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Old 01-04-2016, 06:24 AM   #21
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I would be interested in knowing more about the connection of diet (ie. gluten?) and arthritis pain, especially when arthritis (at least what I seem to have in my big toe) seems to be a clear cut physical wear-and-tear bone-on-bone thing. Just wondering how not consuming gluten might help this.
The literature on alternative medicine is not rigorous in its analysis of food and arthritis, and gluten has been accused of being a prominent cause of just about everything. Tomatoes, white potatoes, and corn do cause inflammation, gluten might, yeast might also. The easiest way to tell is to take them out of your diet, then bring them back in one at a time. Just walking across the room will tell you if there's an impact.
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Old 01-04-2016, 11:02 AM   #22
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Thanks for this recommendation Ian. I will look into these. Like you I suspect I will need surgery eventually. The question is when. All this has come as kind of a shock to me since I had no pain with this arthritis at all until the foot break. Now there is a big bony mass on the top and side of the big toe. Just amazes me that this can come on so suddenly. BTW, it was the second metatarsal that broke, not the big toe.
In my case. the orthopedic surgeon thought it might have been the result of a long forgotten stubbing of the big toe which started the arthritic development. Arthritis runs in my family so maybe not that surprising. If you try those orthotics from Footsmart, you'll have to use them with soft inserts (what came with the shoes worked for me) as they are a hard and stiff fiberglass material. I had to increase my shoe size a half size and an extra wide but YMMV. Footsmart also sells a padded version of that orthotic but I tried it and didn't care for it so much. Just by luck, I also found that Skechers Shape Ups were pretty good without the orthotic but they have a "rocker" sole which I found problematic on anything other than a flat surface. They also did not last long so I didn't replace them when they fell apart.
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Old 01-04-2016, 04:56 PM   #23
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I'm glad Marita started this thread. Splitdw, the current pain is only in the left foot, and is under the arch, at the highest point, in the middle. I thought plantar fasciitis was associated with arch pain. I have had heel pain before, but it has gone away on its own, thank God. I just put two old arch supports in my shoes today, to see what happens. I bought them at *Foot Locker* for $39 long ago, and are brand name is Spenco. How would ultrasound do anything for it? Do the high frequency waves do anything to the tissues in the foot?
Most of the time the pain is in the heel but can be on the arch. There's a pretty good description on Footsmart and a series of questions to sort of self evaluate. Plantar Fasciitis: Symptoms, Treatment, Causes, and Prevention | FootSmart My family doctor pinched my foot near my heel and I can tell you that hurts if you've got plantar fasciitis. Footsmart is where I bought my night splint. I bought the hard frame one. It's kind of like a plastic splint with Velcro straps. Do not know how the ultrasound works. The podiatrist used it on my heel (only 1 time for about 10 minutes) and when I had a frozen shoulder the physical therapist used ultrasound on my back and shoulder. Worked for me.
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Old 01-04-2016, 06:38 PM   #24
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It's all very simple. As we age and use our joints repetitively when we get trauma in an area it will many times turn to arthritis. I have an ankle that I've sprained so many times that it has resulted in ongoing pain. Many parts of my foot have transient pain. Where I've broken my thumb twice is now sore all the time.

I have been to many doctors and outside of orthodics there's really not much to do outside of high dose IBP or Tylenol. I've been checked for gout due to pain and past kidney stones. Actually has ended up as pseudogout.

It suck as finger joints are starting to inflame. I do not attribute any of this to Gluten. I'm 60 and very active but my philosophy is you're damned if you do and damned if you don't. I'd have less pain if I sat on the couch but then I'd die from something else.
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Old 01-05-2016, 01:48 AM   #25
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I had severe big toe pain in the joint of my right foot a number of years ago (10?). Testing my uric acid levels (it was barely outside the range of normal, something like 7.3 on a normal scale of 4.6-7.2) so I was told 'gout', I was doubtful as I was barely above a seemingly large range and I didn't consume foods/beverages high in purines (alcohol, seafood and organ meats). I took some allopurinol regularly and would use colchicine for flareups.

Little over a year ago, I had what I thought was a flare and it wouldn't go away with the colchine, I then developed a rash on my body. Going to the dermatologist I was diagnosed with psoriasis. After topical steroids didn't help much, went on a biologic and not only did that clear up the rash after a number of months, but the joint pain was gone in about 2 days. It seems it might have been psoriatic arthritis all along
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Old 03-13-2016, 04:05 PM   #26
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Well I did it--had a dorsal cheilectomy on my big toe last Friday. The bone spur was evidently bigger than thought. Yesterday was a bad day due to the nerve block wearing off but I've already weaned myself off the percocet and regular Tylenol is handing the remaining pain fine. The worst part is the inactivity and elevating the foot continually. I am able to hobble on the surgical sandal from bedroom to bathroom to kitchen as needed. I return for a checkup in 8 days, so we shall see what happens from here! The bone spur was impeding my joint making it painful to walk.
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Old 03-18-2016, 06:01 PM   #27
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If pain persists you may want to see a Rheumatologist to rule out Rheumatoid Arthritis. It usually starts as a flare most of the time in the hands, but it can go to the feet as well.
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Old 03-18-2016, 06:12 PM   #28
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Well, you've managed to find the one part of my body that doesn't hurt...but that could change tomorrow.
Good luck with this, I've had other foot problems, and I empathize.
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Old 03-18-2016, 07:02 PM   #29
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Well I did it--had a dorsal cheilectomy on my big toe last Friday. The bone spur was evidently bigger than thought. Yesterday was a bad day due to the nerve block wearing off but I've already weaned myself off the percocet and regular Tylenol is handing the remaining pain fine. The worst part is the inactivity and elevating the foot continually. I am able to hobble on the surgical sandal from bedroom to bathroom to kitchen as needed. I return for a checkup in 8 days, so we shall see what happens from here! The bone spur was impeding my joint making it painful to walk.
Wishing you the best. My orthotics are still working so no surgery for me yet.
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Old 03-18-2016, 07:11 PM   #30
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Good to know that the diagnosis was not gout.

For others with pain in the big toe joint, would suggest that before going to arthritis pain mitigation, that a blood test for high uric acid be given for the possibility of gout. Treatment, diet and exercise is very different.

As mentioned earlier, gout usually initiates from high levels of uric acid and can come and go. When it comes, the pain can be unbearable, resolved only by plunging the foot into a pan filled with ice cubes. When it goes, a day or a week later, all seems well... but, the more times it happens, the more times it will happen.

I suffered from gout many years ago, and had to change my diet to avoid purines. BTW... the only effective pain pill for Gout is colchicine, which has been used for 1800 years, but a few years ago was taken off the allowed FDA list for lack of testing... only to reappear shortly thereafter from a Pharmaceutical company... under the same colchicine generic name, but the newly brand named Colcrys... Price per pill gone from $.10 to $6.00 under either name.

Colchicine is usually prescribed as a continued use preventative drug, rather than a pain killer.

I have become more suspicious of diagnoses. Several years ago, I was diagnosed with, and tested by a neurologist for carpal tunnel syndrome. Electronic nerve testing and ruling out other diseases. This ended with the carpal tunnel operation and several weeks of recuperation. No positive results. Pain and numbness continued. Finally diagnosed (in lieu of any other possibility), with bilateral idiopathic polyneuropathy... with no reasonable cure. Something to live with.

My personal philosophy now, is to listen to the doctor, and trust... but verify. Every ailment and disease known to man, is now somewhere on the internet. Three or four hours of intense searching and study should bring a reader up to and perhaps beyond the level of the most knowledgeable physician for that specific problem.

Having been recently diagnosed with Afib and after scans and tests, the doctor explained to me what was going on... Since I was able to get a copy of the CD test review of the scans, I spent five hours reading about how to read the scans, and compared the results to the math factors that indicate risk. Reading recent abstracts often provides information that even our own doctor may not know about. In my own case, understanding some of the nuances of the studies led me to make a more comfortable decision about my treatment... with which the doctor agreed. Small differences but significant with regard to medication and future testing.

I know this is somewhat off-topic, but given the amount of interest in healthcare in general, a small voice suggesting that becoming more involved in health diagnosis and treatment is not a matter of mistrust of ones doctor, but more a comfort in understanding what is going on with ones own body.
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Old 03-18-2016, 08:57 PM   #31
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My wife's problem is severe pain on the tops of her feet. Sleeping is very difficult, despite taking heavy pain meds for arthritis and a very bad back (stenosis.)

She went to the podiatrist who did x-rays, and he said she has severe arthritis in all the bones on top of her feet. She's starting to have bone spurs grow to space her bones. The only out at this point is to have fusion of the foot bones--with plates and screws.

The good news is that fusion surgery is very successful in removing pain. The bad news is that you've got to keep from putting one ounce of weight on that foot for 7-8 weeks. The other bad news is that once the repaired foot is rehabilitated, my wife's got to have it done on her other foot.
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Old 03-18-2016, 09:19 PM   #32
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Yes I have it (57yo) in right big toe. Doc wants to fuse joint . Some days pain is so bad I can hardly walk and then other days I hardly know I have it. Not sure what to do right now.



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Old 03-18-2016, 11:11 PM   #33
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Yes I have it (57yo) in right big toe. Doc wants to fuse joint . Some days pain is so bad I can hardly walk and then other days I hardly know I have it. Not sure what to do right now.



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You could try the orthotics mentioned in this post Big Toe Arthritis Anyone?
What have you got to lose apart from $60.
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Old 03-22-2016, 06:00 PM   #34
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Arthritis in the toe can be a sign of gout it not than usually you have arthritis through your whole body and the first sign is in your toe. Lots of time people will find it in their knee and get that replaced only to have the other start to hurt because it is in the whole body. Usually caused by degeneration of the cartilage. Doctors will tell you it is impossible to regrow cartilage but they are wrong. There also can be Rheumatoid arthritis which is a Mycoplasma and arthritis.
Check out chicken cartilage and arthritis Harvard study https://www.google.com/search?q=chic...utf-8&oe=utf-8
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Old 03-22-2016, 06:08 PM   #35
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allopurinol has helped me not to have a gout attack in 15 years. It is prescription but cheap, and I have had no side effects. I think this is used much more than Colchicine , but can only be started when not having a flare up. Unfortunately for me I suffered from gout for years before starting this med, This caused some permanent damage to joints above big toe and ankle. But I still get around pretty well.
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Old 03-22-2016, 06:18 PM   #36
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No, I don't have arthritis through my whole body! My big toe bone spur, now gone through the surgery, was caused by a foot injury. Arthritis often results from injuries.

I'm on day 11 post surgery and faithfully doing my toe exercises. I'm walking with just mild pain and can drive just fine. So glad I didn't have to go the fusion route. Stitches come out in two days.
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Old 03-22-2016, 06:27 PM   #37
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Arthritis in the toe can be a sign of gout it not than usually you have arthritis through your whole body and the first sign is in your toe. Lots of time people will find it in their knee and get that replaced only to have the other start to hurt because it is in the whole body. Usually caused by degeneration of the cartilage. Doctors will tell you it is impossible to regrow cartilage but they are wrong. There also can be Rheumatoid arthritis which is a Mycoplasma and arthritis.
Check out chicken cartilage and arthritis Harvard study https://www.google.com/search?q=chic...utf-8&oe=utf-8
I can't speak for others but I was initially given a test for gout and when that was negative, referred to a specialist. Hallux Rigidus was then an easy diagnosis with appropriate foot X-Rays and physical exam. Indeed, the bone buildup on the top and side of the foot is even obvious to the causal eye.
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Old 03-22-2016, 10:18 PM   #38
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.... Indeed, the bone buildup on the top and side of the foot is even obvious to the causal eye.
Is it also obvious to the eye that had nothing to do with the bone buildup?
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