Originally Posted by Wendy in Oz

Hello!
I hope someone can help, as I am in pain, and the waiting to see Doctors is getting beyond a joke.
Back in June 2008, I was involved in a MVA, due to a car failing to give way at an intersection.
We hit the other car head on, and both my feet hit the floor of our car, almost like I was hitting imaginary brakes. I felt something snap in my left foot, and when the ambulance staff helped me from the wreck, I found I could not walk, the pain was like 12 out of 10!!
I had both feet xrayed at the hospital, and to my amazement, nothing showed!
So I went home (I had other injuries...), and for about a month, I crawled around the house on my hands and knees, as I could not use my feet, and to use crutches was unbearable, as I had injured my shoulder blades, and could not support myself on them. Basically, getting around was almost impossible for at least 4 months after the crash. The right foot recovered, even though even now, it does swell up, but the left remained unchanged and very painful.

Finally, I saw an Orthopaedic Surgeon, and I had more x-rays and MRI done. The MRI said I had a suspected avulsion fracture, and with all the odema in the foot it was hard to acurately say what was wrong.. eventually the Ortho said I may have CRDS. I had never heard of it, so I did not believe what he was saying. He sent me to a pain clinic, who advised my GP to start me on Tegratol for the spasms in my foot (Which were uncontrolable and OH SO painful...), and Oxycontin for extreme pain (5-10mg once a day)
My GP refused to give me the Oxycontin, as he said it was habit forming, and not very nice. So all I have had in the last year is the tegratol and asprin...the pain btw, is so bad..I feel clicking and unusual grinding inside the foot. I can't stand on my left foot with the right one not on the ground..I can't bend the foot much at all, and after a year, I am VERY concerned.

I have to wait for another appointment to see the Ortho surgeon, as he sent me for a bone scan.
These are the results:

The medial Cuneiform activity is quite linear.. and related to the cuneometatarsal joint on the delayed images particularly on the medial views. There is some low grade activity involving the medial cuneiform and adjacent to the of base 1st metatarsal . These appearances raise the possiblity of Post Traumatic Arthropathy rather than residual or healing stress fracture or fracture associated with the previous MVA. Associated synovitis around the left midfoot.
On the delayed images, abnormal activity involving the left medial cuneometatarsal joint, with low grade midfoot activity in the region of the 1st to 4th TMT joints, and overlying the cuneiforms consistant with some low grade synavitis. There is low grade activity at the 1st MTP joint on the left in keeping with low grade arthropathy. Low grade Plantar facitis on the right foot. Probable vascular activity accounting for vocus of activity in the posteromedial soft tissues in the right mid-calf.
The initial flow and blood pool images demonstrate hyperaemia around the left midfoot, particularly in the region of the medial cuneiform with some low grade activity involving the intermediate & lateral cuneiforms and in the region of the distal shaft of the 2nd metatarsal.

I do hope someone can help! ...sorry about the size of this!