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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Toes?

I have intermittent pain in both big toes. Feels like needles when it hurts. Haven t hurt my feet. The nails both have a dark spot on them. As the nails have been growing I cut them back, but the nail stays unattached to the underlying skin and the darker part hasn t gone away. This has been going on for about 8 months,
Fri, 24 Nov 2017
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Dermatologist 's  Response
Hi.
As per your case history you are such sensation due to vitamin b12 deficiency.
My treatment advice is -
1. Take good nutritious diet full of green leafy vegetables and milk.
2. Take a vitamin b12 supplement once daily for 3 months.
3. Other treatment options are oral gabapentin, injectable vitamin b12 given only after consulting a dermatologist.

Thanks.
Dr. Harshit bhachech.
MBBS, DDVL.
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What Causes Pain In Toes?

Hi. As per your case history you are such sensation due to vitamin b12 deficiency. My treatment advice is - 1. Take good nutritious diet full of green leafy vegetables and milk. 2. Take a vitamin b12 supplement once daily for 3 months. 3. Other treatment options are oral gabapentin, injectable vitamin b12 given only after consulting a dermatologist. Thanks. Dr. Harshit bhachech. MBBS, DDVL.