Need some Logical Thinking

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Need some Logical Thinking

Postby scaredofsymptoms on May 15th, 2014, 3:47 pm

Hi Friends,

Please talk me down (I thank Yuliasir in advance because she is always so calm and rational when I come on here).
I have been taking iron supplements for a month after the neurologist noted low levels in my blood and a lot of the weird neuro sensations in my legs (vibrating, buzzing, twitching) have calmed down to almost nothing -- which is AWESOME.

The only thing that still refuses to go away is the weird unstableness I feel in my foot. Its like when I plant my foot when I walk that it doesn't feel supported.
My right arch is lower than my left and I fight my right foot to not pronate when I walk and stand. Oddly enough it doesn't bother me as much when i run - guess the weight distribution is probably one root of the problem and I am light on my feet while running. I do notice that as my arch continues to lower my right knee is also turning in a bit and causing leg/knee pain as well.

I saw a podiatrist this morning who made me stand on my tippy toes and walk, etc. and noted that I do pronate on the foot that is bothering me.
She is making me wear a band across my foot arch like this: http://www.footsmart.com/p-footsmart-arch-sleeves-10085.aspx and said that although my arch isn't collapsed that I may have annoyed/streched out the tendon that runs behind your ankle and alongside your arch. She really didn't have many answers and I have to go back in 2 weeks to see if this foot band helps at all.

My hypochondriac mind IMMEDIATELY goes back to unexplained muscle weakness in my arch, from my foot/ankle or calf = ALS. Please please help me not go back to my neuro again for a second EMG. I had an EMG back in February in both calves and left arm and all was normal. I saw an ALS specialist in March and he noted no clinical weakness and didn't want to perform an EMG since my one in Feb was normal.
My foot feels weak and unsupported and I just feel like I am going to wake up one day with drop foot. I keep telling myself that this is month 3 of feeling this way and i can still stand on my toes, heels, stand on one leg, etc.

PLEASE talk me down into reality! Arch/foot issues don't have anything to do with MND right?
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Re: Need some Logical Thinking

Postby Yuliasir on May 15th, 2014, 10:59 pm

well, thanks for good words,
and here was a fellow here who had really bad issues with the foot (in fact it was curved) but still it was not MND - pity I do not remember his nickname...

flat arch is a common issue. unilateral flat arch is also possible. when your arch is flat, it alters all the muscle work and tendons operation so it is really possible to have tendinitis and other unpleasant issues which may lead to changes in the gain. People often invent very strange positions to compensate pain or other unpleasant feelings, so gait changes sometimes could be significant and what is worse, they create positive feedback loops, which means they are worsening with the time, tendinitis lead to muscle tension, it increases tendinites, more pain and discomfort, more changes, more unnatural position etc. etc.

MND leads usually to foot drop which is very clear for any experienced doctor, and for the victim itself - it is the inability to lift and hold it paralle to the ground, the foot is usually dragged etc. As your podiatrist does not suspect that and since you are able to walk on heels and toes, it menas that your leg muscles work properly, and you just have gait change due to strange feeling.
Did she also suggested a special shoe insert to compensate your arch flatness?
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Re: Need some Logical Thinking

Postby scaredofsymptoms on May 16th, 2014, 11:40 am

Yuliasir wrote:well, thanks for good words,
and here was a fellow here who had really bad issues with the foot (in fact it was curved) but still it was not MND - pity I do not remember his nickname...

flat arch is a common issue. unilateral flat arch is also possible. when your arch is flat, it alters all the muscle work and tendons operation so it is really possible to have tendinitis and other unpleasant issues which may lead to changes in the gain. People often invent very strange positions to compensate pain or other unpleasant feelings, so gait changes sometimes could be significant and what is worse, they create positive feedback loops, which means they are worsening with the time, tendinitis lead to muscle tension, it increases tendinites, more pain and discomfort, more changes, more unnatural position etc. etc.

MND leads usually to foot drop which is very clear for any experienced doctor, and for the victim itself - it is the inability to lift and hold it paralle to the ground, the foot is usually dragged etc. As your podiatrist does not suspect that and since you are able to walk on heels and toes, it menas that your leg muscles work properly, and you just have gait change due to strange feeling.
Did she also suggested a special shoe insert to compensate your arch flatness?


Yeha I think I am having a case of tendonitis in the foot that pronates. It does alter the muscle work and just makes my foot feel so different from the other one.
I can stand on both heels and walk pretty easily so I know I don't have foot drop. I guess I will keep on trudging through this knowing that as long as I don't have foot drop that it can't be MND. Thanks for the talking down Yuliasir.

And yes, if i like the foot arch device she will custom make me an insert in my shoes when i go back in 2 weeks.
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Re: Need some Logical Thinking

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