[43F] Experiencing foot and calf pain

Patient Description

A 43-year-old female reports a dull throbbing pain under the toes and on the side of the right foot, which has been present for 3 months. The pain worsens with prolonged standing and after periods of rest. Additionally, the pain radiates up into the calf. The patient notes a sensation of swelling and warmth under the toe joints but with no visible signs. There is also heel pain noted, particularly when taking the first steps in the morning. No recent foot injuries, changes in skin color, or temperature have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Plantar Fasciitis: This is a common cause of heel pain that may also cause pain under the toes. It's due to inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes.

    • Treatment typically involves rest, ice, over-the-counter pain relievers, and physical therapy. In some cases, your doctor may recommend orthotics or steroid injections.
  • Metatarsalgia: This is a condition that causes pain and inflammation in the ball of your foot. You may feel pain in the area under your second, third, and fourth toes, or only near your big toe. You might also experience a sharp, aching or burning pain, or a feeling like you have a pebble in your shoe.

    • Treatment usually involves rest, ice, and over-the-counter pain relievers. Wearing the right shoes and orthotics can also help.
  • Peripheral Neuropathy: This is a result of damage to your peripheral nerves, often causing weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment typically involves managing the condition causing your neuropathy and relieving symptoms with medications and therapy.

What you can do

  1. Rest and elevate your foot when you can.
  2. Apply ice to the area for 15 minutes at a time to help with the pain and inflammation.
  3. Over-the-counter pain relievers such as ibuprofen can help with the pain.
  4. Avoid high heels or shoes with thin soles and little arch support.
  5. Maintain a healthy weight to reduce pressure on your feet.
  6. Regularly stretch your feet and calves to improve your overall foot health.

What you should look out for

If your symptoms persist or worsen, it's important to seek medical attention. Here are some signs that you should see a doctor:

  • Severe pain and swelling near your heel
  • Inability to bend your foot downward, rise on your toes or walk normally
  • Heel pain with fever, numbness or tingling in your heel
  • Severe heel pain immediately after an injury

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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11 mo ago

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People Also Ask


What is plantar fasciitis and how is it treated?

Plantar fasciitis is an inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot. It commonly causes heel pain, especially with the first steps in the morning. Treatment includes rest, ice, over-the-counter pain relievers, physical therapy, and sometimes orthotics or steroid injections.


What are the symptoms and treatment options for metatarsalgia?

Metatarsalgia is characterized by pain and inflammation in the ball of the foot, often under the second, third, and fourth toes. Symptoms include sharp, aching, or burning pain. Treatment involves rest, ice, pain relievers, and wearing appropriate footwear or orthotics.


How can peripheral neuropathy affect the feet, and what are the treatment options?

Peripheral neuropathy involves damage to the peripheral nerves, causing symptoms like weakness, numbness, and pain in the feet. Treatment focuses on managing the underlying cause and relieving symptoms through medications and therapy.


What lifestyle changes can help alleviate foot pain?

Lifestyle changes that can help alleviate foot pain include resting and elevating the foot, applying ice, using over-the-counter pain relievers, avoiding high heels or unsupportive shoes, maintaining a healthy weight, and regularly stretching the feet and calves.


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