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Pain in both feet after I have been off of them for awhile, and when I wake up in the morning.

by Chuck
(Greensboro, NC)

The pain seems to come from in between the bones of the fourth and fifth toe on my right foot along with the heel. My left foot is just sore all over but I have pain in the muscle running up the outside of my shin as well. I have recently (last six months) changed jobs to where I'm on my feet all day (10hrs). I have purchased high end work boots to help but no relief. I'm 36 and have been active my whole life but have never experienced chronic pain like this before.





ANSWER

Hi Chuck,

Even though you are relatively young, any new job that is going to require a person to stand ten hours a day may have a propensity to cause foot pain.
In regards to the pain in between your fourth and fifth metatarsal bones, the first thing that comes to mind is a Morton's neuroma which in general terms is a pinched nerve as a result of excessive pressure of the fourth and fifth metatarsal bones pressing on the nerve. This could be due to nothing more than your boots being too narrow, but that is not the only cause. In some instances it can also be due to your type of foot structure along with the fact that you stand such long hours.
Keep in mind I do not have the luxury of actually examining you, but your heel pain in all likelihood is not related directly to the pain in your forefoot.
As far as the leg pain goes it too may be either the result of compensating for your foot pain, possibility of your boots not being the right type for your foot structure, again aggravated by fact that you stand long hours.
As you can see I am speaking in generalities because I cannot actually examine you, so, that would lead to the best advice I can give you and that would be to see a foot specialist in your area who can evaluate your foot structure, along with taking a look at your boots, in conjunction with questioning you about your actual job and the surfaces you stand on all day.
You may find that you will need nothing more than an orthotic in your shoe in an attempt to better balance your foot and reduce the strain on the possible neuroma and your heel pain.
You may also find that your work boots, as good as you may think they are, may not be right for you.

Marc Mitnick DPM
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