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» LymeNet Flash » Questions and Discussion » Medical Questions » pain in arch of foot is this part of fibro

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Author Topic: pain in arch of foot is this part of fibro
docdave130
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have pain in arch of foot and sometimes ankle. had xrayed with nothing noted.
is this a symptom of lyme fibromyalgia?
it seems like a funny symptom.

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Lymelighter
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Doc, have you seen a Podiatrist to see if you have Plantar Fasicitis? I had this and it was very painful. I went to PT and did stretching excercises with a big rubber band and it got better in a month.
Posts: 1010 | From Mars | Registered: Feb 2004  |  IP: Logged | Report this post to a Moderator
cindy_leigh
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I have had excruciating foot pain at times, when my lyme sx were at their worst. Went to a podiatrist, and was dx'd with plantar faciitis.

LLMD says this is not uncommon with lyme. The podiatrist gave me some foot exercises and advised me to buy over the counter orthotics before trying the expensive custom made ones. I went to EMS and got "Super Feet", usually worn in hiking boots.

Podiatrist said before getting out of bed in the morning, take a long towel, place the middle of it over the ball of the foot and hold both ends, pull back to flex ball of foot back toward you. Do this several times.

Upon getting out of bed, immediately put your feet into some kind of shoe with the Super Feet in them. Also, on long car trips, I first stand on running board of truck on the balls of my feet and bounce my heels down.
The problem is now about 80% better. When it does flare up, it's usually along w/ a lyme flare up.

Hope this helps, of cours, it could be anything-- bopne spur, etc.

Cindy

[This message has been edited by cindy_leigh (edited 13 May 2004).]


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docdave130
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thanks for your help
will seek podiatrist and have it checked.
would an orthopedic surgeon be a better doc to go to?
how about a foot orthopedic surgeon?
I had surgery done on my hand twice by a hand specialists. I would rather go to a otrhopedic sugeon specializing in feet than a podiatrist. They have a lot more schooling and hopefully more knowledge
thanks
docdave

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TheCrimeOfLyme
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Thats also a very common symptom of bartonella.
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Lymelighter
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Dave, I'd ask your pcp if he thinks PT is appropriate. Simple orthotics (Dr. Scholl's) & stretching were the first options for me and it worked well. I used the rubber band in the am before I got out of bed. I've also seen night splints for PF that help during the night.

While Lyme etc. can cause all kinds of weird aches in the foot, an adept Podiatrist should be able to diagnose PF. As you probably know, Orthopods generally operate for a living and/or give oral cortisone and/or injections. A physiatrist is also a possibility. If I recall, a spur would show up on an xray.

You could also ask the PT about using ultrasound on your food to see if it helps.


Posts: 1010 | From Mars | Registered: Feb 2004  |  IP: Logged | Report this post to a Moderator
treepatrol
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Yeah very painful and one of the first few lyme symptoms I had I actually tore the facia? then I got bone spurs which is the bodies responce to tearing the facia bone try's to grow out to meet it. Whether its facia or cartilage or tendons lyme can cause all three to tear. Move slow and stretch slowly dont over do any exercize at all.

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Do unto others as you would have them do unto you.


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cindy_leigh
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I would try the pod first. Then maybe an ortho if things did not get better. While an ortho might have more "schooling", the pod's focus is purely on the foot. And PF is a fairly common thing. Actually, in this area, I believe a pod is way more schooled than an ortho. IMHO.....
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BugBarb
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are you on levaquin? if so, it can cause severe tendonitis, even spontaneous rupture.
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francis1967
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I have found that the feet become natural deposits areas loaded with the "crap" floating around in your system. Logically so, as gravitation will pull everything towards our lowest point...our feet. At my worst Herx, my feet even tend to become so congested with bad stuff that the circulation almost shuts down completely. They will get blue and cold.

I have found that deep massages help tremendously. They make me feel lousy right after, but within 24 hours, I feel great relief and the pain is but a shadow of itself. Drink plenty of water.

Have tried many products, but the most effective has been the DEEP KNEAD FOOT MASSAGER found at Brookstone. Mind you, it costs $200 there and you can pick up one on Ebay for around $60.

There is a more expensive and slightly different version, Shiatsu Foot Massager, same distributor and retails for $250, Ebay approx. $100.

When you use the massager the first few times, it will hurt so bad tears will flow, but you will forget that ever happened when you wake up the next day without pain.

This is only based on personal experience and I cannot guarantee it will be the same for everyone, but consider the cost of going to the Podi twice vs a few years of free professional foot massages. DON'T GET THE CHEAP KIND. THEY ARE JUST DUDS. Go for one of the above. Worth every cent!

I have also FIBRO, so this advice goes as much to you as a fellow fibro patient as it does for Lyme.


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ArtistDi
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Hi DocDav--

found this in an article, "When to Suspect
Lyme"--

Lyme patients very often complain of heel pain. This may be due to an underlying plantar fasciitis, with or without a heel spur, or periostitis of the heel. Epicondylitis (tennis elbow) is another complication. Carpal Tunnel Syndrome can also develop in untreated LD.

Lyme patients tend to heal slowly
http://cassia.org/essay.htm


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mammachase
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I have had for the last 2 years pain in my arch of foot, and ankle after walking around a little, which sometimes is sharp shooting pains. I also have pain in my hands when I try to open a jar and I turn to hard I get a shooting pain through my hand and arm like someome hit me with a bat. Mostly my pain is in my buttocks when I sit/walk and in my legs, my legs spasm and turn hard as rocks making walking difficult that I walk with stiff legs, pins and needles in arms and legs down to toes and feet. Do you or anyone else have all these, plus sore neck to the point I wear a neck brace to relieve the burning/searing pain. Help!!!!
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mammachase
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Back in December I saw an ortho because I was told by my P.Therapists that I had one left 3/4" shorter than the other (come to find out most people do) then they gave me a shoe lift and the ortho diagnosed me with bursitis of the hips and was treated with cortizone patches for a month, that didn't help, then gave me cortizone shots in both hips that didn't help, he said I had spurs on both hip bones but couldn't do anything else for me and then referred me to a pain clinic, who diag. me with fibro and put me on brain seizure meds, finally saw a lyme doctor and he diagnosed me with lyme and now on Biaxin and Plaquenil and I pray everyday I will have a speedy recovery where I'm only 43 years old and just to clean one room I am in pain and exhausted and my husband tells me when I tell him I'm in pain "well you did alot", well I should be able to at this age, but now at least I know after 2 years there is something actually wrong with me, they even tried the MS route but they couldn't back it up with the MRI, so they too said sorry can't help you take some vit. Bshot pills and you'll feel better!!!


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arg82
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I didn't read through all the responses (my brain is fried already this morning) but I know Crime mentioned this before - Bartonella. My LLMD mentioned this as a symptom of Bartonella. I have it, too. It's especially bad right when I first get up in the morning (I often limp across the room if I've forgotten to put my slippers by my bed) and when I'm standing for any period of time. I also get heel pain when I'm in the car. I hadn't ever heard of this as a Bartonella symptom until my new LLMD rattled off a Bartonella symptom list and it was on it. It would be worth checking out since it requires different treatment than Lyme.

--Annie

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There are good days and there are bad days, but in truth, it's all relative. The good days are not really good. Just less bad.


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Lymelighter
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Mama, I would talk to your LLMD about using Cortisone just to be safe.
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Lymetoo
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Lyme fibromyalgia??? Never heard that one before! I was originally dxd with FM, but twas Lyme. I do still have muscle pain, so maybe that's a good term for me! Very interesting terminology.

OK...back to the feet.....I would think that xrays would be a good thing to rule out a spur, but I agree that going to an ortho might be counterproductive.

They like surgery and cortisone, as someone mentioned.

Orthotics are the way to go, if you don't have a spur. You can usually get orthotics at a chiropractor's office also. Call and ask. They will be designed for your feet and will be MUCH cheaper than a podiatrist.

I've worn orthotics for 25 yrs....of course, I've had Lyme for longer than that, so foot pain has a definite connection to Lyme in my book.

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Lymetutu


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david1097
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Hi
I had exactly the same thing + a lot of other problems prior to proper treatment for neuro lyme. the arch of the foot pain was one of the last of the symptoms to appear.
It was common for me to have to where heavy hiking boots to immobilize the ankle so that I could walk. The arch of the foot pain was also present until agressive treatment.
The ankle pain would come and go but the foot pain would last for weeks.

Now for the interesting part. I originall did 5 weeks of ceftriaxone IV followed by 4 months of flagyl+ceftin, followed by 4 months ceftin+roxythromicin.
The ankle pain and the foot pain slowly returned along with worsening neuro symptoms with this drug protocol.

Now that I have been back on IV + zithromax + flagyl + mepron both problems have subsided but do return periodically for a short time every four weeks. Their duration becomes less each cycle.

Are there any other symptoms that are starting to become noticable to you, maybe your dosages/protocol have to be adjusted?


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Kerryblue
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Hey Doc Dave, You may not be too far off with lyme fibro thingy. I do notice a diff. of questions on immune,mainly fmers, board.

It could be sub-group.Just not sure yet..

Most fmers, big complaint, say can hardly walk on feet in am. Was told if it was bad in am & stayed, but lessened some after day went on. It prob. is due to Trigger Point.

Mine was like that at one time. Did have specialist check it out. Doc. found 4 TP`s on Each foot, bottom.

I had reflexology done & massage seemed to help.

Was told by podiatrist planter fascitis is sort of a junk term. There is usally some real cause. I do have spurs but nothing can be done that I care to get that involved with.


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