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Forefoot pain s/p bunion sx

Discussion in 'General Issues and Discussion Forum' started by podiatry05, Jun 11, 2009.

  1. podiatry05

    podiatry05 Member


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    I have few pt that complain forefoot metatarsalgia like pain under metatarsal head anywhere b/w 1-3 s/p bunion sx with either with proximal or distal procedure anywhere 3months- few yrs post-op. I usually tx them with custom inserts once swelling had decreased and issue forefoot gel cushion with padding plantarly. I also recommend new/wider shoes and give out Nsaids. Orded MRI which r/o other causes of pain. I also know some time this pain can be due to fixation techniques that lead to dorsiflexion/plantarflexion, angulation or screw placements in 1st ray the lead to tranfer lesion. However, I find the xray to be near anatomic and clinical exam was unremarkable. I check for metatarsal parabola ie. long 2nd met vs short 1st ray and equinus to r/o etiology for forefoot pain. question is do you do redo this bunion sx if they dont have any bunion pain symptoms? I usually wait 6 months for any redo sx. If so, what would you do? What am I missing? any help would help. Thanks
     
  2. Nat

    Nat Active Member

    What does the bolded part mean?
     
  3. podiatry05

    podiatry05 Member

    I'm sorry. typing to fast. omit that part. should be just s/p bunion sx
     
  4. podiatry05

    podiatry05 Member

    No taker to answer this problem? There should be a good book on revision sugeries with foot and ankle.
     
  5. Nat

    Nat Active Member

    Can you re-state your question? I still can't decipher where exactly the patient's pain is based on your original post.
     
  6. podiatry05

    podiatry05 Member

    pain at distal portion of metatarsal head region. 1st metatarsal to 3rd Metatarsal.
     
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