My husband has had chronic foot pain for 2 years. He is flat footed and has been so since he was a child. He wears orthotic inserts, but only since he began getting foot pain (he thought it might help). The pain began in Oct or Nov of 2007, and he doesn't remember ever injuring it. He said it began hurting (very slightly) as he was running down a stairwell, but doesn't remember twisting or rolling it. It began hurting severely a few days later, and hasn't stopped hurting since. He works 12 hour shifts doing security work which requires a lot of walking on hard tile on concrete. He is also 6'2 1/2" and weighs 290 pounds and is 30 yrs old.
He went to the doctor not long after it began hurting, and the doctor just said it was a sprain, and to ice and it and go to physiotherapy. He did this for quite some time, and there was no improvement whatsoever. He went back to the doctor after about a year or so, and the doctor again said it was a sprain. He also got an x-ray, and the results came back "normal." He also got a test for rheumatoid arthritis and it came back negative. However, there were some results that said that his swelling was fairly high. The rheumatologist also ordered a newer more advanced test for rheumatoid arthritis that is supposed to pick it up if the others come back negative (if he does have it). We are waiting for his knuckles or something to swell up again before he gets the test again (doctor said to).
He describes the pain as starting on the outside part of the top of his foot near his ankle. The pain goes across the top of his foot, and goes into the back of his ankle near the Achilles tendon area and up his calf. He said that it is a sharp stabbing pain that only subsides to a dull ache if he is off of it for quite a few days. The backside of his heel also hurts.
I began doing some research, and I came across something called "posterior tibial tendon dysfunction." Do you think it could have something to do with this?
yes. it sounds like posterior tibial tendonitis and dysfunction.
i would have him evaluated by an foot and ankle orthopedist or podiatrist who specializes in flat foot reconstruction.
there are bracing and surgical options that can help alleviate his pain.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.