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The response to the question below was authored by Marc Mitnick DPM
numbness, tingling, cold foot
by Pat W
(K.C. MO USA)
Last November, I sustained a stress fracture on my left foot of the neck of the 5th metatarsal. The first doctor I saw treated it with an air-cast walking boot & sent me back to work after 4 weeks. I had enormous pain & swelling but the first doctor just told me to give it a couple more weeks & keep taking pain meds. I went to a foot specialist to get a second opinion. On an x-ray, it looked like the break just occured....it was now either a delayed union or non-union fracture. Since I was almost 6 weeks out at this point, the doc recommended a bone stimulator which eventually did do the job of healing the fracture. Last week, I started putting weight on the foot & walking slowly & carefully. I have alot of numbness & tingling in my toes & ball of my foot. It is especially numb between my big toe & second toe. And across the bottom of my toes, I have pain which worsens the longer I walk. The other night I noticed my whole foot was like a block of ice, really cold, while my other foot was nice & warm. Can you give me some idea of what might be going on & various possible treatments? Thanks so much. Love the website. P. Walden
I am a little concerned about your symptoms, please read my section on CRPS
and see if the description there does not sound like you. If so you must see a doctor immediately.
Having said that and without the luxury of not being able to examine you there is also the possibility of a nerve irritation from wearing the cast; I assume you continued to wear it while you had the bone stimulator.
In either event please bring your symptoms to the attention of your doctor because the symptoms you are experiencing should not be occurring.
Marc Mitnick DPM
Johns Hopkins Medicine
University of Rochester Medical Center
American Academy of Pediatrics
Penn State Medical Center
National Institutes of Health
Columbia University Department of Rehabilitation
Stanford Health Care
Illinois Bone and Joint Institute
Mount Sinai Hospital
Institute for Chronic Pain
University of Florida Health
American Family Physician
University of Maryland Medical Center