i went to the podiatrist today...now im really screwed up

  1. and im not too happy bout it either let me tell you.

    i did 12 hours last night while walking on knives. by the end of my shift i was nearly in tears. my toe had turned black nearly three weeks ago and this horrible pain set in. went to the ER and they put me in a brace and gave me crutches. i was off a cpl days and it went away. black turned to a pretty deep purple...i went back to work and all was well with the world.

    then it came back with a vengence.
    i have a plate along my femur from a car accident. one of my legs is about an inch shorter than the other which makes me walk with a limp. of course this is the same foot. SOOOO by compensating for the toe thing i have pulled the muscles in the backs of both legs and according to this genuis...have messed up the fascia in that foot. i cant even tell you how badly it hurt to walk. and of course they downstaffed our assistants last night and i had 7 patients by myself. and of course at the end of it all we HAD to stay for an inservice on ekg machines.
    trapped in a room with a woman who handed out two sheets of paper describing how to run the machine AND PROCEEDED TO READ THE DAMN THINGS TO US.......TWICE.
    this, combined with the lack of sleep and mixed with STUPID QUESTIONS FROM MY COWORKERS WHICH REQUIRED HER TO READ THE DAMN PAPERS .....AGAIN...IN FULL....(remind me to slap them later)
    made me want to kill something.
    i could barely walk to the car and truly considered using a wheelchair....(decided not to cos everyone would think i was screwing around and id prob get written up)
    so i get home and am lucky(?) enuff to get squeezed in the podiatrists office at our hospital. i am familiar with some of their residents and the main doc is cool, however i am MOST unhappy with the doc i got.

    first of all she tells me that my toe is discolored from smoking.
    what?
    she says all my toes are red and thats cos the circulation is being cut off because i smoke. while she might have a point there and that makes sense i think its more BECAUSE I WAS ON MY FEET FOR 13 HOURS IN SHOES AND SOCKS...DUH
    i guess my great toe gets less circulation than all of them since its PURPLE AND TWICE ITS SIZE.
    (im doing toe exercises from now on to get that toe back in shape)
    she says the pain in my toe is from my toenails being cut too short
    i tell her thats not the case. i have to keep them short or i get ingrown toenails and i only cut them when they start to hurt. been doing this for probably the last 35 YEARS.
    she trims the sides of my nails.
    now for my fascia she suggests a shot of cortizone....i agree...had a spur once and that helped sooooo much.
    she injects it in the inner lateral part of my foot near the heel...i think she is going to get at the worst part laterally so i let her do it...shes the doc...NOT...NOW ITS WORSE.
    the cortisone has settled itself up against the worst part of my heel and is constantly PRESSING ON IT.

    insult to injury she tells me i can go back to work tonight...12 hours...take ibuprofen and put ice on it when i come home.

    IM HAVING HER EVALUATED BY PSYCH

    i called off...oh they are not happy with me but damn i cant hardly walk
    and i am seeing my pcp tomorrow for a referral or SOMETHING.

    you would think that nurses would at LEAST get decent medical care...

    thanks for the rant
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  2. 10 Comments

  3. by   NRSKarenRN
    A. If you have one foot shorter than the other, I hope you are wearring a lift inside shoe to help compensate or have shoe heel built up.

    B. "have messed up the fascia in that foot"--probablly pulled the muscles in foot from 12 hr shifts
    Treatments include:
    Strapping the foot (taping)
    Ice therapy
    Anti-inflamatory meds
    Whirlpool
    REst---usually 3-5 days initiall

    GET THYSELF GOOD FOOT DOC

    My female foot doc has saved me from much pain and discomfort
    ....also treated both sons who love her. Orthotic insert @ $250/pr also helped redistribute forces on foot.

    Hope your well soon....

    I also know a specialist for just about every other organ system in Philly area if anyone you ever needs one due to my family's health problems....all lived well into their late 80's and 90's with good quality of life, LOL.
  4. by   thisnurse
    when i suggested a lift to my orthopedist he did everything he could to talk me out of that. he said that it would mess up the way i walked and throw my hip out. i was intent on getting one.
    he measured the lengths about 3/4 inch difference and wrote me a perscription. i got my new shoe.
    he was right. it threw me off so badly and caused so much pain i stopped wearing it. ill take the limp any day. at least im comfortable.
    i cant explain this. i know that it doesnt make a lot of sense but at the same time i understand it.
    all of the pain i have now started with my toe. everything else is from walking on it and trying to compensate.
    this morning i got up and the pain in the heel is 10x worse. the cortisone was put in the wrong place. this really feels like a spur. ive had one on my other foot. just as painful. (this is why i spend more on shoes...i know how important it is to have a good arch)
    seems like the cortisone is pressing against the side of the spur if that makes any sense.
    all i can tell you is that it hurts terribly to walk.
  5. by   kaycee
    I feel for you thisnurse. I've had foot problems for the last 10-15 yrs. When I had plantar fasciatis the only thing that helped was orthodics. I tried all the other stuff and that's the only thing that worked. I don't know why your toes are discolored and painful. Have you ever had gout?? I have limped with foot problems for a lot of years which finally degenerated my R hip. My R foot is 1/2" shorter then my L. Now I am scheduled for a total hip replacement in July(aagghh).
    I hope you feel better soon.
    {{{{{hugs to your feet}}}}} ewwww
  6. by   ziggyRn
    hope you feel better soon...and hope you managed to get some more time off work. zig
  7. by   thisnurse
    thanks guys....
    i have gout dammit
  8. by   hoolahan
    Do you really thisnurse? It's almost as bad, if not worse than spurs. If it is gout, watch your diet carefully, and get on those gout meds asap. My F-I-L had gout in his finger joint, it became so inflamed, he took a "sterilized" pin to it, and it ended up being amputated.

    I would suugest you see a really good orthotic person, like the guys who do prosthetic limbs, they know how to measure properly, and this is their area of expertise. Call your local rehab, and ask a social worker or case manager there, if their family member needed a special device made, who would they send them too, then you'll get the best person for the job.

    My husband had an elbow tendinitis, and getting the cort inj was soooooo painful, much more painful than the original problem!

    I'll keep you in my prayers.
  9. by   thisnurse
    thanks hoolihan
    i wont be taking any kind of pin to this...trust me.
    i dont think anything would come out anyway. im hoping it just blows over quickly.

    i didnt mind the cortisone injection tho they are painful. i get them every couple years in my knees or in certain spots of the plate. of course i have to stay off my feet for a time. thats one thing i couldnt believe about that podiatrist ....she told me to go back to work that night. i was like WHAT?

    i dont know much about gout other than its an accumulation of uric acid. weird thing is i dont eat meat and i never drink.
    and come to think of it...ive only had one patient with gout and it wasnt as bad looking as this.

    i just wish i had known this three weeks ago when it started. but NOOOOO....i dont have TIME to go to the doc. i hate docs. i dont want to go....what an *******....lol
  10. by   mother/babyRN
    Oh my gosh sweetie, I hope you are feeling better soon, and as for calling in, YOU have to take care of yourSELF ( and it seems, fight for OTHERS to care for you appropriately). I wish some docs had the empathy everyone expects us nurses to have, EVEN when we're in severe pain. Hugs to you...{}
  11. by   Jenny P
    Thisnurse, ICE those feet! It really DOES help! And stay off of them! And use the NSAIDS which I'm told really help also (I dunno, I'm allergic; but my dtr. says that Aleve works better than Ibuprofen)

    Too bad your body didn't know you didn't have time for this--- maybe it's trying to tell you something? Bodys have a habit of getting our attention whenever we ignore them too much!
  12. by   kaycee
    Thisnurse, I thought it sounded like Gout. Are you taking Indocin?
    Hope your feeling better soon!!:kiss

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