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by Deborah Godfrey
I am a walker. I usually walk 3 miles /day. 1 year ago, I developed a stress fracture in one of the small bones on top of my foot. I was in a cast for 3 months and non-weight bearing. The foot has been re-xrayed twice since then. I am now having excruciating pain between the 4th and 5th metarsals. The pain isn't in the same area that it was with the fracture. The doctor is stumped. He had me see a podiatrist who fitted me with an orthotic device for my shoe thinking that the extra support will ease the pain. The pain has gotten worse since I've been wearing the device. It puts more pressure on the top of my foot and causes much more pain. It even hurts to just touch a specific spot. I don't know where to turn from here. They seem to be stumped by my pain. I'm finding it very difficult to wear any shoe that puts any amount of pressure on the top of my foot. Any suggestions? There has never been any swelling or redness in the area at all. It is in an area about the size of a pea. Deborah GodfreyHi Deborah,A couple of thoughts come to mind. The possibility that the stress fracture is not healed and an x-ray is not showing this. Secondly, the pain is between the fourth and fifth metatarsal bones so there is always the possibility of a neuroma, even though that is not the most common place for one, they can occur there. However, generally neuroma pain will be on the bottom of the foot and you state the pain appears to be on the top.I would think the prudent move would be to have an MRI for two reasons. If the bone is still fractured, the MRI should reveal this and if not, the MRI should be able to reveal any soft tissue pathology that may be the source of your pain.There is always the possibility that the MRI will show nothing and if that is the case I would recommend considering physical therapy as a way to reduce your pain.Marc Mitnick DPM
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Michael D. Ebeling
Tampa, Florida 33624
Thanks for a most interesting website, which has helped a lot.
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.
....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!
You have an unusually clear, informative and well-written website for laypersons. Thank you for that.
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.
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.)
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.
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.
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
All the best,
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!
By Marc Mitnick DPM © 2006-2018, foot-pain-explained.com LLC
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