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

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".
Good luck.
Marc Mitnick DPM

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Aug 28, 2016
To the person who wrote this needing help
by: Debi

I am not seeing your needs being addressed here at all. I am not a doctor, I was a PA and also am a totally disabled women, have been before the 2000. I get angered when some one asks for help and a bunch of people chime in with their issues, or think that with no medical background, they have the right to give you advice.

Please don't give up. Have you seen a neurologist yet? Have you gotten some EMG's yet? Are you possibly diabetic? Any injuries to your back? Especially your low back? Have you been able to get a complete check-up? Keep checking if it is neurological. or muscular. don't take just any medical drug they throw at you. I am not recomending this drug as it is a benzo, highly addictive in a short amount of time, and harder to get off of then herion. I know this first hand. The demon pill klonopon. There are many others in this family of benzo.s Educate yourself on line before taking a drug, God Bless You and your Family! Good Luck.

Sep 17, 2013
Starring "Pentoxifylline"
by: Bill

Arguing with my doc about the pain in my feet so I told him I thought it was something to do with hydraulic pressure because whenever I laid down, the raising of my feet to the level of my heart it seemed to reduce the blood pressure in my feet. Like, as if they were not get enough blood, so they felt cold/hot with an unbearable tingling feeling. I asked if he had any med that would do anything for what seemed to be happening. BTW, both he and two previous doctors had felt the pulse in my feet and all said I had aqueduct blood pressure in my feet.

He came up with a prescription for this Pentoxifylline.

I took my first pill last night at 6 PM and I think it started to work right away. The floor seemed warmer and pleasant to walk on. Then the coup-d-coup came when I was able to sleep with no pain. Took the first of my two pills, for the following day, at about 8 AM and I took the second at 9 PM (a little closer to sleep time).

Who knows I may never have to use any more OXY for my feet again.

Good luck Bill

Aug 22, 2013
Lyrica saves the day -- but does it?
by: Bill

Well, I thought Lyrica had saved the day! ...... Thought! Problem was that my normally healthy sex life disappeared.

That "Just kind of numb." was working on everything. So I quit the Lyrica cold turkey and it took a week or so (3 weeks) for enough feeling to be restore in order to resume, as I said, my normally healthy sex life. Thank God!!

So now I am back to where I started so far as pain in my feet is concerned. The only progress is having gotten off the Allopurinal.

Now my Doctor has refused to write me any more prescriptions for the 5Mg Oxy. I usually take no more then a half pill a day, over the past 10 years but the druggies, I think, have caused the Doctors such a problem that they are scared stiff of being accused of over prescribing that my feet are now suffering. So now I am forced to use Tylenol threes and it's got everything but the kitchen sink in it.

On and on it goes ... Well at least I am still on the right side of the grass.

Everyone ... take care

Jul 05, 2013
Lyrica saves the day
by: Anonymous

Yes, further to my tail of wow I got to see my own GP and told him about the tendonitis. He asked me why I was so sure it was the medication (what did it) I said Three pills in three days with no unusual activities I was suspicious so I goggled Gabapentin and tendinitis and got a match so he prescribed Lyrica, 25 mg and haven't had a foot pain since. I followed direction and increased the dosage from one pill to two pills then to three pills over a three week period (75Mg) and all seems to be going well. No more burning feet, no more freezing feet, no more ugly foot pain. Just kind of numb.

I can live with numb.

Thanks for listening and good luck to all.

May 31, 2013
Who knows
by: Bill

Well I finally got an appointment with an arthritis doctor. I of course regaled him of my back and foot adventures. In the end he pronounced that I was not suffering from Gout and that my problem was nerve damage I was very pleased but it's hard to imagine how what I eat in a day translates into how much foot pain I experience at night. Anyway, the good Doc prescribed that I take Gabapentin .... one building to three (100MG) caps per day. The long and short of the drug was that I only took one tab per day for three days and came down with the most horrid case of achilles tendonitis anyone could ever ask for. I stopped taking the drug immediately and consulted Google searching on "Gabapentin and tendonitis". While the druggist side effect sheet lists no connection, Google tells another story.

Anyway I recovered from the medication and have tried unsuccessfully to contact my arthritis doctor.

Looks like I will have to continue taking my trusty half pill of Oxycocet 5A/325 with Metamucil.

Lots and lots of water and the 1/2 pill makes living bearable.

Good luck to all you other sufferers. Would any reasonable person connect damaging my back back in 68 to my foot problems now?? If so please tell my pension board...They don't. (O:


Mar 19, 2013
Is there a cure for my pain
by: William

I am really having a problem sleeping at night plus very much discomfort during hours of the day. I feel burning and a shocking feeling as if I was be sapped with voltage which seems to vary at times. I was told by a podiatrist that I should not use heat as a way of finding comfort for my problem. I have had just about every test you can have to fine tune the cause of this pain I have sometimes in both feet. My left foot seems to be more affected by this pain then my right foot. Now I have had two operations on my left arm for release of a pinched nerve that has caused the little finger to be numb and also the side of my palm. Both operations have failed to release that pinched nerve. I also have been told I have Neuropathy of my nerve endings. I feel that this problem with the pain and burning of my feet could be do to the nerve endings. I also believe that this could be relieved from a possible pinched nerve in the shoulder or upper spine area. I hope that I can get an answer as to what treatment will help ease the stay awake pain I have been having for some time.

Thanks for listening: William

Hi William,
In order to receive proper treatment you have to have a proper diagnosis. Have you consulted with a neurologist as that would be the specialist you need to see.
On the surface it sounds like you have neuropathy but it is important to find out the cause of the neuropathy.
If it is coming from your back, it is not coming from your upper back, but rather your lower back as that is how the nerves run (which is not to say you cannot have both lower and upper back issues).
Do yourself a favor and do not be so quick to opt in for surgery if it offered to you as you can see what previous surgery on your back has done for your hand.
Try other options first; you can always consent to surgery at a later date.

Marc Mitnick DPM

Mar 07, 2013
Made progress on my foot pain
by: Anonymous

I just wanted to add that I have finally found some relief from my latest flare up. My Dr had doubled my allopurinal from 300 to 600 mg per day some months ago and prescribed naproxen because I had had a bad reaction to indomethacin. So I was rolling along eliminating just about every conceivable food in the book. I was down to rice chrispies with skimmed milk, onion omelets made from egg whites in a box, yogurt, strawberries and cheeses.... to fill me up about every day. Boring. But anyway I had this flare up and both feet puffed up badly, so I attacked with naproxen which promptly caused both ankles and both legs puffed up and put on 20 lbs, all in about five days. I was lost. Now I had noticed that when I had missed an allopurinal pill that the pain at night eased significantly. So I stopped taking the Allo and did some reading and came up with ibuprofen and was taking 2400 mg per day . Within four days The pain, swelling and weight gain had subsided. Luckily I had been called in for my third phlebotomy to keep my Iron levels down and when they checked me in, my blood pressure was 202 over 96 and was told to get off of the Ibuprofen immediately.

The long and short of it all is that I think it was the 600mg of Allo that caused me so much agony at night. I decided to, and now only take 200 mg per day, but that’s it. I no longer have any noticeable foot pain at all day or night. (It’s wonderful) I am still sticking to that awful restricted diet with a little taste of chicken or whatever now and then and as time passes I will be a little bolder.

Sorry to take so long to say so little. Good luck ALL!

Jan 30, 2013
Water helps alot
by: Bill

OK I am 73, I have hemochromatosis (to much iron) and I gave myself gout by going on a shrimp diet about 10 years ago. And I injured my back lifting a howitzer back in 68. It's caused me awful pain ever since but I managed to hide my condition through my working career.

Now I do not know if any of these are interconnected but I mentioned them just in case. As I said my back pain has never left me. Any time I do anything physical it raises it's ugly head. About 10 years ago both knees started acting up on me, I used to drink myself to sleep every night. Then my Dr discovered I had this Iron disorder and once they started bleeding me "ALL" the pain in my knees just disappeared.

That brings me to the gout. I had wonderful feet. They would take me anywhere. Gout changed all that and the problem now is that the foot pain I have almost never leaves me. It is worse at night. Both feet are totally numb, pins and needles, freezing or burning (not sure which) and skin is painful to touch. Was on 300 mg allopurinal, then upped to 600 but I found I could lessen the pain at night by eliminating the evening 300. Doesn't seem to matter what I eat. What has me worried is that I am getting a prickly sort of numb feeling working it's was toward my heels.

That's about it except to say that since I upped my water intake to 8 times 16 oz glasses of water per day I am now able to sleep without the aid of Oxycontin (5 mg) and if I drink less water my feet both start swelling and the pain at night returns.

Good luck to you all!


Hi Bill,

Interesting life story. Although chronic gout can be a major source of pain in the feet, I am not so sure it is the source of all your foot pain.
The symptoms you describe at night sound more like pain that would be associated with a nerve impingement in the back, so when sleeping, the curvature that is created in your lower back puts pressure on the nerves coming out of the spine and may give you the night symptoms that you are experiencing.
So why does drinking water help? Yes, it does dilute the concentration of uric acid in your system, but, there is also a school of thought out there that drinking lots of water helps back problems in that it causes the cushioning between the vertebrae to swell, which then takes pressure off the exiting nerves.
I am not making any diagnosis in your case, but you might want to research this possibility for a better understanding on how to deal with your foot and back issues.

Marc Mitnick DPM

Dec 08, 2012
I am so like the rest of you in pain 24/7
by: Would LOVE to be pain free!!

I been in pain in my feet for over a year. I had Plantar facitis surgery March 27 and April for my other foot. It went away after surgery but July 3rd I went back to work and I have it all over again. My podiatrist is saying it is Fibromyalgia now. He gave me a percription to Lyrica but it don't do any good at all. I had a scan of my foot and it said I had plantar facitis bad and bone spurs in both feet. I bought those shoe inserts specialy made for my feet. I go to the chiropractor it does some relief but not 100 percent.


It is not really clear in your narrative but I hope you had your "scan" which I assume means an MRI, prior to your first surgery.
I also hope you had tried orthotic inserts and other conservative therapy before consenting to surgery as most cases of plantar fasciitis can be remedied without surgery.
You do not mention what type of work you do, but I assume you are on your feet most of the day.
If you happen to stand or walk all day on concrete floors or happen to be overweight, then even in spite of surgery, those issues need to be addressed.
Although I do not have the luxury of actually examining you, my guess is you do not fibromyalgia as you stated your feet were fine for a couple of months after surgery, until you returned to work and then the pain returned. If you had fibromyalgia, more than likely you would have had pain prior to returning to work. It seems to me the "cause and effect" is work.
If your "scan" that you mentioned was not performed after surgery, I would suggest you consider one now for a more complete picture of what is going on, particularly to see what effect the surgery had on your feet, if any. I would also suggest a second opinion by another podiatrist in your area, might be a better option for you.

Marc Mitnick DPM

Nov 07, 2012
Foot pain in both feet
by: Anonymous

I have had foot pain now for well over 12 yrs.Been to all the different doctors and the only one that helps is a pain management doctor.

I take Oxycodone mostly for the nerve pain and
gabapentin for the burning type of pain

I don't like taking pain medicine but with out them the pain is just terrible


Jan 29, 2012
foot pain
by: Dennise

Hello, I am a 51 year old female, I suffer every day with constant pain in both feet. It feels as though someone has beaten both feet on the bottom with a bat, but the pain goes so much deeper, Deep throbing, sharp pains, constant and extremely painfull. I can't stand for more than 10-15 minutes, but then they hurt just as bad when I am off of them. Nothing seems to help, Heat packs, cold packs, nothing. The pain is constant in both feet, a never ending hell. Is there anyone out there that can make a suggestion on their diagnosis or help!

Nov 27, 2011
Foot Pain
by: Anonymous

I am 26 years old and am experiencing extreme foot pain in both my feet. I can only stand for 15 minutes in the morning and then I am pretty much bed ridden for the day. My ankles swell a lot as well. I get tightness from my ankle to on the top of my foot and then my muscles in my foot seem to spasm and cramp up and I cannot walk or stand, even when I lie down the pain continues. Sometimes I when resting I get almost an electrical jolt of pain that twitches my feet. It subsides only with an extreme amount of rest, 4 hours or so. It is extremely painful. No help from doctors either. Pain pills and guessing diagnosis from them have not worked. I have a three year old and am too young for this I can live this way anymore I am constantly crying and am at a loss. I NEED HELP PLEASE!

Sep 25, 2011
foot pain since i remenber
by: richard

most of my pain are on the right foot i am 46 and i remenber having pain back when i was 10 i when to doctors and they have no answer it is getting worse now but over the years i learn to live with it but would love to be pain free some day

Aug 07, 2011
24/7 pain in both feet
by: Anonymous

I'm glad I came across this site and see that there are others out there with this problem. My pain started 4 years ago and has not stopped. I get a little relief when my feet don't touch anything. It is really bad in bed. As soon as my heels touch the mattress they hurt so bad. I have tried everything as well, chiropractic, acupuncture, nerve test, shoe inserts, pain pills with no luck. Doctors tell me they don't know what it could be. It's not plantar and won't give me steroide shots. I might try an MRI and see if something comes up. If anyone finds a solution please share. This is getting old and frustrating. Thanks.

Jul 04, 2011
sharp pains in various areas of both knees and feet
by: Anonymous

I have many different pains in different areas in both knees and both feet. I can't even predict where the pain is going to be with each step I take. Sometimes I can walk without too much difficulty and other times it feels as if none of my bones and joints fit together below my waist and then I am hobbling and grabbing on to railings. I have had recurring knee and feet pain for many years, but the pains would improve and I would be able to exercise and function well. Now things are just getting worse and worse and I have stopped going to the gym and had to cut down on walking drastically. The last week I have been lying around doing nothing, getting depressed, trying to pass the time. I love walking and exercising and am feeling crippled. I am always feeling like I have injured myself even though I have not done anything out of the ordinary. I had an MRI of one of my knees in January 2011 which showed stage 4 chondromalacia of my patella and various areas of stage 4 arthritis in my knee joints. X-rays which I had prior to the MRI showed nothing. In fact I had been told that I didn't even have arthritis per x-ray. MRI proved that x-rays don't tell much in my case. I had Eufflexa injection, physical therapy, Super Feet orthotics, but no help. My feet have not been diagnosed, but I assume they are being crippled with arthritis as well. I have an appt with a foot orthopedic specialist, but I haven't much hope. I was to him 6 years ago and he said the x-rays were fine. I miss the freedom of movement and I am feeling claustrophobic as I am becoming very limited in my activities. I am 54 and am in very good health otherwise. No one in my family has had these kind of problems. My father is 88 and going for longer walks than I could ever endure now. Any advice or insight would be appreciated. Could acupuncture help? I have also gone to a chiropractor who was also a physical therapist, but he just gave me exercises which didn't help or were too difficult to remember by the time I got home. Thank you. Cheryl

Jun 14, 2011
looking for foot pain relieve
by: Anonymous

my husband also suffers from the same thing, he is 71, losing hope and getting depressed, he is normally very active. we have tried every pain pill known to man . every shoe, therepy , you name it . Hoping to find some relieve for him somewhere. have to keep looking....

Apr 02, 2011
re foot pain etc.
by: Anonymous

Dear Friends.
Foot pain is indeed disabling. I started with heel spurs, but now I have what you call pain in both of my feet.
I have read several comments written by those who are suffering, and I mean suffering from the malady.
It is possible diet has something to do with, but I am inclined to think something more serious is going on. It more than likely starts in the back as I have had back issues for years. Also I am having
serious issues with my thyroid gland have had a biopsy recently to rule out thyroid cancer.
I think all we can do is hope and PRAY someone come up with a solution to all this. When your feet hurt everything else seems to hurt.
I will bookmark this site so I can keep updated on any new medical issues that might shed light on this issue.
Peace to all of you who have this because I am 75 years old and do not want to spend the few years I have left with crutches, a walker or other aid to help me walk better.

Mar 28, 2011
Pain in both feet
by: Jessica

I have been having pain in both feet for almost 4 years and am not sure why. I am 25 years old, 5'2" and I am also overweight. The pain is worst in the morning when I get out of bed. It's so bad I have to force myself to walk. I cant stand on my feet for more than 30 minutes at a time then I have to sit down. Cant even stand long enough to cook my family dinner. I also have started to develop numbness in my right foot. I have taken pain meds, but that only helps for a little while. Dont know what to do anymore, JUST WISH THE PAIN WOULD GO AWAY!!!

Mar 16, 2011
Constant Throbbing toes and extreme Pain
by: Anonymous

I have had constantly throbbing toes and unbearable pain at times in both feet for 4 months One Dr says neuropathy andd neurologist days restless leg. Am on percocet amd mirapex. Havent been on mirapex long but pharmaist says it helps throbbing. I don't know what I would do without the pain med. The whole thing is scary. I don't understand restless leg diagnosis because my lega don't have any pain.

Jan 21, 2011
Constant Feet Pain Arches
by: Michael Kaczur

The article that I read about the constant feet I have the same problem constant pain in the arches of both feet more on the right going on 8 years. I have seen every type of doctor every type of test and nothing. I just suffer every minute of my life the pain is horiffic. My e-mail address is [email protected] Thanks

Nov 02, 2010
Thyroid or nutritional deficiency.
by: Lori

Hi all, just wanted to share something with you. Before I was diagnosed by a doctor with hypothyroidism my feet would swell when i was asleep and i couldnt walk in the morning. Literally had to crawl to the bathroom. I walk for my job for 8 hours so this was a problem. It felt like both my feet were broken! After I was diagnosed and started on meds it went away. I didnt realize until several years afterwards that every time my meds needed to be raised, my feet would go back to feeling the same way. My doctor (who was not an endocrinologist) just blew me off until i brought it up the third time he adjusted my meds. Anyways, lately i started eating better and making sure i got some iodine (through celtic sea salt) in my diet because the thyroid needs it. This time that my meds needed to be adjusted my feet did not hurt, nor was i tired like before when i needed my meds adjusted. I have learned a lot in researching diet and how things affect your body. It is a great possiblity that if you dont have a thyroid problem or any other problem, it will be some kind of nutritional deficiency. Almost everything can be related to that. Try some vitamin d3 (pretty much everyone is deficient). Also you might want to get some labs done on your vitamins/minerals in your system. Good luck all, i know foot pain is the worst! Hope this helped!

Nov 01, 2010
Pain in feet
by: Liz Taylor

Hi my son has exactly the same as you. He had to come out the army because of it. Other wise fit and well. Pain in the balls of my feet and when it is really bad i get pain in my knee. Had blood test MRI EMG Xrays.......nothing other than slight degeneration in the back. Only 18years old. We are desperate to find the problem. I have been reading up on hundreds of different problems. But this is the first time i have come across someone wiht the same problems. Its giving me a bit of hope. Please tell me more...thank you, liz

Oct 23, 2010
Both feet with severe pain
by: Shocked

Right after I had surgery on my right hip (core decompression) I went back to work and my feet were hurting, it got worse and worse to the point of extremely severe. I was in tears and took 2 Norco 10's instead of one and it did not touch this pain. I have lived with this pain since April and am in pain management. We have done MRI's and all the test that I think they have and nothing. I am taking a lot of meds but I have never in my life had to take anything stronger than Hydrocodone... I am suppose to have injections in my SI joints to see if it helps the pain since the Hip doctor seems to think the hip pain is coming from my spine. I requested to have injections in my neck since it is stiff and painful daily so I got the neck injections a week ago since we are trying to get the SI's approved with the insurance. The neck injection has actually helped relieve some - not all by any means but it took the edge off where with all the meds I am on have not seem to work enough and now they are working pretty good. I gave all of my MRI's to my doctor hoping they would piece together the puzzle but has not been able. Instead they wanted for me to see a psychologist like as if it is in my head. I was extremely distraught, as if I am not dealing with enough trying to just keep my job so I don't loose my house and she wants me to miss more work and have a psychological test done. Extremely upset about that still and now I know that the problem is in my spine. My MRI is 2 years old but I just requested to have another one done since it stated that I had 2 small bulging disk yet all of a sudden I had this severe pain and "NOBODY" has even given it one thought that it could be my spine. It should be a little obvious to me that it is both feet and your nerves in your spine could be one of the main reasons. Everything that has happened to me in the last year the doctors can't seem to figure out and yet I have. I think they are in to big of a hurry to really put some thought into what is causing it, instead if it doesn't match what was in a book then it must be all in your head. I am extremely disappointed with the medical field lately. Most of the doctor's thik that they know it all and don't listen to the patients. You know your body better than anybody so if your neck really bothers you like mine does and even if the MRI doesn't say much that does not mean that you don't have a bigger problem. I now know that I must have a pinched nerve way up in my neck of all places that is causing all of this pain since this is the first little bit of relief that I have had since all of this started. I am still really pissed off that just because they cannot figure it out does not in any way mean that I am crazy or just want meds that I have never in my life had to take and are only taking what I am in order to make in to work and not have to live on disability.

Sep 28, 2010
Frustrated! I cant even walk the dog!!
by: Steve Parker

Hi, I am reaching out for advice regarding foot pain. I have been seeing various specialists and had various treatments and none have been of much help. I have had injections in the arch of both feet I've been on crutches for weeks and generally suffered for over 6yrs! I cant pinpoint a time when foot pain got worse, I think when I turned 22 or 23 when I gained a few pounds (i aint over weight at 5'11 and less than 13stone)and was on my feet all day at work made me realise i had problems. I've literally tried everything even acupuncture in the bottom of my feet and my legs and nothing will stop the pain and discomfort. I could list all i've tried but i'll run out of space!! I have had blood tests and been given the all clear for any muscle wasting implications although i do have very skinny legs. My specialist has told me i have a severe fallen metatarsal region and really high arches, my feet look like the right shape for high heels! he says i have over flexible joints and no way do i suffer from arthoritus. i can literally bend my toes right back to touch my foot the planta facia is not the problem - BUT what is??? i am male, 31 yrs old and now sit at me desk all day, off my feet, the only time i'm on my feet is generally round the house, if i walk the dog for twenty mins or go shopping with the missus i am in pain i really am at the end of my tether with it. I've been told that steroids may help is this a possibility, the injections i had , cortisol i think, did nothing for me!
Steve Parker

Jan 07, 2010
by: Anonymous

I have the same problems as most of you have mentioned. I am taking Humira. It is not helping. What I have found that does help is diet change. I am acidic and need to become alkaline. I know this to be true because I have tried it. Three months prior to Thanksgiving I went on a healing diet from a web page that has done more for me than any of the medicines, the pain pills, etc. have ever done. I cannot beleive the change in my pain levels on all fronts. I also have Crohn's disease. This diet eliminated all of my problems and there were many. Over the holidays, however, I returned to my old way of eating and am now in severe pain again. In the coming days I plan on going back on this eating plan. Within a week I will be pain free again. The easiest way to tell you about this diet is to give you the website information which is:

This way of eating has changed my life. No, I do not work for this man. He isn't even my doctor. He has a Sunday evening show on talk radio. I have talked to him twice. His suggestions and the eating plan have changed my life forever. I now know how to manage my pain and my energy levels. As I am stupid and cannot seem to alter my food life permanently, I cannot say I've found the cure; however, if I quit being stupid and stayed on this thing always, I COULD say that I've found the cure. The cure is within each one of healthy - eat close to the earth - close to what God put on this earth for us to eat. Get exercise, live right and keep an equal acid/alkaline balance...what was meant for your body to run on. Try this...if you don't feel better in three days, quit. What have you got to lose? Pain?

Jan 03, 2010
Pain in both feet
by: Anonymous

I have always had knee pain when it rained or snowed, but in the past year my knees have gotten extremely painful. Went to a specialist. I have Chondromalatia patella. Went to physical therapy, but unless you do it every day, it just comes back. I am trying to avoid knee replacements and am trying to get Synvisc injections, but MassHealth denied it...with no other suggestions about what else is available that is similar.

I have low back pain from falling backwards down 3 steps after taking the train to Boston because the rubber edges were missing causing me to fall.

Getting to the foot pain....I used to have pain in my right foot and was told I had a neuroma, but it went away after almost 20 years, now I have pain in my left foot, ball below the middle toe. I thought that was a neuroma, but after x-rays, the dr. said it has to do with the nerves and the metarsal and told me to get "metatarsal pads" to open up the bones to heal that area.

I need 7 pairs of metatarsal pads for various shoes and boots costing upwards of $70, which MassHealth doesn't cover either.

Additionally, I have pain on the crux of inside of my left foot that feels like a bruise and has been there for about 2 months.

When I start walking after lying down, both my feet feel hypersensitive and cannot walk barefoot, and use my flip flops to cushion both my feet.

A friend of mine suggested getting Berkenstock shoes. I'm considering buying some to wear around the house and in the summer to hopefully get rid of the metatarsal problem.

I also get random shooting pain in the left foot where the pain is in the crux of the inside of my foot is.

I started looking up gout. I stopped drinking coffee and what little beer I was drinking. Has anybody looked into gout?

Since I stopped drinking coffee, it seemed the pain isn't as prominent, but is still there. Before I stopped drinking coffee, I was also getting stomach aches from the acid in the coffee. I no longer get stomache aches.

There is a natural remedy for gout that I am going to order, just need to get the money....

It sucks to be living on $1,200 a month. I am so frustrated with this pain. I used to be very active and only have pain in my right foot, but now...

I forgot to mention, I have Seasonal Affective Disorder and get extreme migraines in rainy, snowy, cold weather when the barometric pressure is low. and get extremely fatigued as if I'm on drugs.

I don't know which is worse, the pain or the fatigue.

Mar 18, 2009
Dr, could you please respond to me?
by: Melanie

What would you do to treat my foot pain?
I have yet another appt with a foot Dr Tuesday the 24th. I dont have insurance. Is this a rpoblem that cant be fixed or treated so that I can have some quality of life without pain and misery?

Hi Melanie,
I am writing this without the luxury of having examined you but generally speaking when a person has a large painful callus it is due to excessive pressure on the metatarsal heads just above it. Usually the calluses that become especially painful are due to the fact that they have developed cysts, so even though you "scrape" them you are not able to get to the cyst.
There are two ways to treat this problem. One, is with a shoe insert that attempts to take the pressure off the metatarsal head, which in turn, over time, will reduce the thickness and intensity of the callus. You state you have tried shoe inserts but you may not have had the correct type.
If shoe inserts do not give you the relief you are looking for, then you may be faced with a surgical procedure. In this procedure, the metatarsal bone that is causing the callus is broken and elevated upwards to reduce the downward pressure causing the callus. It is not a difficult procedure but there are inherent risks in this type of procedure, including elevating the bone too high which will then cause a callus on the adjacent metatarsal bone and potentially a non-union whereby the bone that is broken does not heal. Read my section on "Surgical Consideration" before making any decisions.
Marc Mitnick DPM

Mar 18, 2009
My foot pain, somewhat described...
by: Melanie

My pain is in the ball of both of my feet , I have huge quarter size callouses on both feet, I canscrape them down and cut them off and it leaves a deep hole in the ball of my feet. It burns at rest and extremem pain when walking. I have broken my big toe and 4th toe on left foot due to poor balance and pain. Also I have tripped and gave my self a blackeye and a broken pinky finger because of balance issues. At night when I am laying down I get sharp shooting pais inthe balls of my feet that goes up to the left of my navel, Like someone hammering a nail into the balls of my feet. I tend to walkon the outside of my feet, feet face outward. My 2cd and 3rd toe joints, inthe ball of my feet looked fused together in the xray. I am depressed because I cannot do normal things that people do, walk barefoot, stand to take a shower with agony, my feet look horribly disfigured, my 2cd and 3rd toes are the same length very long. My back hurts all the time from walking funny. Only relief I have gotten was taking Norco 10 after a breast surgery I had. I was actuallky able to take my kids rollerskating! I have 47 pairs of shoes, always tring to find more comfy ones. nothing helps except the Norco makes it more tollerable. No dr will give it to me legally. So I am forced to buy it onthe street. But 3 a day has made my life unbelievable! No shoe inserts out there work. I've tried them all,, I wish I could post my xray of my feet on here.

Mar 17, 2009
Any common denominators?
by: Lisa

Let compare symtoms so we can determine what we all have in common. That's a start.

My symptoms are:
Affects both feet @ same time (never just one, both)
Pins & needles
Most painful in heal & middle
Most painful at rest (when lying down)
Least painful when walking
Severe pain when standing after resting. Expecially in morning.
Difficulty walking

My possible causes:
Binge drinking
Bad breathing habits

Anyone who has any similar symptoms and bad habits, please let me know.

Mar 16, 2009
I agree
by: Anonymous

I wrote a month ago looking for some help, I think your on to something. Lately I've had a bunch of spider viens pop up on my legs. I'm talking alot off them. Went to my GP and she agrees my veinous blood return might have some issues but say that her only solution to this are compression socks. Is there any Dr. reading this that has any other suggestion. I would like this conditon fixed.... not covered up with socks.

Mar 16, 2009
Wow, this is so familiar!
by: Lisa

I have the same thing happening with me right now. It is very painful, and very frustrating. I have done some research on my own and things are starting to point to cardiac problems. I just know that it is something to do with blood not properly circulating. As I sit and write this, both my feet are throbbing, almost burning with pain. I am also wondering if there is a connection to excess alcohol consumption.

Help, anybody??

Feb 23, 2009
Been there don that.
by: Anonymous

Sounds like alot of you in the same boat i am in.I have been to every specialist you can think of,every test you can imagine. one doctor calls it fibromalgia,one called it a none dibetic nerothopathy.4 years ago a reumthogist started me on neurotin i took it for around 2 years till my body just became immune to the drug and i was on a very high dose a day 1200mg.I changed to another doctor and he put me on Lyrica I take 450mg a day now. My body has now became immune to it so I now don't know what to do i am planing next vist to as to be put on neurotin again to see if it will help again. I do have severe back pain and do have to go to a pain consultant if it was not from help from medicine i take i really don't know what i would.i have ajusted to living with this. sorry i am new on a computer and can't spell very well

Feb 09, 2009
I cant believe I am not alone!
by: Anonymous

I would like to also add that I notice that when I am laying in bed and I get the sharp shooting pain in the ball of my feet that I also feel it to the left of my navel, as though they are somehow connected.

Feb 09, 2009
I cant believe I am not alone!
by: Anonymous

I am 38 year old female and have had hard deep callouses in the ball of both of my feet since I was 21, I think I changed my walking habits because of it. I am so sick of being in pain.
My feet hurt all day and night. I get sharp shooting pains in them at least 5 times a day and even when I am not on them. I have been to a foot dr and he cut out the callouses pretty deep, I didnt even feel it, I was left with a big hole in my feet about the size of a dime. It didnt help with the pain though. I have tried every type and brand of shoe out there, nothing works, no padding or gel inserts work. This has also cause me great depression. I cant walk barefoot as that is even worse! It feels as though I am walking with a huge rock in my shoes all the time. The only slight relief I have gotten was when I was given pain pills for a surgery, it seemed to make them not hurt as much, or maybe I just didnt care.
I am about to make yet another appt with a doctor and hope he can tell me what is going on and why I have to be in constant pain. It also has effected my family as I cannot do the tuhings I want to do with my kids because my feet always hurt! Any help would be so appreciated!!

Feb 08, 2009
Hope someone can help
by: Anonymous

I've been in pain for 5 years but have really been searching for answers for almost a year. Spent the 4 before that spending 400.00 dollars a year getting orthodics made that never helped. I have had multiple blood tests, CT scans, xrays, nerve conduction test and Orthopedic (jackass) specialists come up empty handed. The bottom of my feet throb all the time day and night. Now I have painfull pins and needles in my feet and hands. I can not run without pain shooting up my legs, and lets not forget my muscles are now fatiging and i am getting short of breath very easliy. I have an appt for a MRI soon. (can't wait for that bill) does anyone have any ideas what is going on with me? Im 35 5'4 110 female.
thanks. Alicia

Nov 24, 2008
Constant foot pain
by: Stan Sarzy

I am 34 years old. My feet hurt everyday too, so much to the point I cannot sleep at night. I can outside barefoot in the winter and it feels great! I use ice packs before bed sometimes on the top of my toes, seams to work. I was put on Tylenol 3, it briefly helped, and the Dr. who looked at my feet said they looked in great health. odd? Yes. Any suggestions would be welcomed. [email protected]

Nov 23, 2008
I have had EXTREME pain issues in both feet for over 16 years
by: thomas Krause

My Pain started 16 years ago at the age of 26. I have been to every possible type of specialist and have had many tests, some multiple times( MRI's, Xray's, cortisone, acupuncture, chiropractor, many blood tests for various aliments half dozen professional orthotics. endoscopic plantar fascia release, and second open plantar fascia release. Disability, retraining job skills and 16 years later my FEET are killing me. I am depressed, and at wits end with this issue. I would seriously consider amputation if someone could tell me the pain would be less. I need help

Oct 31, 2008
Feet Pain
by: Lisa

I have pain in my feet everyday. As soon as I get up and put them on the floor they hurt. They hurt when standing in one place over 10 mins. Sometimes they ache when laying but usually it is when sitting/standing/walking. They swell when walking awhile and long car rides my legs below my knees and feet swell. It used to be only my right now both. I have low back problems. I also have osteoarthritis so I was wondering if it was arthritis or something else or as you mentioned a problem in low back can cause your feet to hurt. Thanks

Hi Lisa,
If you have been diagnosed with osteoarthritis there is a good chance the pain in your feet is from that condition, BUT, it is only a guess since I cannot examine you.
I would think if the pain is severe enough it would warrant a visit to a podiatrist.
Marc Mitnick DPM

Jun 27, 2008
Foot pain AND Back Pain...
by: Anonymous

If there is pain in both feet AND lower back pain, what is the suggestion as to what to do about it? My husband has a very similar situation. Except he has a terrible, pain in his lower back. Prevents him from sitting in any normal postion, and must use several pillows for any relief. If there is bi-lateral foot pain and back pain - both have been going on for several months, what type of doctor can help? Neurologist? Rheumatologist?

Your first stop should be at the neurolgists office. Reducing the back pain, may reduce some of the foot pain.
Marc Mitnick DPM

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Institute for Chronic Pain

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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


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Click to verify - Before you buy!

I've been doing some aggressive research lately (it's how I found your incredible website) and realize now that my symptoms are not consistant with the diagnosis.


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


I am really, really impressed with your plain-speak explanations for the various conditions.


This was an extremely helpful site. I have an appointment on the 18th and your info. Was right on target…..


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.


location unknown

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.

location unknown

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.


location unknown

Thank you very much for the information, I will consider it. Excellent web site.


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!


location unknown

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