[24F] Experiencing foot compression sensation and severe back pain

Patient Description

A 24-year-old female reports a sensation of compression in the toes, particularly at the knuckles, persisting for about a month or two. Initially occasional, the pain has become more constant over the past week or two, accompanied by redness but no swelling or warmth. The patient has not attempted any treatments. Additionally, she experiences severe back pain described as a ripping sensation, which is alleviated by lying down with legs elevated. The patient also reports stiffness in her knees and other joints, and muscle weakness in her legs, but denies any numbness, tingling, or changes in bowel or bladder habits. There is no recent history of infections or illnesses, nor a family history of autoimmune diseases. She is currently taking doxycycline 100 mg twice daily and no other medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possible explanations for what you might be experiencing:

  1. Peripheral Neuropathy: The sensation of your feet being compressed, along with redness and muscle weakness, could suggest peripheral neuropathy. This condition involves damage to the nerves outside the brain and spinal cord and can cause pain, weakness, and changes in sensation. It can be caused by various factors, including vitamin deficiencies, infections, or certain medications.

  2. Arthritis: The stiffness in your knees and other joints, along with the pain in your toes, could be indicative of arthritis. Arthritis can cause joint pain, stiffness, and swelling, and it can affect multiple joints in the body.

  3. Spinal Issues: The severe back pain you described, especially if it feels like your spine is being "ripped," could be related to a spinal issue such as a herniated disc or spinal stenosis. These conditions can cause back pain and may also affect the nerves, leading to symptoms in the legs and feet.

  4. Circulatory Issues: Redness in the toes and lightheadedness could also suggest circulatory issues, which might affect blood flow to your extremities and brain.

What you can do

Foot Pain and Redness:

  • Consider seeing a healthcare provider to evaluate your foot pain and redness, especially if it persists or worsens. They may recommend tests to check for nerve or circulatory issues.
  • Keep your feet elevated when resting to help reduce any potential swelling.
  • Avoid tight footwear and ensure your shoes are comfortable and supportive.

Back Pain:

  • Since your back pain is severe, it would be wise to consult a healthcare provider. They may suggest imaging tests like an MRI to assess your spine.
  • Continue to rest in positions that relieve your pain, such as lying down with your legs elevated.
  • Gentle stretching and strengthening exercises, as recommended by a physical therapist, may help improve your back health over time.

Joint Stiffness:

  • Regular, gentle exercise can help maintain joint flexibility. Activities like swimming or yoga can be beneficial.
  • Over-the-counter pain relievers, such as ibuprofen, may help reduce pain and inflammation, but consult a healthcare provider before starting any new medication.

Lightheadedness:

  • Ensure you stay hydrated and maintain a balanced diet to support overall health.
  • If lightheadedness persists, seek medical advice to rule out underlying causes.

Consider using MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Sudden or severe increase in pain or swelling in your feet or joints.
  • Numbness or tingling in your feet or legs.
  • Difficulty walking or significant muscle weakness.
  • Any new or worsening symptoms, such as changes in vision or severe headaches.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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2 mo ago


People Also Ask


What could be causing the sensation of compression in the toes and redness without swelling or warmth?

The sensation of compression in the toes and redness could be due to peripheral neuropathy, arthritis, or circulatory issues. It's important to consult a healthcare provider for a proper diagnosis.


How can severe back pain that feels like a ripping sensation be managed at home?

Severe back pain can be managed at home by resting in positions that relieve pain, such as lying down with legs elevated. Gentle stretching and strengthening exercises, as recommended by a physical therapist, may also help.


What are some potential causes of joint stiffness and muscle weakness in the legs?

Joint stiffness and muscle weakness in the legs can be caused by arthritis, peripheral neuropathy, or spinal issues. Regular, gentle exercise and consulting a healthcare provider for a thorough evaluation are recommended.


When should someone seek medical attention for symptoms like these?

Medical attention should be sought if there is a sudden or severe increase in pain or swelling, numbness or tingling, difficulty walking, or any new or worsening symptoms such as changes in vision or severe headaches.


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