[43F] With chronic toe pain and back issues

Patient Description

A 43-year-old female reports experiencing sharp and burning toe pain daily for the past year. The pain is accompanied by numbness and weakness but no swelling or redness. High insoles provide some relief. The patient stands for 8 hours daily, which may contribute to the symptoms. There is a history of back pain, herniated and degenerative disks, and recent changes in balance and coordination. The patient has also experienced weight loss. Medical history includes PCOS and degenerative disk disease. No medications are currently being taken.

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Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possible explanations:

  • Nerve Compression or Damage: Given your history of herniated and degenerative disks, it's possible that a nerve in your back is being compressed, leading to sharp, burning pain, numbness, and weakness in your toe. This is often referred to as radiculopathy.

    • Treatment: Physical therapy, pain management, and sometimes surgical intervention can help relieve symptoms. Imaging tests like an MRI can confirm this diagnosis.
  • Peripheral Neuropathy: This condition involves damage to the nerves outside the brain and spinal cord, often causing pain, numbness, and weakness.

    • Treatment: Managing underlying conditions, physical therapy, and medications to manage pain can be helpful.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor for a formal diagnosis and to discuss potential treatments.
  2. Use MDandMe: Track your symptoms, any changes, and how they relate to your activities. This information can be valuable for your healthcare provider.
  3. Footwear and Support: Continue using high insoles and consider supportive footwear to reduce strain on your feet.
  4. Physical Therapy: Engage in exercises that strengthen your back and improve posture, which may alleviate nerve compression.

What you should look out for

  • Increased Pain or Weakness: If your symptoms worsen or you experience new symptoms, seek medical attention promptly.
  • Changes in Bladder or Bowel Function: This could indicate a more serious condition requiring immediate care.
  • Persistent Weight Loss: If unexplained, it should be evaluated by a healthcare provider.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and personalized care.

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3 mo ago

People Also Ask


What could be causing sharp and burning pain in my toes?

Sharp and burning pain in the toes can be caused by nerve compression or damage, such as radiculopathy from herniated or degenerative disks, or peripheral neuropathy, which involves damage to the peripheral nerves.


How can standing for long periods affect my foot pain?

Standing for long periods can exacerbate foot pain by increasing pressure on the feet and potentially worsening nerve compression, especially if there is an underlying condition like a herniated disk.


What are the treatment options for nerve compression or damage?

Treatment options for nerve compression or damage include physical therapy, pain management, supportive footwear, and in some cases, surgical intervention. An MRI can help confirm the diagnosis and guide treatment.


Why is it important to monitor weight loss in this context?

Monitoring weight loss is important because unexplained weight loss can be a sign of an underlying health issue that needs to be evaluated by a healthcare provider. It can also affect overall health and recovery.


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