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Severe foot pain repeating question?

Discussion in 'Ask your questions here' started by Unregistered, Jan 25, 2009.

  1. Unregistered

    Unregistered Guest


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    Hi,
    I am looking for opinions only.
    I am in the UK and have had two debilitating episodes in the last 6 months, 4 months apart.
    By this I mean that my foot becomes non-weight bearing.
    Ice, heat and strapping have no effect.
    Over the counter anti inflammatories do not work but I was prescribed diclofenac which worked in 3-4 days.
    There are occasions of tenderness but not as bad. These also occur in the right foot and are located in the same place.

    The pain is in the area of the cuboid - 5th Metatarsal joint.
    No external swelling to be seen but there is heat to touch and some redness.
    X-rays did show joint inflammation but I was not shown these so cannot confirm the exact lolcation but I was told it was metatarsal.
    It was then stated that gout is the suspected issue.

    To be fair, I am a prime candidate for gout and fit all the criteria.
    6' (186cm) 19' (266lb) no exercise, reasonable diet and high alcahol consumption.
    I would have no problems with this diagnosis but for the following inconsistencies.

    My incidents are not related to alcaholic or dietary consumption or conform to any particular pattern that I can see.

    I also read that gout starts in the big toe area and an attack is usually alcahol or diet triggered.

    Isit possible for gout to show it sympytoms like this?
    Are there any websites that anyone recommends for more info?

    I have a history of ligament and bone trauma in that area of the left foot but not the right foot.

    Any ideas?, all comments welcome?

    Cheers
     
  2. FootDoc

    FootDoc New Member

    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, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***********************************************************
    Any joint can be subject to acute gouty symptoms. If gout is your concern, a less than definitive test would be to determine your blood uric acid level, but definitive diagnosis generally relies on the microscopic finding of monosodium urate crystals in the joint fluid. Has the joint been needled and aspirated for this purpose. If gout was suspected, as you state, was no further evaluation done to either rule this in or out?
     
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