Not much different than bad back issues. Surgery should only be a last resort; and if so, always get a second opinion. But what can mess up driving for me is a
bout of gout in the big toe. That can make using a truck clutch hell! Fortunately, a good long backpack, and prior strenuous training/workouts burns off most of the nasty stuff in my system. Otherwise, diet and vitamins seem to help a lot. I had such terrible foot pain in my earlier years that I just put up with it, since nobody had an answer back then. I still have bad pain standing on hard floors or walking paved roads, sidewalks, etc. Mountains are fine because the foot comes down at a different angle almost every time, due to the uneven terrain. But back when the evil General Hershey was shipping every young man to Vietnam, the Army doc took one look at my feet and gave me a 4F. So I guess that was one positive thing. Otherwise, pain reduction had to await modern carbon fiber orthotics and someone who understood how they are intended to be used. Of course, the weight of the LF pack gets factored into the equation along with body wt. - ironic, cause as I "gravitate" toward lighter packs, my belly mass seems to proportionately increase, keeping the orthotic formula relatively constant.
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