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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Foot Pain?

I been dealing with foot pain in all my toes and the tops of both feet. when I first get up in the morning I get burning sensation in my feet and it hurts to put weight on them. this will also happen if I sit for a long period of time. Recently I have also notice sharp shooting pain from the ankle to the toes and I also get this sometimes when I take a deep breath. Mark. Reading, Pa.
Sat, 28 Apr 2018
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Addiction Medicine Specialist 's  Response
Hello,

Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment.

Type of pain:
Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain.

Location of pain:
There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are multiple areas and tend to be the tips of the nerve not the whole nerve.

What hurts:
Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves.


Having a diagnosis leads to choice of medicine for the pain. Inflamed outer structures respond to treating inflammation. Inner structures need diagnostic tests because something internal is broken. MRI's. And, structures that cannot be fixed need adaptations. Physical therapy, pillows, supportive structures internal and external can be done.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman
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What Causes Severe Foot Pain?

Hello, Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain: Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. Location of pain: There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it hit a nerve would be a possibility. Sick nerves are multiple areas and tend to be the tips of the nerve not the whole nerve. What hurts: Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves. Having a diagnosis leads to choice of medicine for the pain. Inflamed outer structures respond to treating inflammation. Inner structures need diagnostic tests because something internal is broken. MRI s. And, structures that cannot be fixed need adaptations. Physical therapy, pillows, supportive structures internal and external can be done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman