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Medial Cuneiform Chronic Pain

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  #1  
Old 5th October 2009, 11:05 PM
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Default Medial Cuneiform Chronic Pain

I have chronic pain in my right foot following a snowboarding accident 10 months ago where I hurt my right foot by falling forwards and my foot partially twisted out of the binding.

Now if I run a few steps or walk more than 1 mile without my brace I get a horrible ache in the evenings and the next day. It is very painful if I try to climb on my foot

At the French hospital they said it was not broken and in three days it would be ok
2 further x-rays after 2 months and 4 months showed nothing. An MRI scan after 6 months showed evidence of a diagonal "fissure" in french, or "bruise" across the medial cunieform from top left corner to bottom right corner of the bone. The nuclear bone scan suggested "chronic pain disorder" "neuroalgodistrophy". The french doctor advised me to wear stiff soled shoes and prescribed 9 cortisone injections (I had 3). Then I moved back to the UK and the UK doctors refused to finish this treatment because it is not authorised here.

I sought an alternative physician who said he did not want to operate because there is no fracture, he put me in plaster for four weeks (with weight-bearing). I have now come out of plaster and it was ok for 3 days. He said I should stop the brace after 4 days which I did, and now it is worse than before. He said I should build up strength slowly but it hurts a lot after I walked on it for one day.

I read on the internet that at "Injuries in the cuneiform bone are less responsive to nonsurgical treatment and need to be treated aggressively". I have read about the risk of long-term complications and I'm worried that it's getting worse not better
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Old 5th October 2009, 11:37 PM
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Default Re: Medial Cuneiform Chronic Pain

Sorry, I meant calcitonin when I said cortisone injections
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Old 6th October 2009, 08:10 AM
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  #3  
Old 18th June 2010, 02:27 AM
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Unhappy Re: Medial Cuneiform Chronic Pain

Wow, I just read your post about your foot pain & I am shocked. It was like reading about my own experience with my foot pain, only mine is the left foot and I have no memory of an accident. August of this year will be 1 year that I have been fighting this, going from doctor to doctor to doctor. I am actually traveling 2hours away from my home tomorrow for yet another opinion about my foot. If you or anyone has advice or suggestions please feel free to post.

~Tired of the pain~
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  #4  
Old 8th August 2010, 11:30 PM
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Default Re: Medial Cuneiform Chronic Pain

Hi! I, too, have had chronic problems with my medial cuneiform which has been diagnosed as a stress fracture which is not healing. My foot specialist sent me to see a Bone Physiologist who has suggested I try PTH injections (parathyroid injections). It's all fairly experimental at this stage but has been used with elite athletes with good effect. I am about to start 8 weeks of self-injections. Then I have to take biophosphenates for 6/12. If you want to contact me about this please feel free to email me on sophie@scorpiophysio.com
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  #5  
Old 9th August 2010, 02:49 AM
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Default Re: Medial Cuneiform Chronic Pain

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
************************************************** *
The parathyroid regulates calcium metabolism and for those patients who are deficient in parathyroid hormone and may have osteoporosis, PTH injections might be helpful. It appears by your mention of bisphosphonates which act to decrease bone resorption by inhibiting osteoclastic activity, that you have been diagnosed with osteoporosis. But although osteoporosis can predispose one to bone fracture, as far as I am aware, there is scant if any evidence that osteoporosis delays bone fracture healing. There is a baseline requirement for calcium for bone healing to take place, but unless you have a calcium deficiency, and you have not alleged testing for that, frankly, I don't see the point.
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Old 10th August 2010, 04:14 PM
physiosteo physiosteo is offline
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Default Re: Medial Cuneiform Chronic Pain

I'm awaiting the results of the appropriate blood tests. And, sadly, CT scans show "generalised bony abnormality consistent with remineralisation of a profoundly osteoporotic foot"
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Old 10th August 2010, 04:27 PM
physiosteo physiosteo is offline
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Default Re: Medial Cuneiform Chronic Pain

NB The stress fracture has been there for 4.5 months and is getting VERY boring! I provoked the injury just walking (regular, throughout the winter, but upped the mileage with the good weather). My podiatrist has found nothing extraordinary in my gait and everyone is at a loss to know why it hasn't healed...........
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Old 24th September 2010, 05:42 PM
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Default Re: Medial Cuneiform Chronic Pain

Quote:
Originally Posted by physiosteo View Post
NB The stress fracture has been there for 4.5 months and is getting VERY boring! I provoked the injury just walking (regular, throughout the winter, but upped the mileage with the good weather). My podiatrist has found nothing extraordinary in my gait and everyone is at a loss to know why it hasn't healed...........
I just developed this about two days ago. In the night the pain was unbearable... got up and did some streching exercise and took ibrufen this helped and the pain subsided. I went for my morning walk without any problem. Now the pain is back..dont know what to do
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  #9  
Old 9th June 2011, 09:42 PM
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Default Re: Medial Cuneiform Chronic Pain

Hi,
i kind of have the same problem but i am a pole vaulter but im not sure exactly what i did to my right foot. its been hurting for almost two months now. The pain is a the base of the first metarsal and the medical ceniform. My trainer at school thought it was tentenitus but i think it has been to long for that. also during track season my coach popped it every day but after he did it it hurt worse then before but then got a little better... but it still never stoped hurting and im not sure what do now anybody have any ideas?? help please
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  #10  
Old 8th September 2012, 02:30 PM
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Smile Re: Medial Cuneiform Chronic Pain

My feet, back, etc. all hurt. So I've been using Biofreeze. The spray seems stronger so use on the back and the hand's free gel is nice for the feet. It at least numbs it some what to get to sleep. Hope that helps you.
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  #11  
Old 3rd December 2012, 04:46 AM
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Thumbs up Re: Medial Cuneiform Chronic Pain

Have you try any treatment with physiotherapist. Cause they kinda good in pain relief treatment..
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  #12  
Old 1st September 2013, 10:06 PM
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Default Re: Medial Cuneiform Chronic Pain

I was told that to stabilize the bones that screws were suggested, the rubbing of the bones due to lack of cartilage causes the bones to rub together which causes inflammation and results in arthritis,now we know why old people walk like they are in pain
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