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

Painful 3rd toe on both feet (at the same time) at the first joint

by Chris

I am a 44 year old female and have painful 3rd toes on both feet at the

same time, in the same first joint for 7 years now. I have attributed it
to wearing high heels for years in the office, but I haven't done that
for a number of years now as it's too painful. And also the structure
of my toes is strange. My third toes are not straight like the others,
they kind of point outward, toward my little toe. The toes don't act like
they have gout as they are painful all the time when I walk and when I
don't. My 2nd and 3rd toes are about the same length as each other and
longer than my
big toe. I have seen an Orthopedist and he said it is not a Neuroma but
could tell me nothing more about my condition. Some times the pain is
worse than others, but there is always some form of pain there. I can't
walk barefoot as that is painful as well. I also can't walk normally as
those toes are too painful. I almost swing my feet inward like I am
pigeon toed so my toes hurt less when I walk. Sometimes when the pain is
really bad I curl my toes and walk with them curled in a ball. Once in
a while the toes will swell, but that is rare. Usually they are just
painful and to look at them you can't see a thing. No redness, no
nothing, they just hurt. I get both very sharp pains in them when I
walk and a burning sensation too. Any suggestions or help? Thank you
for your consideration.

Hi Chris,
Consider seeing a podiatrist as they are generally better at diagnosing more obscure foot problems.
If your toes are mal-aligned and it is determined this is the source of your pain, then you may have to entertain surgical intervention in order to straighten the toes to reduce your pain.
Obviously, because you have had this pain for such a long period of time, it is not going to go away on its own. I am making the assumption you have attempted to wear very conservative shoes and are still having pain.
Marc Mitnick DPM

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shooting pain after Lisfranc surgery

by Elizabeth
(Chandler AZ)

I had surgery for Lisfranc injury 10 weeks ago. I am still having sharp, shooting pain in my foot. Am still in air boot. Are these healing pains of the nerves?

Hi Elizabeth,
Without examining you I have no idea what the pain is from, which means you should call your surgeon's office and ask he or she if this is anything to be concerned about as they would know best.
Marc Mitnick DPM

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Nov 30, 2010
Shooting pains
by: Anonymous

The shooting pains are due to nerve damage. You could have CRPS - Chronic/Complex Regional/Residual Pain Syndrome. I've heard it different ways. I had an extremely severe dislocation, not just fracture (there's a difference) MANY years ago and suffer from CRPS (some pronounce it Crips), originally called RSD (Regional/Residual Sympathetic Dystrophy, depends on who you talk to. Some say Regional, some say Residual). No one believed the extreme pain I was having until my surgeon thought I could have that. Treating with a pain specialist and on heavy duty pain meds since. VERY painful, at least mine is. Everyone has their own pain threshold so everyone's reaction is different, but the symptoms are the same - pains described as shooting, electric shocks, stabbing, etc. See a pain specialist, maybe that's what you have.

Jun 01, 2009
constant pain
by: Ralph Peterson

I had the surgery on 1/30/09, injury was on 1/23/09. Had three screws and one pin removed three weeks ago and at the same time had surgery on my ankle also. Started therapy two weeks ago and have so much pain and lack of mobility that I still have to get around on my scooter or wear my walking cast. I will probably have to have the joints fused as it was a pretty severe break and dislocation.

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Painful, Raw Areas (with dead skin) on Big Toes?

by Kelly
(Dallas TX)

Hi. This is a great site! I'm a healthy middle aged woman who is in good health, but I have nightmare feet and have had several surgeries, mainly metatarsal osteotomies/phalanegeal exostectomies type stuff.

Just recently, I developed two new (but somewhat similar) problems. On the underside of my big toe, more towards the nail than the base, I have a dime sized something-or-other that is very painful, but not the same type of pain I've had with all my other issues. It's super sensitive, almost as if I'm hitting raw skin when I touch it. It's not raised much at all and has a very thin layer of dry skin on to.

I have a similar thing on the side of my other big toe that is even more sensitive, but is raised a bit more and may even have a bit of a core. This one hurts so much it can't even be touched from certain angles.

Do you know what these might be and if I can handle them myself? I'm ready to take a blowtorch to them!

Hi Kelly,

More than likely you have an accessory bone (extra bone) underneath the big toe , it is a fairly common problem and you have had it your whole life.
It is usually made of cartilage but probably due to a change in your gait, either through age or all the surgeries you have had, you are putting excessive pressure on the bone and now it hurts and has made the overlying skin very sensitive as well.
The most common reason for this happening would be due to lack of upward motion of your big toe when you ambulate.
It is a treatable condition but unfortunately you will once again have to see a doctor. If you wear a lot of high heels, you might try flats for a while, this may allow the inflammation to "calm down".
Marc Mitnick DPM

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Severe Ankel pain

by Alyson

When I was out for a walk back in September of 09 with my friends, I stepped into a hole in the ground and rolled my ankle. At first it really hurt, but after a few minuets the pain went away and I continued to walk.

A few weeks later I became involved with a big christmas production at a nearby church. This commitment invovled me Choreographing, Teaching, and Preforming a solo and a group dance. I practiced about 9 or 10 hours a week. That is when the pain started.

I began getting pain in my right ankle (the same one that I rolled) about a 1/4 into the practiceses. The pain was sharp and strong. I twould feel like it was growing all around my ankle area and than it would die down only to flare up again within seconds of the first flare. At first this would only happen while I was working out, or practicing. I love to dance and exercise so I could understand why it was sore because I was in constant movement. However i soon started to notice it throughout the day, while I was in class, watching a movie or writing a paper. It would start to hurt with no help at all.

I started using ice and taking Ibprofine, which helped. But after a while this treatment would prove ineffective and not strong enough to stop the pain.

It has been 11 months now, and the pain is stronger than ever. It has put me in tears severl times adn has even made it difficult to accelerate or brake while driving. I saw my family doctor and they just that I had overworked it and said to ice it and contine taking ibprofine. But this is not working anymore.

I am in serious pain nearly everyday, and I cannot get in to see my doctor for another two weeks. Any information you could give me would be very helpful and much appreciated.

Hi Alyson,
Until you can see the specialist one other thing you can do is immobilize the ankle with a brace, they are readily available in drug stores. If the pain is very bad you could even try keeping weight off the foot using crutches.
The fact that you waited so long does not work in your favor but obviously without medical intervention this problem is not going to go away.
Marc Mitnick DPM

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Pain, tingling, numbness and ice cold feet and lower legs (below knees)

by Sara

My name is Sara and I am 24 years old and was in almost perfect health before I became pregnant with my first baby daughter who is now a year old. I was having a lot of pain all over (long story short) and was recently diagnosed with Rheumatoid Arthritis and Fibromyalgia. Here is my question: 3 days ago, both of my feet and lower parts of my legs became extremely cold... I have always had slightly cold hands and feet, but this is beyond discomfort. Then they started getting numb and tingling and painful. The pain is now in my lower legs. I can't move my feet, ankles, or toes without feeling like they will cramp up as my ankle did yesterday (it turned inward and was stuck and hurt really bad). I have had the thickest socks on and my home is warm (in fact the rest of me is really warm) My husband suggested to soak my feet/legs in really warm water. I did as he said and it seemed to help. I immediately covered my feet back up after soaking them and I had some relief, but about 15 minutes later they were in the same bad shape again. I have tried everything I know to do and they are still not better. This is so uncomfortable and painful that I have not slept very well at all the past couple nights. I don't know if you have any answers, but I would really appreciate any help. I am already suffering from severe joint pain, chronic fatigue, and depression all while trying to be the best young mom and wife. I am so frustrated, please help!

Thank you,

Hi Sara,
Your symptoms are highly suggestive of compromised circulation going down to your feet. I obviously cannot diagnose the cause, but these are symptoms that should not be present in a 24 year old.
I would strongly suggest you make an immediate appointment with your doctor and let he or she determine the cause of your symptoms.
Marc Mitnick DPM

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sharp pain in inside of left ankle

by nd

I was woken during the night by a really sharp pain, like i was being stabbed in the ankle by a needle. It hurt so much I tore my bed apart looking for something that might of bitten me. Nothing. There is no mark on my ankle and no swelling. It now feels oddly a little cold and my ankle hurts a bit if i lift my foot towards my leg. There is also a light ache. Pain seems to be aching up to my knee.

I am 27 yrs old so am young and I was lying down when it happened.

Please help.

Thank you and I really appreciate and help.

Hi nd,
I have no idea what might have caused that kind of sensation but I am also willing to bet it will disappear in a very short period of time. Sometimes we all experience quirky pains that we cannot account for.
However, if the pain persists, then a trip to the doctor will be necessary.
Marc Mitnick DPM

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Apr 23, 2013
Same pain inside left ankle
by: Anonymous

Really sharp, stabbing pain inside left ankle. What is his?

Mar 23, 2011
extreme pain in legs
by: cory

I am a 34 yr old male with the same problems. Mine started two yrs ago when out of the blue my right leg swelled to 3x the normal size and became unbearable to walk, went to the E.R. and was admitted with blood clots that stretched from my ankle to my knee. Was released after a week, but a year later the clots were back, and I was readmitted. ever since the first trip I have been awoken from deep sleep with an unbearable pain that if possible I would cut off my own legs. The swelling comes and goes now but when I sleep my legs return to normal size with the occasional waken from sleep with the pain and it seems to get more often and more intense. I am a father of four and scared to death that my time here is going to be up to soon, I'm not ready to die but fear the worst if there is anyone else out there like me please help.

Mar 20, 2009
shart pain in inside of left ankle
by: Anonymous

I get the same feeling, but it is continous throughout the day. it comes and goes and has been happenig for about a month or 2 now.

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purple painful feet

by Diane

Back in October, I noticed that when I sit for even a few minutes, the bottoms of my feet turn a dark, dark purple. There was no pain at that time. I mentioned it to my GP and he said to wiggle my toes. Not thrilled with that answer. Now both of my feet hurt most of the time, including when I get up in the morning. My feet seem to be a little purple when they are elevated. They are normal colored when I walk but still hurt. I am a school teacher so I am on my feet all day but that never bothered me before. My legs began to ache not long after my feet started to ache. I went back to my vein doctor to have things checked out. I had a varicose vein closed last summer with great results. Vein doctor said everything looks good. He doesn't know what is causing the purple feet. My feet and calves have been cramping too. I should also mention both of my hands have started to ache but are not purple. Tylenol or Ibuprofen help a little. I started on tamoxifen in April because of DCIS breast cancer. I'm going through menopause since August. I'm 52 and active. I was walking for 45 minutes everyday this spring, summer, and fall but stopped when it got cold out. Also, for most of my adult life, my feet have always gotten very hot when I wear almost any kind of closed shoe. What do you think could be the cause of my purple feet and pain?

Hi Diane,
I think a vascular specialist would be better equipped to answer your question. Sometimes certain medication can cause this problem but because the discoloration may be an indication of a circulatory problem I think you would be best served to see a vascular specialist, perhaps someone other than the vein doctor.
Marc Mitnick DPM

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Sep 24, 2012
by: Mary

Oh my heavens! I have almost the exact same symptoms! I don't think this is something that is caused my medication, but the ony one I take is synthroid. I hve the leg cramping and other symptoms as well. That's why I searched this. I hope someone can come with a better answer. At $30 a copay it gets to be expensive!

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Second toe leans toward big toe sometimes overlapping and leaving space between second and third toes

by Mary Ellen
(Houston, TX)

second toe leans toward big toe

second toe leans toward big toe

I bumped my foot on the wooden, carpet-covered base of a cat scratching post. The result was a neuroma which caused my second toe to move toward my big toe leaving a space between my second and third toes. My podiatrist injected the area with cortisone but this did not resolve the problem. Then a bump formed on the joint in my second toe. My podiatrist described a procedure where he would remove a wedge-shaped piece of bone from my second toe (and the bump, I believe) which would make it be straight. However, this would leave this toe without support. I don't want this surgery. He also suggested taping the 2nd and 3rd toes together. This does work but becomes quite painful after about 8 hours. Recently I saw a procedure on television--tightrope--for bunions. Would this work to straighten up my toe? If not, what would you suggest be done? The toe normally does not hurt as long as my shoes don't put pressure on it; but it is a condition I am always conscious of.

Hi Mary Ellen,
If there is a neuroma between the second and third toes, the second toe will always deviate toward the great toe. The obvious course would be to remove the neuroma, however, the argument would be if the neuroma itself does not hurt you might be better off leaving it alone.
I am not sure what kind of procedure your podiatrist wants to do on the second toe with a "wedge" shaped piece of bone, but typically we do remove bone directly under the lump as seen on the picture you enclosed. This will not leave the toe unsupported, as what happens is scar tissue fills in the void that is created by removal of the bone.
The tightrope procedure would not be indicated for your foot.

Marc Mitnick DPM

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Severe Stabbing and Burning pain in Toes and forefoot

by Jennifer
(Bonney Lake, WA)

I recently had my fifth foot surgery on my right foot at the great toe joint. The most two recent surgeries including June 2010 fusion of the 1st metatarsol. January 13 they went in to shave a jagged part of the bone and take out the hardware. While they were in there they discovered that the bone was very soft and changed my discharge orders to non-weight baring from bare weight as tolerated.. They told me that if I was to step down onto my foot it would most likely break. Since the surgery things have gone relatively well, not a huge amount of pain, just the normal to be expected post-surgery. They have me using a bone stimulator 1 time a day for 30 minutes to try to promote healing of the bone. 3 nights ago, I was awakened by a very bad stabbing pain, then continued on to be a mix of pins and needles and a very intense burning sensation that I could best discribe as feeling like I had my foot the toes upto right past the ball of my foot in a fire. This is a very intense pain, has kept me awake for the last 3 nights and is starting to come more frequently. Even on Oxycodone 5/325 the pain is unbareable. Any ideas on why this might be happening?

Hi Jennifer,
Any time pain becomes disproportional to what is expected, you have to start thinking outside the box. If this severe pain is continuing the first thing I would want to rule out is CRPS (read my section on this subject), this might be part of the problem particularly if you have been wearing a cast boot.
Since I am not your doctor, I think this is a problem that you should bring to the attention of your doctor. Always let your doctor know when the healing process seems to veer off course. That is what he or she is there for.

Marc Mitnick DPM

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Feb 20, 2011
I am 77 and like your site
by: Senior Citizen

Thank you for your sit, it is very good as I had bottom of foot pain, Also foound this from Midland Daily newspaper on foot pain

thank you

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Proteus syndrome

by Mary

My 12 yr. old son has foot pain. He has a condition called Proteus Syndrome, very rare. One foot is extremely large and has a very large, big toe. He has two sized feet. One a 12 4E and the other is a 10 2E. It's very hard to find shoes for him but since he's in Middle school he want's to wear skate boarder shoes and they seem to work fairly well.
Everyday he comes home and says his feet hurt badly.
What can I do? He's worn orthotics, but he's growing so fast it's hard to keep getting new one's.
I know you probably can't help me but is there any direction you can give me?

Hi Mary,
Unfortunately there is very little that can be done. In these kind of cases you have to accommodate the deformity generally with the use of special shoes and orthotics.
It should be determined if your son has any soft tissue tumors on the bottom of his foot which might be the source of his pain and perhaps they could be excised. Also, in addition, if there is abnormal bone structure in his foot that too may also be addressed surgically.
If either of those situations exist I would strongly suggest that the surgery be of a limited nature because I do not think extensive surgery would serve him well over the long run.
I am assuming orthotics give him some sort of relief and I assume you have prescription orthotics for him and thats where the expense comes in.
If the orthotics he wears does not have extensive modifications in them and they more or less just "cuhion" his feet and give him better support, perhaps you should consider non-prescription orthotics which could be replaced on a regular basis and would eliminate the expensive cost factor.
Good luck.
Marc Mitnick DPM

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Ruptured peroneus longus tendon, left foot (MRI)

by CarolinaGirl

I am 40 year old female with pain in my left foot which started 9 months ago with spot tenderness on the lateral portion of my foot between the little toe and the ankle. I had fallen 3 months earlier but did not have acute pain at that time. I did RICE and stopped walking/running. The pain continued but it didn't inhibit my normal activities; it was more of a nuisance.

Three months ago I began working out more with treadmill/eliptical and weight lifting plus a lot of walking. The pain became unbearable and I stopped all extra activity. I was limping. I went to see my doctor who did x-rays (negative) and MRI (complete rupture of the peroneus longus tendon with a gap of 2.5 cm). My pain on the side and in the arch is 24/7 now, worse with any activity, and I have a tingling pain on the top of my foot as well. Surgery is scheduled next week as the surgeon says this is the only option.

What is the prognosis after this surgery? I assume I will be non-weight bearing for 6 weeks and then PT. Will I be able to return to running/working out? Will I likely have recurrent problems with this in the future? My doctor has a good reputation but doesn't see this injury often and he doesn't say a lot (he is straight to the point). I am terrified of having surgery on my foot and even more afraid that my foot will never be the same again. Thank you in advance for your help.


After reading your whole account the thing that bothers me the most is that you state your doctor does not have much experience with this condition. Your chances of success are almost (but not guaranteed) to be proportional to the experience of the surgeon in treating this type of condition.
My best advice to you would be to get a second opinion from a doctor who is experienced in this type of surgery and perhaps let he or she perform the surgery.
Marc Mitnick DPM

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Severe Pain in my big toes

by Jodie
(Chelmsford, MA)

In January of 2009 I noticed that the large joint located at the base of my big toe on the right side would hurt when I was running or would ache at night but warm foot baths or ice packs would help. Eventually the pain got worse and during my final run I was unable to finish 1 mile and could not walk after. I went to the doctor who stated I have sesamoiditis and put me in an aircast for 8 weeks. My foot is no better 8 weeks later (it may even be worse) and during my follow up yesterday the doctor said I need to stay in the boot 8 more weeks.

To make matters worse, I have started noticing the exact same pain in my left toe and last night I could barely walk on either foot by the end of the day yesterday. I took 4 Aleve and nothing helped.

Find another doctor. If eight weeks of immobilization did not make you any better, why assume another 8 weeks will help?
Secondly, if the pain is on the side of your foot like you state, then you do not have sesamoiditis, it occurs on the bottom of the foot.
Lastly, since this pain began as a result of running, someone needs to address that issue, otherwise you will continue to have pain (one you start running again).
Marc Mitnick DPM

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Jul 18, 2009
severe pain in big toe
by: Help

Jodie....what a coincidence. I'm experiencing the same pain in the same place on the same foot, but the difference is I'm not a runner and never have been. The only thing that has changed in my life is I now live in a house where I have to go up and down stairs, instead of the apartment I had on one level. The only other thing I could think of are the shoes, I'm wearing a lot of, flip flops
could that be the cause of the pain and if not what is?, my husband thinks I'm loosing my mind!


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Redness and pain in my foot

First a little history on this foot/toe. When i was in elementary school i was playing a game, went to go kick the ball and a kid jumped right in front of my kick and instead of the ball,i kicked him. My toe hurt for a long time after that.

I am now 21 and two days ago i started getting some minor pain right above this same toe (right where the toe begins) I didn't really pay any attention to it until last night when i went to lay down it was just a throbbing pain, i guess from walking around all day. When i woke up the next morning i could hardly stand with that foot.

It is the second toe on my right foot.My foot looks slightly swollen and there is some redness above the toe and when i apply some pressure to that area it hurts, i can't bend the toe up or down at all without a pretty nice shot of pain happening. I have not bumped it into anything or can think of any other way i could have aggravated it. It's always been real stiff and given me minor pain if i moved it ever since that day, but now it is just hurting for no reason.

So what do you think? Just some over the counter pain meds and some ice every now and then? I really don't want to go to the doctor, i have no medical insurance and already have a hefty bill to pay thanks to a kidney stone.

Any help will be greatly appreciated!


Hi Casey,
If it is nothing more than a bruise of some sort, you certainly can try ice and some advil (if you can tolerate this type of medication), give it seven to 10 days, however, if the pain persists beyond that then you might have to see a doctor.
Additionally make sure your toe had enough room at the end of the shoe, because if the shoe is a little too short, it will keep aggravating the toe.
Marc Mitnick DPM

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Sharp pain in top of big toe, usually when walking

by Valerie

On 1/8/11 I slipped in a pool of water at a hotel. My left leg extended out in front of me and was uninjured, but my right leg went behind me. I had a scrape on my knee and on the top of my foot just below the ankle. My big toe was overextended (downwards, I guess, but I can't totally recall). Upon arising, I knew I was injured but didn't know what to make of it. Now, 30 days later, I am left with a very painful big toe. The pain occurs when I try and walk through a normal step - I can generally avoid the pain by slightly altering my step towards the outside of my foot a bit, but this has its obvious limitations, as I am very active and work out every day.

The thing that makes the pain worse is when I am wearing a stiff leather shoe - like a clog. When trying to walk with a clog on, the pressure from the shoe hitting the top of my toe creates an very sharp, needle-like pain straight through my toenail and down to the underside of my toe.

I went to my family doctor who suspected turf toe. Xray was negative.

Is there some other explanation? Something different I can do?

Hi Valerie,
If the xray is negative for bone pathology then obviously your pain is from soft tissue trauma. You state that you think your big toe plantarflexed (bent downward), if this is the case then you overstretched all the structures on the top of the toe. The most common structure to be affected would be the tendon that actually brings your toe upward. The pain shooting into the nail area suggests to me, at least, the possibility that the tendon is partialy torn. An MRI would bare that out.
I would say that pain in the area six weeks post trauma would require the services of a foot specialist, someone who is familiar with the anatomy in that area. Most simple sprains or strains would have cleared up by now.

Marc Mitnick DPM

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Sharp pain in tip of my third toe, right foot while walking. More painful without shoes.

by Debbie
(Murrieta, Ca.)

Two years ago I had bunion surgery on my right foot. The surgery was done by Kaiser Perm. During the recovery stage of my surgery I accidentally kicked the curb - hard with my right foot. Although I had an ex-ray taken of my foot - the surgeon said there was no fracture. For about 3 months now I have been dealing with extreme pain in either my 3rd or 4th toe (It's actually hard to tell which one) only while walking. This pain is worse when I am walking without shoes, and or with flat shoes. It seems to be stemming from the ball of the foot although there is no pain there. Any advise would be very much appreciated.

Hi Debbie,

I am not so sure that the trauma of two years ago has much to do with your present pain. Your symptoms sound very much like Morton's neuroma which is a nerve entrapment that occurs slightly behind the toes, usually the third and fourth toes and in many cases will send pain into those toes.
The symptoms can be aggravated by being barefoot or wearing flimsy shoes.
I would think the prudent move would be to see a foot specialist who should be able to make an accurate diagnosis and offer treatment.

Marc Mitnick DPM

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May 08, 2011
Sharp pain in toes while walking too!
by: Karr - Indiana

I have the exact symptoms! My podiatrist thinks I'm crazy, MRI results came back severe inflammation only. But the pain is strong enough to cause me to limp without shoes. If I have on a good supporting shoe, the pain is minimal. After a long day of constant use of my foot, the pain has been severe enough to wake me from a deep sleep. This has been going on for 10 months now and I wish someone could help me!

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Mayo Clinic

Johns Hopkins Medicine


Arthritis Foundation

University of Rochester Medical Center

Harvard Health

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

(items I prescribe in the office)

Orthotics for multiple types of foot pain
best buy in a pre-made orthotic
click link below


Orthotics for heel and arch pain for those who must wear dress shoes
click link below


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Click to verify - Before you buy!

I've been doing some aggressive research lately (it's how I found your incredible website) and realize now that my symptoms are not consistant with the diagnosis.


Hunterville, NC
….after reviewing your amazing site (great for the avg. jill). So thank you very much!!!


I am really, really impressed with your plain-speak explanations for the various conditions.


This was an extremely helpful site. I have an appointment on the 18th and your info. Was right on target…..


A well organized site containing much information written in a manner that the average reader can comprehend.


Ontario, Canada
I found your website and articles most interesting.


Thank you for a quick response. I think your site is the best information site on foot pain and I have viewed many.


(location unknown)
I came to your website, via www.foot-pain explained .com which I think is also your website? I thought explanations for different types of problems were well addressed and thoughtfully stated for the patient in mind.


New York
You have an amazing and extremely informative site. I enjoyed looking through all of the data and stats.


Memphis, TN
Thanks again so much for the information in the article. Very interesting.


Great article. I have had plantar fasciitis since I was in high school……..

J. Simmons

(location unknown)
Dear Dr. Mitnick, The orthotics arrived four days ago and I slipped them into my shoes immediately. I was skeptical as to the usefulness of the item, they really didn't look very exotic. I have to say though, after using them for just four days, I have experienced grand relief from my foot pain. Even the very first day, I was able to do a lot of work while on my feet with at least a 75% reduction of pain. It has only gotten better every day, and I go nowhere without my shoes with the orthotics. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen. Since getting the orthotics, my life has returned to normal and I feel good again. Just wanted to say thanks for the recommendation for a very effective item, I had no idea what a change this item could affect.

Yours truly,

J.C. Forbes

Thanks for the Response, you hit it on the head.


Redondo Beach, CA
Thank you for your time and expertise in answering my question…..


(location unknown)
First, thanks for putting together this website. Its the most informative site I have found dealing with foot problems. Last June I started having pain and swelling at …….


(location unknown)
First of all, thank you for having all this useful information available in one place. I've been through most of your website and based on my research, pain and evaluations I think I've narrowed things down quite a bit.

Pete M.

(location unknown)
Thank you for the best site I have found when researching foot pain.

Glenda B.

Madison, Alabama
Thanks for replying so quickly. I was a bit concerned. I think your website is great, and chock full of info.....


Denison, TX
Dr. Marc, Thank you so much for your reply which seemed to be right on. I have researched many sites but you put me on the right path to the possible answer. My foot pain may not rule the rest of my life after all! I believe I'll make a sign that reads, "THE END IS NEAR!" Thanks Very Much,


West lafayette, IN
Dear doubt you get positive comments re your site...May I please be added to the list of your admirers. In all of my years of web surfing I would say your site is right there with the very best. Thank you for taking the time to write the terrific info you provide and for putting things into laymen terms for us mere mortals. I pray you have much on going success and thank you again for a deed well done. As for me I did not find much help for my symptoms and will continue on my quest. Were you anywhere in the South I would make and appointment...Thanks again dear sir...m.e.

Michael E.

Tampa, Florida 33624
Hi. This is a great site! I'm a healthy middle aged woman who is in good health, but.....


Just a wee word of thanks for your wonderful website...It is a terrific service...Thank you for providing your knowledge and help...With highest regards, m ebeling

Michael D. Ebeling

Tampa, Florida 33624

Thanks for a most interesting website, which has helped a lot.



Dear Dr.Mitnick

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.


Dragica W.


....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!


South Africa

You have an unusually clear, informative and well-written website for laypersons. Thank you for that.

Matthew W.

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.


Placentia, California

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.)


Unknown location

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.

Ric J.

Unknown location

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.

Ron R.

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 appreciate it.

All the best,


Alameda, California

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!


Hi. I come to your site often looking for information. It is really informative and I appreciate it very much. I have RA and have been having considerable amount of foot pain...... Dee RN

Thanks very much for the wonderful informative site.


New Zealand

Thank You for my answer! I have been schedule for a bone density scan, allingment, and I am in the process of getting orthotics made, and checking out the natural remedies. Thank again! What a great web site!



Yes I want both pair of orthotics. You don't have an option of ordering 2 at one time so I had to place the order twice. Thanks. My husband likes these and wants to put them in all of his shoes. (referring to Superstep orthotics)

Cindy H.

I searched the internet everywhere for a clear description and illustration of my symptoms/problem. was where I ended my search with answers. If I lived in Jersey (left 30 years ago) and didn't live in Florida I would definetly make an appointment with Dr. Mitnick.

Thanks, Kathy

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


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


South Carolina
Hello! I want to thank you for such an informative website! I found you based on my ankle pain search and am happy to realize that there may be a relatively simple cause and solution....


unknown location

...Thanks for your fantastic service.


Arlington, VA

Thank you so very much, that would be much appreciated. I love those insoles, by the way. (referring to Superstep orthotics)

Kelly W.

San Clemente, CA

Dr Marc is fantastic...He seems to know exactly what you are feeling with the problems you are having. I wish he was in my home town so I could go to him with my problems!!!!!!!!!!!!!


location unknown

Great insights! Thanks Doc, you're the best.


location unknown

I have been experiencing foot pain of various sorts and am working to figure out what it is. I found this site and can only say BRAVO!! What an excellent site! The time it must have taken to put all this together must've been a daunting task! I am sure it has helped so many people. Thank you so very much for doing this.


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.


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!


Staying at home after hallux surgery I spend quite a lot of time seaching info useful for avoiding problems which might come back. Today I found your site and I am .... delighted it happened. It's one of the best site I found last days.



Thanks for taking time to read and answer so many questions. It is truly a public service!


Seattle, WA

I just wanted to say that I am very greatful for this website!!


location unknown

Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.


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.


location unknown

Wow, that is exactly the information needed!!! thank you thank you thank you!!! I appreciate this help so very much from Marc Mitnick DPM. Excellent information and help to improve One's life.


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!


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

Your website is full of a lot of helpful information, and I am very impressed with the time in which you responded to my post. Thank you again for your time and consideration in your response.


location unknown

Thank you very much for the information, I will consider it. Excellent web site.


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!


Albany, NY

Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

location unknown



Whichita, KS

thanks again, this site is very helpful.


Boston, MA

Like others have stated...This site is amazing and I am so thankful that it was created.

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



Thanks again for the information provided on your site. It's easy for non-medical folk to understand your writing, and helps provide better communication between patient and doctor.



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.

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......


location unknown
Again, Thank you from the bottom of my heart for taking the time to answer my question....your an angel!


Thank you for your response. You have provided some great insight (to my question)....


location unknown
Thank-you so very much for responding so quickly and in such detail to my question!! I will give my surgeon a call today!! This website is terrific!!!! Thank-you again!


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 ...


location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

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.


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

I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!


Lenoir, NC

Thank you so much Doc for a quick and thorough response!


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!


location unknown

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