Second metatarsal

September 2010 — I have a fractured second metatarsal that the surgeon installed a metal plate and 5 pins installed. I work out side and noticed that my left foot will start heating up with shoes an socks on standing in the sun. I also have tingling in my foot I assume nerves. The last x-ray shows my ankle and foot are ok….but that does not explain the swelling, and color changes. Also, there were two small spots of arthritis starting. Which would make sense on my foot tightening up on me while I am sitting for a long time.

October 1, 2012 will be 1yr since the surgery.

Yes I have mentions to him and shown him photos that I take everytime this happens — that way I have dates. All he does is X-ray and says everything looks good. This last time he X-ray my foot and ankle he said everything was good but he saw two spots where arthritis is starting to form.

As far as my job — I do alot of walking, driving, and kneeling and lifting. Which as you said is not helping things. The Dr. had to put one pin sideways to hold the two bones together then put 4 pins straight down in from the top into the bone. I will have to find out how close to the top the plate is. I wear sneakers or work boots all the time.

Well just to update you April 2013…i still have issues..mainly with pain, and tingling, also noticed that hot water seems alot hotter with the left foot then it does the rest of my body.

I had a nerve test and it shows everything is ok. The latest issue is walking all day then all of a sudden — the pain was so much I could not take another step — I had to sit down and wait for the pain to stop. So far it has only happened once. The nerve doctor said from the issues I described to him sounded like chronic pain syndrome. But, the surgeon, and my primary doctor have not said anything about it.

I am really concerned on this issue and would like some advise so I know how/what to say to my doctor.

3 Responses

  1. Foot-com

    Hello and thank you for question. Please note that without examining you or seeing any of your x-rays I cannot say exactly what is causing your pain, however I would agree with the neurologist who is suggesting chronic pain syndrome.

    Every surgery has its risks for nerve damage and chronic nerve pain as nerves have to be cut when performing the surgery. Disruption of nerves can cause pain, swelling, hypersensitivity to temperatures and numbness. I would recommend following up with the neurologist and seeing what your treatment options are.

    Some patients will be started on medications that block the painful nerve symptoms, while others will try physical therapy or vitamin regimens. Chronic pain is a very complex condition which can lead to great frustration to both the doctor and patient. I hope this helps!

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    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

  2. Foot-com

    So, even though the nerve test came back good..no problems found…I can still have some nerve damage??

    I had a little pain today about the time the rain started…it only last a minute or two.

  3. Foot-com

    Thank you for the follow up question. An EMG/NCV only tests the large nerve fibers but we also have small nerves in the foot which can only be tested with a skin biopsy. If you are having persistent pain and have not seen a pain specialist yet – I recommend seeing one and discussing treatment options for small nerve neuropathy or possible RSD. Good luck!

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    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

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