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Pain in 4th Metatarsal Head after Great Toe fusion

About 10 years ago I had a great toe fusion after a crush injury.
Another surgery about 2 yrs after that to fix the original surgery, they tried to take some of the pronuciation (pronation whatever the word is) off of the top of the fusion. I also have pes planus.
Over the years I have put up with a great deal of pain.
I have just learned I must not walk a lot or I have pain.
I wear Rockports and was made insoles for my shoes.
The pain on my 4th metatarsal has been slowly progressing over the years, I shave off the callus and there is only a callus in that spot on the “bad foot” and not on the good one. I can feel my bones and the 4th metarsal is huge compared to the others in that foot.
It gets so painful that it feels like I am walking on pure bone with no padding.
When this happens I start walking on the side of my foot causing ankle, knee and hip pain.
My question is this related to the fusion?
And what is this spot is a bone growth etc..?
And what can be done?
Thank you for any information you can give me.
Andrea


1 Comment found

    Vivian Abrams DPM

    9 10

    While it is possible your weight shift has caused the pain in the 4th metatarsal, it would be more appropriate to see x-rays and observe your gait in and out of shoes. There are options including different orthotics, braces, surgery and padding.You should see a podiatrist for further evaluation

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