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

Bottom of both feet pain

by Michelle
(California)

Hi there, This all started in June 2011 and I havent felt the same since. I had a parcelly torn ligament in bottom of left foot. After it healed I was left with a burning pain in BOTH feet. I did have some tingling, numbness, left foot would turn a different color sometimes. Usually if I wasnt on my feet all my sysmtoms would dissappear. My doctor said I have RSD. Doctor placed me on Nortriptyline, which I take daily now, to help control nerve pain. Now all these months later, Iam alot better but Iam left with 2 feet that dont feel right on bottom of feet. My sysmtoms go away completly when Iam not on them. Iam only bothered by discomfort when Iam up and walking around. I feel prickly, itchy, burning sometimes a stinging pain in bottom of both feet. No Numbness or color changes now. Sometimes they have the sensation of being very cold of the bottoms of feet. Some days it feels better and then the next day could be worse again. Sometimes the right one hurts more and sometimes the left one hurts more. Right now Iam sitting down and I feel a itchy stinging pain in arch that goes up through my toes, But if I take all the pressure off foot and put it up, the senatations go away. Iam not diabetic and my throid has been checked, its fine. I am wondering if this is still the rsd that the doctor said or could it be something else going on that is nerve relatated? Thank you in advance for your time.

RESPONSE

Hi Michelle,

Was your RSD diagnosed by your regular

doctor or did you see a neurologist or pain management doctor? I ask because this is a condition that can be misdiagnosed and thus mishandled if not properly diagnosed and then treated. Neurologists and pain management physicians are usually best as making the proper diagnosis.
In any event, as I am reading your narrative of your more recent symptoms, the first thing that comes to mind is tarsal tunnel syndrome. You can read my article on this subject.
Obviously, I know nothing about you, but if you happen to be somewhat flat footed and perhaps overweight (although that is not mandatory), then you may be suffering from tarsal tunnel syndrome.
Tarsal tunnel is the foot's equivalent of carpal tunnel syndrome found in the hand.
In people that pronate or have feet that flatten out too much, there is a strain on the nerves that are entering the foot, just below the inside of the ankle. So, when you stand the strain on the nerve is excessive. This can cause a myriad of symptoms ranging from burning, to tingling, to numbness to outright pain. When you are seated, the pressure is relieved on the nerve and the symptoms subside. Keep in mind, in more severe cases of Tarsal tunnel, the symptoms will persist to some extent even when off your feet.
Again, since I do not know what kind of doctor diagnosed your RSD, I would suggest you consult with a neurologist or in this case even a podiatrist and mention the possibility of Tarsal tunnel syndrome and have the doctor examine you to either confirm or rule out this condition as the source of your foot pain.

Marc Mitnick DPM
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Mar 04, 2012
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Bottom of Feet pain
by: Anonymous

Hi Marc, A podiatrist diagnosed the RSD, I have high archs. But I will take your advice and mention to him tarsel tunnel syndrome and follow through with a neorologist apt. I did see a pain management doctor a while ago and they said I could have a nerve block. Dont know if that will help me or not? Thanks again for your time in answering my question.

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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

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Arthritis Foundation

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Harvard Health

Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center

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San Diego, CA

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Bottom of both feet pain

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