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    Old 12-29-2007, 09:43 AM   #1
    richedie
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    Pain in feet????

    Hi! I am new here...

    I am 37, exercise, good diet and nutrition have been a huge part of my life
    for years so it was even more shocking when I felt my body was not
    cooperating after years of feeling perfectly healthy. I have stacks of
    nutrition and exercise books at home.

    My lab tests have been fine, Sacroiliac region X-Ray is normal. Thoracic and
    Lumbar MRIs are okay, but do show bulging disk and narrowing. I hurt my
    lower back in the gym about 4 years ago. I know I have a few small patches
    of psoriasis so the possibility of Psoriatic Arthritis came up. I really
    think I need a better rheumatologist and neurologist as well. I also read
    where a lot of symptoms of these diseases can arrive before the clinical
    diagnosis through tests.

    Anyway, a lot of this started months ago when I had Ulnar entrapment surgery
    on the left elbow. Two weeks after the surgery, my right foots start having
    pins and needles, then occasionally the left, then sometimes bending the
    right arm will result in the same pinky and ring fingers going numb. Numb
    spots started to show up everywhere. Some nights I'd awake with my leg numb
    from the knee down. They say they ruled out MS with the MRI.

    Today at the gym while stretching on the floor, I could really cause my feet
    to go numb based on my position, which I found interesting. I still get a
    tight sensation or feeling of a spasm in my mid back as well. Cold feet and
    hands...you name it. I think I even notice muscle wasting in my right foot now. It seems like there could be a pinched nerve or compressed nerve.

    My primary doctor says my MRI doesn't show enough to believe a pinched or compressed nerve in my back is causing my feet issues but I am going to see a chiropractor and spine specialist. MRI does show a minor bulging disk and narrowing.

    Thanks!
    Rich

     
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    Old 12-29-2007, 11:51 AM   #2
    Justoneofus
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    Re: Pain in feet????

    Hi Rich and welcome. Has anyone suggested and MRI with contrast and also a MRI while in movement? For many a MRI while in the supine (laying down) position, a disc in trauma may not show what it's doing while it would if it were in action (being put under pressure). This might be something to ask and consider requesting.

    There is neuropathy issues going on with the symptoms you have expressed. As to their cause will still have to be sleuthed out more. Unfortunately, it could be one or several things causing it, and it takes time to sort it out.

    This happens to the healthiest of people and everyone is a target and at risk. Stay on your healthy track as best you can. It will serve you well through your healing process.

    Unless you have been directed by a spine surgeon to seek out a chiro, I would stay AWAY from them for now. The wrong Chiro can make things much much worse for you. Most are not doctors and can improperly manipulate you and cause you more harm. This is not just my feelings on the matter but FACT.

    With your issues, a spine specialist (neuro or ortho) is the only way to go right now.

    Please keep us posted on how you are doing.
    __________________
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    L5/S1 bulging @ 18, now 46; still there (but no pain)
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    A Success, but still improving!

     
    Old 12-29-2007, 12:25 PM   #3
    richedie
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    Re: Pain in feet????

    That is interesting about the MRIs. I had contract when I had a brain MRI to check for MS and also I had contract for my Thoracic, but that was it, not for my Lumbar. I'll ask my doc.

    I am not sure this is autoimmune disease related or mechanical. I have an appointment with a great orthopedic spine specialist. A friend saw a spine specialist for the same symptoms and was sent to a therapist for traction - fixed him right up!

    I have some appointments with some very good Rheumatologists and Neurologists as well. The Chiro I was going to see is highly recommended and is a Mecical Doctor.

     
    Old 12-29-2007, 01:25 PM   #4
    jeffengland81
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    Re: Pain in feet????

    It's unlikely to be a lumbar disc! There are hundreds of nerves in the leg and anyone can become irritated and cause pins and needles.

    Could just be a muscle spasm causing it.

     
    Old 12-29-2007, 09:50 PM   #5
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    Re: Pain in feet????

    If you do a search on dermotone charts you will find that nerve pain [B]can be a result of [/B]L4, L5, and s1 which are located in the lumbar area. I have problems with all 3 levels and suffer with 24/7 foot pain.

     
    Old 12-30-2007, 06:48 AM   #6
    richedie
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    Re: Pain in feet????

    I was told it could be Ankylosing Spondylisits, Fibromyalsia or Psoriatic Arthritis. Funny thing is, my temperature is fairly low, around 97.5 so I thought of Hypothyroidism which can result in numbness and tingling.

    My lumbar MRI report was 7 months ago in the supine position and before my really bad symptoms started in the past few months. I am wondering if I should ask for a new MRI and even one in motion. Keep in mind, the below report was from June in the supine position.

    I still have twinges in my lower back and it gets very stiff after sitting for a while on the floor and I get some deep pain in my thoracic region, almost like a tightness or spasm feeling. Some nights it keeps me awake.

    June 14:
    To rule out Spondylosis (they should have checked for Spondylitis)
    L5-S1 is unremarkable
    L4-5 there is a facet arthrosis, slight annular bulging, and mild left L4 foraminal narrowing and mild right L4 foraminal narrowing. Right narrowing in the foramina is seen in image #1, left-sided foraminal narrowing is seen in image #2.
    Conclusion: Minimal bilateral L4 foraminal marrowing is seen. Slight annular bulging contributes without focal lumbar herniation.

    December 4:
    MRI Thoracic spine with and without contrast:
    Mid thoracic level, there is facet arthrosis approximately T4-5, T5-6 and T6-7 with mild foraminal narrowing. No focal thoracic herniation at those levels are seen.The conus is uncomplicated in appearance. No large abnormal enhancing focus involving the thoracic cord is identified. No, large thoracic cord syrinx is identified. There is some motion degradation present. Cord signal is grossly appropriate in appearance.
    Conclusion: Three successive mid thoracic levels have facet arthrosis contributing to minimal bilateral foraminal narrowing. No large focal thoracic disc herniation is identified.

    *could the problem be a pinched nerve in my leg or near the knee since I have a predisposition for pinched nerves in my elbow?

    Last edited by richedie; 12-30-2007 at 06:51 AM.

     
    Old 12-30-2007, 12:41 PM   #7
    Justoneofus
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    Re: Pain in feet????

    I really dont know to be honest. But you have some disc issues in your lumbar region also with facet issues and foramin narrowing. The foramin narrowing could be squeezing your nerves and causing that sensation in your feetm depending on how sensitive you are are how badly it's narrowed.

    It's hard to say.
    __________________
    "believe in the beauty of your dreams"- E. Roosevelt

    L5/S1 bulging @ 18, now 46; still there (but no pain)
    Fusion at L4/L5 Apr -2006
    Solidly Fused Nov-2006
    A Success, but still improving!

     
    Old 12-31-2007, 11:23 AM   #8
    richedie
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    Re: Pain in feet????

    [QUOTE=Justoneofus;3368222]I really dont know to be honest. But you have some disc issues in your lumbar region also with facet issues and foramin narrowing. The foramin narrowing could be squeezing your nerves and causing that sensation in your feetm depending on how sensitive you are are how badly it's narrowed.

    It's hard to say.[/QUOTE]


    That is what I think and the reason I am seeing an Orthopedic spine specialist. I was told a Neurosurgeon is also a good one.

    I just saw a new primary doctor today who recommended conduction testing to see where the nerves could be getting pinched in the back or legs, etc.
    She doesn't feel any of this is due to arthritis in the spine, but we'll see.
    I know there are hundreds of nerves in the leg and anyone can become irritated and cause pins and needles, but could it result in pain as well?


    I have a free Chiropractic consultation this week with a recommended Chiro who is a good doctor and has worked with many people with AS, Psoriatic Arthritis among other dissorders and diseases.

    Interesting, a friend of mine had similar symptoms and it only took traction to resolve his issue.

    Last edited by richedie; 12-31-2007 at 11:24 AM.

     
    Old 01-06-2008, 11:23 AM   #9
    richedie
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    Re: Pain in feet????

    Ruptured or bulging disks are so common, especially in the lumbar spine. Apparently a ruptured disk doesn't hurt in the back, instead it causes pain in the extremity that is serviced by the root exiting the spine at that location.

    The tingling, numbness etc sound like it could be Disk pain to me or a combination of the facet issues and foraminal narrowing. My Chiropractor and I hope this Orthopedic spine specialist I am about to see, agrees.

    They both have used traction as a very effective method for pain that is caused by a disk. I know people who use an inversion table everyday and it had a dramatic impact (saved some from having surgery) Traction is not recommended if you have fusion in the area, because fused areas are easily fractured. I have no fusion according to my sacrum XRay but I have not had an XRay of the Thorasic area.

    A friend of mine had almost identical symptoms resolved with therapy and traction. My mother had terrible hip pain and the spinal specialist said it was her bulging disk. He sent her for therapy and the pain resolved with therapy so I am hopeful.

     
    Old 01-08-2008, 08:56 AM   #10
    richedie
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    Re: Pain in feet????

    Thanks again everyone, it appears to be a herniated disk at T3 and T7 and a bulging disk at about L4/5? Anyway, they can see that some calcification has started to compensate for the alignement issues in the spine. I was in a car accident at around age 20 and we feel this may have got me started on the road to back problems. The car was like an accordian and my back and neck hurt fior so long after that day. Since then I have hurt my back bad and had some bad skiiing and snowboarding falls.....all snowballing to my current state.

    Anyway, I start chiropractic care and maybe therapy with no weight lifting or skiiing/boarding, high impact activities for a while. I guess I should have stopped weight lifting when all this started.

    The things that puzzle me are why were my symptoms so bad when I fisr started to get the numbness and pain back in October? Was it my body going into some sort of initial shock or "dealing with it" stage? I remember waking up with half my leg numb, having tremors, shakes, very weird. Since then maybe my body has compensated and leveled off a bit. The biggest problem is in my right leg and foot. using Orthopedic tests they could recreate some of my symptoms so they really think much of this is mechanical.

    Also, I have benign floaters in my right eye and they get worse when my symptoms get worse, leading me to believe this could all be autoimmune related. However, I know floaters get worse with stress and I get stressed when my symptoms act up.

     
    Old 01-09-2008, 12:00 PM   #11
    richedie
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    Re: Pain in feet????

    bump....for anyone who could help.

     
    Old 01-14-2008, 06:29 AM   #12
    richedie
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    Re: Pain in feet????

    This is getting scary...

    The pain can be really bad in my right foot and sometimes in the back of the legs. my feet go to sleep so easily now and I am also starting to have tingling in my groin and sometimes have trouble swallowing.

     
    Old 01-14-2008, 12:31 PM   #13
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    Re: Pain in feet????

    Hey Rich,
    Some of your symptoms sound like nerve issues in the lumbar area (not the swallowing). If the pain continues to get worse despite therapy I would call your doc. Good luck to you. Keep us posted.

    Deb

     
    Old 01-15-2008, 10:20 PM   #14
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    Re: Pain in feet????

    i havent read all ur posts, please apply bengay, that may work? i am also suffering same kind of problem, bump, someone adviced me to apply bengay, it healed, but i do have doctor appointment 20th this month. so i didnt no what to do, what the doctors says if its heals off completely, so i stopped rubbing the bengay over my feet. please give it a try.

    Last edited by abuva; 01-15-2008 at 10:25 PM.

     
    Old 01-16-2008, 03:30 AM   #15
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    Re: Pain in feet????

    Have you had a EMG/nerve conduction test? It could possibly show what nerve is effecting your legs/feet. The nerves in the L4-S1 region can really effect your legs and feet. I had surgery on two ruptured disc in 2005. My back also hurt before surgery and after. My legs are in extreme pain. I hope you find out what is going on with your back and the issues can be resolved quickly.

     
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