What is Metatarsalgia and How Do I Get Rid of This Pain?

//What is Metatarsalgia and How Do I Get Rid of This Pain?

Doc help me!!!

I live in Florida but saw your name from a patient raving about you and was hoping that I would google you and find you in Florida. 🙁 Didn’t know if you can help me or refer me. This pain started 6 months ago with swelling and light discomfort on top of 2,3 and 4th met. Would only swell when I ran. THEN 6 weeks ago I fell and started to notice the same area was getting worse. Now I have swelling on the top and the bottom (ball) of my foot. Still 2,3 and 4th metatarsal area. Went to a DC that specializes in sports injuries and he taped it and started to adjust my back weekly. No improvement after 1 month…then I went to a DPM and she Xray’d it and said no fracture and wanted to give me an injection of steroids. I declined when she couldn’t give me a diagnosis and a reason as to why she wanted to give me the injection. The pain is constant at a 2, walking gives me a 4 and periodically I get more intense twinges of pain to a 5-6. Hoping you have some advice and a referral if you think I need to see another Dr. Thank you Dr Runco.

Hi Jenny,

I am sorry to hear about your foot injury.  There are a couple of things it could be but based on your description it is most likely a plantar plate ligament injury.  It is possible that it is a Mortons Neuroma…neither would show on x-ray….both might show on MRI but are known to evade many a scrutinizing radiologist. There is very little else it could be based on the signs and symptoms.  Kudos to you for standing up to the lazy podiatrist who could not even formulate a clinical impression or opinion!

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I am not sure what the Chiropractor hoped to gain from adjusting your back…..but then again that is what many Chiropractors do.

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Even though you are in Florida I can help you with a phone consultation but will offer you two options. (I was born in Florida….Lakeland then to CoCo Beach).

These plantar plate injuries are very serious and debilitating.  It is unfortunate how few doctors and therapists out there understand the condition and how to correct it conservatively.  Even the surgeons do not do well with this and the outcomes are often horrific.  Keep this in mind when I offer you these 2 options.  If you would like my help and expertise please fill out this new patient form and respond to my email.  I will have a secure invoice sent to you and we can set up a phone consultation. or if you prefer you can fly to San Diego. I have been able to help hundreds through the phone and emails but obviously it would be best to see and examine you in person.  Afterwards if you need my help in locating a PT or Chiropractic clinic that can carry out our treatment protocol (depending on the diagnosis) I would be happy to help you research and find one. Please send me a chronological history

anything you tried that helped or hurt.  What you are currently doing.

any MRI’s, X-rays etc

I can review everything and offer you a phone consultation.  The cost is $237 and is not covered by insurance.  Afterwards I will send you

  1. a written treatment plan
  2. any necessary video rehabilitation tutorials

OR

let me know when you want to come to San Diego and we will set up an appointment for you.  In office visits might be covered by insurance but we would have to verify coverage to let you know if it is.  If you want us to check your insurance take a picture of the front and back of your insurance card and provide your date of birth and attach to this email.

 

By | 2017-11-20T17:14:09+00:00 November 20th, 2017|Foot/Heel Injuries|0 Comments

About the Author:

Dr. Runco is a U.S. Navy and Gulf War Veteran. He began private practice in 2000 primarily treating and fixing running injuries. He has been a professor of Anatomy, Physiology, and Biomechanics at various colleges and continues to teach continuing education in the fields of rehabilitation, custom orthotics and athletic taping. He is also a member of the American College of Sports Medicine, National Strength and Conditioning Association and is a Certified Strength and Conditioning Specialist. He has completed over 15 Marathons in 15 states and has run 11 50 mile Ultramarathons.

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