When I had the bone survey to check for lytic lesions (and they didn't find any ... yahoo!) I noticed that they did not x-ray my feet or my hands. Can someone tell me if it is possible to have a plasmacytoma (or lesions) in the heel / ankle / foot? If it is, how common is it? Can't be THAT common, or they would have looked at it, I think.
I hope.
In other words, do I make a fool out of myself and insist that the doc look at my very painful heel with an X-ray, or let him continue to tell me that it is not related to the multiple myeloma because it's "probably just 'pump bump, stop wearing high heels?' (never mind that I never wear high heels and haven't done so since my wedding day forty years ago)
Or do I just shrug my shoulders and say 'meh ... '??
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dianaiad - Who do you know with myeloma?: Me
- When were you/they diagnosed?: Officially...March 2013
- Age at diagnosis: 63
Re: Is it possible to have a plasmacytoma in the heel?
Hi Dianalad, In a skeletal x-ray survey, the hands and feet (or below the knees) are not included since there is not much bone marrow there, and so not many lytic lesions, I think!
But if you are having heel pain, why not consult with your GP? It could be a problem unrelated to myeloma, such as plantar fasciitis, or even a fracture. You may be referred to other specialists because of this, or to physiotherapy.
But if you are having heel pain, why not consult with your GP? It could be a problem unrelated to myeloma, such as plantar fasciitis, or even a fracture. You may be referred to other specialists because of this, or to physiotherapy.
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Nancy Shamanna - Name: Nancy Shamanna
- Who do you know with myeloma?: Self and others too
- When were you/they diagnosed?: July 2009
Re: Is it possible to have a plasmacytoma in the heel?
Hi dianaiad,
Been there ... done that ... bought the whole darn t-shirt company on the same sort of issues you're having. Dealing with heel/foot pain. I ruled out plantar fasciitis for me. The doc added my foot – I think! – to my up and coming skeletal survey.
I wish you luck and hope you find your answers as well.
Who said? What you don't know, won't hurt ya! No one in our shoes ... lol
Been there ... done that ... bought the whole darn t-shirt company on the same sort of issues you're having. Dealing with heel/foot pain. I ruled out plantar fasciitis for me. The doc added my foot – I think! – to my up and coming skeletal survey.
I wish you luck and hope you find your answers as well.
Who said? What you don't know, won't hurt ya! No one in our shoes ... lol
Re: Is it possible to have a plasmacytoma in the heel?
Although it isn't likely to be myeloma related, bone lesions do appear below the areas that are normally scanned in a skeletal x-ray. I asked my oncologist about this one time and he said that the x-rays are only done in areas where there is a lot of bone marrow.
In December of 2012 I developed excruciating bone pain in my left lower leg while rehabbing my left knee following knee replacement surgery. When I mentioned it to my oncologist, he ordered a new skeletal survey and an x-ray of my tibia and fibula. Bone lesions appeared in both fibulae in the spot where I complained of pain in my left leg. I was sent to see the radiation oncologist and had the lesion on the left treated.
A year earlier I had developed such pain in my left ankle that I couldn't put weight on that foot. A trip to the ER and x-rays showed an avulsion fracture of the medial ligaments of my left ankle. When my oncologist looked at them, because he was concerned about the development, he said that it didn't look like there was a bone lesion there that might have contributed to the problem.
Go to your primary doctor or an orthopedic foot/ankle specialist and have your foot looked at. Such pain shouldn't be ignored when you have myeloma. The orthopedic group that I see is very good at including my myeloma in their treatment of me when I end up with orthopedic problems. I recently broke a bone in my right foot with a nasty fall. The orthopedist who I am seeing is being very conservative with keeping me in a fracture boot longer than he normally would because of concerns about my healing completely. Yesterday he said that good healing is occurring, but it needs to be more complete before stabilization is discontinued.
I hope you find relief soon,
Nancy in Phila
In December of 2012 I developed excruciating bone pain in my left lower leg while rehabbing my left knee following knee replacement surgery. When I mentioned it to my oncologist, he ordered a new skeletal survey and an x-ray of my tibia and fibula. Bone lesions appeared in both fibulae in the spot where I complained of pain in my left leg. I was sent to see the radiation oncologist and had the lesion on the left treated.
A year earlier I had developed such pain in my left ankle that I couldn't put weight on that foot. A trip to the ER and x-rays showed an avulsion fracture of the medial ligaments of my left ankle. When my oncologist looked at them, because he was concerned about the development, he said that it didn't look like there was a bone lesion there that might have contributed to the problem.
Go to your primary doctor or an orthopedic foot/ankle specialist and have your foot looked at. Such pain shouldn't be ignored when you have myeloma. The orthopedic group that I see is very good at including my myeloma in their treatment of me when I end up with orthopedic problems. I recently broke a bone in my right foot with a nasty fall. The orthopedist who I am seeing is being very conservative with keeping me in a fracture boot longer than he normally would because of concerns about my healing completely. Yesterday he said that good healing is occurring, but it needs to be more complete before stabilization is discontinued.
I hope you find relief soon,
Nancy in Phila
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NStewart - Name: Nancy Stewart
- Who do you know with myeloma?: self
- When were you/they diagnosed?: 3/08
- Age at diagnosis: 60
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