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Pain in both feet (top and bottom)

by Dawn
(West Lafayette, IN)

I have been having foot pain in both feet (top and bottom) for almost 4 years. I am a 54 year old female but my feet feel like they have declared war against me. I have very high arches and wear a six 6-7 shoe. I am no longer able to wear any kind of heel what so ever. I've been doomed to low supportive shoes and heavens NO NO NO don't wear any kind of flip flops!

I've had X-rays done a number of times and generally the doctor finds nothing. Sometimes I end up with a stress fracture on the top of the same foot (R). I abosolutely have to wear some kind of shoe all day and do not go barefoot anymore. My feet hurt so bad so much of the time I can not stand in one place for more than 5 minutes without sitting down. Waiting in lines at the grocery or bank are something I have to plan for. When I have to sit down to rest my feet, I do notice my lower back is very painful too-they tie together don't they?
I was in a truck accident in 1994 and did have compression fractures in my back that did heal but surely foot pain would not come from that so many years later. The pain in my feet feels like hot pain and bruising on the bottoms that makes me limp a lot and actual soreness on the top when I rub the bones. I also get sharp pains on the outsides in either foot if I stretch my feet to the side and downward.
My feet are always swollen, ankles too. Doctor tried diruetics that did not help. Saw a rhumatologist and he diagnosed me with fibromyalgia. I do take Neurontin for that diagnosis but the foot pain continues.
I realize my ramblings are not in a concise order but thnak you for your time to try to decifer any of this for me.

Hi Dawn,
People with high arched feet may have problems as they age because the foot becomes more arthritic and we lose fat on the bottom of the foot.
In general terms the simplest way to treat this is through the use of an orthotic. Since you are in so much pain I would not recommend a store bought device, but rather a prescription orthotic, one that will be able to adequately support your feet.
It will not cure your problem but should dramatically reduce the pain. Additionally if you are overweight you will need to lose the extra pounds which will take pressure off your feet.
Marc Mitnick DPM

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Jun 15, 2010
by: Penny

I have absolutely no fat on the bottom of my feet and this has been something I've lived with all my life, I'm 63 yr old female. My feet fall asleep easily, cramp easily. I have told every doctor I see anymore to CUT OFF MY FEET AND GIVE ME PROSTHETICS!! I also have hammer toes and black, thick, ugly toenails. I have recently been working with an osteopathic doctor who has given me a couple of treatments which helps for a while but then the numbness comes back. I want to know if there is a way to take an insole, I like IMPACT GEL, cut them to fit my feet, sterilize them and insert them in a pouch in the bottom of my feet? An internal insole instead of external one. Right now I develop two callus on both feet that I have to keep "Ped-Egged" or it hurts like hell. Walking barefoot is impossible. I can feel a poppy seed through socks.

May 30, 2009
Small Feet but Big Problems May Be Solved!
by: Dawn

Dr. Marc,

Thank you so much for your reply which seemed to be right on. I have researched many sites but you put me on the right path to the possible answer. My foot pain may not rule the rest of my life after all! I believe I'll make a sign that reads, "THE END IS NEAR!"

Thanks Very Much,

West Lafayette, IN

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