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Suggest Treatment For Numbness And Tingling Sensation On The Toe
Question: female, 55 years old good health, stand on my feet all day as a chef. Never had any problems prior and my feet are in very good condition. I am petite 5 feet and weigh 95 lbs. I have been wearing birkenstock sandals with the two straps across the toe area and the middle of the foot. Very comfortable and noticed no issues. Tuesday I was fooling around jumping rope barefoot on a hard wood floor. That night I noticed in bed the big toe on my left foot felt funny. the upper right quadrant of my toe around the nail feels numb, just on the top and towards the side of the toe. The tip of my toe isn't numb nor any part of the left side, nor any part underneath. Additionally, I noticed that at the bottom of the proximal phalanx there suddenly appeared a small bump more to the left of the tendon( i think it's the tendon) that runs from the foot up the toe. Its hard and not painful or tender. Looks like a small round pebble under the skin. No redness or swelling around it. It seems to have appeared suddenly I would have to say after I jumped rope, because earlier that day in the shower I looked over my feet and did not notice it at all. Also on the base of the joint of that big toe ( where people would get a bunion) when I rub my fingers over it, it feels like there is a tinyl (for lack of better word) nerve ganglion there that is tingling and that sensation runs up my toe and relates that same feeling of parasthesia to the area that I described prior as feeling numb. I only notice the numbness on my toe and this tingling feeling on the big joint when I touch it or something rubs on it. Otherwise I am completely unaware of it. But I am concerned about the numbness and the sudden bump. Have I irritated the nerve from the strap of the shoe rubbing on it
I haven't noticed it happening,....but to a very lesser extent I feel a bit of the same nerve tingling on the other foot at the big joint as well. No numbness or bump on that toe ( right side).
Right now I am away working and unable to get to a dr until another week or so Just wondering what it might be. I have picture of the toe where the bump is clear to see I have no pain other than the numbness and tingling at the big toe joint when I touch it...the area marked off with pen is where the partial numbness is...if I stick a toothpick in I can feel it, but def paresthesia in that area
I haven't noticed it happening,....but to a very lesser extent I feel a bit of the same nerve tingling on the other foot at the big joint as well. No numbness or bump on that toe ( right side).
Right now I am away working and unable to get to a dr until another week or so Just wondering what it might be. I have picture of the toe where the bump is clear to see I have no pain other than the numbness and tingling at the big toe joint when I touch it...the area marked off with pen is where the partial numbness is...if I stick a toothpick in I can feel it, but def paresthesia in that area
Brief Answer:
possible sensory loss due to nerve fiber damage,neuroma has to be ruled out
Detailed Answer:
Hello XXXX, Welcome to HCM,
Very well written history, i've gone through in details and reviewed the image too..
If you observe carefully, you can see that the groove around the distal phalanx(of the great toe) of the left foot is some what reduced and the area is a bit shiny too compared to your right foot..
Along with it, those sensory losses, indicate early onset nerve fiber damage, the most likely cause can be due to that jumping event only, along with a formation of neuroma (possible morton's neuroma) due to may be nerve entrapment..
No, one week is not at all advisable, as it can worse even further, so you need to get yourself checked out without any further delay..
There's a need to rule out stress fracture of the toe also..
There'll be a need to undergo for X-ray of the feet along with MRI after physical evaluation by a Orthopedician.. you can simply go to your nearest ER/urgent care where you'll not only get yourself promptly examined but also will receive immediate management accordingly..
This is certainly not a manageable situation at home/work , so you'll definitely get off from your work for the time being..
Let me know how it goes and please don't delay any more..
Take Care
Kind Regards
possible sensory loss due to nerve fiber damage,neuroma has to be ruled out
Detailed Answer:
Hello XXXX, Welcome to HCM,
Very well written history, i've gone through in details and reviewed the image too..
If you observe carefully, you can see that the groove around the distal phalanx(of the great toe) of the left foot is some what reduced and the area is a bit shiny too compared to your right foot..
Along with it, those sensory losses, indicate early onset nerve fiber damage, the most likely cause can be due to that jumping event only, along with a formation of neuroma (possible morton's neuroma) due to may be nerve entrapment..
No, one week is not at all advisable, as it can worse even further, so you need to get yourself checked out without any further delay..
There's a need to rule out stress fracture of the toe also..
There'll be a need to undergo for X-ray of the feet along with MRI after physical evaluation by a Orthopedician.. you can simply go to your nearest ER/urgent care where you'll not only get yourself promptly examined but also will receive immediate management accordingly..
This is certainly not a manageable situation at home/work , so you'll definitely get off from your work for the time being..
Let me know how it goes and please don't delay any more..
Take Care
Kind Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thank you for your response, I have contacted a foot dr in NYC and will be seeing him on Monday afternoon. I explained the situation to them and they seem to think it's nerve entrapment possibly from jumping rope.
Brief Answer:
it was the first suspicion of mine too as i've already explained..
Detailed Answer:
Hello Dear, Welcome Back,
Thanks for following up..
Even though i certainly don't have the privilege to examine you clinically, you've written your history in such a detailed manner along with those sequence of events and the picture too, that made my assessment a lot easier without asking you a single question for further clarification..
Yes, please go ahead with the Foot Doctor's appointment, as there are certain other things which need to be ruled out at the same time(as already explained)..
Let Me know how it goes..meanwhile avoid any strenuous activity which put your feet at any stress..
For future reference you can always get in touch with me, below is my direct follow-up link through which you can contact me anytime anywhere, I'll be happy to help -
http://www.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=71041
Take Care
Kind Regards
it was the first suspicion of mine too as i've already explained..
Detailed Answer:
Hello Dear, Welcome Back,
Thanks for following up..
Even though i certainly don't have the privilege to examine you clinically, you've written your history in such a detailed manner along with those sequence of events and the picture too, that made my assessment a lot easier without asking you a single question for further clarification..
Yes, please go ahead with the Foot Doctor's appointment, as there are certain other things which need to be ruled out at the same time(as already explained)..
Let Me know how it goes..meanwhile avoid any strenuous activity which put your feet at any stress..
For future reference you can always get in touch with me, below is my direct follow-up link through which you can contact me anytime anywhere, I'll be happy to help -
http://www.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=71041
Take Care
Kind Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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