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

Bump on top of my foot

by Briana Newland

about a month ago I hit the top of my foot against a metal part all though it was very painful it went away after an hour. Thru the next 2 weeks I would notice the roof/top of my foot would be in pain but as soon as I would get off my feet it would be ok. The last 2 weeks the pain has increased and the bumb comes and goes if I'm standing on my feet for more than an hour. I also have been wearing an Ace band aid that helps relief the pressure and pain but as soon as I remove it within an hour or so the pain and pressure begin again.

Hi Briana,
Since you traumatized the foot there is a chance you may have fractured the top of the bone and if for no other reason you need to have an xray to rule that out.
If it is not fractured then you did soft tissue damage, including possible damage to one of the veins on top of your foot which might account for the increased swelling and inflammation when you stand up.
I think the fact that this has now been going on for more than a couple of weeks without improvement warrants a visit to the doctor.
Marc Mitnick DPM

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A burning pain in my left heel

by Delores parillo
(Saratoga Springs, new York 12866)

A few days ago, I started having troouble all day and night with a burning sensation in my left heel. I walk on it during the day but then when I sit, it hurts and burns again.

Hi Delores,
Read my section on heel neuroma. If the burning persists beyond 10 days or so, I would recommend you see a local podiatrist for treatment.

Marc Mitnick DPM

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Severe, but brief, pain in right heel.

by Don
(St. Helena, CA USA)

I sometimes have sudden and severe pain in right heel. It seems to come after sitting awhile, and only lasts for about a minute.

Hi Don,
Pain in the heel after sitting for a period of time, may be the first sign of plantar fasciitis (see my site for more information).
If this has been going on for longer than 10-14 days, I would recommend you try a good arch support. The purpose here would be hopefully to prevent the problem from getting worse.
Severe plantar fasciitis can be a debilitating problem.
Marc Mitnick DPM

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How long can a broken ankle be in a splint before you see an orthopedic doctor?

by Joanne
(Garden Grove)

I broke the top of my ankle 11 days ago. The ER told me to wait a week, because of the swelling, before I go to an Orthopedic doctor. They put my leg in a splint and told me to stay off of it. I can't go to an Orthopedic doctor because I was laid off and I no longer have insurance. The free clinic can't see me for another week so that would mean my leg would be in a splint for 16 days. Is that too long?

Hi Joanne,

I do not know how bad the break is but technically you could stay in the splint for a while, as long as you do not bear weight on the foot and ankle. The splint, although not quite as good as a cast will still immobilize the ankle to keep the pain down. By not bearing weight you are eliminating stress being applied to the ankle.
Since I do not know how bad the break is I cannot comment on whether or not you are a candidate for surgery.
Marc Mitnick DPM

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Freckle on Foot

by Stephanie
(Vidalia, GA)

I am 24 female and I found a very small freckle on the bottom of my foot yesterday that I have never noticed before. I don't look at the bottoms of my feet much so I don't know how long it has been there but I'd say it's fairly new. It is very small like 1mm or 2mm and its color is brown(not dark or light, sort of inbetween). It is perfect in roundness, no jaggies. It does not hurt nor does it itch. It is located in the arch area of my right foot towards the middle but a slight more to the right if you are looking at your right foot with toes up. Just wondering if it is anything I should be concerned about.

Hi Stephanie,
In most cases these are benign moles but the problem with moles on the bottom of the foot is that they are subject to excessive friction from walking and in some cases may undergo malignant changes.
To put your mind at ease, have a doctor take a look at it to make sure it is nothing to be concerned about.
Marc Mitnick DPM

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Discomfort from recently corrected bunion.

I had a bunion op last August '09 and I've recently discovered that the screw at the base of the bone is impinging on the joint, which is causing discomfort. What treatment am I likely to need?

More than likely the screw will have to be removed. Do not wait too long before seeing the doctor because if the screw keeps irritating the joint, it will eventually cause damage to the joint.
Marc Mitnick DPM

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Foot and Toe pain

by G Tomlinson

Have had pain and swellingin the top rightfoot, expecially at base of toes,radiating out to whole of toes. Whole of the top right foot is painful and tender and the pain wakes me up at night. Skin feel hypersensitve, even the duvet touching skin at night wakes me up. Apart from big toe, other toes are painful and seem to be sqaushed together and I am unable to spread toes.

Have had the pain for 4 months. Have had 2 x-rays which have proved a normal foot with very slight degeneration of the big toe (which does not hurt) Have had blood tests for rheumotoid arthrits which have proved negative.

The most common type of pain in the area you describe is from tendonitis of the tendons that bend the toes upward.
This should be readily visible to any doctor who primarily treats foot problems.
If that is not the case then an MRI might be very helpful in making the diagnosis.
Marc Mitnick DPM

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base 5th metatarsal fracture

by Adam

i recently fractured my left base of 5th metatarsal. I have gone for surgical fixation whereby a screw was inserted last week. I would like to know what are the passive exercise that i should do while waiting for the fixation to heal?

Hi Adam,
You should really ask your doctor what he or she would like you to do, but in general passive exercise for this type of problem is probably not necessary at this point in time.
Marc Mitnick DPM

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foot arthritis; achillies tendon; restructure heel

by carrie
(albuquerque, nm)

I have moderate arthritis on the second joints from the toes on the top of my foot. It is getting worse. I also have a tight achilles tendon, and a misalligned foot, due to compensation for arthrtis. My left forefoot moves toward the outside and I basically have no more arch. All are very painful.
After orthodics and steroid injections over time my doctor and I have opted for fusion of 3-4 joints on the top of my foot; lengthening of the achilles tendon; and some kind of heel surgery that would realign my foot to improve my gait, and my arch and would decrease pain. Do you think these surgeries are viable options? Are there other options you might consider?

Hi Carrie,
In general terms if you have tried all the conservative options your doctor thinks would help and they have not, then surgical intervention is an option you should consider.
My only advise beyond that would be perhaps to have a second opinion, to see if the procedures your surgeon has suggested are viable options for your type of problem.
Marc Mitnick DPM

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i had back surgury 2 weeks

by sandra

i had back surgery 2 weeks ago. now my leg and foot are all red and swolen i had a disk pushed against my spine. i think the operation came undone i bent over to put my slipper on and something poped and now i am in a lot of pain. its like a burning sensation.

Hi Sandra,

You should not be talking to me about your problem. Call your surgeon immediately.
Marc Mitnick DPM

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knot under my toes

by Lynell

right foot, feels like a knot when i walk under 2nd and 3rd toes on ball of foot, my foot will swell with standing. I saw a foot doctor and he said it was because my feet were out of alignment, inserts by doctor have provided no relief.

Hi Lynell,
"Out of alignment" means a lot of different things to me. Generally the two things that cause swelling in the area of the foot that you mention would be capsulitis or Morton's neuroma, both of which you can read about on my site.
If that turns out to be the diagnosis inserts can be very helpful but they must be built in a certain manner.
I would suggest you make an appointment with a different podiatrist and make sure you bring along your inserts so he or she can see what you already have. In many instances the existing inserts can be modified so you may not need a new pair.
Marc Mitnick DPM

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Able to move pinkey but still swollen several weeks later

by Paul
(New Jersey)

about three weeks ago I tripped and banged my pinkey and at the time dislocated it I was able to put it back into place my concern is that it still hurts and is swollen

Hi Paul,
The toe needs an x-ray as there is a chance you may have broken the toe as well. If it is not broken then the toe will need to be immobilized to allow the inflammation to subside.
Marc Mitnick DPM

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bluish purple feet toenails falling off

by kathy

My mom who is 89 years old and has hyperthyroidism and has been seing an endocrinologist for about 6 years has nows got bluish purple looking feet. Her toenail felloff and bled and now she is afraid she will get ganggreen. Do you think she has diabetes? Don't you think her endocrinolgist would have tested her for it? She says her feet don'thurt but she walks around like they do. And the worse of it is she won't go see another doctor or go back to the endocrinologist. Help!

Hi Kathy,
Bluish-purple feet are a sign of poor circulation. She would be wise to be evaluated by a vascular specialist. An endocrinologist would not be the doctor to see in this instance.

Marc Mitnick DPM

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intense pain in calves

play tennis several hours each day.At night I am awaken with intense pain in both calves. What can you tell me concerning this problem?

You really did not give me much to work with, but if your calves only hurt after exercise you may have what is known as an overuse injury or perhaps a very tight heel cord (achilles tendon).
You might want to try an orthotic to see if that alleviates the problem. If not, you will have to see a local podiatrist.
Marc Mitnick DPM

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small pea-sized lump on sole of foot

Fiv days ago I felt the sensation of a small lump under the outer edge of the arch of my right foot (I was barefoot at the time). Upon examination I noticed that this lump was blue (burst blood vessel ?) but was not worried. However, I still have this small lump and the sole of much of the foot now looks blueish. Is this a minor sub-cutaneous bleed? I am currently taking medication for sensitive distal neuropathy in feet and hormone therapy for breast cancer.

Obviously it is difficult for me to tell you exactly what is going on without being able to examine you. What I would do is give it a week to ten days, if you do not see any improvement have your doctor look at it.
If it is a broken blood vessel then it should improve over that time period.
Marc Mitnick DPM

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Purple raised area on the front of the ankle

by Rik
(Ontario, Canada)

Alright, I'm a 20 year old male, and my problem is that I had surgery in February 2009, as well as August 2009 for an ongoing issue with the pilonidal sinus. After the surgery in February, I became very ill and was hospitalized in isolation for a few days. Upon my release, I noticed a small purple dot on the front of my ankle, and recently it had raised about 1/4 inch, and became extremely painful - to the point where I couldn't even wear a shoe on that foot. After about 2 weeks the size decreased, but there still remains a slightly raised area, and a deep purple color in the tissue. My doctor has failed to give me an answer as to what this might be, and I would really appreciate any help I can get, because it's now February 2010 and - from my perspective - a year without any answers to any of my recent afflictions is much too long.

Hi Rik,
Insist that your doctor take a biopsy of the lesion as that is the only way to determine what it actually is. He can do a punch biopsy where you only take a small sampling of the growth. If the biopsy comes back as benign then you can leave the rest alone, but if it were to come back malignant (which it can in a small amount of cases) then the whole lesion would have to be removed.
If this growth is abnormal in its appearance then a punch biopsy should be performed.

Marc Mitnick DPM

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my left foot is darker in color than my right foot.

also my left foot is not as flexible to bend as my right foot is. do you know why?

Usually a difference in color is due to a circulation problem. Have your doctor check both your arterial and venous circulation.
Marc Mitnick DPM

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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


HONESTe Online Member Seal
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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