Orthopedics/ankle pain

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Question
hi doctor....
my mom is 53 years old and is suffering from pain in the left ankle the pain is some times burning in the sole and some times pain with pressure from walking on it, and the pain also in some times become in the tendenious part over the ankle bone;also she noticed that it may be in both foots in some days
its really painful and annoying for her
she went to doctors and uric acid analysis is normal ; x ray scan also is normal
she has history of lumber disc protrusion in L4;L5;L6 but doctors said it is very mild ;and history of gout
she is now trying analgesics local and IM and also take vitamin B6 injections , and gout treatment but the case dose not improve
i admit that with meat the pain increase in the second day but the uric acid analysis is free ....
please give me your advise because it really hurt me that i can not help her and as a medical student

Answer
Dear N.A.,
This Orthopedic Chicago Podiatrist located in West Loop 60661,Roscoe Village 60618, Elmhurst 60126 & Bartlett 60103 says...
For the ankle pain--Uric acid in blood analysis  may be negative often, due to the fact that blood uric acid levels return to normal after an attack. A joint analysis for uric acid crystals may be a better test.
Do your homework as to other labs that may indicate gout(not necessary to do-just for you to know).
Try to seek a second opinion-perhaps in a university. A history of gout in the ankle would not produce a "normal x-ray". There would be some arthritic indications.
For gout-have her drink as much water as possible. Avoid coffee & tea. Avoid meat until the attack subsides and then eat a little maybe 2X a week-- Download a gout diet from the internet.(low protein-increase carbs and certain vegetables). Minor bulging of L4, L5 could also produce some symptoms you are mentioning.
Hope this helps
Good Luck!
The podiatrists of AnkleNFootCenters.com are specialists in orthopedics and sports medicine.
We are located in Chicago & Elmhurst

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661


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Dr George Tsatsos

Expertise

All questions related to orthopedics of the Lower Extremities-with a specialization in Foot & Ankle Orthopedics & Surgery-Adults & Children Sports Medicine questions of the lower extremities-including runner's injuries. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating to foot and ankle problems in Children, Sports medicine of the foot and ankle Runner's and walking problems

Experience

Board Certified in Surgery & Orthopedics of the Foot & Ankle. PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, since1980. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, since 2008 Organizations

Organizations
Member American & Illinois Podiatric Medical Association Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

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