FLCC> FW: foot pain

[Mark Rishniw]

Hey Alex,
Just ride it out.  I think that's the best advice I can give you.  If 
I actually offer you something medically sound that will help you 
ride even faster, you'll just drop me even sooner.  So keep 
riding.  Stick hot needles into it (it's called pin-firing in 
horses).  Drink heavily.  Try impact sports.  Eat donuts by the box...

SuperTwinkie

At 08:17 AM 7/11/2006, John Dennis wrote:
>Hi Alex et al.,
>
>Yikes, Alex!  Look before you leap.
>
>Keeping in mind that my experience and advice may be totally 
>irrelevant to your situation, I see from the podiatry 
>channel 
><http://www.podiatrychannel.com/mortonneuroma/>http://www.podiatrychannel.com/mortonneuroma/ 
>that the surgical option from above involves cutting through a lot 
>of structure of the foot until finally a ligament is intentionally 
>cut (to loosen things up) and this may permanently weaken the foot! 
>The surgical option from below--the plantar approach--enables a 
>fairly direct cutting out of the neuroma, but then you are on 
>crutches for three weeks and the void may fill with a painful 
>hematoma or the nerve may grow back (in unguided fashion) resulting 
>in chronic pain requiring more surgery. (At a stroke of a scapel, 
>you are wonderously catapulted into the geriatric phase of your life 
>and lost to the FLCC forever!!) Neurontin can be used to treat 
>painful nerve endings, but I'd say the first two treatments you list 
>would be the far better way to go.
>
>As Ithaca is the NE capital of massage, you'd probably want to add 
>massage as a treatment. Some mix of massage, stretching, and 
>physical therapy (PT) could be used to get your feet as limbered up 
>as much as possible.  Bob Anderson has foot and ankle stretches on 
>pp. 31-33 of his 1980 book, Stretching (33rd printing in 1997).  I'd 
>be glad to fax you those pages or lend you the book.
>
>I've used orthotic soles in my cycling shoes starting last year.  A 
>couple of years ago, I was standing in the back of a crowded lecture 
>hall in Warren Hall, wearing a budget variety of Specialist cycling 
>shoes and listening to a lecture by Amartya Sen, when I became aware 
>of an awful pain in my right heel.  Probably suffering from plantar 
>fasciatis,  I upgraded to Sidi cycling shoes and got Jeff at Cayuga 
>Ski and Cyclery to make me a pair of orthotic soles for about 
>$100.  For a while, I rotated the orthotics between my indoor 
>slippers and my cycling shoes.  Once the problem ended, I simply 
>left them in my cycling shoes.
>
>I can also speak to the efficacy of cortisone.  About two months ago 
>I developed a stiffening and loss of range of motion (ROM) in my 
>left shoulder--and without a doubt--some of the most excruiating 
>pain I've ever felt, possibly the end result of splitting wood for 
>the previous five months.  It was enough of a problem that when 
>putting on a jacket I have to reach over with my right hand to help 
>pull the sleeve up my left arm.  After a PT (incorrectly) diagnosed 
>adhesive capsulitis, I went to Dr. Bruce Greene's office where it 
>was x-rayed and diagnosed as common garden bursitis.  While I'm 
>still not out of the woods, the problem has responded well to a 
>single 5cc injection of cortisone into the shoulder and to on-going 
>ROM exercises.
>
>Hope this helps,   John
>
>-----Original Message-----
>From: flcc-bounces at icycle.org [mailto:flcc-bounces at icycle.org] On 
>Behalf Of aspec335 at aol.com
>Sent: Monday, July 10, 2006 12:09 PM
>To: FLCC at icycle.org
>Subject: FLCC> foot pain
>
>Hi All,
>
>I've been diagnosed with a "Morton's Neuroma", which is a scarring 
>of a foot nerve and causes pain and numbness. The podiatrist gave me 
>a list of treatments: custom foot orthotics (cycling specific); 
>cortizone shot to reduce inflammation and pain; alcohol shots to 
>kill the nerve; surgery to remove the nerve. Each had associated 
>risks and effectiveness.
>
>Has anyone had this and can offer some feedback? Would be most 
>appreciated. Assume that I already have proper shoe/cleat fit.
>
>Thnx,
>Alex
>
>----------
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