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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Inflammation, Swelling, Pain On Left Foot. Recovered From Plantar Fasciitis. Are These Related?

I am having a little inflammation, a little swelling, and a lot of pain on the top of my left foot. It is about one inch from the bottom of my leg. I am pretty much recovered from plantar fasciitis that I had in September and October. Could this be related to this or do you think it might be something else? It is very, very tender and hurts to have a shoe on and well as to walk.
Fri, 15 Nov 2013
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Orthopaedic Surgeon,  's  Response
Hello

I have studied your case,

It may not be related to plantar fascitis.
I would like to keep possibility of gout first as per your history and symptoms.
In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling and redness in foot.
Another differential can be nerve compression leading to tingling and swelling.
Bunion may lead to nerve compression due stretching of tissue but extent of numbness will be less, nerve compression can be due to spinal disc bulge, you may need clinical examination to rule out causes.
I will advise to do blood inv like complete blood count ,uric acid level, if required EMG –NCV[ nerve study]

Till time take analgesic and neurotropic like methylcobalamin.
If gout is confirmed you may need medicine accordingly and diet restriction.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
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Inflammation, Swelling, Pain On Left Foot. Recovered From Plantar Fasciitis. Are These Related?

Hello I have studied your case, It may not be related to plantar fascitis. I would like to keep possibility of gout first as per your history and symptoms. In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling and redness in foot. Another differential can be nerve compression leading to tingling and swelling. Bunion may lead to nerve compression due stretching of tissue but extent of numbness will be less, nerve compression can be due to spinal disc bulge, you may need clinical examination to rule out causes. I will advise to do blood inv like complete blood count ,uric acid level, if required EMG –NCV[ nerve study] Till time take analgesic and neurotropic like methylcobalamin. If gout is confirmed you may need medicine accordingly and diet restriction. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care