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The response to the question below was authored by Marc Mitnick DPM
stabbing foot pain
by Bernadette
(New Jersey)
I am having foot pain on the outer side of my left foot. It is stabbing and is very difficult to step on. The pain is the the middle part of the outer part of my foot and radiates the entire outside of the foot when stepped on. It is also restricting and has a feeling of swelling going up towards the ankle. The pain when sedentary is constant and feels like hot pokers. I have had an x-ray looking for a stress fracture but it was ruled out. I am a type II diabetic and have also been tested for neuropathy and that has been found to be negative as well.
When touched the pain becomes worse. Trying to get a shoe on is difficult. There is no pain in the toe area. I do seem to have more comfort once a shoe is on that has a hard heal. Sneakers tend to bother it because of the pressure on the top and heal flexibility.
At times there appears to be some swelling up towards the outer part of the ankle. When I sit for any period of time and get up to walk the pain is excruciating and I must hobble until the pain subsides somewhat.
This condition is making walking awkwardly which is causing other muscle and tendons in the foot to hurt as well.
Can you advise what you thing might be going on?
Thank you.
Hi Bernadette,
Most cases of pain that I see in the area of the foot that you describe are usually
tendonitis in nature. Since you mention the pain, along with some swelling goes up the ankle I will assume it is the peroneal tendon.
As a side note, if the pain continues you should consider an MRI which will show soft tissue damage, but may also show a stress fracture that the x-ray failed to reveal.
You may try a regimen of moist heat therapy, immobilization of the foot for perhaps two weeks along with some anti-inflammatory medication (if you can tolerate it).
If this regimen does not make your foot appreciably better than I would recommend seeing a podiatrist, to get a definitive diagnosis and appropriate treatment.
Good luck.
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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