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littlebluberry
PeaNut
PeaNut 172971 - October 2004
Posts: 134 Layouts: 2
Loc: where ever the army send me!
 |  Posted: 9/3/2009 3:45:15 PM
I'm hoping someone can help me with this one.
I'm currently seeing a podiatrist for my foot pains (long story but ended up having 5 surgieries and pain only has gotten worse)
I'm not to trusting in his abilities right now due to the fact that he missed the "lumps" under my big toe in the right foot. I had to beg him in my second visit to feel them to assure him they were not norm. of course that is what has lead me to have a CT scan which yielded no information conserning what the "lumps" are. BUT I requested a copy of the CT scan when I had it done and I was looking threw it and noticed that one of the surgical sites where I had the bone cut and shortened SEVEN months ago appears to not be joined. I called my poditrsts office and spoke to them concerning it but since the report from the scan said normal and no fractures they told me I cant read the ct right and that everything is perfectly fine. (umm if it was fine why have I been having shooting pains from this site going up to my ankle with every step I take since I had the freaking surgery) I know I am not "imaging" things. I know what a break looks like... why do the two other sites that I have had the same procedure on not look like this one? One being done a month after this one.
SOOOO hopefully there is a Pea here who is trained in reading these things and let me know I am not crazy... and maybe some advice as what to do because I can not get an appointment with my foot doc. (Oh and he doesnt have a copy of the CT scan just the paper report from the radiologist who read it)
TIA
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jarmommy
PeaFixture
PeaNut 359731 - January 2008
Posts: 3474 Layouts: 1
 | Posted: 9/3/2009 4:19:09 PM
Let me start by saying I have no clue how to read these things so take what I say FWIW. The lumps you describe could be neuromas, a ball of nerves basically, my mom had one the size of a golf ball on the bottom of her foot that developed after bunion surgery. I don't know however if those would show up on a CT scan. I'm guessing in the side view where to two black dots are in the middle of the image is where you're talking about. It does look like there is *some* parts of the bone connecting however it could be shadowing. The top view looks like a foot to me, doesn't look any different than any foot I've ever seen in a textbook, xray, or model.
Irregardless of what is actually on that CT you need to find another doctor, yesterday. |
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littlebluberry
PeaNut
PeaNut 172971 - October 2004
Posts: 134 Layouts: 2
Loc: where ever the army send me!
| Posted: 9/3/2009 4:30:58 PM
THe top image is the 3D image of the bones. On the third bone down by the head of the bone where that funny thing sticking up (its a staple) you can see where the bone is seperated in two peices..
The two black dots on the bottom one is the ends of the staples so the shadow is the top of the staple.. the entire series of the bone has that lovely black line thru it.
This IS my second podiatrist First one did 4 surgs back to back and finally I requested a second opinian... which lead me to my current doc. (I don't have a choice of whom I see since I am military) | |
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love labs
10,000,000 post poster
PeaNut 143394 - April 2004
Posts: 20451 Layouts: 0
Loc: Heck if I know!
 | Posted: 9/3/2009 4:41:58 PM
The only CT scan I've ever had was of my sinuses, so that's no help.
I've had lots of trouble with my foot since I somehow fractured it last year so I understand your frustration. I've had xrays that clearly show that the fracture is healed, but something is not right. Subsequent xrays, bone scans, and a recent MRI found nothing--but yet I can't walk right on it. I'm about to lose my mind.
In the meantime, I've developed a neuroma in the OTHER foot (probably from the added pressure/weight that it bears from the fractured foot) and like jarmommmy, I wondered if maybe a neuromas is what you're experiencing. It may not be anything like what your problem is, but I thought I'd throw it out there--just in case.
My neighbor who's a surgical nurse and works a lot with my doctor sent me THIS LINK which has the best description of a neuroma that I've found. Mine hurt like NOTHING I've ever felt before!
Good luck to you! I know what it's like to have a problem with your feet and I hope you get some answers soon--and get some relief.
(and like jarmommy suggested...I'd see another doctor A.S.A.P. Try an orthopedist--there are some that deal with just feet and ankles! )
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If life is a journey, shouldn't you be moving along? | |
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maddieksmom
PeaFixture
PeaNut 251406 - March 2006
Posts: 3081 Layouts: 0
 | Posted: 9/3/2009 4:49:08 PM
I work in xray but its hard to comment when I can't see the actual images.
I'm curious why you didn't mention the lumps when you saw him the first time?!
I would trust that the radiologists report is correct.
I am sure you aren't imagining the pain either. How do you know that what you see is a break? Which toes are you looking at?
What about seeing another doc?
I dont think taking the CT to the podiatrist will do any good. They wont be able to look at it knowing what they are looking at. Thats what the Rads are for.
Just my .02 | |
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deekaye
PeaAddict
PeaNut 201120 - April 2005
Posts: 1682 Layouts: 0
Loc: Washington State
| Posted: 9/3/2009 4:49:19 PM
I have no clue how to read your CT but you do know that there SHOULD be space between the bones, yes? (I don't mean to sound condescening if you already know this...).
The bones are "hooked" together with cartilage, etc. and that wouldn't show on an x-ray or (I presume, I don't know for sure) a CT scan. |
Dee in WA State
"Be who you are and say what you feel,
because those who mind don't matter
and those who matter don't mind."
~Dr. Seuss
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deekaye
PeaAddict
PeaNut 201120 - April 2005
Posts: 1682 Layouts: 0
Loc: Washington State
| Posted: 9/3/2009 4:51:44 PM
Oh wait.... I think I misread your post. You are talking about the place where the bone was actually cut, not the normal bone-to-bone place, right?
Disregard my above meager attempts.... I have no clue.
But, I'd be heading to another orthopod for a third opinion if you still are having pain. |
Dee in WA State
"Be who you are and say what you feel,
because those who mind don't matter
and those who matter don't mind."
~Dr. Seuss
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love labs
10,000,000 post poster
PeaNut 143394 - April 2004
Posts: 20451 Layouts: 0
Loc: Heck if I know!
| Posted: 9/3/2009 4:59:27 PM
I know what a break looks like... why do the two other sites that I have had the same procedure on not look like this one?
On the third bone down by the head of the bone where that funny thing sticking up (its a staple) you can see where the bone is seperated in two peices..
I see what you're looking at...
FWIW, when my fracture healed, nothing showed up in the xray--it looked like a regular bone that hadn't been fractured. When it was healing, you could see the calcification around that site on the xrays, but then it went away. It does seem like you wouldn't see anything if yours was completely healed. (But don't take MY word for it! )
(I don't have a choice of whom I see since I am military)
Would it be worth it to pay out-of-pocket to see some else, even if they aren't military? |
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