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What Could Cause Extreme Pain In Foot, Despite MRI / X-ray Being Normal?
I have been having extreme pain in my left foot for weeks. I had x-rays taken which showed nothing and an mri which said my foot was normal yet I am still in extreme pain. I have had two cortisone shots which did nothing. My podiatrist has started electric signal treatment on my foot twice a week. He also prescribed a foot cream and a patch to put on my foot to help relieve the pain. I received the Aleveer Patches in the mail but I can t find any information online about them which I find unusual. I just want to make sure that they will help or I will send them back to the company that sent them. Thank you for your help.
Thu, 2 Jun 2016
hi,
thank you for providing the brief history of you.
As you have pain in foot, first need to know is it the whole foot the posterior aspect or only the hell or the medical aspect of the foot.
Based on the clinical examination one can figure out what can be the possible causes.
There are few Orthopedic conditions where foot pain occurs. These are the few.
• Due to Gout - Increases uric acid levels in the blood can lead to pain in the foot. A urine examination can help us diagnose it.
• Due to plantar fasciitis - as this can be due to the losing of the flexibility of the fascia and inflammation of the same the pain can arise
• Due to calcaneal spur - in this there is a calcium deposition in the calcaneum bone and the pain is transferred from heel to whole foot. Since x-ray and MRI are normal this condition can be ruled out
• Due to Lumbar spine disc degenerative disease - due to compression of the nerves in the lumbar spine at the L4-L5-S1 regions the pain can be felt in the foot. An MRI of spine can help understand this.
Now we have to find the possible close by symptom and rule out the differential conditions and come to a provisional diagnosis.
Treatmemt can be made accordingly with physical therapy and good results can be achieved.
Regards
Jay Indravadan Patel
thank you for providing the brief history of you.
As you have pain in foot, first need to know is it the whole foot the posterior aspect or only the hell or the medical aspect of the foot.
Based on the clinical examination one can figure out what can be the possible causes.
There are few Orthopedic conditions where foot pain occurs. These are the few.
• Due to Gout - Increases uric acid levels in the blood can lead to pain in the foot. A urine examination can help us diagnose it.
• Due to plantar fasciitis - as this can be due to the losing of the flexibility of the fascia and inflammation of the same the pain can arise
• Due to calcaneal spur - in this there is a calcium deposition in the calcaneum bone and the pain is transferred from heel to whole foot. Since x-ray and MRI are normal this condition can be ruled out
• Due to Lumbar spine disc degenerative disease - due to compression of the nerves in the lumbar spine at the L4-L5-S1 regions the pain can be felt in the foot. An MRI of spine can help understand this.
Now we have to find the possible close by symptom and rule out the differential conditions and come to a provisional diagnosis.
Treatmemt can be made accordingly with physical therapy and good results can be achieved.
Regards
Jay Indravadan Patel
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