Tuesday, February 19, 2008

No use for toes



Okay so I will never be a ballerina.

Mostly my toes get used for lifting me up so I can see better in crowds as I am on the short side. Five foot two, eyes of blue, koochie koochie koo. Other than that, my toes don't serve much purpose other than peeking out from summer sandals.

A lifetime ago I actually did take a ballet class. I was a teen who always wanted to learn something new. I had absolutely no apptitude for dance but I looked upon it as a challenge. Forever a klutz, I thought that a ballet class would teach me grace. It was not to be, however, as this duck would never turn into elegant swan.

I remember the dance teacher coming around to give pointers and sometimes to grant us a compliment if we were found worthy. I grew weary of hearing the praises given to the other girls as the instructor would pass me by. The one day she paused before me as I was poised before the bar,and she gave me a gift. "You have very good balance," she decreed.

On the way home from class, I glowed. "I have good balance!" I repeated to myself. Me, the eternal klutz, had a newfound image of my body. Maybe I couldn't move with skill or grace but I could hold a pose without losing my balance. That was good enough for me.

My moods and interests quickly turned to other things...jewlery making classes...writing...and boys. My little pink ballet slippers found their way to the back of my closet.

Now here we are decades later and my toes have a different tale to tell. I am still very much a klutz but now I have a reason for my stumble prone nature. I have Multiple Sclerosis. One of the first symptoms I had felt prior to my diagnosis was a tingling and semi-numbness in my toes. That is where it began. Such a slight symptom, barely noticeable, but definitely there.

And balance? My old dance instructor might be dissapointed. I have lost my sense of balance. There are days I could not pass a sobriety test, not because I am inebriated, but because my lack of balance is yet another symptom of my MS.

It seems that the toes can be one of the first body parts to be affected by Multiple Sclerosis. Indeed one of the first symptoms many MS patients report as I did was:
"A "pins and needles" prickling sensation most often in your toes or fingers - like your foot or hand fell asleep"

There is also a reflex in your toes which may indicate neurological damage:

"Babinski's sign: A test for signs of disease process in the motor neurons of the pyramidal tract. The test involves drawing a semi-sharp object along the bottom of the foot. The normal response in adults and children is for the toes to reflex downwards (flexor response). In babies and people with neurological problems of the corticospinal tract, the big toe moves upwards (extensor response)."

Before I was officially diagnosed I could be found at home testing my own self for this Babinski sign by using the end of a pen up my foot. Come on...admit it...you did this too. Okay so maybe it was just me. My toes did funky things but I was never sure if I truly saw the sign or not. Self neurological testing at home...not for the faint hearted or easily confused by the directionality of toe movements.

So what was I saying? Oh yes...I will never be a ballerina. This was confirmed by my neurologist, who after performing real doctor tests in her office chided, "Well you are no ballerina are ya?"

And you know...I am okay with that. My toes are just fine about hanging out in sandals or comfortable sneakers. They have had their day in the sun and could wish for little more. Perhaps one day I will break down and treat them to a pedicure. I think they deserve it, don't you?

6 comments:

Diane J Standiford said...

The first thing I totally lost was all movement and sensation in my small left toe. It did return and leave once, after about 15 years. THAT was strange.

Lisa Emrich said...

I've had episodes where my toes were stiff as a board. Whether it was MS spasticity or RA inflammation, who knows? But walking becomes quite a challenge when those little tootsies won't bend.

So here's to toes -
may they lift us up when we are short,
may they keep our balance when we stand still,
may they be flexible and strong so we may walk,
may they be not stubbed in long dark halls,
and may they always look pretty in summer clogs.

Suldog said...

Well, now it's time for me to be on my toes. I see you've given me some link love. Thank you very much! I have reciprocated - with pleasure. You're a very enjoyable writer.

whimsical brainpan said...

I say go for the pedicure!

I took ballet as a kid too. Didn't make me anymore graceful either.

Unknown said...

My daughter is a ballet dancer and she is on her toes all the time.

I still can use my toes but spasms always get in the way.

Jim

Vicki said...

My first tingling was in my knees. These days, however, the feet demand attention daily, hourly sometimes.

There was a time I danced, but that is another story, another day, another time.