November 25, I knocked a Kindle off a table and it landed on the metatarsophalangeal (MTP) joints of my second and third toes. What made it awful was that it landed on edge. I said "Ow!" very loudly and colorfully for about 2 hours. Being as the force of the impact is inversely proportional to the surface area, I measured the darned Kindle. The surface area of the flat side is 56 times that of the edge.
After 10 days or so, I went to the doctor and saw a FNP who was obviously out of her depth. My foot was excruciatingly agonizing and the toes were red/purple/black. There are black spots on the bottoms that look like blood blisters. She sent me for an x-ray.
'The radiologists report came back with the reason given for the x-ray as contusion to the 5th toe. No damage to the 5th toe (not surprising!) but severe bone erosion of the MTP joints of the 2nd and 3rd toes. I HAVE rheumatoid arthritis and know that I have bone erosion, but it's always been described as mild to moderate.
Thursday I went back to the FNP. She was horrified and had me see the foot orthopedist on Friday. He's making noises about possibly losing my 2 toes and has referred me to a vascular surgeon. If I don't hear back from the surgeon's office by Monday, I'm to call him back.
He hinted around until I came out and said, "No, I do NOT have diabetes. " Because I take prednisone, it's a BOLO, and my A1c is just under the threshold for pre-diabetes. I don't eat sugar any more!
I have increased the number of straight leg raises that I do. That's one of the few exercises that I can do with the arthritis. I think that it improves the circulation. I've increased my spice mix in my food--mustard, ginger, cayenne, turmeric, and black pepper.
Is there anything else I can do that might help? I had been taking 1 morphine tablet a day and 1 or 2 tramadol. I'm now taking 2 morphine and 4 tramadol, and the pain still wakes me up.
Help!