Foot pain

[Abbybailey]

I have been suffering with debilitating foot pain for almost two years. First diagnose was Plantar Fasciitis and I was treated with injections and a walker boot and also PT.  Six months later I was diagnosed with fractures in both heels and have been in two casts, crutches and another walking boot. I am still in pain! I just had an MRI that shows Marrow Edema in four bones of my foot. What does this mean? I do not see the Dr. again for two weeks! I can't be on my feet for any length of time with suffering excruciating pain!  

[Abbybailey]

Thanks for your response. I have seen many doctors, but I can't seem to find someone who will really give me the time to look at the whole picture. Two years ago they said that it was plantar fasciitis(normal x-Ray but MRI showed some mild plantar fasciitis, had shots and months of PT and Home stretching and icing.  Months later I went to another doctor who did another xray and on scan that showed fractures in both calcaneus . Then I was casted (left foot only because it was the worst) and used crutches but still walked on it. Then used a boot for 6 weeks. When I was weaning off of the boot the pain came back. He put me back in a cast for 4 more weeks with out doing any further studies. Three weeks later he wanted to put me back in another cast because pain was still not better. That is when I went to another doctor. Who thought maybe the pain was from bursitis and injected both my heels. No dice! Still pain. Had another MRI three weeks ago that showed the same mild plantar fasciitis and now the bone marrow edema in four bones of the foot. The fracture seems to have healed, which is good, but the pain is still here!  He is now saying he thinks the pain is from the plantar fasciitis. He told me to take Advil twice a day and stretch and ice my foot again!  He did not seem worked up at all by the marrow edema.  He said that it is just fatty edema and that some people just have it! It was not on the first MRI. He also suggested that I do PRP, which is not covered by insurance but might help. I have now gone through all of this and I am in the same amount of pain if not more and I am so frustrated!  I can't be on my feet for more than one hour before the pain gets horrendous! If I have to be on my feet for longer, I am limping in pain. And when I sit down and get back up, I can't walk on the foot because of the pain! I do not have the typical morning pain associated with PF. Did I mention that I work in a garden center and am usually on my feet for 8-9 hours at a time!   I do not know what to do anymore!  If I could talk to a doctor who could spend more than the 5 minutes with me and really look at the whole thing, it would be great. They are so busy running off to the next patient!  

[Dr. Kokil Mathur]

Hi!
Bone marrow edema is excess collection of fluid that usually occurs in response to infection, inflammation or injury. Thus it is seen in fractures, ligament injuries, bone bruises (injury to bone without a fracture), synovitis (inflammation of the synovial membrane that lines the joints), osteoarthritis, osteoporosis, ischemia (decreased blood flow) and tumors. Please discuss with your doctor. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.