Discussions By Condition: I cannot get a diagnosis.

Swollen foot

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: Anonymous
  • October 18, 2007
  • 06:17 PM

My mother has not been able to walk for about 3 months, due to her left foot. She uses a wheelchair to get around in the house. Her foot doc took xrays and determined that she had Achilles insertional tendinitis and possible plantar fasciitis. There was a heel spur. He also believed that her continued swelling even though she was on diclofenac for over three weeks was due to rheumatoid arthritis. So, she took a bunch of blood tests to see if she did have arthritis. Her results were unremarkable, no arthritis. We then went back to see the foot doc again. The pain that my mother had at the back part of her leg was no longer there, but the pain had now moved to her heel area, especially the inner side of her heel. If you pressed you thumb on her heel she could feel the pain and she also had a feeling of blood pooling at the heel if her foot was down. Her foot was still swollen. The doctor said that she had plantar fasciitis.

We have tried just about all the home therapy exercises and stretches. The ice, the elevation, the rest, the hot/cold water therapy, hot/cold towels, OTC arch supports, night splints, massage, warm pool visits, . . . etc. Because my mother does not have insurance, I have been reading everything I can on these conditions and reading up on physical therapy books so I can help her out. We have been going every day to an aquatic center where they have a warm pool. She uses an stationary exercise bike at home. She is a very healthy eater so I know that is not a problem. She is normal to thin in weight.

After 3 months, she was starting to get the swelling down a bit and had started to walk a bit while holding onto her wheelchair. Then, suddenly, her foot was swollen again as it was 3 months ago. The whole bottom of her foot, from the ball of her foot to the entire heel area is swollen. She only has pain at the heel of her foot. I am worried that it might not be plantar fasciitis at all and I am also worried because having swelling in her heel for so long may cause other problems. Do people who have plantar fasciitis have swelling for extended periods of time?

We are at a loss. If there is anyone out there that can help us find a solution, it would be greatly appreciated.

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3 Replies:

  • Try this site: http://www.footsmart.com/HealthCondition.aspx?ailmentId=116
    aquila 1,263 Replies
    • October 19, 2007
    • 07:28 PM
    • 0
    Flag this Response
  • Progressive Flatfoot (Posterior Tibial Tendon Dysfunction) Tendons connect muscles to bones and stretch across joints, enabling you to bend that joint. One of the most important tendons in the lower leg is the posterior tibial tendon. This tendon starts in the calf, stretches down behind the inside of he ankle and attaches to bones in the middle of the foot. The posterior tibial tendon helps hold your arch up and provides support as you step off on your toes when walking. If this tendon becomes inflamed, over-stretched or torn, you may experience pain on the inner ankle and gradually lose the inner arch on the bottom of your foot, leading to flatfoot. Signs and symptoms of progressive flatfootPain and swelling on the inside of the ankleLoss of the arch and the development of a flatfootGradually developing pain on the outer side of the ankle or footWeakness and an inability to stand on the toesTenderness over the midfoot, especially when under stress during activityIt doesn't say much about swelling, but look it up.
    rad-skw 1,605 Replies
    • October 20, 2007
    • 10:00 AM
    • 0
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  • I too had a problem with my left foot swelling but only it was on the top of it and the ankles and toes,much like a pregnant womans foot would swell only it never went down. my right one swells too but always goes back to normal size when i get off it. but the left one never does. Had the heel spurs and everything for about 3 months recently in the same foot, so when ever possible i would go bare foot or wear a different pair of shoes other than my work shoes.The swelling never went down but the spurs finally went away. I too was a little nervous about something maybe being wrong with my heart or leg circulation or something and i had two doctors look at it at about 6 months apart and they both said the same thing. I have plenty of oxygen going to it and my pulse is good down by my footso there isnt anything to worry about. my foot has now been really swollen for a year and a half now. I would make sure your mom has them check the pulse and oxygen level down there the next time she goes in. Good Luck to both of you.
    Anonymous 42,789 Replies Flag this Response
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