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

Foot

by Anne
(Colorado Springs, CO)

I experience extreme pain on the right outside side of my foot when I step. With each step I take the pain grows worse and worse. When I step or move my foot the pain extends to the middle of my foot and surrounding parts of the injured area on my foot. The pain I am experiencing is almost identical to that which I experienced a few years ago when I hurt my foot, had it x-rayed, and was informed that I had a Jones Fracture. I don't think it ever really healed right. Ever since then I experience that same pain on the side of my foot from time to time. This time however the pain is way worse and isn't going away, but rather, getting worse with each step. It hurts so bad. I went to the ER today though and they took an x-ray and said there was no break. They said to just ice it and take ibuprofen. I have to admit I'm a little annoyed and dissatisfied with this analysis seeing as it doesn't solve the problem that I can't walk. Also, there has to be something wrong with my foot right? Random pain like this doesn't just happen out of nowhere for no reason? I didn't do anything to it, so it can't be bruised or inflamed from being hit. The only thing I can think of is maybe I landed on it funny when doing a workout that involved jumping jacks the other night. It's been a few days now and the pain is just getting worse. What could it be? What should I do??? Also, something weird that occurs, the more

steps I take, and the more pressure I put on it, my foot starts to feel like there's a bump or rock in my shoe. Sometimes that bump moves around to other parts of my foot too. But there is never anything in my shoe. Just my foot. And the pain is excruciating. Alright, so that's all. What is wrong with my foot? Please help! Thanks!

Hi Anne,
Sometimes a fracture will not show up initially on xray, it can take upwards of ten days to detect small fractures, so one option would be to have it xrayed again in a week or so. If you suspect fracture you would also be wise to be in a surgical shoe as that would take stress off the bone and should make it feel better.
Other considerations for pain in that area would include a subluxed cuboid (you can read about it on my site) and irritation of a tendon that passes down along the outside of the foot and then makes a quick turn (in that area) and goes down under the foot. This tendon, the peroneus longus tendon can be irritated where it makes that sharp turn.
I think perhaps your best bet would be to see a foot specialist for a more accurate diagnosis as I find the expertise of the ER doctors are generally limited when it comes to the nuances of different types of foot pain.
The bump or rock that you mention may be from the swelling that is occurring secondary to the irritation.
Marc Mitnick DPM

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Mar 17, 2011
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Thank you!
by: Anonymous

Thanks so much! I guess I'll just use the RICE method for now and give it some time and then judge whether or not to go back for a second x-ray or consult a podiatrist. Thanks for your help!

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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

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Ontario, Canada

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Fla.

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(location unknown)

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New York

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Scotland

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J. Simmons

(location unknown)

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Redondo Beach, CA

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LH

(location unknown)

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(location unknown)

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(location unknown)

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Madison, Alabama

Thanks for replying so quickly. I was a bit concerned. I think your website is great, and chock full of info.....

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Denison, TX

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West lafayette, IN

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Tampa, Florida 33624

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Texas

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Tampa, Florida 33624

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Dear Dr.Mitnick

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Regards,

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Edmonton,Canada

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South Africa

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Mansfield Ctr, CT

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Placentia, California

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Unknown

Unknown location

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Unknown location

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Pacific Grove, CA

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Alameda, California

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Anonymous

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New Zealand

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Sincerely

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Arizona

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Thanks, Kathy

Florida

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

Anna

Poland

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M P

South Carolina

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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

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.

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!

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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

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.

Debbie

location unknown

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Chrissy

location unknown

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Evansville, IA

Dear Marc

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location unknown

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location unknown

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Jackie

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

thanks again, this site is very helpful.

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.

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Canada

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location unknown

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Wisconsin

Thank you for your response. You have provided some great insight (to my question)....

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

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!!

Melody

Lenoir, NC

Thank you so much Doc for a quick and thorough response!

Rustam

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!

Jodi

location unknown

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