HALLUX LIMITUS AND PF View Thread
Posted by NIELS L on 4/16/01 at 14:20
DEAR DOCTOR Z - AND ANYONE ELSE WHO MIGHT HELP ME.....
1. ABOUT MYSELF:
I AM A 34 YEAR OLD MALE WHO HAS SUFFERED FROM PF SINCE JAN 2000.PREVIOUSLY I HAD PF FROM APR TO JULY 1999, WHERE IT SUDDENLY DISAPPEARED BY "ITSELF", BUT THIS TIME I CANT GET RID OF IT.
I AM NOT OVERWEIGHT AND I HAVE A DESK JOB (LAWYER). I HAVE TAKEN AMITRIPTYLIN FROM 1996 TO MARCH 2000 DUE TO ARTHRISIS I MY UPPER BACK(ANY CONNECTION TO AMITRIPTYLIN ?)
MY HEEL PAIN BEGAN AFTER A 6 MONTHS PERIOD OF WEEKLY HARD HOUSE AND GARDEN WORK (BECAUSE I BOUGHT AN OLD HOUSE THAT NEEDED A LOT OF FIXING, PAINT, GARDEN WORK ETC.)
I HAVE BEEN EXAMINED BY MANY DOCTORS, MOST OF THEM TERRIBLY IGNORANT, AND ARROGANT AS WELL. X-RAYS OF MY HEELS WERE TAKEN IN JULY 1999 AND IN JULY 2000. A VERY LITTLY SPUR WAS DETECTED ON THE RIGHT HEEL.
I HAVE BEEN TOLD I HAVE A HIGH ARCH.
2. MY SYMPTHOMS:
IT IS OFTEN DIFFICULT TO POINT OUT EXACTELY WHERE THE PAIN IS. OFTEN I CAN
NOT FIND ANY PARTICULARLY SORE SPOTS WHEN PRESSING WITH MY FINGERS.
THE PAIN IS MOSTLY AT AND NEAR BY THE "HEEL SPUR PLACE", BUT IT ALSO MOVES AROUND, ESPECIALLY TO THE PLANTAR AND PLACES BEHIND MY TOES.
NORMALLY MY HEELPAIN IS NOT WORST IN THE MORNING.
I HAVE PF IN BOTH FEET, BUT IT IS MUCH WORSE IN MY RIGHT FOOT.
I AM UNABLE TO STAND OR WALK WITHOUT PAIN. OFTEN THERE IS ALSO PAIN WHEN SITTING OR LYING IN BED, ARISING FROM THE PART OF MY FOOT THAT TOUCHES THE SURFACE.
3. HALLUX LIMITUS:
I ALSO HAVE HALLUX LIMITUS. ONE DOCTOR (OF THE MANY I HAVE BEEN EXAMINED BY) TOLD ME IN AUGUST 2000 THAT I HAVE HALLUX LIMITUS IN MY BOTH BIG TOES. HE SAID THAT THE TOES COULD ONLY BENT UPWARDS APP 25-30 DEGREES. NO X-RAY WAS TAKEN.
FURTHER THE DOCTOR TOLD ME THAT MY HALLUX LIMITUS PROBABLY IS BOTH THE CAUSE MY PF AND FURTHER MAKES IT EVEN MORE DIFFICULT TO GET RID OF MY PF.
THE HALLUX LIMITUS HAS STARTED TO GIVE ME PAIN IN THE BIG TOE JOINTS, BUT THIS IS -AT THE MOMENT (?)- NOT AS HURTING AS MY PF.
4. PREVIOUS ACTIONS:
A.ACCUPUNCTURE.HELPED MAYBE.CONSIDERING TO REASSUME.
B.MASSAGE OF THE CALF MUSCLES.HELPS -BUT NOT AT ALL CURES-TEMPORARILY (1 OR 2 DAYS)
C.STRECHING BY STANDING ON STAIRCASES OR BOOKS.MADE IT WORSE, I BELIEVE.
D.CURLING A TOWEL WITH MY TOES.ONLY A FEW TIMES, AS I FELT PAIN GOT WORSE
E.VIOXX.MAYBE HELPED FOR 1-2 WEEKS, THEN APPERENTLY NO EFFECT
F.Ibuprofen Cream. ?
G.TAPENING.NO EFFECT OR VERY LITTLE.DONT LIKE IT
H.HEEL LIFTS. NO EFFECT, I THINK
I.CUSTOM ORTHOTICS. FULL LENGTH AND HARD WITH SOFT PAD IN HEEL.FELT GOOD AT FIRST, BUT AFTER 1 MONTH MY CONDITION GOT AS BAD AS EVER AND THE PAIN MOVED TO MY PLANTARS. WHEN I STOPPED USING THEM, THE PIAN WAS REDUCED AND THE PAIN MOVED BACK TO THE HEEL (PRIMARILY)
J.ICE. NO EFFECT
K.SOFT, FLAT FULL LENGHT SOLES IN MY SHOES.MAY BE BETTER THAN NOTHING
L.SWIMMING. GIVES GOOD RELIEF
M:REST. I FEEL THAT REST HAS DONE ME NO GOOD AT ALL. I BELIEVE I HAVE RESTED VERY MUCH: FOR MORE THAN 9 MONTHS WITHOUT IMPROVEMENT. I HAVE EVEN RECENTLY BEEN IN BED FOR 10 DAYS (DUE TO SURGERY IN EAR FOR OTOSCLEROSIS), ALSO WITHOUT ANY IMPROVEMENT.
N.SHOTS. A SERIES OF 3 SHOTS.ONLY LITTLE IMPROVEMENT AND ONLY FOR A FEW WEEKS.
SUMMING UP: MASSAGE AND SVIMMING IS OK, BUT FAR FROM ANY CURE. I HAVE ORDERED -BUT NOT YET RECEIVED- THE FOOT TRAINER.
5. MY NEXT ACTION:
THE STRAW I AM CLUTCHING AT RIGHT NOW -APART FROM YOUR REPLY TO THIS MAIL- IS THE FOOT TRAINER, MAYBE COMBINED WITH GENTLE STRECHING OF THE CALF MUSCLES AND GENTLE MASSAGE OF MY PLANTARS.
6. QUESTIONS:
A.IN MY SITUATION, WHAT SHOULD I DO TO GET CURED FROM MY PF ? ANY SPECIAL ADVISE DUE TO MY HALLUX LIMITUS ? WHAT IS YOUR COMMENT TO "MY NEXT ACTION" ?
B.I HAVE THIS THESIS: MY HALLUX LIMITUS HAS NOT ONLY TRIGGERED MY PF. IT ALSO CONTINUES (FOR EVEREY STEP I TAKE) TO CAUSE EXTRA STRESS AND INFLAMATION ON MY PLANTARS. THEREFORE CURE OF MY PF IS ONLY POSSIBLE (OR LIKELY) IF MY HALLUX RIGIDUS IS "ELIMINATED" (BY WAY OF CORRECTLY PERFORMED SURGERY I SUPPOSE).
IS MY THESIS CORRECT ? DO YOU KNOW OF ANY CASES WHERE SURGERY OF HALLUX LIMITUS HAS HAD POSITIVE EFFECT ON PF ? NEGATIVE EFFECT ?
C.I AM SERIOUSLS CONSIDERING ESWT. HOWEVER, THAT PROVIDES I CAN FIND ANY PLACE I DENMARK (A COUNTRY NORTH OF GERMANY WHERE I LIVE) WHERE ESWT IS PERFORMED. IS ESWT LIKELY TO HELP IN MY SITUATION ?
''''''''''''''''
THANK YOU FOR HELPING SO MANY PF SUFFERES.
NIELS L
Category: Ask the Foot Doctors
. . All Heel Pain Categories
Follow Ups To This Message: