Constant foot pain
I have constant pain in both feet. Doctor's are unable to diagnose.
I am 41 years old and I am 5'4" and weigh 125 pounds. I've never had any major health issues and am in good shape. However, I've been having extreme pain in both of my feet. It's been going on for several months now. I've seen a poditrist, chiropractor, nerologist, and my regular physician. I've had blood work, nerve and muscle conduction test, and X-rays, all of which have come to no conclusion. Everything seems to be fine, except for the fact that my feet are always hurting. The main pain is in the balls and toes of my feet and off to the sides and stretching from my toes to the tops of my feet. It is a cramping, burning, throbbing pain. The pain is there always, whether I'm standing, sitting, walking, sleeping. It is always there. They've put me on an anti-inflammatory medication which doesn't seem to be helping much. I've been on it for 1 month and am keeping a pain chart. In one month I had 1 day without pain. Do you have any idea what should be my next step? I just can't take the pain. Thank you in advance.
I find that when patients have basically the same pain in both feet there generally is a common denominator, meaning there is something going on that is causing both feet to hurt as opposed to a specific problem within the foot.
From a medical standpoint this usually means a lower back problem since in most cases, but not always, the pain
from a lower back problem will be symmetrical in the feet.
If the pain is constant whether you are on or off your feet it would seem neurological in nature. Other neurological problems besides lower back problems might be entrapment neuropathies such as tarsal tunnel, or entrapments of nerves around the knee.
Your source of pain may also be mechanical in nature, meaning there may be a certain type of shoe or activity that you are doing that is aggravating both your feet.
Even though you have pain every day, try and see what situations make your pain worse. Do you work out and if so do your feet hurt more afterwards. Do you go to business everyday and are you required to wear dress shoes and walk long distances. Do you stand all day?
These are the things I would look at. It is amazing how often these kind of things cause pain and no one seems to be able to identify them, and there is the chance that these pains can linger thru the day and night. An example would be if you wear high heels to work and have developed a neuroma, the pain could stay with you even after you take off your shoes.
May I also assume you do not have pain anywhere else? If that is the case than I do not think you are having symptoms of rheumatoid arthritis or other arthritic conditions.
Sometimes you have to play detective to find the cause of pain; you are too young for this to be a problem of "aging".
Marc Mitnick DPM