I have been attending Orthopedics for a few years now. I always get the feeling he is ignoring my medical history and is more interested in treating the symptoms of the pain rather than finding the cause. There is a family history of rheumatoid arthritis, scoliosis, ligament laxity and hypermobility in my family and I have sprained my ankle numerous times over the years but self treated them using common sense. I am now 52 years of age and about 3 years ago the pain in the ball of my foot got so bad I finally went to my GP who is amazing. I was referred to orthopedics who made inserts for shoes but these didn't work. I have been back 4 times. I was told I have metatarsalgia and would always have a bone deformity and be in pain so I just accepted this. However my GP recognised something else and sent me for an x-ray which showed a dislocation in my toe. The orthopedic surgeon explained they would have to remove the bone given the deformity and dislocation would likely reoccur without this surgery. That was a year ago. Since then the pain has gotten so much worse and my entire foot is so painful I can hardly walk some days. I have not had any time off work and am constantly on my feet. I finally went for a private scan which showed I have PTTD and queried sinus tarsi pathology. I went back to the orthopedic clinic but he ignored this diagnosis and pooh poohed it. He wants to carry out shockwave treatment. I am worried this again is to deal with the pain rather than find out exactly what is wrong. I asked for an MRI and he bluntly said no. The shockwave treatment is due to start in 4 weeks time. Should I ask again for an MRI? Should I stay off work until the shockwave treatment starts? I am worried that being on my feet all day for the next 4 weeks might do even more damage? This is really having an effect on my mental health as I do not drive and love walking but am worried that I could end up never being able to enjoy walking again.