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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can severe Pain And Discomfort In The Foot Be Treated?

I have had this discomfort and pain in the ball of my left foot that kinda feels like jelly, I ve had it for a couple years! It s behind my 3,4 and 5 toes! ? If I step the wrong way, the pain can drop me to the floor and sometimes when that happens I get this incredible burning feeling with incredible pain. The pain will eventually back off if I go sit barefoot and rub my foot, but sometimes the pain is so bad you can t sit still! Any ideas or suggestions?
Fri, 24 Mar 2017
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Diabetologist 's  Response
Hello,


Welcome to health care magic.

I have read your question completely and understand your concerns

From what you have written about your symptoms , I suspect you may be having Morton's Neuroma. This is a condition in which the tissue surrounding one of the nerves supplying to the ball and toes of your feet gets irritated and thickens. This gives rise to pain, burning sensation or numbness. You may even feel that you are standing on a pebble.

Sometimes a bony projection of the fore foot bone called a bony spur can cause similar pain. Similarly stress fracture can give similar picture but I guess it is a bit unlikely in your case as your symptoms have been for 2 years .

X rays can identify if there is a bony spur or stress fracture. Ultrasound can help to identify Mortons neuroma

Treatment of a neuroma and bony spur is by using foot pads or insoles or supports that support your arch. Place these inside a well fitting shoe. They relieve the painful area of the foot from excess pressure. Bony spur also benefit from physiotherapy exercises.

You can take anti inflammatory medication like Naproxen 250-500 mg twice a day or Ibuprofen 200-400 mg three times a day ( I hope you are not allergic to them).

Steroid injections into the affected area may help. Surgical procedures include decompression of the structures compressing the nerve or removal of the neuroma itself. Likewise a bony spur can be surgically removed.

I would advise you to see a orthopaedic doctor or a foot surgeon so that you can have a proper evaluation.

I hope this answer has helped you.

Thank you

Regards
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How Can severe Pain And Discomfort In The Foot Be Treated?

Hello, Welcome to health care magic. I have read your question completely and understand your concerns From what you have written about your symptoms , I suspect you may be having Morton s Neuroma. This is a condition in which the tissue surrounding one of the nerves supplying to the ball and toes of your feet gets irritated and thickens. This gives rise to pain, burning sensation or numbness. You may even feel that you are standing on a pebble. Sometimes a bony projection of the fore foot bone called a bony spur can cause similar pain. Similarly stress fracture can give similar picture but I guess it is a bit unlikely in your case as your symptoms have been for 2 years . X rays can identify if there is a bony spur or stress fracture. Ultrasound can help to identify Mortons neuroma Treatment of a neuroma and bony spur is by using foot pads or insoles or supports that support your arch. Place these inside a well fitting shoe. They relieve the painful area of the foot from excess pressure. Bony spur also benefit from physiotherapy exercises. You can take anti inflammatory medication like Naproxen 250-500 mg twice a day or Ibuprofen 200-400 mg three times a day ( I hope you are not allergic to them). Steroid injections into the affected area may help. Surgical procedures include decompression of the structures compressing the nerve or removal of the neuroma itself. Likewise a bony spur can be surgically removed. I would advise you to see a orthopaedic doctor or a foot surgeon so that you can have a proper evaluation. I hope this answer has helped you. Thank you Regards