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Suggest Treatment For Deformation And Pain In The Foot
Question: Hello Dr. Rhyne:
I am a registered nurse for the last 30 years, and I am a diabetic for the last 25 years. Came on after giving birth to my first child. 7 years ago I had an eight centimeter tendon snap across the arch of my foot that required surgery and a lengthy recovery. For the past few years I continue to have pain in my foot but have noticed that this foot is deformed almost like the arch is turning over and/or the bone is being displaced. I have some neuropathy but not really bad. But this foot is painful. Do I just live with it since I am considering retirement or do I try surgery again. This foot swells and it is red and warm to the knee nothing works...no antibiotic it just stays red.
I am a registered nurse for the last 30 years, and I am a diabetic for the last 25 years. Came on after giving birth to my first child. 7 years ago I had an eight centimeter tendon snap across the arch of my foot that required surgery and a lengthy recovery. For the past few years I continue to have pain in my foot but have noticed that this foot is deformed almost like the arch is turning over and/or the bone is being displaced. I have some neuropathy but not really bad. But this foot is painful. Do I just live with it since I am considering retirement or do I try surgery again. This foot swells and it is red and warm to the knee nothing works...no antibiotic it just stays red.
Brief Answer:
Neuroarhtropathy
Detailed Answer:
Sorry to learn about your bothersome symptoms.
I mentioned the word Neuro Arthropathy above. It has historically been described by another term called Charcot's foot.
It is possible you may have this condition. However, Xrays and a physical examination are necessary to confirm this diagnosis.
A neurologist consultation will be helpful.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Neuroarhtropathy
Detailed Answer:
Sorry to learn about your bothersome symptoms.
I mentioned the word Neuro Arthropathy above. It has historically been described by another term called Charcot's foot.
It is possible you may have this condition. However, Xrays and a physical examination are necessary to confirm this diagnosis.
A neurologist consultation will be helpful.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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