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Suggest Treatment For Arthritis In Big Toe And CRPS In Right Foot
Question: I have been diagnosed with CRPS in my right foot from an injury I had in mid dec.2014. I have had 3 xrays taken,a Bone Scan and recently an MRI. The results of the MRI revealed I have arthritis in my big toe and one of the two bones under the big toe is in two pieces. I have a very high arch on my feet. I really don't want to have the spinal cord injection with pain block medication to conclusively determine its CRPS. I fractured my 4th toe on my rt foot but it is almost completely healed. The 4th toe is still a shade of purple and my foot still swells at times. I am currently wearing a walking cast which helps alleviate my pain as it gives my foot/ankle/calf more support. Do you think I could be developing more arthritis in that foot?? I am currently on disability from work ever since the accident happened. It is not improving-the pain. Any treatment options for me?? Contrast baths do not help. Ibuphropen at 800mgs a dose barely helps. Please let me know what you think could possibly help me and be even more descriptive about why I still have so much pain??
What do you think I shoul do next??
What do you think I shoul do next??
Brief Answer:
Follows.
Detailed Answer:
Dear Madam,
Thank you for reverting back.
Well going through your MRI report there is nothing to suggest that you had arthritis , You have degenerative changes which can both be due to age related and high arches .
I also agree that you may be having CRPS , which in itself is a very difficult entity to treat . In my opinion results are good with gabapentin along with physiotherapy which plays the most important role . Also talk to your doctor regarding the use of bisphosphonates which have a good role in CRPS management and see what he says .
Take care.
Dr. Shruti
Follows.
Detailed Answer:
Dear Madam,
Thank you for reverting back.
Well going through your MRI report there is nothing to suggest that you had arthritis , You have degenerative changes which can both be due to age related and high arches .
I also agree that you may be having CRPS , which in itself is a very difficult entity to treat . In my opinion results are good with gabapentin along with physiotherapy which plays the most important role . Also talk to your doctor regarding the use of bisphosphonates which have a good role in CRPS management and see what he says .
Take care.
Dr. Shruti
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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