Orange County Podiatry - Irvine
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I had posted to you a while back, since then I received another opinion and had surgery on 10/10/2017 for flatfoot reconstruction and also had a 3rd TMT joint Fusion for a missed dislocation of the 3rd metatarsal that I sustained when I had a lisfranc Injury 5/2016 and had a plate and screws removed over the 1st metatarsal. I had the following Procedures done:
Gastrocnemius Recession
Calcaneal Osteotomy (heel slide)
FDL tendon transfer
Removal of the accessory navicular bone
Spring ligament repair
Hardware removal 1st TMT
3rd TMT Fusion.
I was non weight bearing for 7 weeks then progressive weight bearing over 4 weeks in a boot. I have just completed 8 weeks of physical therapy, I also have custom orthotics and am wearing shoes all the time.
On 1/5/2018 I saw my doctor for a follow up appointment, he notified me that my foot has collapsed again and is as pronated and has forefoot abduction that is almost the same as before surgery. I am still having a midfoot pinching pain very similar to before surgery that hinders having any normal gait and I also am still having outside foot and ankle pain, which my surgeon feels is due to impingement from the pronation.
My surgeon had planned on removing both plates in my foot and also had said he was going to do an Evans Osteotomy and possibly a cotton Osteotomy prior to surgery, but changed course during surgery, because he thought the spring ligament repair would correct the issues. He has said that he should have removed the plate and should have done the Osteotomy.
After 4 surgeries I am very concerned about having any further Surgeries, but I also can't handle the pain I'm experiencing. If I wait on revision surgery do I pose the risk of causing more issues, or is it safe to wait at this point? Also normally for revision surgery is Fusion my only option? I'm 33 and am very worried about never getting mobility back. Lastly I live in very northern California, your office is 7 hours from me, do you have any recommendations for other opinions I could seek in the Sacramento area which would be 2-3 hours from me.
I am so sorry for the long post, I feel lost and I am not sure where to go from here. I will post x-rays and a picture of my foot in the comments.
Thank you so much for your time and consideration.
Cassidy
-Injury happened 6 weeks ago.
-Received X-rays but no displacement was shown since they were not weightbearing.
-I was told to wear a CAM boot until I felt better.
-3 weeks later I wasn't better and they ordered an MRI.
-MRI said, "The dorsal and intraosseous components of the Lisfranc ligament are thickened and edematous without clear evidence of complete disruption. The plantar portion of the ligament however inserts on the aforementioned fractured fragment. These findings are suggestive of a significant injury to the Lisfranc ligament complex."
-I then went to a specialist who did the weightbearing x-rays attached.
-He said I had 2.5mm diastasis but since I seemed stable on physical evaluation (piano key test, etc.) that I could stay with conservative treatment.
-I have been nonweightbearing -- still in CAM boot -- for the last two weeks.
What reccomendations or adivce do you have for me? I don't want unnecessary surgery (especially if the Lisfranc screw can prone me to arthritis in the future as you mentioned), but I also don't want a long-term problem. This is a confusing injury.
Your help is greatly appreciated!
custom orthotics as well which so far have not helped. When I stand barefoot on my foot it pronates severely and I lose my arch, I asked my doctor and he said "it could be expected". Do you believe that HWR could help my situation and is pronation after fusion expected? My other foot does not pronate. I also have a hard bump over the 3rd TMT joint now that wasn't there prior to the cortisone injection. Attached is an x-ray 6 weeks post op, I don't have a more recent x-ray available.
I am currently 4 years post op open reduction and fusion of the 1st and 2nd metatarsals due to breaking most of the lisfranc joint and dislocating all five toes. I originally had 14 screws and three plates which were removed a year later. I still have tremendous pain most days and now, four years out, I have arthritis setting in. My orthopedic surgeon suggest more surgery, a pain specialist thinks it's nerves. Nerve conduction study came back normal. My large toe is slowly separating from foot and I have large swelling over last three toes. Where do you find relief!? I have now lost my job and I am ready to go to an er just for relief!? Any suggestions???
How much do you charge to do this operation? I live in Texas and not sure if my insurance will cover it.
Dr. Kolodenker and the staff of OC Podiatry are dedicated to using the most modern research and advanced technology to deliver complete adult and pediatric foot and ankle care throughout Orange County, CA
Our Board Certified Foot and Ankle Surgeons, friendly and knowledgeable team provide comprehensive foot and ankle care in the Orange County Area. We are dedicated to improving and maintaining proper foot health through preventative care and by treating various conditions. We offer an array of patient care services that includes the treatment and surgery of bunions, hammertoes, fractures, sports in
Operating as usual
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16405 Sand Canyon Avenue, Suite 270
Irvine, CA
92618
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| Monday | 7:30am - 8pm |
| Tuesday | 7:30am - 8pm |
| Wednesday | 7:30am - 8pm |
| Thursday | 7:30am - 8pm |
| Friday | 7:30am - 8pm |
| Saturday | 7:30am - 8pm |
Audris Tien, DPM- Foot and Ankle Specialist in Orange County
16405 Sand Canyon Ave. Suite #270
Irvine, 92618
Dr. Audris M. Tien is the leading foot and ankle specialist in Orange County, CA. She is a board-certified podiatrist specializing in the surgical and non-surgical treatment of lower extremity injuries and ailments.
Edward S. Chin, DPM
113 Waterworks Way Ste 330
Irvine, 92618
I have been in practice for twenty years in Orange County, California. I specialize in both non-surgical and surgical treatment of lower extremity conditions.
Sima Soltani, DPM
4330 Barranca Pkwy, Ste 245
Irvine, 92604
I specialize in foot and ankle surgery from fungus, bunion, hammer toe, warts, sport injury, foot deformities, varicose veins, orthotics, etc.
Michael Coyer, DPM - Orange County Foot and Ankle Surgeon
16405 Sand Canyon Ave. Ste. 270
Irvine, 92618
Dr. Michael Coyer, DPM, FACFAS is a highly trained, BOARD CERTIFIED Foot and Ankle Surgeon specializing in all aspects of reconstructive foot & ankle surgery in Orange County, CA.