Chiropractors/toe numbness

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Expert: - 10/19/2007


Question
Hello, I am 43 years old, mother of 6 kids, height 159 cm, weight 66 kg.I feel my 3rd & 4rth toes of my right foot go numb even on the bottom I mean the area under these toes go numb sometimes when I walk or drive. Can you please help me is this begining of sciatica or something else?? Thanks alot and sorry to take your time.

Answer
Hi Sara,

I don't think it is sciatica, it does sound like an inter digital neuroma. This is a benign mass of nerve tissue pressing against one of the nerves that feed the toes. Common misuse of "Mortons Neuroma" is vernacular that can be misleading and should be avoided.

Here is a study explaining why...........

http://www.japmaonline.org/cgi/content/abstract/95/3/298

I recommend to go to a foot and ankle clinic armed with this study............

http://clinicaltrials.gov/ct/show/NCT00284583;jsessionid=C9109E4E0F80D0657A4276B...

This will improve outcomes many times because you'll know what is "standard" protocol treatment and what is experimental. I want to emphasize that experimental treatments are often superior to standard ones, as long as they are not part of a sham study or highly invasive or expensive. If it were my foot, I would just have the thing cut out.


Good Luck!

Dr. Timothy Durnin

Chiropractors

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Dr. Timothy K. Durnin

Expertise

Anything Chiropractic related, Internal Medicine, Neurology, Hematology, Physical Therapy, Orthopedics Herniated or Slipped disc problems, Sciatica, Carpal Tunnel Syndrome, Spinal Injuries, Arthritis, Nutritional Advice, Diet and exercise, Supplement Knowledge, Orthotics, Laser Therapy, Pinched Nerves, Imaging Interpretation,(X-ray, MRI, Ultrasound, CT ect), any and all Neuromusculoskeletal Disorders. Expert Witness for 19 yrs, dealing with Medical Malpractice, Personal Injury, Workman's Compensation, Medicare and HIPPA issues. Active in clinical practice for 16+ yrs, I am a second generation Chiropractor, my father practiced for over 50 yrs in private practice and as a Diplomat in Radiology (DACBR) Currently on staff at Olympia Fields Osteopathic Hospital, active in private practice with several disciplines including Pediatrics, Orthopedic Surgery, Family Practice, IME's and Internal Medicine M.D.'s.

Experience

I own or am actively involved with 24 multidisciplinary clinics in the Chicago area employing M.D.'s, Orthopedic Surgeons, Pediatrics and Family Practice. My home practice is a continuation of my fathers which has existed for more than 55 yrs.

Organizations
AASP, ACA, ICS, AASP, AOPA, CPA, BBB, FCER, PADI

Education/Credentials
B.S./D.C. National College of Chiropractic 1991 Board Certified AMA impairment ratings. Presidential Cabinet Member NUHS. Phi Theta Kappa National honorary fraternity

Awards and Honors
Phi Theta Kappa/Who's Who in America Chiropractor of the year award 2001

Past/Present Clients
Many Chicago Bulls players

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