Question
I was in an accident in 2005 where the heel of my right foot was almost torn completely off of my foot.  My right hip was dislocated and had an acetabular fx.  I had bone fragments in both my foot, ankle, and knee, and a large floating piece of bone around the break in my hip, somewhere around my sciatic nerve I think.  My entire right side hurts all the time. I walk good though, most of the time.  I think my foot was crushed and my ankle, because after it started to heal it became locked in a certain position, even with physical therapy.  The flat part of my foot across the top hurts all the time.  I feel like I have some shooting firey pain when I step funny through the bottom of my foot.  I have not have my foot looked at by a specialist in a long time.  I have a pace maker and can't have MRI's, so what can I do to find out what is causing the pain from my lower back all the way down.  I don't know where to begin.  I appreciate your valuable time and I look forward to your response.  Thanks again! Mary  

Answer
HI Mary,

There are other ways of making a diagnosis of a nerve problem.  There are nerve conduction studies and EMG.  In addition, nerve blocks in the back can help make a diagnosis while treating the problem.  You could have a CT scan with a pacemaker.

For the foot pain, there are some good options.  I often treat nerve injuries in the foot with neuroablation or cryosurgery. This is also known as Cryomax.  Please see my site for more details of the procedure.  www.tampacryosurgery.com

Good Luck.

Sincerely,

Marc Katz, DPM
Tampa, FL
Advanced Podiatry
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