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The response to the question below was authored by Marc Mitnick DPM
pain in left foot on the outside about the middle of the foot.
(Killen, AL, USA)
The pain started 3 going on 4 wks ago and has continued to worsen. The pain is pretty much constant and sometimes gets real sharp. The bone is very sore when I press on it, and from the middle of the foot all the way to the ankle I am experiencing lots of pain. I have pain when I am resting, or walking, even when I go to bed. Sometimes I have pain when I have my foot just hanging off the footrest of the recliner. I have used the RICE method and done everything I know to do. I don't have a clue as to anything I could have done to injury the foot. I have already had 2 surgeries on the left foot to repair my Achilles Tendon and I have been to a podiarist just this past week. The Dr. said he thinks it is tendonitis (sp?), but with the pain I am having I am thinking it could be a stress fracture. The x-rays show that I have a lot of spurs on my foot but they don't usually cause pain.
I would think stress fracture as one of the possibilities but if the xray is negative for fracture you could consider an MRI which would both show any fracture or the degree of tendonitis.
I do agree with your podiatrist. Based on a normal xray my next thought would be tendonitis, however, if the pain does not begin to diminish with appropriate care, then an MRI might be a good idea.
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