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Comments for
Pain at the base of the third and second toe

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May 15, 2008
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PAIN AT THIRD AND SECOND TOE
by: Samantha

I don't believe it is a Neuroma. I forgot to mention that the MRI said there were none. I am 29 by the way. My right foot was operated on when I was 16 for tailor's bunion and a wire was put in and no MRI was done on that foot, but I tried wearing a boot on the left but the pain got worse. The pain is terrible between the second and third and some between the third and fourth. More so on the left foot than the right, but still quite a bit on the right foot as well. I'm also a teacher so I do lots of standing all day long. The bones in my foot have begun to roll outward almost and my toes are curled. They have always looked deformed. My oldest son's have already started to look somewhat like this but not as extreme. He plays lots of sports and has started to complain that his hurts as well. He's almost 8. She said it was genetic. There is some bruising on top of my foot around the base of my third and fourth toes. My third and second toes are so sore to touch also when I rub them as well as the ball of my foot.

Hi Samantha,
Obviously it is hard for me to make a diagnosis without actually examining you, but I will tell you that over the years I have done many MRI's on patients for neuroma that came back negative, only for me to take them to the operating room and end up removing a neuroma. So much so that I very rarely ever order an MRI when I suspect neuroma.
Neuroma would be the number one thing that would cause the kind of pain you are experiencing. Secondly would be capsulitis. A stress fracture or soft tissue growth of some sort probably would have shown up on the MRI.
If you are not having any relief from the doctor who is treating you perhaps a second opinion would be indicated.
Good luck.
Marc Mitnick DPM

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