c j wrote:
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it looks exactly like the movie ...on both feet only the left one is worse....the pain does extend in to all my metatarsal bones or joints down to my toes, but not including my toes...CJ
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Okay, CJ Here's . . the REST of the story!
What you saw on the movie was an enlargement of bone on the top of the base of the first metatarsal bone and the top of the first cuneiform bone. This joint is known as the first metatarsal-cuneiform joint, and although it does not offer a great deal of motion, when it becomes osteo-arthritic and especially when the bone on the top of the joint is irregular (exostotic) bone rather than the smooth bump as depicted in the movie, there is a blocking of upward flexion (called dorsi-flexion) of the joint. Wherever there is joint movement and it is physically stopped by a bone to bone contact, it's as if one threw a wrench into a gear box and caused the gears to crunch to a sudden stop. NO motion is better than a little motion in this respect, and if the bone to bone contact COMPLETELY stopped all motion of the joint, you likely would have less pain. But as long as the joint cartilage is still functional, the general procedure is to remove the bony bump as depicted on the video. This is a relatively simple procedure and other than an occasional paresthesias (changes in sensation) from irritation or entrapment of the sensory nerves whic pass closely above this area, it is not generally fraught with too many problems.
The other consideration is that it is not unusual that this bone situation exists along with and likely causes the formation of a ganglionic cyst or a synovial cyst. Both of these are delicate tissue sacs filled with a jelly-like substance, and they can range in symptoms from very annoying to frank pain. A ganglionic cyst would arise from a tendon in the area and a synovial cyst would arise from the synovium (a tissue which lines the joint space) of the joint. If present, these benigh masses should be carefully removed, hopefully without breaking the delicate sac, as recurrences rates for the cysts are high if the sac tissue is left in the foot and if the sac is ruptured during surgery, the jelly runs out and finding all parts of the sac can be difficult.
I have tried herein, as best I can, to use terminology that can be understood by a non-professional in the field, and when one does this, he cannot be as explicit as could be done with hard-core medical terminology.
If what I have told you is not clear, let me know.
Go see a Board Certified foot and ankle specialist
(ABPS Certified)for confirmation and treatment as he sees fit.
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