Foot Pain Blog

AUTHOR: Marc Mitnick DPM

REVIEWED BY: Podiatric Medical Review Board

Having pain in your foot, ankle or lower leg? Evidently you are either trying to find out what you have and what to do about it, or you have been to a doctor and are trying to reinforce what he told you. Either way you have come to the right place. I discuss various types of lower extremity problems in an easy to understand manner; (You do not have to be a doctor in order to understand the doctor). This site is constantly being updated as I continue to discuss different subject matter and add to the existing subjects already present on my site. Since I am constantly reviewing various medical sites I also include items of interest that may not be related to the lower extremity but are important enough that I would like to share with my readers.

Want more information on your foot pain? CLICK HERE

When You Do Not Have Covid Toe

One of the manifestations of Covid 19 is a condition known as Covid toe. In Covid toe the patient presents complaining of a red discoloration in some or all of their toes along with swelling, possible itching and sometimes pain. When I saw my first case, my first thought was that of superficial frostbite which has a similar presentation. My second thought was that of an eczema on the toes. For most of us who treat feet, we were just guessing until news of this type of foot condition started to spread.

It is postulated that Covid toe is the body's response to the inflammation associated with the virus.

Typically symptoms will last on average for about 15 days, with pain and itching subsiding sooner, just leaving the discoloration and some swelling. Long haulers, those who have Covid symptoms for a longer period of time, will tend to have Covid toe for a longer period as well.

In older individuals and those suffering from diabetes or poor circulation into the toes, there is the problem of a breakdown of the tissue with a resulting infection. Those at risk, who experience Covid toe symptoms should see a doctor.

There is no definitive protocol for treating Covid toe. For those in good health with virtually no symptoms other then the toe discoloration, nothing need be done. In others where Covid toe is more symptomatic such as pain or itching, one can try topical cortisone cream, or a short dose of oral steroids. Anti-inflammatory medication may also be helpful.

The good news is that for most, this is a temporary condition that will resolve on its own.

In the case of Aaron Rodgers, he does not have Covid toe even though he did have Covid.

Continue reading "When You Do Not Have Covid Toe"

Sean Brady: foot infections suck

UFC Welterweight Sean Brady recently sustained a foot infection and at one point it was so severe there was talk about a possible amputation; this in an otherwise very healthy individual.The takeaway point is that most people just take their feet for granted, a means to get from point A to point B.Think about what your life would be like if you lost your ability to ambulate. Talk about lifechanging.People with certain medical conditions such as diabetes or poor circulation need to take their foot health seriously. It means regular inspection of your feet, seeing a doctor when something does not look right on your feet.One of my biggest pet peeves is when I see a child or teenager who presents to the office with a full blown infection from an ingrown toenail. It is not uncommon for the patient to tell me that he/she has had the condition for months and it is only when it becomes outrageously painful or the parent happens to notice it does the patient seek medical attention.What people do not realize is that soft tissue infections, if present long enough, can invade the adjacent bone and lead to a bone infection which in some instances will lead to an amputation.Your feet are more then a means to keep your shoes on.

Continue reading "Sean Brady: foot infections suck"

The Purpose of Diabetic Socks

Although they may look like regular socks, diabetic socks are different for a number of reasons. They are manufactured in a way to help diabetics reduce some of the complications of diabetes on the feet and to prevent some of the problems diabetics experience with their feet.

One of the problems diabetics experience is areas of friction on their feet, mainly from improper fitting shoes, but lesser issues like a seam within a sock can cause foot irritation. Diabetic socks eliminate that feature as they are seamless.

Many diabetics have swollen feet due to circulation issues. Diabetic socks work, not like compression stockings, but rather accommodate the swelling by being able to stretch, so there is not excessive pressure against certain parts of the foot.

Most diabetic's feet do not perspire as that is a complication of the disease, but in those who feet do perspire, diabetic socks wick moisture away from the feet. Excess moisture causes more friction which can lead to blisters or in some cases athletes foot which can then breakdown leading to bacterial infections, something a diabetic always wants to avoid.

The following article discusses some of the better brands on the market for diabetic socks.

Continue reading "The Purpose of Diabetic Socks"

Misdiagnosing Foot Pain

fortunately, it does not happen often but on occasion a foot or ankle complaint may actually be something more severe.Patients present to specialist's offices with complaints that fall into the most common conditions seen in a particular specialty.When doctors treat these common problems, they should have a certain level of expectations as to how the patient will progress.If the patient does not progress as expected, the doctor then needs to think "outside the box" and start thinking about more remote causes of pain (or other symptoms).This article is about a situation where a simple foot problem was actually a more severe condition.

Continue reading "Misdiagnosing Foot Pain"

Derrick Henry to undergo foot surgery

Tennessee Titan running back Derrick Henry sustained a fifth metatarsal base fracture and is scheduled to undergo surgery.Fifth metatarsal base fractures can be difficult to treat due to the poor blood supply to that area of the bone.Surgery is usually the treatment of choice.Derrick's surgeon discusses the proposed procedure in this video.

Continue reading "Derrick Henry to undergo foot surgery"

Complex Regional Pain Syndrome, a new treatment

Complex Regional Pain Syndrome is a poorly understood neurological condition.

The condition is basically a short circuit of the nervous system where nerves misfire thus sending constant pain signals to the brain even though there is no real or limited pain going on. In other words, it is a completely abnormal response by the nervous system to external stimuli.

This condition is usually the result of trauma, including surgery to a portion of the body, most notably the feet and legs.

Australian researchers are embarking on a study, using mirror therapy, where the brain is "retrained" by doing a series of exercises in a mirror on the "good" hand or foot as a means to trick the brain into thinking it is the damaged hand or foot. The idea being that brain will stop emitting abnormal nerve sensations.

Continue reading "Complex Regional Pain Syndrome, a new treatment"

Small Fiber Neuropathy

The incidence of small fiber neuropathy has been increasing over the last 2 decades due to more awareness and better testing. Most commonly a result of diabetes, there are other causative factors with obesity being one of them.

Continue reading "Small Fiber Neuropathy"

Being Overweight Does Affect Your Foot Health

Many patients present to my office with foot and ankle pain that is directly related to being overweight. In spite of trying various treatments in order to alleviate their pain, in most cases it comes down to telling the patient, in a kind way, that their weight is the source of their foot pain.

Australian actress Rebel Wilson recently lost 77 pounds and explains how the weight loss improved her life, including no longer having foot pain.

Continue reading "Being Overweight Does Affect Your Foot Health"

Care of the Diabetic Foot

If you have diabetes it is essential that you look at your feet every day and conduct a brief examination. This is because minor problems like scratches

Continue reading "Care of the Diabetic Foot"

The Efficacy of Duct Tape vs. Cryotherapy in the Treatment of Verruca (Wart)

Can warts really be removed with duct tape? One of the unusual, innovative and long-forgotten drugs noted in this journal of dermatology, was the use of

Continue reading "The Efficacy of Duct Tape vs. Cryotherapy in the Treatment of Verruca (Wart)"

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


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. Jennifer

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