Re: Plantar Fasciitis or Foot Pad Atrophy?
I have experienced the same disabling pain for over six months and after much research on the internet and after three visits to a Podiatrist, one visit to a Dermatologist, one visit to the local walk-in clinic, and three visits to a Neurologist (one for an EMG) to determine if I have disabling peripheral neuropathy, I have been diagnosed with both sensory and motor nerve damage in right and left feet. I was prescribed Gabapentin for nerve pain relief. Dosage can be as little as 100 MG or as high as 2000 MG.
Recent research has shown that I probably have osteoarthritis in my feet and toes. I also have four hammertoes on both feet, toe spread, tailor bunions on bottom of foot near little toes with calluses also. In addition, I believe I have foot pad atrophy.
I am grossly disappointed that my foot doctor has been of little use. He is not proactive in educating me about my foot deformities or pain. He basically told me that there is nothing that can be done. The only benefit I have derived is my diagnosis of Peripheral Neuropathy so that I can receive callus shaving and toenail cutting every nine weeks because my Health Insurance Provider (Tufts) will pay for it.
Possible tests are Ultrasound, CT and MRI to determine the biomechanical causes of this malady. That is, osteoarthritis, osteopenia, osteoporosis, hammertoes, fat pad atrophy, calluses, tailor's bunion (near baby toe), etc.
You might want to schedule appointments with the following type of specialists: Podiatrists, Orthopedists, Chiropractors, Neurologists. Physical Therapists (Yoga).
Orthopedic Devices: Metatarsal pads, toe splints, custom or over the counter orthotics, callus pads, toe separators, orthopedic shoes, wide toe diabetic shoes (not covered by insurance), etc.
Some more drastic interventions: Graft Jacket Surgery, Biodegradeable joint implants that provide a scaffolding for stem cells to regrow cartilage.
I am not a diabetic or overweight. I am active and have typically walked between 2-7 miles per day.
My younger sister developed the same problem, but she is overweight, has diabetes, cholesterol, and high blood pressure. My sister has already had serious surgery on her feet, toes and ankles because in addition to the problems I have she also had detached foot tendons.
I think some of the causes of our mutual problems are repeated blunt force trauma, pounding the streets, age,collagen breakdown,etc.
Hope this helps. Marina