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

foot hurts for no reason

For 2 months I have had severe pain in my left foot. It started with my entire foot and ankle swollen and pain on top and bottom. Then the pain went away on the top right side after the swelling when down and now I have severe pain on the left side of my foot around the ankle, down the side and on the top when stepping down on it or rotating it. Also,touching it can cause pain.


I had an MRI a couple of weeks ago on the top front of my foot that showed extensive edema, but no break.

I have had no trauma to my foot to cause this. I have been on crutches for 4 weeks and the swelling has gone down, but not the pain. No one seems to know what is going on. I am also being treated for a vitamin "d" deficiancy.

RESPONSE
Hi,
This is very difficult to answer without knowing any thing about you including your age, medical history, weight, occupation, etc.
What concerns me is that at one point the whole foot was swollen and you apparently had pain in more than one area. All this with no history of trauma. Now, after being on crutches for four weeks the swelling has reduced but you still have pain. One would think that being non-weightbearing would have also reduced some of the pain and it has not. So, at this point I am thinking that this might not be a musculo-skeletal issue. You then have an MRI which shows nothing which further reduces the argument that this is a musculo-skeletal issue.
So, where does that leave us?
Has any one examined your vascular status? Again, I know nothing about you, but over the years I have had a couple of patients who presented with pain and swelling in the foot and ankle with no history of trauma. As it turned out they actually had a deep vein thrombosis or what is commonly known as a blood clot in the lower leg.
Most cases of phlebitis do not present this way but that does not mean it cannot happen.
If you happen to be overweight or have an occupation where you are standing all day or a multitude of other potential situations, you could develop a dvt.
Now, keep in mind I do not know if this is the actual source of your pain, but I think at this point your doctor needs to look elsewhere and this is one area I would investigate if you were under my care.

Marc Mitnick DPM
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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

MedlinePlus

Arthritis Foundation

University of Rochester Medical Center

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

DISCLAIMER: The purpose of this site is purely informational in nature. It is not intended to diagnose, treat or cure any medical condition. This information is not a substitute for advice from a medical professional. Please consult your healthcare provider for accurate diagnosis and treatment. The information presented here may be subject to errors and omissions.




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(location unknown)
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(location unknown)
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(location unknown)
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Unknown location

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New Zealand

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

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Poland
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M P

South Carolina
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Natalie

unknown location


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Arlington, VA


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San Clemente, CA


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Pam

location unknown


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location unknown


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Bre

location unknown


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anonymous



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!

anonymous



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Poland



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Seattle, WA


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Bonnie

location unknown



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Bill

New Jersey



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Debbie

location unknown



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Chrissy

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!

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Evansville, IA



Dear Marc

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Russ W.

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location unknown



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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!

Rivi,

Albany, NY



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Jill S.

location unknown



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Jackie

Whichita, KS



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mark

Boston, MA



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Colorado



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annielou

Colorado

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.

Canada
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location unknown
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Wisconsin
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Julie

location unknown
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Renae

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 ...

KG

location unknown

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

Bessie Mae

Florida
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.

Robert

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


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Melody

Lenoir, NC


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Rustam

Bellevue, WA


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Jodi

location unknown

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