally working with someone now who is assembling a team to help me. A CATScan has shown that I have hip retroversion (both sides) as well as introversion in both my knees. I have a tibial twist and metatarsus adduction (both sides). So one problem makes the others worse and almost hides the problems from someone who is not looking closely. I guess this is why many doctors told me my problem is not bad was because I am not close to textbook.

They also found that I have phase 3 OCD of the left talus (0.7 cm lesion) and uneven wear on both my knees. This is a symptom to my problems not my real problem.

I am going to need multiple surgeries which will take a year or so to complete and recover. The doctors are still evaluating and planning.

I'm interested in what your wife's outcome is. I feel like I am going to a Frankenstein's monster cut up and reassembled. I just hope I'm not going be humpty dumpty.

Any advice?

 
Reply With Quote
Old 03-10-2017, 04:25 PM   #4
Suziwong29
Newbie
(female)
 
Join Date: Mar 2017
Posts: 4
Suziwong29 HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Hi I just turned 40 but 4/5 years ago I have had a really bad back due to torn disc and damaged nerve. I have had 4 injections in my lower back , but to be honest it hasn't helped at all.
In the meantime I have been suffering with a lot of pain on my both grains, legs and feet which I'm struggling to walk and looses my balance all due to pain. Every doctor I have seen said it's all connected with my back but I'm not convinced I think I have to problems going on. Anyways I ended up going private and as soon as the consultant looked at my feet he said I think you have metatarsus adductus but I needed an x-ray to confirm it, which I did and he was right. He said it is very rare and that I was born with it and he won't operate as it's too much of a hugh nasty operation. He wanted me to see the podiatrist to see if he could help which I did and he could not so now what he is doing is going to make me another appointment but with himself and 2 other specialists and he said that no person should be in so much pain that he can't understand why all of the sudden for the last 2 years I'm in pain with it and suffering the way I am. But it could be that even though it is a nasty operation they might operate in the end. It is a relief that someone else has listened to me and not saying it's to do with my back, so let's see what happens next.

 
Reply With Quote
Old 03-10-2017, 05:28 PM   #5
chrisjs
Newbie
(male)
 
Join Date: May 2013
Posts: 5
chrisjs HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Hi, Suzi. Thanks for your message. I really hope the doctors can give you some relief. What do you mean by you "went private?"

My wife finally went to the doctor last year and they were not helpful at all. They took X-rays of her hips, legs and feet and they said they were all normal. But her feet are clearly misshapen and her legs are totally misaligned. We went to an orthopedist and podiatrist but they were not helpful either. The problem seems to be that none of them want to look at this problem holistically and see how these different body parts are not working properly as a system. Perhaps a different kind of doctor is what's needed?

Please keep me updated on your progress. My wife's feet seem to be getting worse and we still don't have any answers.

 
Reply With Quote
Old 03-10-2017, 08:50 PM   #6
Suziwong29
Newbie
(female)
 
Join Date: Mar 2017
Posts: 4
Suziwong29 HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Hi I really understand your frustration as the same was happening to me I've seen so many different doctors and specialists and they all said they not going to give up on me as they can see how much pain I'm in. I've had x rays on my feet but not the whole of my feet which don't make no sense and said the same thing to me that there's nothing really wrong apart from bunions and ostiartharitis and all still saying it's to do with my back. I went to my doctors and asked them to go private it might cost a bit but trust me as soon as they looked at my feet he knew straight away what it was and these the main consultant in the UK who deals with metatarsus adductus.I'm hoping they can operate even though it's a hugh operation. If you go to your doctors ask them about going private they will give you the information and go from there. My appointment was this Thursday so I've only just found out that i have metatarsus adductus 2 days ago.

Last edited by moderator2; 03-12-2017 at 05:46 AM.

 
Reply With Quote
Old 03-11-2017, 08:48 PM   #7
Suziwong29
Newbie
(female)
 
Join Date: Mar 2017
Posts: 4
Suziwong29 HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Hi Chris, I think you should go back to the private plan and see if you get better luck there. I understand how you both are feeling, I still don't know if they can do anything for me yet as the consultation said the operation is very big and nasty and might not even work but for me it was just a relief to no that someone actually listened to me and actually looked at my feet instead of saying it's all related to my back problems. Please think about going private to see someone as it makes a hell of a difference. ☺

Last edited by moderator2; 03-12-2017 at 05:45 AM.

 
Reply With Quote
Old 03-12-2017, 05:24 AM   #8
Titchou
Facilitator
(female)
 
Join Date: Apr 2005
Location: Birmingham, AL
Posts: 18,386
Titchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Have you tried a chiropractor?

 
Reply With Quote
Old 03-12-2017, 02:47 PM   #9
chrisjs
Newbie
(male)
 
Join Date: May 2013
Posts: 5
chrisjs HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Suziwong29: Yeah, it's really strange how some doctors don't seem to be interested in looking at the big picture. When will you know if surgery is an option? Did they give you any other options like custom shoe insoles or anything like that?

 
Reply With Quote
Old 03-12-2017, 02:51 PM   #10
chrisjs
Newbie
(male)
 
Join Date: May 2013
Posts: 5
chrisjs HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Quote:
Originally Posted by Titchou View Post
Have you tried a chiropractor?
I know chiropractors can vary. Some are only interesting in doing "adjustments" while others look at problems holistically and try to bring balance back to the body.

Last edited by Administrator; 03-12-2017 at 06:26 PM.

 
Reply With Quote
Old 03-12-2017, 04:45 PM   #11
Titchou
Facilitator
(female)
 
Join Date: Apr 2005
Location: Birmingham, AL
Posts: 18,386
Titchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB UserTitchou HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

I am lucky enough to have one who is also an MD.

Last edited by Administrator; 03-12-2017 at 06:27 PM.

 
Reply With Quote
Old 03-13-2017, 12:43 AM   #12
Suziwong29
Newbie
(female)
 
Join Date: Mar 2017
Posts: 4
Suziwong29 HB User
Re: Adult leg & foot deformities: femoral anteversion, metatarsus adductus

Quote:
Originally Posted by chrisjs View Post
Suziwong29: Yeah, it's really strange how some doctors don't seem to be interested in looking at the big picture. When will you know if surgery is an option? Did they give you any other options like custom shoe insoles or anything like that?
Hi Chris, I have tried all the insoles and didn't work but but was told that even told by apparently one of the best consultants that even the especially best made to order inserts won't be any good as my feet are totally messed up they said that me feet are offree the scale that's how bad they are. So let's wait and see what happens at my next appointment now 😕

 
Reply With Quote
Reply Reply




Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 02:29 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2017 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!