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What's the name of the company that has a springy orthotic? It's deleted from your post.
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I'm amazed you had a fusion as long as 35 years ago, yet are only having further problems now. This is really encouraging. Everything else I've read says arthritis will creep in within only a few years.
Do you think you had arthritic changes earlier than that, just wasn't symptomatic?
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I know this is an old post, but I hope you see this. I'm in a similar position. My lisfranc is 2 years old. I have discomfort, but not pain. After 13 years do you have arthritis?
I'm thinking of just leaving mine until arthritis sets in and then fuse.
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Hello. My lisfranc injury was a year old before they decided to do the surgery. 6 months after being cleared, arthritis in 4 of my other joints in my mid foot had set in pretty bad and the only option left was a mid foot fusion. Knowing there would be other surgeries eventually, I just pushed through the pain until I couldn't anymore. I played through two sports seasons until I couldn't run up and down the court without shooting pains. I couldn't even walk around school without pain. if I could do this all over again I would have gotten the fusion as soon as possible. I wasted so much time being careful and trying not to hurt my foot anymore than it already was. You just have to ask yourself what you have to lose if you wait and what you have to lose if you don't. If this does NOT effect your everyday life than I don't see a problem with waiting to get the fusion but if this is holding you back in any way I reccomend getting the fusion sooner than later. I'm 17, for me, I had awful pain everyday and sat out on so many opportunities. Getting the fusion wasn't a choice anymore. i feel so much better after having the fusion though. It still hurts from time to time but nothing compared to what it was before. Arthritis will set in eventually, I just pray it comes later rather than sooner for you.
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Hi. So you're 17 now?
How old were you when you had the fusion? Which joints were fused together? Have any other joints become arthritic yet?
Mine's not fractures, just one ligament (I think). Things feel sore, I think from scar tissue. So I'm hoping I won't feel the need to fuse for a few years.
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When I was 14 I tore my lisfranc ligament. I was 16 when I had the fusion, so not too long ago. My 1st, 2nd, and 3rd tarsometatarsel joints were fused and my fourth tarsometatarsel joint was pinned over for about 3 months because that joint shouldn't be fused but it was out of place and had arthritis so it needed to be fixed. So far everything is healing really well!
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I'm glad you're healing so well! Why were so many joints fused? As fusion speeds up arthritic changes in adjacent joints, what will you do when the rest of the joints become painful?
I'm not quite as young as you, but only a few years older. We need our feet for a very long time… it sounds a bit neurotic but I've often wondered if this will end in amputation...
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My bones were starting to overlap in those joints because the arthritis had degraded them so much. Fusion was the only option. As for the other joints, it will depend on where I'm at in life. If it happens while I'm still young or where another surgery won't totally throw me off track then I would probably deal with it then. But if I'm older then I would probably just let it be.. Amputation is a bit of a stretch, I hope. But just walking will definitely become more of a challenge as we get older. This whole journey has definitely made me realize how much of a blessing it is to be able to walk or run. I just pray I can still do all that, without pain, when I'm 30.
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Well, that's what I mean too. The youngest any one has died in my family is 91! I know I could be smacked down by a bus tomorrow, but if i'm going 'naturally' it's going to be for a verrrry long time.
I've read of many people who even had speedy surgery (so ORIF, not fusion) and only 20-30 years down the line their foot is so arthritic and deformed they opted for amputation.
I just hope each surgical intervention after the first fusion will be drawn out and not too painful in those years.
Before the fusion did you take any medication for the pain? What are your pain levels like now? My foot doesn't hurt in the morning, but after walking around it's not great. I don't take anything though.
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I originally had the ORIF and then had to have a fusion. Before the fusion I was taking ibuprofen like crazy. I tried aleve and that never really helped. Now, after walking a lot or a long work day my foot will be sore but there's no shooting pains or anything. Sometimes my foot will get stiff and hurt too but nothing above like a five on the pain scale. I don't take anything for pain now except every now and then.
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I might try stronger stuff like Fentanyl if it becomes too painful. My foot's a bit misaligned so it makes my ankle hurt.
What did your surgeon say to you about needing future surgeries? There seems to be a great disparity. Some didn't want to fuse patients in their 30s as they said it would be 'the death of their foot'. And then there are some who were fused as young as you and I and their surgeons were optimistic it would last a long time.
I understand your foot was so painful it just had to be done and that's probably what your surgeon thought too. But I'm surprised by the lack of agreement. Possibly they just don't know?
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Hi,

I read your post and is extremely useful. I am trying to treat a case of posterior tibial tendonitis (partial tear in tendon) and flat feet for which I've had 3 pair of orthotics costumed made in the last 4 months. What I've learned and researched in this process is much in line with what you are saying about how important is to make the orthotic to put the foot in a correct biomechanical position even though this may imply having to go out of the norm and having to increase the arch height beyond what podiatrists typically do. In this respect I am having difficulty in finding methods of evaluating if the orthotics that I had made are putting my foot in the correct biomechanical position.

In this respect, I was interested in your comments about where you had your orthotics made and that the inventor of the orthotics was previously an engineer. I was hoping you could provide me with the contact information of the person who made your orthotic. Thank you very much in advance.
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Hi there. I have just read your post. I was wondering how long ago you had the Lanfranc to the fusing of bones.
thanks a lot
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Yes it happened to me where 5 months after my mid foot fusion surgery, the Dr. told me it was healed & I could walk as tolerated on it, but I found out 3 months later it wasn't healed, because I started having pain & swelling. An Xray showed that 3 screws had backed out of their positions & the titanium plate was broken in 2!! It is very painful. Now what do I do?
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Hello. I read ur post. I am desperate for a new foot surgeon. I had mid foot surgery last February and they had to redo it again in sept. Now 6 months out I'm in horrible pain. How can I reach you to talk about ur Doctor. ? Thanks. Katie
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