Orthotics, physical therapy may help
Dear Dr. Gott: I am 72 years old and “blessed” with flat feet. Currently I am having serious problems with my left foot because the arch has completely collapsed, and the tendons are causing extreme pain in my calf. I recently visited an orthopedic surgeon specializing in foot and ankle problems. The foot problem is also contributing to lower-back pain. His answer is surgery. Due to my age, I have some misgivings. After surgery, no weight is allowed on that foot for at least six weeks. I worry about the success of the surgery at my age, and, since I live alone, would the benefit be worth the inconvenience of staying off that foot? I am otherwise healthy, and my hobbies are walking my dog and working in my yard. The pain in my foot and back is inhibiting. Your opinion would be appreciated.
Dear Reader: Before accepting surgery as your only solution, you should consider other options. At the top of the list would be orthotics prescribed by a podiatrist. These insoles often lead to remarkable improvement by overcoming the lack of natural foot support. Your back may well thank you.
Other options include physical therapy, spinal exercises, anti-inflammatory medication and close attention to footwear. (Some shoes, such as high heels, may worsen the situation.)
If you and your orthopedic specialist eventually decide that surgery is the preferred treatment, you will need assisted living for a brief period in a nursing facility where you can learn ways to regain your independence and avoid future problems. No one would suggest that you return home alone after surgery, on crutches, with no one to help you. Let me know what you decide.
To give you related information, I am sending you copies of my Health Reports “Managing Chronic Pain” and “An Informed Approach to Surgery.” Other readers who would like copies should send a long, self-addressed, stamped envelope and $2 for each report to Newsletter, P.O. Box 167, Wickliffe, OH 44092. Be sure to mention the title.
Dear Dr. Gott: Please explain why my eyelids stick together when I awaken in the morning.
Dear Reader: Tears contain water and mucus. During the night, the water may evaporate, leaving a sticky residue. The mucus can adhere to the eyelids, and, if it dries out, can cause them to stick together. Ordinarily, only trace amounts of mucus are left on the eyelids.
If you are having a problem, the excess mucus may reflect a chronic eye irritation or low-grade infection requiring antibiotics. Bring this symptom to the attention of an ophthalmologist, who should examine your eyes to make sure no abnormality is present.