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is it possible my Foot pain is from ankle arthritis? |
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Question:
For the past couple days my left foot and ankle, mostly the foot, have been really hurting, way more than my normal pains. I told my mom that I have never had a broken foot, but this is how I would imagine it feels, it hurts that bad. There is swelling, but it's hard to tell how much because that ankle has stayed swollen since I had surgery on it. It's not red, but today I noticed that the inside of my foot is bruised. I haven't fallen lately or twisted it so I have no idea what’s going on. Anyone have any clues? Answer: When I broke my foot, it hurt so bad I couldn't even have the bed sheet touching it let alone sock or shoe, even ice. Second, I would be worried about a clot from your surgery. Are you sure the bruising is real bruising or is your foot turning blue? I don't know that much about blood clots. Can the clot appear below the surgery or would it have to be above? Extreme pain in my feet was one of my earliest symptoms. I had been a runner for 20 years when I started having a lot of pain in my feet when I woke in the morning. This also happened to be the year after I had given birth to my son (yes I took those dreaded HIGH iron prenatal vitamins...). I was also having severe abdominal pains and diarrhea/constipation AND problems with my menses. The later eventually ceased completely (have never returned). My Dr. suspected Rhumetoid Arthritis from the get go and I was tested a few times for that (negative each time). On the last try, a Lab Woker noticed that my transferrin numbers were way off and called my Dr. and advised that I be tested for HH. At the time my Dr. didn't know that women could get HH, let alone women in their 30's! We have both learned a lot since then and he had dx'd 2 more patients this year! Genetic hemochromatosis is a disorder of iron metabolism that results in deposition of massive amounts of iron in the tissues. Arthropathy is one of numerous clinical manifestations associated with this disease. Characteristic radiographic features have been reported in the hand and wrist, and the hip; however, there is no mention in the literature of joint manifestations in the foot and ankle. In this report, the authors present three patients with hemochromatosis arthropathy of the foot and ankle. Two patients presented primarily with foot pain and were treated initially with orthoses. One of these patients went on to have to midfoot arthrodesis performed. The third patient presented with ankle joint symptoms, and was treated successfully with an ankle foot orthosis. The arthritis of hemochromatosis has classic radiographic findings. However, the arthritis of hemochromatosis may be difficult to differentiate from several other joint diseases. Characteristic features of this disease in the foot and ankle are discussed. |
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