Bunion Pain Treatments - HalluxCare Orthopedics

Hi everyone, I've had painful red/pink, bruise like spots on the outer side of both heels, in nearly the same location, for almost a year. I've seen several foot surgeons and a dermatologist, but no one has been able to identify the cause. My symptoms: The pain feels like the bruised areas are going to burst from the pressure, especially after standing or walking. The spots hurt when touched or pressed. When I press on them, they temporarily turn white, then the color returns. The discoloration can look worse after activity and never completely went away, even after about two months of bed rest. My left foot MRI and X rays were reported as normal. Please disregard the peeling skin on my right foot in the photos. I believe it may be a side effect of the clobetasol propionate 0.05% cream and is separate from the painful, discolored spots. My medical history: I have plantar fasciitis and ATFL problems. I had right foot surgery for an osteochondral lesion (OCD) and an ATFL injury about two months ago. However, these spots started before surgery and affect both feet. Doctors initially thought it might be shoe friction or pressure, but the discoloration persisted even while I was mostly resting after surgery. Treatments I've tried: Ice, heat, herbal rubs, a TENS machine, and clobetasol cream. Acupuncture and meloxicam are the only things that consistently help, but the pain eventually returns. Because the spots affect both feet in nearly the same location, I'm unsure whether this is a skin condition, soft tissue inflammation, a mechanical problem, or something else. Has anyone experienced anything similar? Did you eventually get a diagnosis? Were there specific tests or specialists that helped? I've seen several specialists without getting an answer, so I'd really appreciate hearing about your experiences. Thank you!

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Socks with Tevas. Sometimes toe socks, because sometimes my big and second toe get irritated from pressing against each other (bunions too). I also have some Sorel slippers with arch support, but here in California it's too hot to wear them until at least November.

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I have this mate. I dont know what it is after many x rays, mri's and tests. The best I've found is stretching achilles and calf muscles. Feet strengthening and icing / hot soaking feet at end of the day. Pain is much much better but hasn't gone away

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I fell about 8 years ago and tore both my Peroneal tendon, CFL and ATFL ligaments. Long story short 3 surgeries later everything is technically intact and the surgeon was able to reattach my peroneal along with both ligaments and I have stability and am pain free for the most part while I stand. The problem is when I walk and my ankle externally rotates right before push off into plantar flexion. I have a bunch of scar tissue in my ankle socket, around the talus and talar dome that’s preventing internal/external rotation and by proxy a limited dorsiflexion. I’m a solid 7/10 but I can tell walking around on this the rest of my life is going to cause a lot more progressive problems (I’m already starting to have issues with my knee.) Anyways I met with the ankle specialist who did a standing CT and told me I have considerable scar tissue which is most likely my problem. He didn’t see any tears or arthritis throughout my ankle. He recommended a steroid injection to “assess for the likelihood of a positive outcome from surgery” and lo and behold for three 3 days that injection lasted I felt 16 again within 24 hours of the shot into the frontal plane of my ankle socket my entire gait and biomechanics changed, my ankle gotten considerbly smaller and I felt like I could jog and squat again (something I haven’t been able to do without pain since my injury.) Anyway before I meet with him again I’m curious has anyone had a surgery similar to this where the sole intention was to remove scar tissue? He said that scar tissue can reform after surgery which seems risky, but I also read where immobility is the biggest factor for scar tissue formation. Last surgery I had I was immobilized for 8 weeks this time I think I would be immobilized for probably around 5 7 days. Curious if anyone has any thoughts whose been down this road or understands the risks and benefits of surgery whenever range of motion is the main benefit of seeking treatment.

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I would not really interpret anything from wear patterns. That could just be related to your feet scuffing the ground, not necessarily how your foot is landing.

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