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I've worn orthodics for years, but apparently they did extra damage. The joint with all the trouble is the one that lets you invert and evert your foot (turning sole up or out). All other movements are fine, but the orthodics put too much stress on the joint.
The cortisone shot was great - once the burning went away! LOL
I have bone-on-bone OA in my right mid-foot. I was told of 4 options:
1.) try Dansko shoes with clog-type stiff soles. They semi-immobilize the foot because the sole doesn't bend. They helped me a lot. I especially liked the sandals (in warm weather) because I could adjust the buckles to fit snugly and they look good. They are available online, at good shoe stores and at stores like Work Wear that sell uniforms because lots of nurses and medical professionals wear them. www.dansko.com/Womens/Footwear/View%
The thin-soled sandals and sneakers look like the sole would bend; you want the thick clog-type sole that can't bend.
2.) custom orthotics. I just had these made and picked them up. Mainly because I can't wear clogs to work out or go out in winter weather, I wanted something to be able to avoid pain with sneakers and winter boots, even slippers in the house.
3.) cortisone shots, guided by some kind of x-ray. I was told these provide temporary relief for maybe 3 - 6 months, but weaken ligaments and stuff, and are tough to get in the joint space since I have little to no joint space there any more.
4.) Surgery to fuse the joint. The downsides are 3 months of recovery, not being able to drive for months because it's my right foot, and scaryiest of all for me, coming off all RA meds because they inhibit healing. Sometimes when a joint is fused it puts more strain on adjacent joints and can lead to other problems in the future.
Yours is a different but nearby joint, so I don't know if the first two would help you. might be worth a try if your doc concurs. Buying shoes is a lot easier than going through surgery and recovery!
Best wishes, Janis
P. S. I have had two TKRs, 3 months apart so I could speak to that too.
Hi Michelle I have had four pip joints fused in fingers and have no pain in those four fingers any more but now I am on waiting list for LTKR in knee right knee to be done later finger and
Other small joints gave ra knees and elbows have oa
This is the latest diagnosis for me. They have recommended fusing my talar-calcaneal joint in my foot. They've promised NO PAIN if I do it. I am sooooo tempted, but I don't want to go down that road yet. I've been living with the pain for 10 years, and on a daily basis, it's a chronic 3. But then there are days where I can't even flex it because of the pain. I've opted for the non-invasive treatment - cortisone and therapy.
So...has anyone been diagnosed with it? What treatments have you opted for? If it's been fused, I want to hear the success stories only please. Has anyone had the joint replaced instead of fused?