Top of Foot Pain
Hello,
I am so GLAD to have stumbled upon your website. As you are probably very used to, I would like to ask a question. My boyfriend has been expierencing pain on the top right side of his left foot next to the top of the ankle bone. It is a serious pain that returns about every three weeks and lasts for three to four days (It first appeared about four months ago). It hurts him constantly when it arises and only slightly throbs when it goes away. There is very little to no swelling and no differnces in color. Sometimes the pain will intensify and wake him up in the middle of the night or early morning hours in extreme pain. He does not participate in sports or strenuous exercise, run, or have any dieseases that may be associated with this type of foot problem. He is still able to walk and work but is in constant pain (He sometimes has to limp). We have tried ice, raising it, resting it, soaking it in warm water, changing shoes, almost everything I can think of but nothing works and the stubborn boy will not go to the doctor to find out what it is. Can you help me at least identify what the problem might be? I would be ever so grateful. Thank you very much for your time and hope you have a great day! Thanks So Much
3 comments
Joule
I have been told that I have a picnhed nerve between my 4th and 5th toe on my left foot. I was give a metatarsal pad which not only made the pain worse it caused my knee to hurt do to how I started walking with the pain. I have removed the pad and fear if I call back the doctor will want to do a cortison shot. Years ago I had one of these in my shoulder and ended up in pain so unreal I had to go the ER. Later I learned about ‘cortison flare’ and worry if I get a shot this may happen again. If one has had this flare once is is likely to happen again or do you know.
Vivian Abrams DPM
There can be a number of possible causes for his pain. Without examining his foot, I can not say anything for sure. Possibilities can include nerve entrapment, soft tissue cyst (ganglion) bone cyst, sinus tarsi syndrome.Unfortunately, I can’t tell you what to do about his problem. When it hurts him enough he will see a doctor. Preferably a podiatrist.
Vivian Abrams DPM
A cortisone flare does not happen every time. Having said that, there are no guarantees. I have found from experience that Depo Medrol does this more often than Celestone Soluspan. A shot of cortisone for a neuroma doesn’t always work, but is certainly a conservative option.Personally, I always try to give the least painful shot so the patient doesn’t remember me in a bad light for years to come. I will inject a small amount of local anestheitc first, then leave the needle in and reload with the steroid. You should discuss your concerns with your doctor. Good luck.