View Full Version : Severe Pain in the Foot

05-20-2011, 06:43 AM
I need some advice, encouragement because I just do not know what to do.

I had TT release surgery (03/22) and it has gone from bad to worse. Each time I went back to the doctor (an orthopedic) I told him I was in pain. I have been unable to walk with out some sort of device helping me (boot, walker, crutches). He is now sending me to a PM clinic. However I am in so much pain that I can not walk on my foot and the pain goes up in to my leg also. The ball of my foot hurts so bad and now I now having pain on the top of my foot and toes. I have burning, tingling and sharp pains which increases when I put the foot down to walk on it. I can barley to any activities of daily living.
My foot bottom of my foot can be red and hot, then blue and sometimes it is white.
I am physically sick worring about my foot and I cry I am in so much pain. I think the nerve is still trapped but the surgeon says it is impossible. I have asked for an MRI but he had not ordered one.

What can I do?
I have gone to PT and I am doing everything they tell me to do. The ankle and toe exercises, the icing, the heel toe walking, and I continue to try to walk with out assistance. It's just way too much pain. When a grown woman cries with so much pain I would think someone would pay attention.

05-20-2011, 07:13 PM
Get to a pain management doctor and ask about RSD.

05-22-2011, 01:13 AM
I agree with Maggietaz, you need to consider RSD

I would also consider a 2nd opinion (orthopedist or surgical podiatrist)...and a pain specialist.
Good Luck

05-22-2011, 05:14 AM
When I had my TT release I also had a PF release at the same time. I was non-weight bearing for 3 long months. A year later I am still in a heel cup, but I am better. I was sloooowwww. I can't imagine trying to walk on it so soon after.
Just wanted to give my experience. Good luck, hope it gets better.

05-28-2011, 06:45 AM
The ortho surgeon made a referal to a PM clinic. However I could not get in for about 2 weeks. I called the ortho doc again for the pain but he would not perscribe any pain meds. The pain was unbearable. Did not sleep at all for the pain.
Therefore I went to a neurologist the said I had RSD. He gave some pain meds, neurontin, ambien and zanax. The neurontin is helping some and I do get some sleep with the other meds.

Not sure about going to the pain clinic. Maybe I'll just stay with the neurologist. He said we might try a nerve block and send me to a physiatrist.

Any advise on that decision?

Thank you.

05-28-2011, 10:37 AM
I would still go to the pain management doctor- they specialize in nerve blocks and they specialize in dealing with pain. Glad that you were able to get into a doctor that would help you. The sympathetic nerve blocks have helped my leg some- still have to take some medication- and am doing physical therapy. Have you gone onto the RSD board?

05-29-2011, 08:20 PM
Have you asked for a copy of your Operative Report? It would be good to check to see exactly what was done in your TT release. Did he disturb the nerve at all? I think that is terrible that your surgeon did not take this more seriously.

I wish you the best of luck for a full recovery!

05-30-2011, 05:09 AM
I did get a copy. It did not say he disturbed any nerves. It did say that there was a vericose viens compressing the medial plantar nerve which where ligated with bipolar cautery andincised to relieve any pressure.
The calcaneal nerve was rather large. The abductor muscle had somewhat dorsal position and the fascia along the border was incised.
That's about all it says.

05-30-2011, 10:25 AM
So, it looks like he didn't touch any of the nerves that would affect the top of your foot. The medial plantar nerve innervates the arch of your foot along with the first 3 toes + half of the 4th toe. The calcaneal nerves innervate your heal.

I had a post op complication where the bandage was wrapped too tight and the seam of the bandage caused the nerve on the top of my foot to be compressed. It sounds trivial, but it was so painful, the painkillers couldn't touch it.

Was your foot immobilized in a cast, or what kind of post op bandaging did you have?

Hang in there!

05-30-2011, 11:43 AM
For two weeks post op it was alot of gauze and an ace bandage, no weight bearing. I was afarid to move the ankle after sergery. After the staples were taken out he said I could use the boot and start moving the ankle. After I got home that day I tried using the boot and it caused execurating pain on the ankle and it felt like I was walking on broken glass. I did not try that again for a while. I would try to just put my foot down on the floor a few times each day and the same thing would happen. A week after the staples were take out he said I had one more week to the the ankle moving. Which I did get some improvement in the ROM. I would tell him about the pain and swelling and that the swelling did not improve when I used it, it would get worse.