[25F] With sharp foot pain under toes

Patient Description

A 25-year-old female reports experiencing sharp pain at the bottom of her foot under her toes for the past three days. The pain is exacerbated by walking, standing, or putting weight on the foot. There is no history of recent injuries, changes in footwear, or new physical activities. The pain came on suddenly and is not accompanied by any other symptoms such as swelling, redness, bruising, numbness, tingling, or stiffness. The patient has tried rest, ice, and over-the-counter pain medications without relief. There is no pain when flexing or extending the toes, but there is pain when pressing on the bottom of the foot under the toes. The patient has no history of foot problems, chronic illnesses, or substance use.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Metatarsalgia: This condition is characterized by pain and inflammation in the ball of your foot. It can be caused by overuse, improper footwear, or high-impact activities. The pain is often sharp and worsens with weight-bearing activities like walking or standing.

    • Treatment: Rest, ice, and over-the-counter pain relievers can help. Proper footwear with good arch support and cushioning is also important. In some cases, custom orthotics may be recommended.
  • Morton's Neuroma: This is a thickening of the tissue around one of the nerves leading to your toes. It can cause sharp, burning pain in the ball of your foot, often accompanied by a sensation of something being inside the ball of the foot.

    • Treatment: Conservative treatments include wearing wider shoes, using arch supports, and taking anti-inflammatory medications. In more severe cases, corticosteroid injections or surgery may be necessary.
  • Plantar Fasciitis: Although this condition typically causes pain in the heel, it can sometimes cause pain in the ball of the foot. It is due to inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot.

    • Treatment: Rest, ice, stretching exercises, and proper footwear can help alleviate symptoms. Physical therapy and orthotics may also be recommended.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help alleviate your symptoms:

  1. Rest: Avoid activities that put pressure on your foot, such as walking or standing for long periods.
  2. Ice: Apply ice to the affected area for 15-20 minutes several times a day to reduce inflammation and pain.
  3. Footwear: Wear shoes with good arch support and cushioning. Avoid high heels and shoes with narrow toe boxes.
  4. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.
  5. Foot Exercises: Gentle stretching exercises for your foot and calf muscles can help relieve tension and improve flexibility.
  6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Pain: If the pain becomes unbearable or significantly worsens.
  • Swelling or Redness: If you notice swelling, redness, or warmth in the affected area.
  • Numbness or Tingling: If you experience numbness, tingling, or a loss of sensation in your foot.
  • Inability to Bear Weight: If you are unable to put any weight on your foot.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask


What is metatarsalgia and how is it treated?

Metatarsalgia is a condition characterized by pain and inflammation in the ball of the foot, often caused by overuse, improper footwear, or high-impact activities. Treatment includes rest, ice, over-the-counter pain relievers, and wearing proper footwear with good arch support and cushioning. Custom orthotics may also be recommended.


What are the symptoms and treatment options for Morton's neuroma?

Morton's neuroma is a thickening of the tissue around one of the nerves leading to the toes, causing sharp, burning pain in the ball of the foot. Treatment options include wearing wider shoes, using arch supports, taking anti-inflammatory medications, and in severe cases, corticosteroid injections or surgery.


Can plantar fasciitis cause pain in the ball of the foot?

Yes, while plantar fasciitis typically causes heel pain, it can sometimes cause pain in the ball of the foot due to inflammation of the plantar fascia. Treatment involves rest, ice, stretching exercises, proper footwear, and possibly physical therapy or orthotics.


When should I seek medical attention for foot pain?

You should seek medical attention if you experience severe pain, swelling, redness, numbness, tingling, or an inability to bear weight on your foot, as these could indicate a more serious condition requiring professional evaluation.


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