pain on dorsal surface of foot
by KD
Have a high arch and think I caused damage to a nerve on top of my foot from tight shoes. Have been to 2 podiatrists who have tried injections and don't seem to agree on problem (small cyst?). Wore sneakers all winter and seemed to get better, but wore open flats this week and pain is back. Wasting money and still have pain and don't know where to turn. Hi KD People with high arched feet may develop a nerve entrapment of one of the superficial nerves that travels down the foot to give sensation to the toes. Compounding this, in many instances people may also develop a small ganglion cyst which is what I assume you are referring to. If there is a cyst present it can be felt, so either there is something there or there is not. If there is doubt then an MRI should be performed. Treatment can be problematic since any shoe that is a bit too tight on the spot in question will continue to aggravate the area. In a worst case scenario you may have to consider surgical intervention in an effort to remove some excess bone that may be aggravating the area, along with removal of the cyst (if present) and also freeing up the nerve if it entrapped in scar tissue which happens many times. A simpler approach would be to only wear shoes that do not press on that part of the foot such as you did with your sneakers. Now, to further complicate matters there is a chance that your pain is the result of a midtarsal fault which occurs when a high arched foot collapses somewhat. This could occur in flats that do not offer much support and feel better in sneakers which have better arch support. You need to be properly evaluated by a podiatrist who might want to order weightbearing and nonweightbearing xrays for comparison, or at the very least watch you walk and see what your foot looks like weightbearing and nonweightbearing. Perhaps a visit to another podiatrist might be in order. Marc Mitnick DPM DISCLAIMER The information provided here is not intended to be a substitute for professional medical advice by a licensed health care provider. The only way you can get an accurate diagnosis and treatment is by physical examination by a doctor along with a proper medical history and any needed tests. Without a proper evaluation it is impossible for any health care provider to give accurate information. Never disregard professional medical advice or delay treatment because of something you read on this site or any other medical related site.
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