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Pain management for left foot pain, tests and diet to control diabets - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
Doctor :   Hi.
User :   Hello doctor
Doctor :   How can I help you?
User :   i have a query regarding my mother!
Doctor :   Ok.
Doctor :   Please go ahead.
User :   the problem is with her right leg foot bones
Doctor :   Ok.
User :   am sorry on her left foot...
User :   she is 46
Doctor :   Ok.
Doctor :   What is the problem?
User :   the problem is ... on her left leg, the thumb is gradually bending towards outside
Doctor :   Ok.
User :   there is a swollen bone on the left ankelet
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   she had no bone injury in the past and it looks like bone growing causing her pain and unable to walk normally
User :   home maker
User :   chennai
User :   married
User :   80 kgs
Doctor :   Does she have any other health problems?
User :   5.5 "
Doctor :   Ok.
User :   she was operated recently for removing her uterus
User :   she was also operated for removing her right kidney which was swollen congenitally
Doctor :   Ok.
Doctor :   Any diabetes or high BP?
User :   that was some ten yrs ago
User :   no diabetes no BP
User :   uterus had some inflammation which doctor said its quiet normal for the women of age 45
Doctor :   Ok.
Doctor :   Is there any pain or numbness in the toes?
User :   so the basic problem here is thumb slows bends outwards on her left foot with a smal bone growth on her ankelets
User :   yes there is a sever pain sometimes when she walks more
User :   she doesn t strain much other than house hold chores inside the house
User :   the pain is not on the toees...its exactly on the left ankelet towards the thumb finger
Doctor :   Ok.
Doctor :   Does she have any arthritis or gout?
User :   she had x ray which showed normal and doctor prescribed a medical shoes
User :   not so far
Doctor :   Ok.
User :   but the medical shoes of no help but increased more pain
User :   she ofcourse has knee pains sometimes
User :   but occassionally
User :   one mopre thing
Doctor :   ok
User :   i remember she was ill sufferring from chikunkunya a year ago
User :   she had a terrible numbness on her toeas and feet
Doctor :   Ok.
User :   after the fever subsided she suffered months together to walk
Doctor :   Did you get her sugars eveluated recently?
User :   nope!
Doctor :   Ok.
Doctor :   I suggest that you get her FBS, PPBS done
Doctor :   as Diabetes can sometimes cause these problems
Doctor :   We suggest to get the investigations done at an accredited and barcoded lab, like THYROCARE. You can find out the nearest location at WWW.WWWW.WW
User :   then slowly she was free from the pain... but then now she is suffering a lot
User :   planning to go to bone and joint hospital soon
User :   wat is fbs and ppbs
User :   is it something related to diabetes?
User :   doctor u there?
Doctor :   yes
User :   FBS and PBBS are related to diabetes diagnosis?
Doctor :   They are for Diabetes
User :   ok got it thanks
Doctor :   She needs to get her sugars tested
Doctor :   to rule out disbetes
User :   ok will do it..
User :   i see\
Doctor :   as they can cause the foot symptoms
User :   i see
Doctor :   Ok.
User :   i have a question about me
Doctor :   Also you should reduce her weight
Doctor :   as overweight can lead to these problems
User :   i got it ...
User :   do u think she would require an operation?
User :   a surgery to get her bones straight ?
Doctor :   The condition can improve
Doctor :   with physiotherapy
User :   alright
User :   no surgery is required right ?
Doctor :   not always
Doctor :   unless the problem is very sever
Doctor :   i suggest that you get her evaluated
Doctor :   and get gher to reduce weight
User :   will do it this weekend doctor
User :   surething doctor
Doctor :   Please fill the feedback form say done when done
User :   send the feed back form again please
User :   and i still ve questions for u about me
Doctor :   Sure
Doctor :   Please go ahead
User :   am 5.9" and 82 kgs
User :   is this an ideal weight?
Doctor :   WWW.WWWW.WW Doctor :   please calculate the BMI with this link
User :   it says 3649
User :   wat does it mean
User :   normal
Doctor :   You need to convert the inches and feet into cms
User :   its 27
User :   is it normal ?
Doctor :   The ideal BMI is between 20-25
Doctor :   25-30 is overweight
User :   omg
User :   ok i'm doing diet
User :   can i go with the nutrition questions
User :   u there doctor
User :   ?
Doctor :   yes
Doctor :   Please go ahead
User :   am having oats with milk in the morning
User :   two to three rotis with crrot / cabbage /lemon salads
User :   in the after noon
User :   and in the night i eat roti again
Doctor :   Ok.
User :   in the evening i do jump rope for 30 mins and burn 100-150 calories
Doctor :   You need to exercise rtegularly atleast 1/2 hr a day
Doctor :   for atleast 5 days a week
User :   and do abs crunch
Doctor :   Ok.
User :   then dumbells and push ups
User :   this is my diet items
User :   do u wish any suggestions here
Doctor :   I suggest that you do regular treadmill , jogging
Doctor :   along with
Doctor :   the exercises you are doing
User :   oh okies
Doctor :   anything else?
User :   how abt eating oats with milk
User :   does it control fat
User :   ?
Doctor :   use skimmed milk
User :   ok
Doctor :   and avoid bananas
User :   i ve three to four times black tea a day
User :   ok
User :   black tea - any idea
Doctor :   Have it wih less sugar or without sugar
User :   am having it half sugar
Doctor :   ok
User :   chappathi's does a good job ?
Doctor :   phulkas are better
User :   ok
User :   so do u mean to say chappathi has fat ?
User :   ?/
Doctor :   as it has oil
User :   oh okies
Doctor :   the oil needs to be avoided
User :   i understand
User :   thanks doctor
User :   thats it for now
User :   alright thanks bye
Doctor :   bye for now
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