subtalar fusion - should I have it?
Hi, I wonder if anyone can offer any advise. I had an accident 24 years ago and broke my ankle after around 8 surgeries over the years to rebuild the ankle degenerated and collapsed. I was told I had osteoarthritis. 3 years ago they tried an ankle realignment to buy me time before facing ankle fusion. it did not work so I had an ankle fusion. 3 years later I have just been diagnosed with further arthritis in my subtalar joint. They are reluctant to offer me the second fusion due to my age (40). and want me to have a cortizone injection first to try and delay the invevitable fusion. I have tried the podiatrist and have inserts for my shoes and a lace up ankle brace (neither seem to do any good) the pain is horrible. My knee joints are also beginning to become painful. I am not really convinced about having the cortizone injections as it feels like I am just delaying the inevitable and they can be very painful from what I remember in my teens, without much benefit. Do you think i should just push for the fusion? or are there other options I should explore first? I know it sounds drastic but I often wish the ankle had just been amputated at the time of the accident. I am tired of all the surgical procedures but would bo through a second fusion if there was hope of some pain relief. I am sure there are others out there that have had similar dilema's can anyone offer any advice?