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Long term foot and ankle pain

Hello all,
  I am reposting this because my thread closed - took me awhile to get some of my lab results - I have had the pain for about 10 years and docs have not been able to id. So, thought I might see if anyone has any other thoughts. I have pain when I stand, walk, seat or lay down (this is e order of level of pain as well - standing is the worse). When I stand the bottom of my feet will throb. Sometimes most of the bottom and sometimes I will get certain points like the heel or by the big toe that almost feels like a cigarette burn. Other time like when I seat from inside e ankle to my whole foot will burn/tingle. It's almost like the pressure on the back of my leg causes this. Also, sometimes if you run your hand from the top of my leg to the ankle you can feel,it go from warm to very cold at the ankle. I now have started to have issue with my hands where it will start to hurt in my wrist and radiate into my pinky and next 2 fingers.

This has been gradually getting worse over the past 10 years and I have seen a ton of doctors. General doc, neurologist, chiro, podiatrist, homeopathy, acupuncture, pulmutalagist,. I have had MRI leg, ankle, back, X-ray, blood pressure test, nerve conduction test, lots of blood work with nothing being found. I have also tried lots of drugs neurotics, cymbalta, niacin, vitamins like the Bs and other.

At is point not sure who else to talk to or what else to try, so any thoughts would be much appreciated:)

Other issues:
Migraines



This discussion is related to Long term foot and ankle pain.
Best Answer
875426 tn?1325528416
Please see private message for more info, but it looks like your focus needs to be on circulation.  I base that on your lab results, the fact that when you put pressure on the backs of your knees it's a problem, and the coldness of your feet.  

Regarding the pinky thing- I had a tingling pinky problem and a physical therapist asked if I'd been leaning on my elbow.  I discovered I do it when I'm sitting at the computer on office chair arm.  She had told me basically about the ulnar nerve, which if compressed (as happens when leaning on the elbow), can cause the pinky to tingle.  Do you lean on your elbows?
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875426 tn?1325528416
I'm sorry things have been getting worse and hope they can get to the bottom of what's going on!  Send me a PM with updates?
Helpful - 0
Avatar universal
Thanks  - I am going back in for several more test and aMRI of the spine, fingers crossed something comes up! My hands and legs are just getting worse :(
Helpful - 0
4851940 tn?1515694593
Tingling felt in the pinky finger can also be from a problem in the cervical area (your neck).

Sometimes the pains and sensations we feel in one part of the body could be referred from somewhere else.
Helpful - 0
4851940 tn?1515694593
LivingInHope did give you some thought about the results you listed in your previous post.

I am not a doctor and you have been seen by lots of specialists and have had lots of tests carried out without an answer to help your problem.  

Looking at the problem that you have from a different angle, have you considered your footwear, wearing of insoles inside your shoes, the way you walk and stand on your feet?  Are you overweight or had any injuries in the past that may be aggravating your condition?

Have you had a blood test to check to make sure you do not have diabetes?  Having diabetes or prediabetes with high uncontrolled sugar levels can cause peripheral nerve damage.

Have you had any recent xrays or imagining of your foot to rule out any bone spur growths?  These can press on nerves and cause pain and discomfort.  

You also write that you have issues with migraines.  You may already be aware, but migraines can be triggered of by certain foods like coffee or caffeinated drinks, chocolate, red wine, cheese, oranges.  Some people have other trigger foods.  Stress, anxiety, glaring a screen for too long, and flashing lights can also trigger migraine attacks.  Do keep a diary to write down what you eat and drink and other points so that you can find out what may be triggering off your migraine attacks if you have not found a cause yet.

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Avatar universal
here are some of my lab results

Name Result Normal Range
DAT, BS Coombs NEG

Angiotensin Converting Enzyme 13

WBC 4.3 K/uL 3.6 - 10.4
RBC 4.65 M/uL 4.16 - 5.83
HGB 14.0 gm/dL 13.0 - 17.4
HCT 41 % 39 - 52
MCV 88 fL 82 - 99
MCH 30 pg 27 - 34
MCHC 34 gm/dL 32 - 35
RDW 12.5 % 12.2 - 16.3
Platelet 306 K/uL 142 - 328
MPV 7.2 fL 6.0 - 9.5

Absolute Neut 2.81 K/uL 1.60 - 7.71
Absolute Lymph 1.11 K/uL 1.05 - 3.20
Absolute Mono 0.22 K/uL 0.20 - 0.90
Absolute EOS 0.09 K/uL 0.00 - 0.50
Absolute Basos 0.02 K/uL 0.00 - 0.11
Neutrophils 66 % 41 - 74
Lymph 26 % 15 - 48
Monocytes 5 % 5 - 13
Eosinophils 2 % 0.0 - 7.0
Basophils 0 % 0.0 - 2.0

Sedimentation Rate 1 mm/hr 0 - 15

LDH-Total 176 IU/L 135.0 - 225.0

Complement C3 115 mg/dL 79 - 152

Complement C4 30 mg/dL 14 - 38

Cholesterol 208 mg/dL <200
Triglycerides 279 mg/dL 60
LDL-Cholesterol 117 mg/dL 59 mL/min/1.73 m2 >59
Estimated GFR African American >59 mL/min/1.73 m2 >59
Calcium Level 9.7 mg/dL 8.4 - 10.4
Albumin Level 5.4 gm/dL 3.50 - 5.20
Total Protein 7.4 gm/dL 6.6 - 8.7
Total Bilirubin 0.9 mg/dL 0.0 - 1.2
Alkaline Phosphatase 67 IU/L 40.0 - 129.0
ALT 18 IU/L 0.0 - 41.0
AST 22 IU/L 0.0 - 40.0

CPK-Total 196 IU/L 39.0 - 308.0

Albumin Level 4.9 gm/dL 3.4 - 5.2

Total Protein, Serum Electrophoresis 7.2 gm/dL 6.1 - 7.9
Alpha 1 Electro. Serum 0.3 gm/dL 0.2 - 0.4
Alpha 2 Electro-Serum 0.5 gm/dL 0.4 - 0.9
Beta Globulin, Serum 0.7 gm/dL 0.5 - 1.1
Gamma Globulin, Serum 0.8 gm/dL 0.7 - 1.5
M Spike, Serum NEGATIVE gm/dL 0.00
Quantitative M Spike NEGATIVE gm/dL 0.0
PE Interpretation, Serum NORMAL ELECTROPHORETIC PATTERN
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