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From: rick on 30 Aug 2006 16:50
Hello,

I'm experiencing nerve pain on the outside of my left ankle. When I
tap right above the ankle, it tingles down to the top of my foot. When
I cross my leg so as to have that ankle on top of my leg (you know,
the basic way guys sit), I get shooting pains down to mainly my 3rd
and 4th toes. Otherwise, it doesn't usually bother me that much.

Given the above, what is the name of the nerve that's controlling
this, could it be from a disk bulge (L5-S1), and if the pain isn't
coming from my back, could this possibly be Morton's neuroma or tarsel
tunnel syndrome?

Unfortunately, I'm not finding what I need on the Internet yet, so I
thought I'd ask anyone here that might help. Thanks in advance.

Rick

From: Joe Jared on 30 Aug 2006 23:20
On Wed, 30 Aug 2006 16:50:59 -0400, rick wrote:

> Hello,
>
> I'm experiencing nerve pain on the outside of my left ankle. When I
> tap right above the ankle, it tingles down to the top of my foot. When
> I cross my leg so as to have that ankle on top of my leg (you know,
> the basic way guys sit), I get shooting pains down to mainly my 3rd
> and 4th toes. Otherwise, it doesn't usually bother me that much.
>
> Given the above, what is the name of the nerve that's controlling
> this, could it be from a disk bulge (L5-S1), and if the pain isn't
> coming from my back, could this possibly be Morton's neuroma or tarsel
> tunnel syndrome?
>
> Unfortunately, I'm not finding what I need on the Internet yet, so I
> thought I'd ask anyone here that might help. Thanks in advance.


Given your description, the only missing ingredient is your gait. I'm
guessing you're walking pronated, applying most of your weight to the
smaller of the 2 bones above your ankle. Odds are, you'll need foot
orthotics with a a reasonable amount of forefoot posting to bring
your foot to the root position, and a metatarsal cutout, assuming of
course there is a callous on the outside edge of your big toe. If my
guess is right, you have 2 conditions, most likely. If you apply pressure
at the base of the first metatarsal and notice that your big toe stiffens
up, it will also affect the 3rd portion of your gait, pushing off to the
next step. Assuming you're pronated, you're forefoot strike is to your
first metatarsal, after which it collapses, and a good deal of force is
applied to the fibula. instead of the Tibia.

http://en.wikipedia.org/wiki/Tibia


In short, find a good podiatrist to prescribe a competent pair of foot
orthotics.


--
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If you see weird responses, please do not reply to them.
Simply visit http://www.oretek.com/kookwatch/

From: rick on 31 Aug 2006 13:19
On Wed, 30 Aug 2006 23:20:03 -0400, Joe Jared <joejared(a)osirusoft.com>
wrote:

>On Wed, 30 Aug 2006 16:50:59 -0400, rick wrote:
>
>> Hello,
>>
>> I'm experiencing nerve pain on the outside of my left ankle. When I
>> tap right above the ankle, it tingles down to the top of my foot. When
>> I cross my leg so as to have that ankle on top of my leg (you know,
>> the basic way guys sit), I get shooting pains down to mainly my 3rd
>> and 4th toes. Otherwise, it doesn't usually bother me that much.
>>
>> Given the above, what is the name of the nerve that's controlling
>> this, could it be from a disk bulge (L5-S1), and if the pain isn't
>> coming from my back, could this possibly be Morton's neuroma or tarsel
>> tunnel syndrome?
>>
>> Unfortunately, I'm not finding what I need on the Internet yet, so I
>> thought I'd ask anyone here that might help. Thanks in advance.
>
>
>Given your description, the only missing ingredient is your gait. I'm
>guessing you're walking pronated, applying most of your weight to the
>smaller of the 2 bones above your ankle. Odds are, you'll need foot
>orthotics with a a reasonable amount of forefoot posting to bring
>your foot to the root position, and a metatarsal cutout, assuming of
>course there is a callous on the outside edge of your big toe. If my
>guess is right, you have 2 conditions, most likely. If you apply pressure
>at the base of the first metatarsal and notice that your big toe stiffens
>up, it will also affect the 3rd portion of your gait, pushing off to the
>next step. Assuming you're pronated, you're forefoot strike is to your
>first metatarsal, after which it collapses, and a good deal of force is
>applied to the fibula. instead of the Tibia.
>
>http://en.wikipedia.org/wiki/Tibia
>
>
>In short, find a good podiatrist to prescribe a competent pair of foot
>orthotics.


That's all good advice, but I should have added that I have had
orthotics made for me for years (I'm 51). I have flat feet and
pronate inward. These orthotics may be wearing out, judging from the
shoes I wear to work (not noticeable in my Saucony's, since I get new
ones every 6 months). In the past, I've also had a heel support added
when I had an achilles tendon problem in the same foot. That problem
still flares up from time to time.

My left foot problems - maybe they're at least partly caused by not
only by flat, pronating feet - but also from my right ankle, which
suffered a bad break about 25 years ago. It is painfully arthritic at
times, so I know I have compensated all these years by putting relying
more on the left foot.

From: P M on 3 Sep 2006 11:11
rick,
have an emg and nerve conduction study done in your lower
extremity. it will pinpoint where your problem is coming from. it could
be from your spine in form of a nerve root compromise or tarsal tunnel
syndrome. a competent neurologist will diagnose your problem.

From: rick on 6 Sep 2006 19:27
On Sun, 03 Sep 2006 11:11:31 -0400, outerlimit10(a)webtv.net (P M)
wrote:

>rick,
> have an emg and nerve conduction study done in your lower
>extremity. it will pinpoint where your problem is coming from. it could
>be from your spine in form of a nerve root compromise or tarsal tunnel
>syndrome. a competent neurologist will diagnose your problem.


I'm thinking that's probably what will be necessary. I feel I should
go to my podiatrist first, then see if he recommends I have that done.
I'd like him to check my orthotics anyway.

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