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Foot pain, outside edge, left foot

by Andy Bible
(Lilburn, GA)

Have had plantar fasciitis in both feet that shots pretty much cured. This pain is different. Left foot, outside edge, not quite half way between my heel and little toe. My doctor put me in orthotics when he was treating the plantar fasciitis. When this other pain continued, he built up the outside edge w/ a piece of foam. Is getting no better at all. He first said it was a tendon issue. Now he's saying nerve. He can call it what he wants, I just want my foot to stop hurting. Have done the 2400 mg of Ibuprofen a day and ice. Nothing is working. Can you help?

Hi Andy,
This is one of the commonly asked problems to this forum.
More than likely you have irritated the tendon that runs under the bone midway between your heel and little toe. Your doctor has the right diagnosis.
A few recommendations. One, the orthotic may actually be worsening the problem, so if your plantar fasciitis is no longer a problem, stop wearing the orthotic, as it is pushing your foot to the outside and putting pressure on that area.
Secondly, ask your doctor about a cortisone shot in the area, as they can be very helpful. Third, and maybe the biggest issue, check to make sure all of your shoes are wide enough in that area of the foot. Some people have a large protrusion of the fifth metatarsal base and so for them the bone and tendon presses into the edge of the shoe (this will be worsened by the orthotics).
Most of these problems are ultimately solved by eliminating shoes that are too narrow in that area.
Marc Mitnick DPM

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Nov 30, 2010
Outside edge foot pain
by: Anonymous

I have the same problem it just started 2 weeks ago, and it is worse if I don't wear shoes at all. I found the best thing for it is my Sketcher's Shape-ups, they are the only shoes that help this problem and I don't feel the pain much at all, but as soon as I take them off the pain is back.

Mar 30, 2010
by: Anonymous

Give it rest, a hot massage and some stretching.
Allow recovery.

Then, slowly start running/walking barefoot. Or wear vibram five finger or other minimalistic shoes.This will gradually strengthen your foot muscles and will release the tension on your tendon.

The foot is a complex bio-mechanism containing 26 bones, 33 joints (20 of which are actively articulated), and more than a hundred muscles, tendons, and ligaments.

Shoes are bad 'science'.
"Well designed" shoes, orthotic or otherwise, are products of commercial ill-founded under-researched studies that basically encase this evolutionary marvel in a coffin, giving the individual components no opportunity to strengthen. Shoes with heels force you to heel-strike. We are meant to run with a ball-strike, allowing the natural cantilever of the foot with the calf muscle as reciprocal spring to cushion the impact.

Humans evolved to run. Our species is the longest distance runners on the planet. Before we made spears or weapons, we ran animals down to the point of "thermal exhaustion". No animal can sweat and cool down while running, except us. So, we ran a lot.
In the past 3 decades since Nike, foot injuries have actually gone up in numbers.

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