lower leg and foot/ankle pain

[Jim-Coley]

    
      Re: lower leg and foot/ankle pain
    


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Posted by CCF Neuro MD on August 12, 1997 at 21:47:58:

In Reply to: lower leg and foot/ankle pain posted by Jim Cooley on July 16, 1997 at 14:24:04:

: I am 42 years old, 70" tall, 160 lbs and in excellent physical condition except for my lower legs, feet and ankles. Standing or walking for over 15 minutes at a time or a day in which I am on my feet more than off of them results in an aching throbbing sort of pain. The best remediation of the pain  has been application of cold packs to the affected areas followed by easy stretching. I have had 4 different sets of orthotics(which had little or no positive affect). A sports medicine specialist diagnosed me with plantar faciaitis about 10 years ago and prescribed self massage. This has been of minor benefit. Another problem which has emerged over the past 10 years involves sciatic problems on both sides which is aggravated by long periods of sitting.
  All of my problems seem to respond to very careful stretching and exercise. Unfortunately, even slight over-use often results in a recovery period which can extend into weeks and even months. HELP!  
  Thanks.....Jim.
Dear Jim:
Although the foot symptoms you describe can potentially be from neurological causes such as peripheral neuropathy, tarsal tunnel syndrome, and Morton's metatarsalgia, it is more likely that your symptoms arise from a local musculoskeletal cause, such as plantar fasciitis. Since a neurological cause needs to be ruled out, you should see a neurologist, specially in view of the "sciatic" problem you also have. An electrical test called the EMG may potentially help clarify diagnostic issues. If it is a non-neurological problem, you could benefitvery much from seeing an experienced orthopedic surgeon interested in foot problems.
In case you live near Cleveland, I suggest that you see one of the neuromuscular specialist at the Cleveland Clinic. You may want to see Dr. Mitsumoto, Dr. Shields, Dr. Levin, or Dr. Pioro, who could then pursue an appropriate diagnostic work-up, and referal (if indicated).
An appointment can be made at the Cleveland Clinic by calling up (216)44-5559, or [phone] toll free.

This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options of your specific medical condition.