On 7/16/14, my right foot hurt above the 2nd and 3rd metatarsal. It also hurt to roll off the ball of my foot. At first, the pain dissipated with rest, but eventually, it started hurting all the time. It was diagnosed as a strained tendon by a primary care doctor (an orthopedist stated it was actually a stress fracture) and I was told not to walk on it, but not given any device to do this (even though I specifically asked for one). On 7/28/14, I was walking my dog home from the dog park, when I landed weird with my right foot on uneven, bowed up sidewalk. My right foot twisted inward (toward my left foot) and down the bowed up bump. I felt a pop and was in horrible pain. It was diagnosed as a stress fracture of the 2nd metatarsal. I was put on crutches on 7/29, non weight bearing. On 7/30/14, I was put in a walking boot and allowed to walk with the walking boot and crutches. By 8/2/14, I was in so much pain, I was crying. The on-call orthopedist thought I might have dislocated the fracture and put me back on crutches not weight bearing. I have been in horrible pain ever since.

On 10/6/14, I was diagnosed with RSD in my right foot by my orthopedist and sent to a pain management doctor. On 10/8/14, I had a second opinion with an orthopedist who also diagnosed me with RSD (there was conflicting diagnoses of whether my stress fracture had healed). On 10/28/14, I saw the pain management doctor to receive a lumbar sympathetic block. The pain doctor stated I did not have RSD and refused to do the block. A few days later, I developed cold pain and a cold right foot. On 11/6/14, I saw a 3rd orthopedist who is an expert in RSD and was again diagnosed with RSD. He told me I was not a good candidate for a nerve block. My condition has continued to worsen.

7/17/14 - started ibuprofen
7/29/14 - started tramadol and instructed to continue ibuprofen. put on crutches, non weight bearing
7/30/14 - put in walking boot and allowed to walk with boot and crutches
7/31/14 - developed a rash and severe itching from tramadol. pulled off and told to continue ibuprofen
8/2/14 - put on cyclobenzaprine. put back on crutches, non weight bearing
8/3/14 - started norco and stopped ibuprofen
8/13/14 - started perocet and continued norco
10/3/14 - taken off norco and percocet (not weaned off) and put on mobic
10/7/14 - developed severe side effects to mobic and pulled off. told to start ibuprofen
10/24/14 - put on nortriptyline and told to continue ibuprofen
10/27/14 - put on calcitonin nasal spray and told to continue ibuprofen
10/28/14 - put on gabapentin and told to continue ibuprofen, calcitonin, and nortiptyline
10/31/14 - Started PT
11/6/14 - put on acetaminophen and told to continue ibuprofen, calcitonin, nortriptyline, and gapabentin
11/14/14 - started mirror therapy and instructed to start walking very short distances in boot with crutches
11/19/14 - cleared to put weight on my right foot. starting walking without boot and with crutches at home, but still use crutches non weight bearing when outside home
11/25/14 - started neuropathic pain cream and continued all other treatments

The burning pain is better managed now and the muscle contraction (disfigured toe) has mostly resolved. The other pains (stabbing, throbbing, pins and needles, dull, ache, etc.) are also better managed. I still have stiffness in my toe joints, though it's better. The stiffness is starting to spread to the ankle. I am still sensitive to touch, though less often. The sensitivity and pain is starting to spread to my right ankle and leg. I still have swelling, though it is less than before. The skin discoloration is still frequent. My toe nails are slow growing, turning white, and peeling apart and things (fuzz from socks) get stuck on them. The toe nails are very tender to the touch. My right foot used to be hot all the time, but now it is very cold all the time and it makes the rest of me cold. The cold is painful and very uncomfortable. I'm starting to have insomnia. I am agitated, irritable, anxious, stressed, and more recently, depressed. I haven't been able to work all week due to depression (from PT telling me that all the gains I have made are really low and we still can't start any strength training, so I won't be fully recovered (walking) for 5 months) and the cold foot. I have been teleworking this whole time - doctor's orders. I see a therapist (mental health professional connected to the rehabilitation hospital I do PT in) on Friday 12/5 and a pain management doctor (a new one connected to the rehabilitation hospital I do PT in and am staring therapy in) on Wednesday, 12/10/14. I am hoping for relief from depression and the cold foot as soon as possible. I don't see my orthopedist RSD specialist until 12/17/14.

Sorry this was so long. I needed to write out all the details once. And it will be helpful for my new doctors.