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Dr Anil Kumar
Dr Anil Kumar, Doctor
Category: Medical
Satisfied Customers: 6552
Experience:  M.D with over 30 years of experience in practice.
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Why are the tendons in my feet tightning up making my feet

Customer Question

Why are the tendons in my feet tightning up making my feet ache when laying flat. I've had needlesin my legs, x/rays, blood flow tests and vitamins defeciency test and all are normal.
Submitted: 5 years ago.
Category: Medical
Expert:  Dr Anil Kumar replied 5 years ago.
Do you have any history of diabetes ? Thyroid problems ?
Alcohol ?
What is your age and gender ?Duration of symptoms?
What investigtions have been done so far ?
Customer: replied 5 years ago.
I am a male, 72 years old. I really don't remember when it started but apx 1 year ago. No diabetes, thyraoid or alcohol problems. I have not had a sick day in my life. No childhood sickness, not even a headache. I have a home gym and work out most every mornings for apx 30 minutes plus a live on a lake and kayak 3 times a week against 10 to 20 m/p/h winds. Doing a kayak marathon (15 miles) April 18th. My sex life is good. My wife is 15 years younger than me. I don't remember the names of the test done but they sent electric empulses thru my legs for nerve damage and smear gel on my legs and watch the blood flow for blockage and drew blood to see if I had any vitamin defeciencies. All came back normal. This happens to both my feet at the same time. It starts just below my shin bone and some times it feels like I have socks on. It is very livable but I don't want it to get any worse. The biggest problem is the tendons the run across my big toes and the tendon that runs across my arch under my foot tighten up the most. That is the only problem that I can relate too. I have it now after having a good nites sleep but not a bad as when I lay down. Any suggestions would be appreciated.
Expert:  Dr Anil Kumar replied 5 years ago.
Following differential diagnosis needs to be considered .

Gouty Arthritis .
Since the condition is bilateral your serum uric acid needs to be checked to rule out Gouty Arthritis especially since the symptoms are pre-dominant in the Big Toe .
http://arthritis.about.com/od/gout/g/goutdefinition.htm

Tarsal Tunnel Syndrome . Patients with tarsal tunnel syndrome usually complain typically of numbness in the foot, radiating to the big toe , pain, burning, electrical sensations, and tingling over the base of the foot and the heel.
http://www.caringmedical.com/conditions/Tarsal_Tunnel_Syndrome.htm

Apart from these your RA factor, CRP,ESR etc need to be done .
You need to be seen by a Podiatrists for further evaluation and management .

I hope this helps
Dr Anil Kumar, Doctor
Category: Medical
Satisfied Customers: 6552
Experience: M.D with over 30 years of experience in practice.
Dr Anil Kumar and 6 other Medical Specialists are ready to help you
Customer: replied 5 years ago.
Dr. Kumar. I thanks you so much for your diagnosis of tarsal tunnel syndrome. I think you hit it on the head. Sounds exactely what I have. Is there over the counter meds I can take or do I have to get a prescription for medication?? .
Expert:  Dr Anil Kumar replied 5 years ago.
Treatment options include

Rest. Staying off the foot prevents further injury and encourages healing.
Ice. To reduce swelling in the tarsal tunnel, apply a bag of ice over a thin towel to the affected area for 20 minutes of each waking hour. Do not put ice directly against the skin.
Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
Immobilization. Restricting movement of the foot by wearing a cast is sometimes necessary to enable the nerve and surrounding tissue to heal.
Physical therapy. Ultrasound therapy, exercises, and other forms of physical therapy may be prescribed to reduce symptoms.

Customer: replied 5 years ago.
As active as I am, I'd rather live with the pain than go to the extreme and not able to excerise so I'll try the pain medicine and hopes that works. I appreciate your diagonsis. My main concern was that it might have been the start of some disease such as MS. Your help is greatly appreciated.
Expert:  Dr Anil Kumar replied 5 years ago.
Women are more likely to develop multiple sclerosis than are men. .
Multiple sclerosis signs and symptoms may include:

Numbness or weakness in one or more limbs, which typically occurs on one side of your body at a time .


For further reading
http://www.mayoclinic.com/health/multiple-sclerosis/DS00188
Dr Anil Kumar, Doctor
Category: Medical
Satisfied Customers: 6552
Experience: M.D with over 30 years of experience in practice.
Dr Anil Kumar and 6 other Medical Specialists are ready to help you

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