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  1. #76
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    Any recommendations for a doctor in the Aspen/Vail area that does the surgery DTM describes? Also curious how they deal with it if it's both feet. Surgery at the same time? I've been dealing with it in both feet for about 8 years and I think I'm ready to throw in the towel and get surgery, now that I've hit my out of pocket max for the year.

  2. #77
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    Quote Originally Posted by funkendrenchman View Post
    Any recommendations for a doctor in the Aspen/Vail area that does the surgery DTM describes? Also curious how they deal with it if it's both feet. Surgery at the same time? I've been dealing with it in both feet for about 8 years and I think I'm ready to throw in the towel and get surgery, now that I've hit my out of pocket max for the year.
    Is your insurance on the calendar year? Guessing at this point having both feet done in the next week is out. As far as doing both feet, I think I would space them apart to the point that you can walk "normally" but not far enough apart that total return to activity is prolonged. Maybe 2-3 weeks apart? I'm sure the surgeon will have better advice.

  3. #78
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    Question for those that have had the surgery some time ago. I'm almost six months out now, and still get sore with certain footwear and with a lot of walking. I have done 3 moderate (3-4k foot) tours this year and the one yesterday left me super sore, to the point that I cut a dog walk short last night. Does this continue to improve with time? Can I solve this with orthotics? New normal?

  4. #79
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    Haven’t had the surgery but definitely feel better in ski boots once I had a metatarsal arch put in my insoles.
    Have you tried that?

    Also a wide boot or a super heavy punch.
    My ace boot fitter didn’t want to punch it as much as I wanted. Then he turned me into the Lange 130 flex high volume boot.

    Also everyday shoes in wide. Wide shoes do suck for more active sports like tennis.

    Is the pain post surgery different? Still intense stabbing? Or milder?
    ďLife has become immeasurably better since I have been forced to stop taking it seriously.Ē
    Hunter S. Thompson

  5. #80
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    Quote Originally Posted by Core Shot View Post

    Is the pain post surgery different? Still intense stabbing? Or milder?
    Definitely a different pain. No stabbing or popping or burning. Just sore. Once it's sore different shoes don't seem to make much difference.

  6. #81
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    Quote Originally Posted by Core Shot View Post
    Havenít had the surgery but definitely feel better in ski boots once I had a metatarsal arch put in my insoles.
    Have you tried that?

    Also a wide boot or a super heavy punch.
    My ace boot fitter didnít want to punch it as much as I wanted. Then he turned me into the Lange 130 flex high volume boot.

    Also everyday shoes in wide. Wide shoes do suck for more active sports like tennis.

    Is the pain post surgery different? Still intense stabbing? Or milder?
    Where do you punch the boot wide? 6th toe or a little further toward the arch? Iíve had the 6th toe punched for years and it stills bothers me. Maybe even further?

    I might try a metatarsal arch again. Tried it before and it didnít do much. Maybe I need to mess around the the placement more.

  7. #82
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    Jul 2005
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    Verdi NV
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    Quote Originally Posted by Core Shot View Post
    Read all the threads here, but have not seen much on treatment options other than Haydukelives that got one cortisone injection and was cured.

    For those that dont know, I describe it as having a red hot scrwdriver jammed between the 3rd and 4th toes in the ball of the foot area. At first it flared up on the endless sidestepping days in Granite. then it would flare up just from a long day of skiing hard. Have had custom ski orthotics (some with met pad moldings) for 25 years.

    More recently, have shifted to wider ski boots, metatarsal pads, custom orthotics, wider street shoes, icing, etc etc.
    Those things have made it better, but now its the point where it hurts most days, even when not skiing.

    So, its seems there is:
    1) cortisone injections
    2) alcohol injections
    3) surgery

    Anyone tried any of the above and had good or bad results?
    Did you try GABAPENTIN designed for nerve pain.
    Own your fail. ~Jer~

  8. #83
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    Quote Originally Posted by funkendrenchman View Post
    Where do you punch the boot wide? 6th toe or a little further toward the arch? Iíve had the 6th toe punched for years and it stills bothers me. Maybe even further?

    I might try a metatarsal arch again. Tried it before and it didnít do much. Maybe I need to mess around the the placement more.
    punch about an inch behind the base of the little toe, widest part of the foot(at least for my foot).

    Then a metatarsal pad almost in the middle of the foot, farther back than you would think.



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  9. #84
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    Quote Originally Posted by MTT View Post
    Did you try GABAPENTIN designed for nerve pain.
    I have Morton's for about 3 years, then i punched my boots, wider shoes, and it went away in a couple of months.

    It is caused by mechanical problems, tight shoes and it can only be solved by mechanical means, plenty of room in your shoes

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  10. #85
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    Quote Originally Posted by MTT View Post
    Did you try GABAPENTIN designed for nerve pain.
    I found it worthless--at 1800mg/d--for nerve pain from lumbar stenosis. OTOH the lumbar stenosis cured the pain from my plantar neuroma because that part of my foot is now numb. C'est la vie. I've had patients who said it worked for them but I think in general it is overhyped--people are desperate for an effective non-narcotic pain medicine. In the past various anti-seizure drugs and older anti-depressants have been tried for chronic pain. Gabapentin is just the latest.

  11. #86
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    Quote Originally Posted by old goat View Post
    I found it worthless--at 1800mg/d--for nerve pain from lumbar stenosis. OTOH the lumbar stenosis cured the pain from my plantar neuroma because that part of my foot is now numb. C'est la vie. I've had patients who said it worked for them but I think in general it is overhyped--people are desperate for an effective non-narcotic pain medicine. In the past various anti-seizure drugs and older anti-depressants have been tried for chronic pain. Gabapentin is just the latest.
    Thought I would throw it out there. It did nothing for me. It did not help my leg pain. Because it's not nerve related.v My issue is blood flow . And thats a pretty big deal. I had a sonogram and the tech looked very concerned but did not share. And the Cardiologist never got back to me. Now I am unemployed with no medical insurance. And a leg that goes out with severe pain after about 1 min of use - Like walking
    Own your fail. ~Jer~

  12. #87
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    Quote Originally Posted by rod9301 View Post
    I have Morton's for about 3 years, then i punched my boots, wider shoes, and it went away in a couple of months.

    It is caused by mechanical problems, tight shoes and it can only be solved by mechanical means, plenty of room in your shoes

    Sent from my Armor_3 using Tapatalk
    Doc said my mechanical issue is related to my freakishly long middle toes. I've gotten relief once I went to 100+ last on my ski boots, cushioned insoles, and stiffer sole/ wider shoes. Right foot cleared up completely. Left foot I have to use metatarsal pads with a notch cut out of them and that keeps the pain at bay.

    As for gabapentin, I was on that for about a year for a seperate issue that was nerve related. It did help with nerve pain but it scrambled my brain as well. I'd have to think long and hard before going back on it.

  13. #88
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    Anyone have luck with calf stretching?

  14. #89
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    I probably said this before but don't go overboard on the loose shoes thing. What worked for me in ski boots was excellent heel and ankle hold so that the lower buckles are loose enough to barely stay closed (most of the time). My boots are 98 mm last, my foot width is D.(Tecnica Mach 1 130LV). In hiking boots, lacing so that the lower laces are loose while the uppers are tight (twist the laces around each other halfway up or reverse through the lacing holes or hooks to that the upper and lower lacing are independent).

  15. #90
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    Quote Originally Posted by old goat View Post
    I probably said this before but don't go overboard on the loose shoes thing. What worked for me in ski boots was excellent heel and ankle hold so that the lower buckles are loose enough to barely stay closed (most of the time). My boots are 98 mm last, my foot width is D.(Tecnica Mach 1 130LV). In hiking boots, lacing so that the lower laces are loose while the uppers are tight (twist the laces around each other halfway up or reverse through the lacing holes or hooks to that the upper and lower lacing are independent).
    I the same with hiking shoes. I lace them lose low, then i use zip ties to hold them together, then lace tight higher up.

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  16. #91
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    Quote Originally Posted by old goat View Post
    I probably said this before but don't go overboard on the loose shoes thing. What worked for me in ski boots was excellent heel and ankle hold so that the lower buckles are loose enough to barely stay closed (most of the time). My boots are 98 mm last, my foot width is D.(Tecnica Mach 1 130LV). In hiking boots, lacing so that the lower laces are loose while the uppers are tight (twist the laces around each other halfway up or reverse through the lacing holes or hooks to that the upper and lower lacing are independent).
    I can agree with this. I just had some Nordicas blown out to make the forefoot nice and wide and then I compared them to my Salomons that fit like a vice grip and have a pretty narrow forefoot ( lower buckle is barely buckled). My neuroma feels best in the Salomons

  17. #92
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    Makes sense for a ski boot. Without good heel hold your weight shifts forward onto the ball of your foot.
    ďLife has become immeasurably better since I have been forced to stop taking it seriously.Ē
    Hunter S. Thompson

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