Hi, thanks for writing to HCM.
Based on your description, you have multiple symptoms related to different problems.
This is to let you know that menisectomy of knee always predisposes to early degeneration of the joint. If you get
severe pain in the knee joint while doing activities of daily living, then its high time for a
total knee replacement to your right knee.
As your MRI scan of
Lumbar spine shows no significant lesions, a trial of conservative management can be tried as follows -
* avoid lifting heavy weights
* avoid forward bending activities
* Use a lumbosacral back support
* Intermittent pelvic traction
* Maintain optimum body weight,if you are obese
*
Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics and muscle relaxants.
Regarding your foot pain, there is no single test to diagnose the foot conditions. All are essentially clinical diagnosis. The treatment for
tarsal tunnel syndrome would be
* Analgesic & anti inflammatory medications
* Ankle-foot arthosis with foot in neutral inversion & eversion
* A
steroid injection which is usually effective & with a success rate of 75%
* As a last step, surgical release and
nerve exploration will yield good results.
Hope this information is helpful. Good day