Unexplained foot pain, after kidner procedure

Question
QUESTION: Dear. Dr. Tsatsos,

I have been having some unexplained and rather debilitating foot problems for a while now, and would sincerely appreciate your input. It started about 4 years ago, when I was 19 and began having severe foot pain when I was on my feet for too long. I ended up having a kidner procedure done in both feet, to remove excess navicular bone. This was about 3 years ago. After the surgeries, I never really recovered. I regained full motion in both feet, but to this day I can't bear to be on them for more than a few minutes, standing or walking, due to increasingly severe aching in both arches. I've seen numerous doctors, both podiatrists and orthopedic surgeons, who have looked at my x-rays and MRIs and have seen nothing abnormal, and so far have had no explanation for my pain. I've had a nerve conduction test that showed no abnormalities, and the pain I feel doesn't seem to be nerve-related. It's not shooting or burning or tingling. Just very achy in the arches. It's not any worse in the mornings. If I had to pinpoint the worst of the pain, it's definitely tender if I press somewhat deeply on navicular bone, and when I'm standing, I can only describe it as a sort of tightness/achiness throughout the arch, more or less under the navicular bone. The tightness and pain extends down towards the inside of my heel and also just past the navicular towards my big toe, on inner edge of my foot. This past December I had a second surgery in just my right foot to remove the anchor that was used in the kidner procedure and to examine where the tendon attaches to the navicular bone. The surgeon did not find anything to be amiss with the tendon, and he removed the anchor successfully. But the surgery did nothing to relieve the pain, and the foot feels exactly the same as it did before. I've also tried numerous custom orthotics, ranging from high and rigid to lower and softer, with no relief. I've gone through several rounds of physical therapy targeting tendonitis and scar tissue, tried taping, braces, ultrasound, exercises and stretching, graston, steroid packs, anti-inflammatory creams, deep tissue massage, etc.. Still no improvement after about three years of trying to figure out what's wrong. Throughout these three years I have been doing my best to stay off my feet, to the point where my lifestyle is rather abnormal for someone my age. I am not overweight, and my feet are not flat, though they do overpronate. Have you had any experience with someone not recovering from a kidner procedure like this or do you have any thoughts about what the cause of my foot pain might be? Thank you so much for your time!

ANSWER: Dear Mellisa,

This Orthopedic Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618, Ukrainian Village 60622, Elmhurst 60126 & Bartlett 60103 says..
For your post Kidner procedure pain. Go seek another second opinion. The Kidner procedure sometimes does not work & so you would still have the low arch pain. There may have been arthritis present before the procedure & that could be causing pain.
We do second opinions for these kind of resistant cases.
Hope this helps & Good Luck!
Dr George Tsatsos, Svetlana Zats, Dr Mariano Rivera, Dr Massard & Dr Kurtz
Chicago 60618 & 60622, Elmhurst 60126, Bartlett 60103 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661


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QUESTION: Thank you for answering! Can you by chance recommend a doctor in the St. Louis area?

Answer
Sorry.
I don't know any personally.
Try Yelp & Zoc Doc-read the reviews. Look for someone who is Board Certified in Foot & Ankle Surgery. Perhaps a small group practice,where there are more docs & possibility of additional opinions.
Hope this helps.
Dr George Tsatsos