Help for my Mom's continuous foot pain.

Hi,
My Mom is 91 years old and for the past 9 months her feet are progressively hurting worse. They are swollen, toenails have fungus which she has been taking a medicine for her physician which worked initially but stopped. She is unable to wear shoes that don't hurt because they all hurt in some way. She is on high blood pressure meds, doctor recently added a water pill for ankle swelling, actinol weekly for osteoporosis, synthroid because she has no functioning thyroid, nexium for stomach acid as needed and eye drops to keep eye pressure under control. Have tried some remedies such as rhus tox 30, calc carb 30, 200, 1M, brynonia 30, lycopodium 30, Hapar sulph 30, 200. Some work temporarily but wear off. Takes ibuprofen for pain relief that helps sometimes to dull the pain.
Would appreciate any suggestions.
I have also included a questionnaire with answers as best we know.
Best regards,
Sue K
Age: 91
Height:5’
Weight:103 lbs
CHIEF COMPLAINT:

1. What is your chief complaint (CC)?
Feet hurt. Swollen looking. Toenails have fungus. Very dry cracked skin on toes. Most of the time it hurts when she walks the bottom of the foot hurts as if the it’s down to the bone. If it hurts when at rest and off her feet it’s as if it’s the nerves in the feet.
Very irritable when it hurts because she can’t do what she wants to such as daily chores walking around. Worse when it’s cold. Worse if she puts heat directly on it as if throbbing.
2. Could possibly be worse because she was eating bags of salty cheese puff snacks that she craved. Loves chocolate too!
3. -Cold aggravates it. Walking more on her feet. Staying off her feet and resting helps it feels better.
Primary care doctor prescribed an anti-fungal medication “Lamisil” which helped relieve it but it came back worse when stopped taking it.
4. No specific time of day or night makes it worse.
5. No other symptoms accompany it.
GENERAL QUESTIONS
6. Environment: Worse if cold. She doesn't generally feel well with high humidity.
7. What position is most uncomfortable for you? Laying down flat.
8. a)Do you tend to be chilly or warm?Usually chilly. Takes Thyroid medication because it was destroyed by drinking radioactive from physician over 30 years ago.
9. Describe what your tongue looks like. Reddish
MENTAL/EMOTIONAL
10. What do you worry about? Worries about what all her children are doing. Complains about everything that isn’t like it used to be when she was growing up.
11. How do you keep your house/your desk/your room/your study/your bathroom?
Not her favorite thing to do..but she does keep it up. Papers and magazines are usually everywhere. Not well organized.
12. How easily do you cry? In what situations?Reminiscing makes her cry. Some songs that remind her of past.
13. When you are upset, what do you do to help yourself feel better? Sit & relax
14. What makes you angry? What do you do when you're angry? Pain makes her angry because she can’t do regular things.
15. She’s usually in a good mood if she feels well. Can be very opinionated when family doesn’t do what she thinks they should do.
16. What fears do you have? Dying, storms
17. What have been the most difficult circumstances in your life? How did you cope? Money challenges but keeps her budget well.
18. What are the greatest joys you have had in your life? Her children and grandchildren and their success in life.
19. What was your childhood like? Fun, loves to dance and loved parents and siblings.
20. What bothers you most in other people? Rude people bother her, will then complain.
21. What causes the most problems in your relationships? Not agreeing with the same opinion as her.
22. Do you have any recurring dreams? What are they about? Sees little children – like angels
23. What would you need to feel happy? Family & extra money
24. What do you do for work? Ideally, Retired—likes TV—talk to family members would like to be able to walk better.
25. If you were made President for a day, what would you change? People having jobs and money
26. When people have criticized you, what were they complaining about? Similarly, when people have praised you, what did you receive praise for? Complain that she’s bossy & opinionated. Praised for generosity and caring.
27. What would you like to change most about yourself? Healthier
FOOD
28. How do you feel before, during and after meals? How do you feel if you go without a
meal? Feel hungry and eat a toast if I don't feel like making something more.
29. What would you most like to eat (if you did not have to consider calories, fat, anything
you've read about the right way to eat)? Cheese puff snacks and chocolate candy, breads…most sweets.
30. What foods do you dislike and refuse to eat? Hates fruit. Seems too sour except for bananas
What foods do you react badly to, and in what way? None known
31. How much do you drink in a day? Include sodas, juice, coffee, tea, milk, and alcoholic beverages as well as water. Howthirsty do you tend to get? What temperature would you like your drinks to be?
Drink a couple cups of coffee, maybe tea, not usually thirsty but may drink water as needed.
SLEEP
32. How is your sleep? Up and down all night,chilled very easily
33. Do you do anything during sleep? No
34. Do you have trouble falling asleep? What keeps you awake? Do you wake always at a certain time? What causes you to wake up? What position do you sleep in? Foot pain stops sleep. Sleep sitting up-- worse when lying down.
WOMEN
35. Number of pregnancies, number of children, number of miscarriages, number of abortions. 3 pregnancies, 3 children
36. At what age did your menses begin? If youhave gone through menopause, at what age? 55ish
37. How frequently do they (or did they) come? Monthly
38. What about their duration, abundance, colour,time of day when flow is greatest; any odour
or clots? 5-7 day—no problems
39. How do you (did you) feel before, during and after menses? Nothing out of the ordinary
HEALTH HISTORY
40. What medications are you taking at present? High blood pressure &( a water pill for ankle swelling) , Synthroid, Lamisil for toenail fungus, eye drops for eye pressure control, actinol weekly for osteoporosis and Nexion for stomach acid.
41. How frequently do you get colds and flus? Seldom
42. Have you had any childhood illnesses twice,or in a very severe form, or after puberty?Flu as a baby
43. Have you had any vaccinations since the standard childhood ones? Have you ever had an
adverse or unusual reaction to a vaccination? --Reaction to the flu vaccine many years ago. Do not take it anymore.
44. Have you had any surgery? What and when? Hernia at age 45, Detached retina at 55, Cataract at age 88
45. Have you had at any time (mention year): warts, cysts, Polyps, or tumors? Where were they located? How were they treated? None
46. Do you tend to have any discharges (nasal,vaginal, etc.)? What is the color, consistency? No
SENSITIVITY
47. a) Do you tend to need a smaller dose of medications than most other people? No
b) Do you need less anaesthesia than others,or have a hard time coming out of it? No
c) Do you tend to react to vitamins and herbsand/or need hypoallergenic vitamins? Not usually
d) Are you sensitive to paint fumes, exhuast,dry cleaning fluid, fragrances etc.? NO
48. Family history: Mention diseases, causes and ages of deaths of father, mother,sisters, brothers and grandparents on both sides. Died from old age in mid-80’s

49. Construct a time line: Mention from birthon to the present day, all IMPORTANT events (emotional and physical traumas,heartbreaks, divorces, work-related events,diseases or traumas your mother had while
being pregnant with you, family stress,death in the family or of friends,disappointment, etc.) Mention the symptoms.experienced at those moments or which you can date to those traumas.
Had influenza as a baby and almost died. Always felt that her sister got more attention because of her beauty. Married at 23. Husband was a drinker and fought a lot. Mental breakdown in 40s. Always stressed and worried about everyone. Husband died at 49. Detached retina and lost eyesight in left eye at 55. Worries about children and their families. Stresses if anyone is having a hard time.
50. When you stand in line at the bank or supermarket, how do you feel? n/a
51. When your family member was last sick, what did you do?Worry until they feel better.
52. How is your sexual energy? n/a
53. How do you react to consolation. Like it
54. What part of your life do you have the most difficulty coping with.Health at the moment.
55. What are your hobbies? Likes TV(games shows, medical stuff, tabloids) and reading catalogs with gadgets, reads daily newspaper.

End of questionnaire.