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severe foot pain

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by belair, Jul 06, 2011 10:39AM
I had a biopsy almost 1 year ago at the bottom of my foot. since then I have had pain when I walk ( like a hot knife) in that area. I have had 2 cortisone shots an xray and a MRI which  shows a heal spur and severe plantars faciaitis and tendinitis. but nothing in the area of my pain, which is on the bottom where the heel meets the arch near the outside edge.    I finally saw a ortho Dr that did a nerve test with a shot of a numbing substance. She shot above my ankle and I felt the numbness go down my foot and wrap around under my foot right where the pain was. She determined it was a nicked nerve from the biopsy all that time ago. She said we might have to remove the nerve. what kind of doctor is the best for that procedure? Will I loose the use of my foot or feeling?  I cant have this dr do the surgery because she is not on my plan. ( She was my 2nd opinion)  My podiatrist has a couple of people. One another podiatrist and one an ortho but does not specialize in feet.  I am getting so depressed. I finally have a diagnosis but no real plan. I hope you can help!  thank you for your time Tina Izzo
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547368 tn?1440541785
I am glad that you are consulting your physician. I will look forward to hearing the results of your appointment.

My Best to You,
~Tuck
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Avatar universal
Thank you for your very helpful information. I have an Appt (not until) Aug. 30th, and am really looking forward to it. I will have all my questions in hand. i will keep you posted. Thank you again, Tina
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547368 tn?1440541785
Hi Tina,

I am so very sorry to hear about your situation... all because of a biopsy. These are one of the rare complication that never is suppose to happen to us. My heart goes out to you.

If I understand you correctly this is a nerve that requires have surgery. My surgeon choice would be a neurosurgeon.... one that specializes in feet if possible. When it comes to nerves they are the best, at least in my opinion.

You've asked some good questions. Obviously a surgeon would have the best, most correct answers for you. In my opinion no, you should not lose the use of your foot by any means. You may have some numb areas but you should not lose the feeling in your entire foot. It's also my understanding that you may develop some collateral nerves, a rebuilding of sorts. I doubt this would return your foot to pre-nicked nerve condition but it should be better then what you have now.

You are approaching this in the correct manner. Ask lots of questions, research, read and research some more. Write a list of questions for your surgeon when you have an appointment. Go prepared and try to learn some basic terminology. Don't forget that the surgeon's staff, either the Nurse, PA or whatever will be a great source of information too. I've learned that often I am able to obtain as much, if not more from the physicians, support staff then I do from the physician. I will repeat a question or two to staff that I may have had a bit of trouble digesting from the physician.... or vise versa.  

I wish you the very best and a quick and an uneventful healing process. Please let us know how you are doing and what you decide. I will look forward to hearing from you.

Take Care,
~Tuck

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