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The response to the question below was authored by Marc Mitnick DPM
Response to right foot pain after left foot surgery
by GUSTAF
(Rio Rancho, NM)
Dear Marc, Thank You Very Much for responding. In answer to your confusion about whether an MRI was ever taken is this. No MRI'S of my feet were taken before the surgery!So the VA went ahead and did surgery on my left foot without them! Three years, and alot of pain and misery later, I was searching the internet for answers when I came across a website where people with similar foot problems had MRI'S done of there feet in order to see the soft tissue (in my case the fasciia). So I asked my primary care doctor if I could get MRI'S taken of my feet. He told me he had never heard of this being done!! But that he would put in the request to Podiatry. By now, a whole new team had taken over and the chief of podiatry said OK. When I went in for the results , she told me that they could see NOTHING wrong with my feet ( meaning the fasciia). Of course, when I heard this, I was beside myself to say the least. Because that meant that the surgery three years earlier that was unsuccesful and caused as I stated before, other problems in my RT. foot, was UN-NECESSARY!! So, my right arch is higher than my left arch and I have felt alot of pain in the RT. top hinge/talus area. I can wear no shoe or sock without the pain in this area increasing the longer I have them on! It is very debilitating, not to mention the original heel pain and now toe pain! With all due respect, you did not answer the question I had concerning why, after the left foot surgery; 2-3 months later, not only did I develop pain in the top rt. hinge/talus area but ANY SHOES OR SOCKS that I wear feel definitely tighter on my RT. foot than on my left. Please help, why would/could this be? All of this is very painful and frustrating. Thank You Very Much Marc for your time. Sincerely, GUS
RESPONSE
Hi Gus,
I usually do not offer follow up advice to
Having said that, I am responding to your follow up for two reasons.
If I understand your "story" you had surgery on the left foot (which I will address in a minute)but now you are having right ankle problems. I can only assume it is because you mentioned you limped around on the right foot while waiting for the left foot to heal. You also mention that the right foot is now swollen. Well, again, without examining you I am not sure what type of damage actually occurred; the right foot would have to be examined and a foot specialist should be able to come up with a diagnosis. If the arch is actually raised and not just relative to the left foot, then there are potential other issues that need be addressed such as neurological issues that are being masked because every one you see is dwelling on the heel pain. So, this right foot problem is just too complicated to offer any substantial help with from someone sitting on the other end of the internet.
My other issue is that if you really had surgery on your left foot, where in most cases the plantar fascial ligament is cut, that would have shown up on the MRI. Any radiologist worth his salt would have noticed an incongruity in the plantar fascial ligament which would have represented where a cut was made into the ligament to reduce the strain on the ligament. So, who knows what was really done to your left foot.
So as I said in my original post, you need to get yourself out of the VA and see some doctors who will be able to actually help you.
Oh and lastly, what kind of doctor never heard of performing an MRI on a foot?
Marc Mitnick DPM
DISCLAIMER
ADDITIONAL REFERENCES
University of Rochester Medical Center
American Academy of Pediatrics
Columbia University Department of Rehabilitation
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