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Saw ortho Dr today-2nd metatarsal overload syndrome

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Old 01-21-2009, 06:39 PM   #1
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Saw ortho Dr today-2nd metatarsal overload syndrome

I went to see the new foot and ankle ortho surgeon today. He is saying it is 2nd Metatarsal Overload Syndrome. All he really offered was to get custom orthotics.

I guess I was disappointed, as I was hoping for something else to help heal or fix my foot. My insurance covers nothing for the orthotics. And I really did not want to have to purchase these, because they cost so much money. I have read and talked to too many people who have had issues with their orthotics. I contacted 2 places today and they we're $300 and $360 for the orthotics. I did go today and buy some metatarsal gel pads to put in my shoes. I guess I am going to have to break down and buy the orthotics. I did ask how long I should give the orthotics a try, before coming back. He said 2-3 months.

Would you suggest continuing to ice the foot with my evening swelling? I am currently going to physical therapy and he didn't say to continue that either. He did ask if I had had a shot in the foot and I said no. He didn't recommend the shot. But I have seen on the net, that some people recommend the shot to help with the inflammation. I am just so confused... It's like I couldn't think when I was there and now I think of all these questions. Will the inflammation in my foot go away with a orthotic? Does anybody have this or know anything about it? Any info you can provide would be greatly appreciated.

Thanks, Shannon

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Old 01-22-2009, 10:33 AM   #2
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Re: Saw ortho Dr today-2nd metatarsal overload syndrome


When I began having problems on/under my second metatarsal I saw 2 different doctors who both recommended orthotics. They both said that metatarsalgia can often be relieved with orthotics. I got mine from a PT who worked very closely with me to get my problem under control, both with the orthotics and PT. I had some relief but things got worse last fall and the specialist I saw recommended surgery. He said that surgery isn't considered or approved without trying conservative measures first. As I sit here 2 weeks post surgery, I can certainly see why. This is not something to do if you don't have a lot of problems with pain and walking.

My second metatarsal was longer than the others and I coped well with it for most of my life--except when I got a stress fracture in it from Yoga (always good for a laugh). I had a bunion in the first met. that worsened as I aged and put more pressure on the second. Thus the bunionectomy and shortening of the second metatarsal.

I would think that your best case scenario would be to try the orthotics and hope the inflammation lessens. Let us know how it works out.

Old 01-22-2009, 12:29 PM   #3
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Re: Saw ortho Dr today-2nd metatarsal overload syndrome

I had an Austin/Akin bunionectomy with second metatarsal shortening on April 4 because of pain in the ball of foot and I am still having problems, even with $350 orthotics!

Last edited by Chubstercat; 01-22-2009 at 12:29 PM. Reason: left out date

Old 01-22-2009, 02:58 PM   #4
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Re: Saw ortho Dr today-2nd metatarsal overload syndrome

try the orthodics. surgery should only be when you cant take the pain anymore.

Old 02-04-2009, 07:23 AM   #5
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Re: Saw ortho Dr today-2nd metatarsal overload syndrome

I also have 2nd metatarsal overload as a result of bunion/hammertoe surgery 3 yrs ago. A word of caution....I wore orthotics, bought wide shoes, etc to avoid having a 2nd surgery. My 2nd toe is now severely dislocated and the joint has deteriorated beyond saving.

To repair the dislocated toe, the dr. has to "web" it to my 3rd toe for stabilization. The thought of it creeps me out but 2 drs I trust have confirmed that this is my best option.

If I could go back, I would have had surgery right away to fix this problem before it got this bad.

Old 02-05-2009, 09:49 AM   #6
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Re: Saw ortho Dr today-2nd metatarsal overload syndrome

I went yesterday and had my orthotics made, should be about a week until I can get them. I am still wondering it they are going to work, but will try them. My second Dr said this is not surgical so, I am guessing he really thinks the orthotics will work. So we will see... In the mean time my plantars fasciitis in my left heel is flared back up and hurting like crazy. So maybe the orthotics will help with that foot too.

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