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The response to the question below was authored by Marc Mitnick DPM
Pain in both feet (top and bottom)
by Dawn
(West Lafayette, IN)
I have been having foot pain in both feet (top and bottom) for almost 4 years. I am a 54 year old female but my feet feel like they have declared war against me. I have very high arches and wear a six 6-7 shoe. I am no longer able to wear any kind of heel what so ever. I've been doomed to low supportive shoes and heavens NO NO NO don't wear any kind of flip flops!
I've had X-rays done a number of times and generally the doctor finds nothing. Sometimes I end up with a stress fracture on the top of the same foot (R). I abosolutely have to wear some kind of shoe all day and do not go barefoot anymore. My feet hurt so bad so much of the time I can not stand in one place for more than 5 minutes without sitting down. Waiting in lines at the grocery or bank are something I have to plan for. When I have to sit down to rest my feet, I do notice my lower back is very painful too-they tie together don't they?
I was in a truck accident in 1994 and did have compression fractures in my back that did heal but surely foot pain would not come from that so many years later. The pain in my feet feels like hot pain and bruising on the bottoms that makes me limp a lot and actual soreness on the top when I rub the bones. I also get sharp pains on the outsides in either foot if I stretch my feet to the side and downward.
My feet are always swollen, ankles too. Doctor tried diruetics that did not help. Saw a rhumatologist and he diagnosed me with fibromyalgia. I do take Neurontin for that diagnosis but the foot pain continues.
I realize my ramblings are not in a concise order but thnak you for your time to try to decifer any of this for me.
Hi Dawn,
People with high arched feet may have problems as they age because the foot becomes more arthritic and we lose fat on the bottom of the foot.
In general terms the simplest way to treat this is through the use of an orthotic. Since you are in so much pain I would not recommend a store bought device, but rather a prescription orthotic, one that will be able to adequately support your feet.
It will not cure your problem but should dramatically reduce the pain. Additionally if you are overweight you will need to lose the extra pounds which will take pressure off your feet.
Marc Mitnick DPM
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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