[50M] Experiencing foot pain and associated symptoms

Question

Has anyone had a similar experience with my story and have done anything to get rid of the pain and been able to do activities without the consequences of pain

Patient Description

A 50-year-old male has been experiencing pain from the little toe down the left side of his foot to his heel for the past two months. The pain is described as a sharp, bruised sensation that worsens by the end of the workday, causing him to limp. This altered gait has led to secondary pain in his hips and an offset feeling in his back. Additionally, he reports intermittent numbness in the foot when resting. The patient has a history of two lower lumbar surgeries for degenerative disc disease and was previously shot in the same foot, though the current pain is on the opposite side. He is currently taking Suboxone, gabapentin, ibuprofen, Paxil, and Seroquel for management of his conditions and symptoms. He also has a tree nut allergy. No recent injuries were reported.

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Arora's Assessment

What might be happening

Based on the information provided, the following conditions could be causing your symptoms:

  • Peripheral Neuropathy: This condition, which often affects people with diabetes or nerve damage, can cause pain, numbness, and weakness in the feet and hands. It's possible that your past injury or surgeries have led to nerve damage in your foot.

    • Treatment usually focuses on managing the condition causing your neuropathy and relieving symptoms. Over-the-counter pain relievers and prescription medications can help manage mild to moderate symptoms.
  • Plantar Fasciitis: This is a common cause of heel pain that involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia).

    • Treatment typically includes physical therapy, night splints, orthotics, and in some cases, steroid injections.
  • Lumbar Radiculopathy: Given your history of degenerative disc disease and lumbar fusion, it's possible that nerve roots in your lower back are being compressed, leading to pain and numbness in your foot. This is also known as sciatica.

    • Treatment usually involves physical therapy, medications for pain relief, and in some cases, surgery.

What you can do

  1. Rest your foot as much as possible. Avoid activities that put pressure on your foot.
  2. Apply ice to the painful area for 15 minutes at a time, several times a day.
  3. Over-the-counter pain relievers, such as ibuprofen, can help reduce pain and inflammation.
  4. Wear shoes with good arch support and a cushioned sole.
  5. Stretch your foot, ankle, and calf to improve flexibility and reduce pain.

Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment plan.

What you should look out for

Seek immediate medical attention if:

  • Your foot pain is severe or worsening
  • You have difficulty walking or performing daily activities
  • You notice any changes in the color or temperature of your foot
  • You experience sudden, severe weakness in your foot or leg

Please remember that 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, testing, and care recommendations.

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8 mo ago

People Also Ask


What are the common symptoms of peripheral neuropathy?

Common symptoms of peripheral neuropathy include pain, numbness, tingling, and weakness in the affected areas, often starting in the feet and hands. It can be caused by diabetes, injuries, or other conditions affecting the nerves.


How can plantar fasciitis be managed at home?

Plantar fasciitis can be managed at home by resting the foot, applying ice to reduce inflammation, using over-the-counter pain relievers, wearing supportive shoes, and performing stretching exercises for the foot and calf.


What is lumbar radiculopathy and how is it related to back surgeries?

Lumbar radiculopathy, often referred to as sciatica, occurs when nerve roots in the lower back are compressed, leading to pain, numbness, or weakness in the legs or feet. It can be related to back surgeries if there is residual or new compression of the nerves.


When should I seek medical attention for foot pain?

You should seek medical attention for foot pain if it is severe or worsening, if you have difficulty walking, if there are changes in the color or temperature of your foot, or if you experience sudden, severe weakness in your foot or leg.


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Anonymous#23658

8 mo ago

I got plantar fasciitis in high school working long hours in retail and fast food, immediately after switching shoes. My calf muscles permanently feel constricted, like mild cramps, my knees feel like they're on backwards (sort of, only way I can describe it) and my foot arches don't feel too bad most of the time, but my ankle Is in a lot of pain.

Here's what worked for me

  • I never barefoot walk. Always use insoles or recovery sandals. Insoles in every shoe including my Brooks Avid

  • I use a foot rocker. Tons of models out there. One is ProStretch. Use it every morning

  • daily stretching including heel drops. Stand on the edge of a step and slowly drop one heel. Hold for 30 and repeat. I do this at least 5 times per day.

Once I got religious about it all, mine healed within a couple weeks. Haunted me for years prior.

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