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The response to the question below was authored by Marc Mitnick DPM

ankle stiffness during walking

Had lateral foot (underneath edge) 7 weeks ago on my right foot during walking(felt very sharp pain on weight bearing) - was limping around for 2 weeks before the pain started to subside - now feel a little strain after prolonged exercise. Have been stretching my calves 3 times a day and have had custom orthotics inserted but now experiencing aching/stiffness on the left side of my ankle (same foot) which becomes uncomfortable to walk on after a short time of walking on it. I overpronate and have flat feet which is why i have had custom orthotics made for me. Can you advise on what it is I'm actually experiencing?

I have no idea what your first sentence means, so I cannot help you with that.
What I will tell you is that if you are experiencing a new pain (ankle pain) after receiving your prescription orthotics, then they may need to be adjusted. You may be over corrected. Raise this concern with the doctor who prescribed the orthotics.
Marc Mitnick DPM

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reocurring tendonitis in ankes

by Rhonda
(Brownwood Texas)

My ankles have been swelling and extremely painful for about 4 months now. I'm not an extremely active person, but I do chase after a 3 year old all day as well as work part time standing on my feet about 20 hours a week. My ankles will swell and are real painful around the joints. No burning or redness. I've had x-rays...nothing is broken. I've had steriod shots along with predisone twice now and the first time it got rid of the pain for about 6 weeks...the second time...only for a few days. I'm having an MRI this week to see if there is something else going on such as a torn ligament. I've been tested for Lupus and RA...both were negative. I'm very frustrated with all of this. The pain keeps me from doing my normal activities and the only relief I get is when I take a hot bath. What else could be going on??

Hi Rhonda,
You may have nothing more than a biomechanical problem meaning you may either be extremely flat footed or have high arched feet. If you did not stand for 20 hours a week working you might never of had any symptoms, but long hours on your feet can bring out this type of pain.
In many individuals, bringing the foot into better alignment with your ankle thru the use of an orthotic will alleviate the problem. Give some thought to trying my Super Step Orthotics.
Marc Mitnick DPM

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Pain in foot after twisting the ankle

I am still feeling pain in my foot after twisting the ankle and taking a fall over a month ago. My foot hurts on the top of the foot and the outside of the foot below the ankle. I really feel the pain if I am pointing my toes and slightly rotating my foot inward. The foot sweals if I am standing on it for extended periods of time. I have not seen a doctor as of yet becausse I thought it was just a sprained ankle. If one of the little bones in my foot were to be fractured, am I doing more damage by not having it checked or will it heal on it's own? Thank you for your guidance.

If you are still having pain this long after the injury then you need to have your foot and ankle examined by a doctor. If you should have a broken bone then you are doing yourself a disservice by not having it diagnosed; you may end up with chronic pain.
Marc Mitnick DPM

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Ankle Pain

About a week and a half ago, I dropped an utilty knife and it dug into my ankle. The cut was close to the bone that sticks out in the inside of your ankle. I did not get stitches since i waited too long to see a doctor. The cut is healing well,there is no signs of an infection and the scab is almost gone. I am having pain in my ankle, but it feels like its coming from the bone, not the cut. the utility knife is heavy and i have some slight bruising on the bone. I am able to bear weight on it, but i have increased pain when I try to walk fast, walk on an uneven surface or try to rotate my ankle in any direction. The area around the bone is swollen slightly.
I dont have a problem going to the doctors, but i dont have insurance, so of its something minor, i would rather ride out the pain, if not then i will go back to the doctors.

At first blush I would say you bruised the bone itself with the utility knife, HOWEVER, if the pain is worsening, there is always the outside chance that you developed a bone infection from the dirty knife (even though the skin is not infected).
This is a condition that must be treated and although I cannot be certain without actually examining you, a trip to the doctor is a must to rule out an osteomyelitis.
Marc Mitnick DPM

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Pain in my 14 yr-old son's left ankle

by Joanne
(Diamond Bar, CA, USA)

My son has been complaining for 2 days of throbbing pain in his ankle whenever he steps on his foot. He especially complains first thing in the morning, but wraps it and does the best he can throughout the day at school. When at home, he stays off of it as much as possible. There's no swelling or bruising. The pain started the day after he went for a 15 minute jog around the neighborhood, which includes a hill. He's not very active, maybe 10 lbs. overweight, and has had weak ankles. Last year he had a trampoline accident and fractured his other (right) ankle above the growth plate, but it's healed nicely. Could this be a growth plate injury, just from a jogging? Thank you for any direction in this matter.

Hi Joanne,
Anything is possible but the only way to know for sure is to have him examined along with an x-ray. Since kids heal quickly, if this pain lasts more than five days with no appreciable improvement then it should be looked at.
His pain does seem out of proportion to the activity he was doing particularly since there was no trauma so one might assume it might be more than just an ankle sprain.
Marc Mitnick DPM

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ankle pain

by Kelly
(New York)

My right ankle is tender to the touch (on the top-right side) and only hurts when I am sitting or lying down. It does not hurt at all when I am standing or walking. I first noticed the pain after playing 18 holes of golf. I normally walk 9 holes on a fairly flat course. On this day, I played 18 holes and drove a cart on a very hilly course. I had walked 9 holes on this course 2 weeks previously with no ill effects. I have taken acetaminophen previously for muscle/joint aches with great success, but the acetaminophen has not done anything to lessen the pain/discomfort I feel when sitting or lying down. I have tried elevating my foot, but this does not cause any pain relief. Any suggestions?

Hi Kelly,
If I understand correctly the area that is hurting you, it sounds like your lateral ankle ligaments. It surprises me that it only hurts at rest and not while walking.
I do not know your age or weight or overal health, but one question I have is there any discoloration or anything else unusual in the skin in that particular area? Usually when patients have pain in that area at rest it from the pressure of the bed directly on the area due to a circulatory issue.
Assuming the skin appears normal, I would then go back to a ligament problem.
If you see a connection between athletic activity and then the onset of discomfort, I would try some kind of ankle stabilization device to support the ankle while golfing.
If that does not seem to help, then a visit to a podiatrist would be appropriate.
Marc Mitnick DPM

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I hurt my ankle playing soccer last week. It barely hurt but it was really swollen. Now the swelling is a little down its starting to hurt a bit more when i touch a certain place on my ankle. My foot becomes tingly at times. I went to the doctor last week and he told me to wear a tight sock with holes that you can buy especially for that. I was wondering if I could have a hairline fracture or it is just strained.

The only way to diagnose a fracture is with an x-ray, bone scan or MRI. So if you think the pain is greater than it should be, ask your doctor to follow up with an x-ray.
Marc Mitnick DPM

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Ankle Pain

I had tendinitis in my ankle last year, but it seemed to have cleared up about six months ago. I have started stretching more, to increase my flexibility in the hopes of preventing any new injuries. Today, after I finished stretching my hamstrings, the left side of my right ankle was swollen and sore, just above my heel, and just to the right of my Achilles tendon. It didn't bother me much when I flexed my foot, but it did when I pointed my foot (aka, compressed my ankle.) Is this tendinitis again? If it is, why would stretching aggravate it? Shouldn't stretching be good for it?

Hi Nicole,
Theoretically you are correct, stretching should be beneficial.
If I read your complaint correctly it seems you have swelling on either side of the achilles tendon, so depending on what kind of stretching you did for your hamstrings, you may have inadvertently over stretched your achilles tendon.
Follow my guidelines in my "tendonitis" page and see if your problem improves.
Marc Mitnick DPM

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Swelling above the inside right ankle

I have started a walking program recently. I started out walking 2 miles, 6 days week. I added a mile each week. I'm currently up to 4 miles a day, 6 days a week. I started this program 5.13.08...As of this week, there is swelling on the inside top part of my right ankle...What is the problem???

Since I do not have enough information I will only guess that it is tendonitis. See my section on "tendonitis" and see if that does not sound like your problem.
Marc Mitnick DPM

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Mayo Clinic

Johns Hopkins Medicine


Arthritis Foundation

University of Rochester Medical Center

Harvard Health

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation


Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician


University of Maryland Medical Center

(items I prescribe in the office)

Orthotics for multiple types of foot pain
best buy in a pre-made orthotic
click link below


Orthotics for heel and arch pain for those who must wear dress shoes
click link below


HONESTe Online Member Seal
Click to verify - Before you buy!

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Hunterville, NC
….after reviewing your amazing site (great for the avg. jill). So thank you very much!!!


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A well organized site containing much information written in a manner that the average reader can comprehend.


Ontario, Canada
I found your website and articles most interesting.


Thank you for a quick response. I think your site is the best information site on foot pain and I have viewed many.


(location unknown)
I came to your website, via www.foot-pain explained .com which I think is also your website? I thought explanations for different types of problems were well addressed and thoughtfully stated for the patient in mind.


New York
You have an amazing and extremely informative site. I enjoyed looking through all of the data and stats.


Memphis, TN
Thanks again so much for the information in the article. Very interesting.


Great article. I have had plantar fasciitis since I was in high school……..

J. Simmons

(location unknown)
Dear Dr. Mitnick, The orthotics arrived four days ago and I slipped them into my shoes immediately. I was skeptical as to the usefulness of the item, they really didn't look very exotic. I have to say though, after using them for just four days, I have experienced grand relief from my foot pain. Even the very first day, I was able to do a lot of work while on my feet with at least a 75% reduction of pain. It has only gotten better every day, and I go nowhere without my shoes with the orthotics. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen. Since getting the orthotics, my life has returned to normal and I feel good again. Just wanted to say thanks for the recommendation for a very effective item, I had no idea what a change this item could affect.

Yours truly,

J.C. Forbes

Thanks for the Response, you hit it on the head.


Redondo Beach, CA
Thank you for your time and expertise in answering my question…..


(location unknown)
First, thanks for putting together this website. Its the most informative site I have found dealing with foot problems. Last June I started having pain and swelling at …….


(location unknown)
First of all, thank you for having all this useful information available in one place. I've been through most of your website and based on my research, pain and evaluations I think I've narrowed things down quite a bit.

Pete M.

(location unknown)
Thank you for the best site I have found when researching foot pain.

Glenda B.

Madison, Alabama
Thanks for replying so quickly. I was a bit concerned. I think your website is great, and chock full of info.....


Denison, TX
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
Dear doubt you get positive comments re your site...May I please be added to the list of your admirers. In all of my years of web surfing I would say your site is right there with the very best. Thank you for taking the time to write the terrific info you provide and for putting things into laymen terms for us mere mortals. I pray you have much on going success and thank you again for a deed well done. As for me I did not find much help for my symptoms and will continue on my quest. Were you anywhere in the South I would make and appointment...Thanks again dear sir...m.e.

Michael E.

Tampa, Florida 33624
Hi. This is a great site! I'm a healthy middle aged woman who is in good health, but.....


Just a wee word of thanks for your wonderful website...It is a terrific service...Thank you for providing your knowledge and help...With highest regards, m ebeling

Michael D. Ebeling

Tampa, Florida 33624

Thanks for a most interesting website, which has helped a lot.



Dear Dr.Mitnick

I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.

I thank you for putting together this incredible website.


Dragica W.


....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!


South Africa

You have an unusually clear, informative and well-written website for laypersons. Thank you for that.

Matthew W.

Mansfield Ctr, CT

First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.


Placentia, California

First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)


Unknown location

I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.

Ric J.

Unknown location

I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.

Ron R.

Pacific Grove, CA

I used to work for a podiatrist (front desk) back during summers in college years ago, so I know the benefits of good care. Again, I want to thank you for an EXCELLENT website. It was so great to get to your site (top of google search) and actually find all the answers I needed EASILY and QUICKLY! Clearly you put a ton of work into it and I really appreciate it.

All the best,


Alameda, California

By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!


Thank you for your very interesting and informative site!


Hi. I come to your site often looking for information. It is really informative and I appreciate it very much. I have RA and have been having considerable amount of foot pain...... Dee RN

Thanks very much for the wonderful informative site.


New Zealand

Thank You for my answer! I have been schedule for a bone density scan, allingment, and I am in the process of getting orthotics made, and checking out the natural remedies. Thank again! What a great web site!



Yes I want both pair of orthotics. You don't have an option of ordering 2 at one time so I had to place the order twice. Thanks. My husband likes these and wants to put them in all of his shoes. (referring to Superstep orthotics)

Cindy H.

I searched the internet everywhere for a clear description and illustration of my symptoms/problem. was where I ended my search with answers. If I lived in Jersey (left 30 years ago) and didn't live in Florida I would definetly make an appointment with Dr. Mitnick.

Thanks, Kathy

1st of all THANKS A LOT for your great site......


Thank you so much for your response. I will let you know how I am doing if you would like. Your website is awesome!


South Carolina
Hello! I want to thank you for such an informative website! I found you based on my ankle pain search and am happy to realize that there may be a relatively simple cause and solution....


unknown location

...Thanks for your fantastic service.


Arlington, VA

Thank you so very much, that would be much appreciated. I love those insoles, by the way. (referring to Superstep orthotics)

Kelly W.

San Clemente, CA

Dr Marc is fantastic...He seems to know exactly what you are feeling with the problems you are having. I wish he was in my home town so I could go to him with my problems!!!!!!!!!!!!!


location unknown

Great insights! Thanks Doc, you're the best.


location unknown

I have been experiencing foot pain of various sorts and am working to figure out what it is. I found this site and can only say BRAVO!! What an excellent site! The time it must have taken to put all this together must've been a daunting task! I am sure it has helped so many people. Thank you so very much for doing this.


location unknown

Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.


Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!


Staying at home after hallux surgery I spend quite a lot of time seaching info useful for avoiding problems which might come back. Today I found your site and I am .... delighted it happened. It's one of the best site I found last days.



Thanks for taking time to read and answer so many questions. It is truly a public service!


Seattle, WA

I just wanted to say that I am very greatful for this website!!


location unknown

Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.


New Jersey

Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.


location unknown

Wow, that is exactly the information needed!!! thank you thank you thank you!!! I appreciate this help so very much from Marc Mitnick DPM. Excellent information and help to improve One's life.


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Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!


Evansville, IA

Dear Marc

I just want to say thank you for the quick response and the good info. I find it amazing and a super nice thing that you do here by answering medical questions at no charge.

Russ W.

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Your website is full of a lot of helpful information, and I am very impressed with the time in which you responded to my post. Thank you again for your time and consideration in your response.


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San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!


Albany, NY

Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

location unknown



Whichita, KS

thanks again, this site is very helpful.


Boston, MA

Like others have stated...This site is amazing and I am so thankful that it was created.

....Keep up what your doing. Your a life saver.



Thanks again for the information provided on your site. It's easy for non-medical folk to understand your writing, and helps provide better communication between patient and doctor.



Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown
Again, I really appreciate that you responded to my inquiry, and that your mention of Parkinson's helped me to find my way to a diagnosis of this difficult to diagnose disease. Most patients see on average 16 doctors before they are diagnosed. I hope that you can help other people that ask for your expertise in the future.

Barb D.

I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......


location unknown
Again, Thank you from the bottom of my heart for taking the time to answer my question....your an angel!


Thank you for your response. You have provided some great insight (to my question)....


location unknown
Thank-you so very much for responding so quickly and in such detail to my question!! I will give my surgeon a call today!! This website is terrific!!!! Thank-you again!


North Carolina
Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...


location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown
Your webpage is excellent, I commend you on sharing your knowledge to the public.


New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

location unknown

I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!


Lenoir, NC

Thank you so much Doc for a quick and thorough response!


Bellevue, WA

I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!


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