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

Pain and Burning in the lesser digits

by Samantha
(Sparta, Tennessee, United States)

Left foot

I had surgery 10 months ago to correct hammertoes on my left foot. The doctor put screws in my 2nd and 3rd toe but not in my 4th. He just released some type of ligament(m.spelled). Anyway, I have been back several times expressing how much pain and discomfort I am having, but I can't get him to listen. He keeps telling me it is scar tissue that is tearing loose everytime I do something that the toes aren't use to doing. It isn't that I think he is a bad doctor or whatnot, but it bothers me because he won't listen to me. Everyday my toes are swelling and they are hurting so badly. The 3rd toe hurts more than any of them. It mainly hurts in the toe itself. I call it the belly of the toe. It is the part that is right below the joint or knuckle of the toe but not all the way down to the foot. It also hurts when I try and put my finger between any of my toes (2nd/3rd 3rd/4th) . It is one of those hurt but feel good feelings. They ache so much that I have to rub them. Nothing seems to help them. I have had numerous cortisone shots, steroid packs, etc. My primary care physician has decided to order a MRI, but I am afraid nothing will show up due to the screws. That is what my foot dr. had said anyway. I just wondered if you had any suggestions or insight or any advice at all.

Thanks in advance.
By the way, I am a 30 year old female, school teacher(teaching 8 years), mother of 2 boys, and normal weight. I do have a herniated disc in my back, but it is right at bra strap, and I think it is T7-T8. I also have 2 others in my neck that aren't herniated, but they have something else wrong. They are C3-C4 and C5-C6. I was going to Physical Therapy for that, but my prescription ran out for it and I will have to go back to the doctor.

Hi Samantha,
Your definition of a "good doctor" and my definition obviously differ. A good doctor will still show interest in his patient even when things do not go as smoothly as anticipated.
I do not know if this is the source of your problem but I am not a big fan of screws or any other permanent hardware in toes because it is too much metal in such a small area.
I obviously have not examined you, but I do not think an MRI is going to show much and your family doctor probably is not the type of doctor you need to see.
In my opinion, your best bet would be to consult with another podiatrist and get a second independent opinion.
Marc Mitnick DPM

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Sep 30, 2009
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Pain and burning in lesser digits
by: Samantha

Dr. M,
I wanted to write you back and first of all thank you for answering me. Also, I went to have the MRI and see my PCP. HE said the MRI showed osteoedema in all of the bones of the toes. He told me that he had spoken the physician who did my surgery and I should start wearing my boot/shoe that keeps my foot/toes immobilized. This way the swelling in my toe bones will go down. What he explained made sense, but I think and worry that the problem will just continue to come back. Do you have any advice on this?

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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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(location unknown)

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(location unknown)

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(location unknown)

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(location unknown)

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(location unknown)

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Regards,

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Placentia, California

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Unknown

Unknown location

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Unknown location

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New Zealand

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Arizona

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Thanks, Kathy

Florida

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

Anna

Poland

Thank you so much for your response. I will let you know how I am doing if you would like. Your website is awesome!

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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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!

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

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

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

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

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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

THANK YOU SO VERY MUCH FOR YOUR TIME AND EFFORTS, YOU ARE SO VERY APPRECIATED. THANK YOU FOR ALL YOU DO.

Jackie

Whichita, KS

thanks again, this site is very helpful.

mark

Boston, MA

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....Keep up what your doing. Your a life saver.

Michelle

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

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......

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location unknown

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Nancie

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

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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

Pain and Burning in the lesser digits

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