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QUERIES (CLINCAL)

06/30/2012     

Query: Severe Metatarsalgia
 
This 77 y/o female underwent B/L forefoot surgery 40 years ago by an orthopedist. She has been "permanently disabled" ever since. She had two revisional surgeries shortly thereafter which also failed. She has severe B/L metatarsalgia sub 1st-5th MTPJs to the point where she can barely walk now, despite multiple different accommodative inserts/pads.

Chronic Metatarsalgia

She has received several other opinions over the years and has been told "nothing can be done." I am considering resecting met heads 2 and 5 with a 1st MPJ fusion. Curiously, she also has severe pain on palpatation of the 3rd and 4th met stumps. Any other thoughts on how to address this?
 
Judd Davis, DPM, Colorado Springs, CO