[59F] Experiencing intermittent foot pain and tingling

Patient Description

A 59-year-old female reports a 4-week history of intermittent, dull foot pain that occurs while walking. Additionally, she experiences intermittent tingling in her feet, which is present when sitting. She has no history of recent foot injuries, no additional symptoms, and no known drug allergies. The patient is not on any medications and has no known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

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

  • Stress Fracture: This is a small crack in a bone that occurs over time due to repetitive force, often from overuse — such as repeatedly jumping up and down or running long distances. Stress fractures are most common in the weight-bearing bones of the lower leg and foot.

    • Treatment typically involves rest and refraining from the activity that caused the stress fracture. In some cases, surgery may be needed.
  • 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 cause tingling in the feet. Diabetes is a common cause, but it can also result from injuries, infections, and exposure to toxins.

    • Treatment involves managing the condition causing the neuropathy. Pain and physical therapy may also be part of the treatment plan.
  • Tarsal Tunnel Syndrome: This is a compression, or squeezing, on the posterior tibial nerve that produces symptoms anywhere along the path of the nerve running from the inside of the ankle into the foot.

    • Treatment usually begins with non-surgical methods that may include rest, immobilization, nonsteroidal anti-inflammatory medications, steroid injections, physical therapy, and orthotic devices.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Rest your foot and avoid activities that make your symptoms worse.
  2. Apply ice to the affected area.
  3. Over-the-counter pain relievers may help with the pain.
  4. Wear shoes that fit well and provide good support.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain becomes severe or unbearable
  • If you notice swelling, redness, or warmth in the affected area
  • If your symptoms do not improve with rest and over-the-counter treatments
  • If you develop any new symptoms

Please remember that while I strive to provide accurate information, I am not a doctor. It's important to consult with a healthcare professional who can provide you with a formal diagnosis and treatment plan.

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11 mo ago

People Also Ask


What are the common symptoms of a stress fracture in the foot?

Common symptoms of a stress fracture in the foot include pain that develops gradually, swelling on the top of the foot or the outside of the ankle, tenderness to touch at a specific spot, and pain that worsens with activity and improves with rest.


How is peripheral neuropathy diagnosed and treated?

Peripheral neuropathy is diagnosed through a combination of medical history, physical examination, and tests such as blood tests, nerve function tests, and imaging studies. Treatment focuses on managing the underlying cause, relieving symptoms, and preventing further nerve damage. This may include medications, physical therapy, and lifestyle changes.


What are the signs and symptoms of tarsal tunnel syndrome?

Signs and symptoms of tarsal tunnel syndrome include tingling, burning, or a sensation similar to an electric shock, numbness, and pain in the foot, especially along the inside of the ankle and the bottom of the foot. Symptoms may worsen with activity and improve with rest.


When should I see a doctor for foot pain and tingling?

You should see a doctor for foot pain and tingling if the pain becomes severe or unbearable, if you notice swelling, redness, or warmth in the affected area, if your symptoms do not improve with rest and over-the-counter treatments, or if you develop any new symptoms.


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