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Can Pain And Indent In The Feet Be Treated With Lidocaine Patches?

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Posted on Tue, 25 Jul 2023
Question: Please direct this question to the proper specialist.I am 67 years old male in good general health.Heart is good, no diabetes, regular exercise, no blood pressure. Ten years back, I had Shingles leading to Mortons neuroma and associated pain in left foot.I had cryo surgery done 7 years back and also had an indent in my insoles and thattook care of the pain mostly. Recently the pain has come back.
1) Should I try Lidocaine patches or voltaren gel?
2) Put new insoles with indent?
3)Calcium deficiency may be a reason? In comprehensive Metabolic panel, my calcium was in range.
4)Take cortisone shot
5)Cryo surgery again?
6) Do foot exercises?
Please reply pointwise. Thanks alot.
doctor
Answered by Dr. Ivo Ditah (2 hours later)
Brief Answer:

See below!

Detailed Answer:

Hi,

I have reviewed this information fully. Most of these measures are not mutually exclusive but rather need to be combined together for best results. I will address them in a stepwise fashion to ensure appropriate care.

1. Foot exercise/Voltaren gel or lidocaine gel should be first measures. if they fail;

2. Cortisone shots and insoles with an indent.
3. Surgery should be reserved as the last option if all the above fail.

This pain is in no way related to calcium deficiency. There is no need for calcium supplementation for this.


I have reviewed this information fully. Most of these measures are not mutually exclusive but rather need to be combined together for best results. I will address them in a stepwise fashion to ensure appropriate care.

1. Foot exercise/Voltaren gel or lidocaine gel should be first measures. if they fail;

2. Cortisone shots and insoles with an indent.

3. Surgery should be reserved as the last option if all the above fail.

This pain is in no way related to calcium deficiency. There is no need for calcium supplementation for this.

Hope I have answered your query.

Take care

Regards,
Dr Ivo Ditah, Internal Medicine Specialist
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

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Can Pain And Indent In The Feet Be Treated With Lidocaine Patches?

Brief Answer: See below! Detailed Answer: Hi, I have reviewed this information fully. Most of these measures are not mutually exclusive but rather need to be combined together for best results. I will address them in a stepwise fashion to ensure appropriate care. 1. Foot exercise/Voltaren gel or lidocaine gel should be first measures. if they fail; 2. Cortisone shots and insoles with an indent. 3. Surgery should be reserved as the last option if all the above fail. This pain is in no way related to calcium deficiency. There is no need for calcium supplementation for this. I have reviewed this information fully. Most of these measures are not mutually exclusive but rather need to be combined together for best results. I will address them in a stepwise fashion to ensure appropriate care. 1. Foot exercise/Voltaren gel or lidocaine gel should be first measures. if they fail; 2. Cortisone shots and insoles with an indent. 3. Surgery should be reserved as the last option if all the above fail. This pain is in no way related to calcium deficiency. There is no need for calcium supplementation for this. Hope I have answered your query. Take care Regards, Dr Ivo Ditah, Internal Medicine Specialist