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    Old 10-13-2014, 06:29 AM   #1
    Join Date: Jul 2008
    Location: Illinois, USA
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    lelah33 HB User
    2nd mtp synovitis and fibular sesamoiditis, etc

    First, I want to say I have read some old threads on some of these issues, but want to post my own questions.

    The story: Almost three weeks ago, I was riding my bike with my child's trailer attached to the back. My car's battery died while my son was at preschool (I am the only one who takes and picks up my son, too, btw) so I rode my bike to pick him up about two miles away. The tires on the trailer were pretty flat (in my hurry, I didn't have time to pump some air), and sometimes anyway, to get myself going with the trailer, I will push off from the top of a curb. I was wearing running shoes (good brand recommended for me, but now old - not good for actual running any more.) I pushed off probably way too hard, and felt this incredible pain forefoot portion of my foot (kind of cracklepopsnap - I've described it as a little explosion.) At first I thought I'd broken a toe or two (2nd or even third) because of the location of the pain, but after it subsided back down into my foot below my toes, I realized I could actually move my toes without pain. Below there was intense (I know intense . . . emergency c-section included intense pain) pain.

    I iced as soon as we got back home, and I could not really walk on it. I could put a little pressure on my heel, but even that pulled on the injury. My spouse found the crutches I'd kept from a previous injury (kept to ward off further injuries. . . ha!), and I stayed off of it. Three days later got x-rays at immediate care. No fracture they could see. Referred to a dr/clinic that I had gone to years ago for a different issue (fairly famous, too), but I refused to go because I'd said I would never go back there if I could help it. I was/am afraid of surgery at this point because my spouse is incredibly busy work-wise right now, and I need to get my son to school. I am his primary care-taker. I cannot be down right now.

    I went to a different specialist, and she re-xrayed me, weightbearing this time, since it was a week and a half later. Still no obvious fractures (although a physical therapist acquaintance told me that there still cold be one if I am still inflammed enough.) She diagnosed sprain/contusion/2nd MTP Synovitis, and fibular sesamoiditis. Synovitis makes sense. My 2nd toe itself doesn't hurt, but if it is moved at all wrong (or bumped), I scream and cry, the pain is so intense. My big toe hurts partly, too, but that might be the sesamoid thing.

    I was put in a boot for a couple of weeks, and said to wean off the crutches. . . but seriously, even in the boot, with my foot even just down (versus up, and icing) it throbs horribly, and just gets worse with pressure from walking. I am hoping that I will just heal in the next few weeks. Is this likely?

    I am still in pain at night in bed. My son bumped my foot slightly the other day and the pain made me cry immediately (I couldn't even talk, it was shocking, actually.) I don't take a lot of medication, because we are also trying to conceive again. Nsaids are not good for that. I do take acetominophen, but it just takes the edge of pain off . . . probably doesn't help inflammation. I still ice several times a day. If another week or two proves I am not pregnant, I will go back to Nsaids.

    Any thoughts or ideas? Thank you in advance! Thank you for reading.

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    Old 10-31-2014, 12:54 PM   #2
    Join Date: Jul 2008
    Location: Illinois, USA
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    lelah33 HB User
    question about warmth making pain worse

    No one answered my question a couple of weeks ago on the foot board, so I am going to ask a more general question here. I injured my foot five weeks ago now. I am going to get an mri finally on Monday, because my dr thinking my healing should be farther along, and she wants to see if there is something more going on. Anyway, my question that I forgot to ask my dr:

    Why does warmth (warm, but not burning hot obviously) seem to make the pain, and possibly inflammation, increase in the injured area of my foot (especially when I shower, but am not standing on my foot)? I have not found anything about this online.

    I know that it increases blood flow to the area, while icing (which I have been doing several times daily for five weeks) decreases it. However, the water is not that warm, and the rest of my body can feel chilly yet, but my foot feels almost like it is burning in the injured area. Is this common?

    Thanks so much!

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    Old 11-01-2014, 03:28 PM   #3
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    Re: question about warmth making pain worse

    So sorry I'm just seeing this. I haven't been on in a while. First I wanted to say that I'm sorry that you're's hard and painful. I've been there! Second, sounds like you could have a lot of different things going on here, but have you heard your doctor or any of your healthcare providers say anything about Lisfranc or check for a Lisfranc sprain/fracture? They aren't always easy to diagnose from what I understand and are missed frequently. I think it usually is more of an injury to the midfoot and not the forefoot, but still worth a shot. The MRI will tell you a lot though, so will be interesting to get the results from it. As far as the warmth question, you are right in that warm/heat opens up blood flow therefore increasing swelling and inflammation whereas ice does the opposite. But if the water isn't that warm and it's a noticeable pain, I wonder if you could have a nerve injury in there? Hang in there, and let us know what the MRI says and your doctor says!
    Brostrom-Gould, repair retinaculum, peroneus longus tendon repair, fibular groove deepening for peroneal tendon subluxation- 2/22/12
    -Modified Brostrom (failed)- 8/15/01"]

    Old 11-02-2014, 02:37 PM   #4
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    Re: question about warmth making pain worse

    Warm water and warmth in general bothered my foot for about nine weeks after surgery. I iced my foot and ankle 23/7 for six weeks and then gradually less over the next three weeks. Heat always bothered it -- it made it swell and feel inflamed, and warm water felt like hot, burning water. It should improve over time. I'm over 15 weeks out and can finally tolerate and even enjoy warm water on my foot again.

    I wish you good luck with your MRI. It definitely sounds like something is going on with your foot and ankle. I am glad you are advocating for yourself to get the best medical care in the early stages of your injury.

    Just In Time 44

    May 2016 - Tarsal Tunnel Release surgery
    July 2014 - Talonavicular Fusion and Achilles Tendon Lengthening, same foot

    Old 11-02-2014, 03:11 PM   #5
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    Re: question about warmth making pain worse

    Interesting about the warmth. I got a jones fracture and tore up a few things and peroneal and its cover last august and resting with the boot after the initial swelling went down took away most of the pain. I couldn't really use the foot or attempt it weeks after the injury but taking a hot bath loosened what I would call my stiff foot so I could move it around rom exercises with less pain.

    Post surgery I wasn't allowed to take a shower for like a month due to the incision. A hot wet wash cloth felt great for cleaning before that paint. After I was able to get it wet, again a hot bath loosened things up for me and that resulted in less pain when wiggling my foot around in early pt range of motion exercises.

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    sesamoiditis, sprain, synovitis

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