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What Causes Severe Pain And Tenderness In Left Foot While Walking?

Posted on Wed, 13 Jul 2016

Question: I suddenly have severe tenderness and pain walking on my left foot at the joint just below my baby toe. I walk a lot for exeercise, 3-4 miles/day. Bought new shoes but that didn't help.

Answered by Dr. Dr. Naveen Kumar Sharma (45 minutes later)

Brief Answer:
It can be stress fracture

Detailed Answer:
Hello, I have studied your case. Pain at foot at your age with prolonged standing or waking is due to stress fracture. Before I advised you anything I would like to see your X rays of the feet. So please send your fresh foot x rays to me. I will try my best to help you.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Sharma (11 minutes later)

I have not yet seen a doctor, so don't have x-rays to send to you. If it is a stress fracture, how is that typically treated?

Thank you Joy

Answered by Dr. Dr. Naveen Kumar Sharma (9 hours later)

Brief Answer:
It will need splinting

Detailed Answer:
Hello,
if there is stress fracture then you will need following treatment.
1.splinting or plaster.
2.calcium 1000 mg daily and vitamin D 60000 unit per week for six weeks.
3.injection teriparatide is also useful.
thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Sharma (4 days later)

Thank you for your answer Dr. I visited my primary care Dr. He did not order an x-ray but rather chose to prescribe Meloxicam 7mg 2/day with 2 refills. As you know this is an anti inflammatory to treat symptoms of osteoarthritis. The medication has relieved my pain. Does that indicate a correct diagnosis or in addition, should I pursue an x-ray to confirm? Also, reviewing the risk related with this medication (I have no contraindications) I have a concern about taking it long term. Thank you.

Answered by Dr. Dr. Naveen Kumar Sharma (13 hours later)

Brief Answer:
Should not be taken for long term

Detailed Answer:
Hello,
this is a pain killer and it should not be taken for long time. It can cause high blood pressure and kidney failure. I would suggest you to take calcium tablet and vitamin D also. It will improve bone strength. There is no harm in getting X rays done.
Thanks

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar