hello, I’ve been dealing with this problem for over a year and a half now. I’m obviously not looking for a diagnosis as to the exact cause, but if you could give me some hints or ideas for what is going on I would appreciate it so much
It all started when I hit a curb with my big toe while walking. XRay and ultrasound scan showed nothing, but the 1st metatarsal head has been inflamed ever since. I think it’s due to the fact that I bear my weight mostly on my forefoot, so for this reason I was put on orthotics, which helped a lot the first months but lately have got pretty uncomfortable. I’ve already tried nsaids and physical therapy to no avail, so I’m getting a cortisone shot in a few days
I have a feeling that docs are downplaying the problem, as no-one has been interested in pinpointing the exact cause (I understand that metatarsalgia is a symptom), and proposed PT and nsaids without bothering too much
what part of my foot could the injury (hitting a curb while walking) have affected? is there anything that could have evaded x-rays and ultrasound scans? I’m asking because I’m guessing one would want to know where to inject the cortisone, the pain is in my metatarsal head but maybe that’s not sufficiently precise. Judging from the x-rays the sesamoid bones seem to be in place (though I can hear a strange clicking sound if I press on the side of my big toe, where the bulge is), and no pain is felt when I bend my toe. Range of motion is fine, but the whole tendon is a bit ‘heavy’ and with certain movements I get a burning sensation (ultrasound scan said it was slightly thickened, maybe it has something to do with that). Main problem though is the pain I feel under my metatarsal head if I try to walk orthotics-free. Have you ever dealt with anything similar?