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bilateral toe pain

Posted by SusanW on 9/16/00 at 10:49 (028373)

made my first trip to a podiatrist in march with pain underneath toes in both feet. he injected with cortisone and said i had neuromas..but that they were not usual, in that they were not located in the 'common' place for neuromas. the pain is under my 3rd and 4th toes on both feet. i then went to an orthopedic doctor, because i began to have pain in my knee, which i attributed to walking funny because my feet hurt. he did a variety of x-rays on both feet and knee. no stress fractures. he prescribed celebrex and a pair of orthotics. knee pain went away, but foot pain persisted. he did tests for arthritis. they came back negative. he did not agree with neuroma diagnosis and sent me to an orthopedic foor specialist. he also did not agree with neuroma diagnosis, did not think the orthotics i had were made correctly, prescribed a new pair and also prescribed ultram. had to stop taking that becasue it made me too groggy to work. went back to this doctor, he appeared very confused and suggested i go to a neurologist. went to the neurologist. he also does not htink neuroma, has ruled out neuropathy, tells me he thinks i might have plantar fascitis. he says that symptoms of this condition typically sow pain in the heel. he says that with the exception of that, all my other symptoms are in line. i have pain 1st thing in the morning, the pain is worse when i am barefoot or have on flat shoes, sometimes the pain comes and goes. but the pain is under my toes, not in my heel. he is now sending me to another podiatrist. this makes docor number 5. my question is...could i have plantar fascitis and have pain in my toes, or could it be something else?

Re: bilateral toe pain

Dr. Biehler on 9/16/00 at 11:47 (028377)

Neuroma pain is usually foundbetween the 3rd and 4th metatarsal head. If you have pain directly under the 3rtd and 4th metatarsal heads is could be what is called metarsalgia. If the pain is there but on the top and bottom it could be capsulitis. If the pain is under the 3rd and 4th toes but along the arch of the foot, it could be lateral and or medial band plantar fasciitis. I have mostly seen this after someone has been running in boots or very flat shoes.

Re: bilateral toe pain

Dr. Biehler on 9/16/00 at 11:51 (028378)

I ment central and lateral plantar fascia bends.

Re: bilateral toe pain

Dr. Zuckerman on 9/16/00 at 14:45 (028388)

When we talk about under the big toe I am talking about under the first met head in the ball ov the foot. If this the case then the following could be the problem

1. sesamoiditis
2. Flexor hallucis brevis tendonitis
3. Distal plantar fasciitis.
4. Neuromal maybe but rare
5. Stress fracture of the sesamoind bones maybe but I doubt it.
6 Plantarflexed first met bone, which can cause the pain in the ball of the first met head.
7. Plantar first met head bursitsis and or capsulitis

So is this the area we are talking about.

Re: bilateral toe pain

Dr. Biehler on 9/16/00 at 11:47 (028377)

Neuroma pain is usually foundbetween the 3rd and 4th metatarsal head. If you have pain directly under the 3rtd and 4th metatarsal heads is could be what is called metarsalgia. If the pain is there but on the top and bottom it could be capsulitis. If the pain is under the 3rd and 4th toes but along the arch of the foot, it could be lateral and or medial band plantar fasciitis. I have mostly seen this after someone has been running in boots or very flat shoes.

Re: bilateral toe pain

Dr. Biehler on 9/16/00 at 11:51 (028378)

I ment central and lateral plantar fascia bends.

Re: bilateral toe pain

Dr. Zuckerman on 9/16/00 at 14:45 (028388)

When we talk about under the big toe I am talking about under the first met head in the ball ov the foot. If this the case then the following could be the problem

1. sesamoiditis
2. Flexor hallucis brevis tendonitis
3. Distal plantar fasciitis.
4. Neuromal maybe but rare
5. Stress fracture of the sesamoind bones maybe but I doubt it.
6 Plantarflexed first met bone, which can cause the pain in the ball of the first met head.
7. Plantar first met head bursitsis and or capsulitis

So is this the area we are talking about.