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The response to the question below was authored by Marc Mitnick DPM

Foot numb/tingle/burning 7 weeks post-op

by Sarah
(Wilmington, NC)

Had OCD on talus repaired (cartilage removal & microfracture), Brostrom, and debridement of both peroneals. Prior to surgery, had a saphenous and popliteal block and left hospital with indwelling catheters x 3 days. Was in splint nwb x 2 weeks,then in a boot (around the clock) weight-bearing for 4 weeks. Was allowed to take boot off and start PT with instructions to wear boot in public or aircast to protect myself from inverting.

When I finally got out of boot, I realized how much my foot was actually tingling/numb/painful burning. Involves all toes, bottom of foot. Top of foot. I realize some is bc of incision but I can't imagine this being normal. I am 6wks 4 days postop now. Saw dr 5 days ago (about 6 weeks post op) and he said this was normal.......I didn't realize how horrible it was bc I had been in boot about 99% of time until I left his office.
Who can I see to determine if this is nerve damage? As an aside, during the nerve block procedure, I was given fentanyl/versed and it took 45 minutes to do. My husband told me it took that long. I had at least 10 extra needle sticks in an attempt to get both nerves blocked and I know another anesthesiologist was called in to do it bc I remember looking up and seeing a woman and asking her who she was as I gazed at her nametag and saw she was an anesthesiologist. A remark was made about having problems but she finally got it correct.
OMG> I have rehab for my ankle but feel like a whole different body system is under attack now.

Hi Sarah,
It would be your surgeon who would be best suited to tell you if your symptoms are normal at this point in the healing process.
There is always the possibility and I am just guessing here, that you might have a nerve irritation from the blocks that were performed. These things happen. The other thing that I would want to consider is CRPS (read my section on that subject) which can occur when a person has been in a cast for a period of time.
If you trust your surgeon than go with his recommendations. If you feel your symptoms are out of proportion to what they should be at this point in time then get a second opinion. A neurologist would be the one to see.

Marc Mitnick DPM

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Mayo Clinic

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Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center

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(location unknown)

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(location unknown)

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Unknown location

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New Zealand

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Arizona

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Florida

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Poland

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South Carolina

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location unknown

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location unknown

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Bre

location unknown

Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.

anonymous

Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!

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Poland

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Seattle, WA

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location unknown

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New Jersey

Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.

Debbie

location unknown

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Chrissy

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Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!

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Evansville, IA

Dear Marc

I just want to say thank you for the quick response and the good info. I find it amazing and a super nice thing that you do here by answering medical questions at no charge.

Russ W.

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location unknown

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Jackie

San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

Rivi,

Albany, NY

Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

location unknown

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Whichita, KS

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Boston, MA

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....Keep up what your doing. Your a life saver.

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Colorado

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Colorado

Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown

Again, I really appreciate that you responded to my inquiry, and that your mention of Parkinson's helped me to find my way to a diagnosis of this difficult to diagnose disease. Most patients see on average 16 doctors before they are diagnosed. I hope that you can help other people that ask for your expertise in the future.

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Canada

I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......

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location unknown

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Wisconsin

Thank you for your response. You have provided some great insight (to my question)....

Julie

location unknown

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Renae

North Carolina

Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Florida

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown

Your webpage is excellent, I commend you on sharing your knowledge to the public.

Robert

New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

location unknown

I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!

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Lenoir, NC

Thank you so much Doc for a quick and thorough response!

Rustam

Bellevue, WA

I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!

Jodi

location unknown

Foot numb/tingle/burning 7 weeks post-op

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