Fat pad atrophy and arthritis in both feet: What meds help with pain?

Posted by sickofpain,tiredofsitting @sickofthepain, Feb 26 4:09pm

Hi, I have fat pad atrophy and arthritis in both feet, and am in pain 24/7. What meds would help? (I'm on Clonazepam and Zoloft because all this pain and worry caused me SEVERE panic attacks, so it can't interact with those). I can't take NSAID's, but I do use a topical one (Diclofenac Sodium Gel 1%), with little to no improvement so far. Maybe a higher dose prescription one? I bought insoles the doctor recommended, (just from Amazon, not the custom ones), I've bought over a dozen pairs of shoes and haven't found any that help. I can't go barefoot, even in the shower. I've tried Epsom salts, castor oil and cayenne, physical therapy, (although when I did that, they thought the problem was neuropathy, which was later ruled out with an EMG), and I still do the exercises that don't increase the pain. The doctor said to stay off my feet as much as possible, and use a wheelchair if I have to go any distance. Sitting all day isn't healthy, and my husband has to do everything. Also, it's hard to differentiate whether most of the pain is from the fat pad atrophy or the arthritis. Does any Mayo clinic have experience with any type of fat pad repair? I know this is long. Thank you for reading to the end, and if you have answers or suggestions to any of my questions, I'd really appreciate it. Thank you!

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I heard that Liposana work for fat pad atrophy. I want to try that.
I sure hope it does.

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I have lack of fat pads in my feet, I’m not sure that’s the same thing. I can’t go barefoot. Ouch. The podiatrist who made my orthotics put in metatarsal pads within the orthotic since my pain is more at the ball of my foot. Before that i used metatarsal pads that I found online.

I have arthritis on the top of a foot and am using 2% Voltaren gel. I think that’s what you use. You can order it from Canada, or if you have friends going to Europe they can buy it there. Possibly a New Zealand online pharmacy carries it. Kiwi Drugs is reputable.

I use it twice a day on the top of my foot. My doc said the US over the counter 1% doesn’t work. Not sure you can even get a prescription for 2%. Good luck! Foot pain is the worst.

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@willow5

I have lack of fat pads in my feet, I’m not sure that’s the same thing. I can’t go barefoot. Ouch. The podiatrist who made my orthotics put in metatarsal pads within the orthotic since my pain is more at the ball of my foot. Before that i used metatarsal pads that I found online.

I have arthritis on the top of a foot and am using 2% Voltaren gel. I think that’s what you use. You can order it from Canada, or if you have friends going to Europe they can buy it there. Possibly a New Zealand online pharmacy carries it. Kiwi Drugs is reputable.

I use it twice a day on the top of my foot. My doc said the US over the counter 1% doesn’t work. Not sure you can even get a prescription for 2%. Good luck! Foot pain is the worst.

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The KiwiDrug site sells 1%. Canada and Europe sell 2%.

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I have arthritis in my feet and metatarsal pain, neuroma, etc. When it's bad I use an ice bath and that gets rid of some pain and inflammation. I walk around the house with Hoka slip-on sneakers to keep my feet padded. I use custom orthodics. I also massage my own feet and stretch them every night. Have you tried Celebrex - it's a Nsaid but doesn't affect the stomach as bad as regular Nsaids. I have 200 mg time release Celebrex capsules and buy empty capsules and divide the 200 mg in 3 and only use 63mg at a time.
Have you tired drinking tart cherry juice, that might help wit inflammation.
I just looked this up. It is possible to transfer fat from the stomach to the feet to address foot fat pad atrophy. This procedure, known as foot fat grafting, involves harvesting fat from areas with excess fat, such as the abdomen or thighs, and injecting it into the injured or atrophic area of the foot. This helps to restore cushioning, improve shock absorption, and reduce pain and callus formation.

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