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bottoms of feet hurt

by Lois
(USA)

I have started wearing pre-made inserts that I got from my pedorthist. The pedorthist has padded the sesamoid area as well as the sulcus (?) (I was told that this is was the crease of the big toe where it joins the foot underneath is challed.) Since my bunionectomy 4 months ago I have had non-stop pain in both those areas (incidentally I have the pain in both feet but only had the bunionectomy on the left foot.) I was told orthotics would help this and eventually I would no longer have pain there. I have done exactly what I was told to do as far as wearing the orthotics. But, what I am finding now is that once I take my shoes off I have horrible and incapacitating pain in the bottoms of both feet on the outer sides only from the heel up to the small toe and across the ball of the foot. Also, when I take my shoes off and walk without the orthotics my sesamoid areas on the feet just absolutely throb sharply and continuously. When I wear the orthotics I have sharp pain across the metatarsal area of both feet.


I don't know what to do anymore. I have pain whether I wear shoes or not. I got the bunionectomy to stop the pain at the joint and sesamoids and now I have more pain than ever. I feel I am becoming a cripple with my feet pain.

Is it possible that the inserts are too hard or stiff for my feet? Or that the padding is in the wrong area?

(My doctor is out of town for the next two weeks otherwise I would be asking her. I do have an appointment with her when she returns.)

Hi Lois,
I am not clear whether you had sesamoid pain prior to the bunionectomy, but depending on the procedure done, there may have been some damage done to the sesamoids as a result of the surgery.
If I read your complaints properly it seems there is some improvement in your feet with the orthotics because when you take them off your feet seem to hurt worse, while the orthotics are on there is also pain but of a different nature. Is that correct?
If so, you very well may need a different type of orthotic.
Here is what I recommend.
1. Speak frankly to your doctor when she returns, let her know exactly what bothers you. Keep in mind that four months post op is not a lot of time and you could still be having some pain. What I tell my patients is that if you notice the level of pain diminishing on a week by week basis then you are doing fine; if you reach a point where the pain no longer seems to be diminishing then there may be a problem.
2. The new orthotics may either need to be adjusted or you may need a different type of orthotic. If you are having similar pain on both feet when wearing the orthotics, it tells me they are coming from the orthotics. This is all predicated by the fact that you went thru the whole break in period with the orthotics. Since these are pre-made orthotics it might mean that you will require prescription orthotics.
Marc Mitnick DPM

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Jun 01, 2008
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bottoms of feet hurt
by: Anonymous

Yes, I had the sesamoid pain before the surgery was done. I was told that the pain in the sesamoid area would be gone after the surgery....that was one of the reasons I did the surgery.

You are correct in that my feet do hurt worse when I do NOT have the orthotics on...but when they are on I have pain in a different area. And, yes, it is apparent to me that my pain level is no longer diminishing, but is sort of status quo, not changing and continual.

I have purchased some orthotics that are more flexible and are softer than the ones I already have been wearing.

Thank you for your help! I think that my intuition is correct, and has been correct, in regards to my pain issue. This is an issue I cannot seem to resolve with my doctor no matter how many times I speak with her about it.

I do have a pending appointment with the doctor once she returns.

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Wonderful advice

by: Anonymous

This is the best site for foot problem info.


Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

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Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

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