Undiagnosed pain in soles of feet

  Please help me.  I am 35 year old white male.  In Feb. of this year I started having  severe pain in my hips and buttocks.  PCP gave me some blood tests for gout, arthritis, diabetes, cholesterol, etc.  all was normal.  X-rays of the hips were also normal.  Lumbar spine x-rays showed Pars Defect at L5 but no slippage.  I treid two LESI and they did not help very much.  About six weeks into the pain, it shifted to my feet where it has remained.  If I am on my feet for a few minutes I encounter an excrutiating burning pain in the soles of my feet.  Sometimes my palms also hurt usually at the same time that my soles hurt.  The pain goes away slowly after about one hour of bed rest.  If I rest a long time then it takes a few minutes of walking before the pain returns.  On the contrary, if I don't rest very long then the pain starts after only a few steps.  A Lumbar MRI taken 09/09 did not show any nerve compression or slippage or disc herniations - my spine is fine!!!  My spianl surgeon told me to go see some other doctor because he did not know what is wrong with me.  I have a feeling that I'm suffering from some sort of nerve condition since the pain is in the soles and sometimes the palms.  Hydrocodone does very little for the pain.  I am living a very sedentary life so I can manage the pain.  Can you give me some tips on what I may have?  I have also tried Medrol-DosePak, Indomethacin, Daypro, Flexaril, Darvocet, Skelaxin, and Robaxin.  They had no effect on my condition or pain.
  Thanks,
  Brian
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Your situation is quite complex. It sounds like your doctors were looking for the right things: arthritis in the hips, compression of nerve roots in the lumbar spine, etc.
My experience is often that a large amount of pain can accompany minimal lesions. That is, pain symptoms which by all rights should match those of a particular nerve root distribution occur without any visible lesion on MRI.
That said, it's not clear what the irritative lesion should be: nerve root? peripheral nerves? spinal cord?
It wouldn't hurt to have a second opinion from a neurologist. You are welcome to call 800 223-2273 and ask for neurology appointments at CCF (at ext 4-5559). If the neurologist interviews you, examines you, and reviews all available data (EMG, MRI, etc), then you should be able to go toward an answer. If he/she comes up with nothing, then at least you know you can go to a pain management specialist without worry that you missed something important. Obviously, if he/she finds something important, you can take it from there.
I hope this helps. CCF MD mdf.