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Foot Pain


masumeh
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Hi all!

I have a bum foot these days, and there is strangely no swelling, redness, or bruising of any kind. Yet, I feel like I must have some kind of little fracture or something deep in the middle of my foot. I saw a doctor yesterday who suspects high uric acid, basically gout. But from reading online, it doesn't seem possible. Waiting for the blood test results. But did anyone w/POTS have gout? Could kidney dysfunction be part of POTS, and cause high uric acid?

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Hi all!

I have a bum foot these days, and there is strangely no swelling, redness, or bruising of any kind. Yet, I feel like I must have some kind of little fracture or something deep in the middle of my foot.

Masumeh,

See my previous discussion on muscle atrophy and other muscle pain discussions. With fibromyalgia being a kissing cousins of many folks' POTS, you might be have a connective tissue issue going on. Best to get to the bottom of it ASAP, as I have done tendon damage, apparently, by stalling to get help and thanks to a bad diagnosis.

Have heard of about everything connected to POTS but gout.

Good luck, Elegiamore

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Gout looks a bit different in women than it does in men.

In men, the usual presentation is a bright red and very painful inflammation of the outermost joint of the big toe. This joint is affected worst because it is coolest in temperature, so the uric acid crystals tend to precipitate out there the most. Well, guess what, lots of women have colder hands and feet than men normally do, so the uric acid crystals have a broader distribution. So the gout looks different in women.

Gout is easy to diagnose, once the doctor thinks of it, and easy to manage.

http://www.arthritis.org/resources/arthrit..._Women_Gout.asp

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Thanks for the replies. The test came back normal. So now that doc is telling me, "Maybe you just have a muscle spasm." I'm like, "Yeah, a three day long muscle spasm, and I can't move my toes or put pressure on my foot w/out limping?!" I'm gonna call my pots specialist tonight. I think it's just hard for the general care physicians to give adequate consideration to all our complications.

For the fibromyalgia thing, I looked up the post on hose and muscle deconditioning. I do have deconditioning from pots. I also have Hyper Motility Joint Syndrome, which my pots doc said is related to the pots but not exactly a part of it. I don't know what fibromyalgia is, and couldn't tell really from the post, so I'll look it up online. But, I do have joint problems, and that's one reason why I went to the doc immediately (also bc of clot history). I have condramalacia (sp?) or cartelage degeneration in my knees, carpal tunnel syndrom in both wrists, subluxation-dislocation syndrome in my shoulders, and some other things (my patella also dislocates and subluxes, ie pops back in by itself). But I never had problems in my ankles, and this pain is in the middle of my foot, towards the bottom (like facia and metatarsals -ish). Wierd. Wierd that I can't move my pinky toe, and can barely move my other toes on that foot. And the pain shoots up all the way to my knee at night. Maybe it will go away by itself...that would be really nice.

Well, wish me luck.

And thanks for the replies.

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I had really nasty foot pain up until about 6 months ago when it eased up. I had been to a rheumatologist, podiatrist and an orthopaedist several times before geting an answer. The orthopedic doc finally did an MRI and found fluid around my toe joints for which he didn't have an explannation. He doesn't understand autonomic problems really well, but said it's possilbe that fluid is accumulating in my feet and causing the pain. I did get orthotics made by a podiatrist and that has seemed to help a lot. I also use a pain relieving gel called Biofreeze that I get from a chiropractor. I find that Biofreeze works better for me that a prescription gel containing lidocaine. I hope your foot pain gets better. I do know another person with autonomic dysfunction who also has a problem with foot pain. Maybe it's more common with autonomic dysfunction. Lucky us!!

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  • 12 years later...

I have been having heel pain for over 6 months now.  First doctor said it’s probably a bone spur and there’s really nothing you can do about it.  Went to a different doctor, who did an X-ray. No bone spur, but still lots of pain and getting worse! It’s my entire heel, with more intensive pain in the middle of my heel if I am on it  to long.  

I have NCS , OH, and autonomic neuropathy

( which I thought was just another term for Dysautonomia, but a neurologist diagnosed it!)

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