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What would cause chronic foot pain even tho MRI was negative?

I've had chronic foot pain for 8 months.  It seemed to come over night. Went to a podiatrists who diagnosed me with planter fasciitis. Did at home therapy which did not help. Went back and then was told I had mortons neuroma. Was given a cortisone shot which did absolutely nothing. Was scheduled for surgery which I ended up canceling to get a second opinion.  Went for second opinion and was told I did not have an neuroma. Xrays were normal. Diagnosed me with metatarsal pain. Ended up having a MRI which came back normal. Still having so much pain. I'd like to cut my foot off. I'm at my wits end.
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363281 tn?1643235611
Hello~I feel that a chiropractor might be able to give you some relief and help. You may have some pinched nerves in your lower back and also some little bones out of alignment in your foot. He/she will take some x-rays and this will show what areas need attention. Many chiros even can make special orthotics which can be of great help.

I hope you get relief soon, having painful feet can make the entire body miserable. God bless you.
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Avatar universal
How are your shoes?  Are they of the right size and with arch supports?  Do you wear high heels at all?  
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1 Comments
I never wear high heels. I had orthotics with a metatarsal lift until they started coming apart after a month. They really hurt my feet because they made all my shoes feel so much tighter.
1530171 tn?1448129593
It sounds like a complex and mixed clinical presentation.
With the limited information you posted about the location of the pain,lateral or distal, better or worse with some  movement or rest, type of pain like sharp, radiating, burning, tender, intermittent, constant, etc. it is almost impossible to make some "educated" suggestions.
Please provide more details, as much as possible and also
did you have any  Electromyogram (EMG) and Nerve Conduction Velocity Studies (NCVs) or other tests, besides the X-rays and MRI you already mentioned?

Best wishes,
Niko
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2 Comments
It's worse on the outside from my ankle down to my arch. I have high arches. Pain feels better when I wear shoes. Otherwise, it is sometimes shooting and very tender, like I bruised or sprained my ankle. Sometimes touching it in a certain place sends a shooting pain. I am on my feet all day. MRI and xray were the only tests.
It seems it's a "structural" genetic issue, that over the years, has manifested now in a variant of symptomatic  pes cavus.
An EMG and a NCV would help rule out muscle or nerve issues.

I suffer from the effects of pes planus
which is the opposite (flat feet) which also causes foot pain and other issues, like toe deformation, corns and calluses etc.
So I work around my foot issues, using footwear with good support,
put less load on my feet (less or no running), increase cycling, weight bearing and strength exercise and less aerobics (which taxes my feet greatly when I overdo it).

Good foot support is imperative, so getting quality orthotics, despite your
recent negative experience, will likely serve you well.
Custom made semi-flexible  orthotics which help prevent the foot from supinating and with gel or other shock absorbing material for the high arch, would be ideal.
But first you must get properly measured and evaluated for your specific needs, to ensure better results.
Increasing the range of motion for your foot and your ankle by doing specific exercises and manipulations
will also help, but it takes time and you must do these on a regular basis.
Other than these suggestions, barring other implications, short of lessening the load by standing less and losing weight, there's little
medicine can offer for your (suspected) issues.

I hope this helps.
Niko
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