Hi, I have had multiple operations on my right leg as one leg is shorter than the other. The operation was kind of successful as my leg is now the same length but I have had problems after the operation as I can't place my foot flat on the floor, I have always stood on my tip toe. This is not habit, it is birth defect. I have always had this problem but never had bad pain. Now if I walk for more than a few hours, the next day I will have to walk on my crutches the pain is that bad. The consultant said there is nothing more they can do as the operations they were suggesting were too risky and could lead to worse problems. From what I can remember since the last time I saw the consultant was a year ago (2 years since last operation) was that the ankle joint would not allow my foot to bend upwards. My question is, will doing lots of walking eventually make my ankle get used to it or will it make it worse. Apologies for the poor explanation but it is a complicated problem.
Thank you for your time.
Hello Daniel, Medicine loves to intervene in what I consider this extreme way to a leg length inequality, but what's done is done. Water under the bridge...
We consider the irritation of an insert in the shoe of the short leg, or under the shoe much less than the troubles you are having.
What is not quite clear: Have you walked on your toes since childhood, or since the operation?
You are clearly unable to dorsiflex your foot. This could be a joint problem in the ankle mortice joint, or a short achilles tendon. It can also be a problem that is central in nature- from the spinal cord or brain.
My recommendation is: first a good chiropractic examination so find where the limitation is. That ankle joint can be mobilised and adjusted, and the achilles stretched.
Secondly, I would start walking with a heel (both shoes). Beetle boots! That will take the stress off the lower leg. And provided you continue stretching the achilles and ankle mortice shouldn't cause further troubles down the road.
Which Newcastle, Daniel? UK or SA or other?
Could you send me a digital copy of the X-ray of your ankle?
1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.
2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.
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He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.
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6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.
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11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.
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since working above his head. Trapped nerve tests are negative but he
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he is 50 percent better. Can we reach 90?
And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.
Greetings, Dr B. You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.
Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
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