Feet seem to be a common problem area for us CES people but also for people in general with Spinal Cord Injuries so this information is of benefit to all SCI peeps...
I tend to have poor circulation to my feet..they are often white and feel cold..if they get warm they turn red very quickly. The nerve pain i suffer with is most worse in my feet..burning and stabbing and i also have bad spasms in my ankles.My standing and upright mobility is affected by pain in my feet as the soles of my feet become painful when weight bearing.
I have been looking at some of the common problems feet problems associated with CES and Spinal Cord Injuries in general ..please find listed with condensed descriptions:
Poor Circulation: Edema or swelling caused by fluid collecting in the tissues, usually occurs in a part of the body that is not moved frequently and is below the level of the heart (i.e., the feet, legs). Skin over areas of edema becomes thin and pale and injures easily because of poor circulation. Edema can be prevented by elevating your legs and hands frequently, performing regular Range of Motion (ROM) exercises and wearing compressive stockings.
Pressure Sores: The National Pressure Ulcer Advisory Panel defines a pressure ulcer as “a localized area of tissue necrosis that tends to develop when soft tissue is compressed between a bony prominence and an external surface for a prolonged period of time." More simply put, tissue death results when the soft tissue gets squeezed between a firm spot and something external to your body. The area of damage is the pressure ulcer or sore. Read more: inspiredsciforum.com/thread/29/practical-info-pressure-sores-ulcers#ixzz2eILthWbo
Foot Drop: Foot drop describes the inability to raise the front part of the foot due to weakness or paralysis of the muscles that lift the foot. Read more: www.ninds.nih.gov/disorders/foot_drop/foot_drop.htm
I'm a diabetic type 2 so I must take extra care of my feet,if I want to keep them. I visit the podiatrist every 8 weeks for my foot care, I had a bit of a panic attack about 2 weeks ago because the big toe on my right foot got a bit swollen and went a nasty dark red colour went to ED only to find out it was a ingrown toenail, so a visit to the podiatrist the following day fixed that problem. But I can't stress enough the importance of foot care, especially if your diabetic as well.
Post by kilg0retr0ut on Sept 8, 2013 9:30:03 GMT -8
I really got to take better care of my feet. Found my first pressure sore on my ankle, not a big deal except I guess I'll be without braces for awhile. Ok, timing could be better with the house remodling thing going on. Back to topic- My toe's have curled under on my good foot. Thet say I can get the tendons cut, but since they help me balance it might not be a option. Butiki, I think I'll see a podiatrist myself. My toenails are kinda growing back into my toes, can't be good.
I agree guys, its very important to take care of our feet. I have a tendency to want to not wear shoes at home because i can 'feel' where im walking better and my feet swell, I do wear socks and make sure that the floor areas are clear from anything that could cause me a problem but the ideal is to keep shoes on if im being perfectly honest.
Also as kilg0retr0ut and Butiki have mentioned, toenail care is important...with CES and all SCI.. .
I feel ya. I go without shoes a lot, even out of the house sometimes. My feet don't swell too much, thankfully. I can't wear my AFOs because they're too tight, and out of the 5 pairs of shoes I own, only 2 are wide enough for my feet. I get ingrown toenails within hours of wearing shoes that are the wrong size.
Last night, I was up late and had taken a Dilaudid because my back hurt. When I take that, the little tingling nerve pain sensation I do have in my feet is completely gone! So, as I have kind of large Frog Legs casters on my chair, my foot slid off the foot rest and set itself nicely in my caster. I rolled. Today, my foot continues to throb and my nerve pain is crazy. My big toe is swollen, but everything else seems fine. Seems like I need to pay better attention to where my feet are.
I finally have a podiatrist appointment in 3 weeks so if anyone has any questions they would like me to ask...im more than happy to take a list with me and pick his brains lol
My toe's have curled under on my good foot. They say I can get the tendons cut, but since they help me balance it might not be a option.
kilg0retr0ut Before you consider this surgery, try a simple exercise and see if it might preserve the use of your toes for balance. My podiatrist taught me this one... hold the end of toe and pull it straight, while pressing down on the middle knuckle with a finger. Hold until you feel a release where the toe tendon attaches, which is on the outside of the calf a few inches below the knee. Even if you have very limited sensation, there is a sense of release. Do this with each toe twice a day, on arising, and before bed.
When I became paralyzed, my toes started to curl and lock up. Rheumatoid arthritis added to my joint dysfunction and pain. This simple exercise has maintained flexibility of my toes, relieved the pain of continuous contraction, and avoided surgery!
I had a recent appointment with my consultant at my unit as my feet have been causing me one or two problems. I have an appointment there in january to go to one of the departments and see about getting support in my shoes.
He thinks that the support will help with spasms..so at least its better than going on baclofen
I had a recent appointment with my consultant at my unit as my feet have been causing me one or two problems. I have an appointment there in january to go to one of the departments and see about getting support in my shoes.
He thinks that the support will help with spasms..so at least its better than going on baclofen
Hope this appt is valuable. Support will help balance and fatigue also. Low dose bacofen might be a good option--avoids most of side effects.
Yes for sure DJ, it will be interesting to see if it helps...and wavewolf, yes i think you are right, the support should hopefully help maintain my upright mobility more efficietly (i hope! lol)
Just an update...i had my appointment yesterday at the hospital. I had moulds made of my feet so the supports can be made.
My physio from the spinal unit attended the appointment with me to oversee what they intended to do and how the supports may help. The shoe supports should be ready in 2/3 weeks so i will go back and get them fitted and the physio will observe my walking gait..so progress at least.
My walking gait with my crutches is pretty good but i dont 'strike' off the normal way (feet) when i walk so im compromised a little....the supports should help with the problems this causes...hopefully