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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Arthritis Cause Chronic Pain In The Foot?

I am experiencing severe pain on my rt foot. It feels like I have a severe burn on the top of my foot near the middle toes. It has been happening intermittently for several months. Some days I have no pain. I am very active. I went to a foot doctor, he took xrays and found nothing more than some age related arthritis on my big toe and fitted me for orthotics. What can be causing this pain?
Wed, 26 Dec 2018
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General & Family Physician 's  Response
Hello,

Given your situation, I think that your doctor should consider "Morton's neuroma" as well.

Morton's neuroma is usually seen in middle-aged patients, who are physically active.

In a good percentage of cases there are no findings in imagery examinations and thus, the diagnosis is usually based on clinical findings (in earlier stages).

The condition is caused by a compression of the plantar nerve against the adjacent ligament and it affects typically the middle toes.

Sometimes, ischemia is also involved in producing this health condition. Overall, the exact cause is not known.

Treatment includes rest, and better fitting shoes (shoes that are not tight), just as your doctor recommended. If the problems persists, then maybe injections of corticosteroids might be considered.

If the situation aggravates, surgery might be considered, but only after more sensitive imaging examinations.

In this case, the best diagnosing tool is magnetic resonance imaging (MRI) as it is superior to CT scan or X-ray radiography in revealing such lesions.

Therefore, please consult with your doctor about this possibility.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ervin Toçi, General & Family Physician
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Can Arthritis Cause Chronic Pain In The Foot?

Hello, Given your situation, I think that your doctor should consider Morton s neuroma as well. Morton s neuroma is usually seen in middle-aged patients, who are physically active. In a good percentage of cases there are no findings in imagery examinations and thus, the diagnosis is usually based on clinical findings (in earlier stages). The condition is caused by a compression of the plantar nerve against the adjacent ligament and it affects typically the middle toes. Sometimes, ischemia is also involved in producing this health condition. Overall, the exact cause is not known. Treatment includes rest, and better fitting shoes (shoes that are not tight), just as your doctor recommended. If the problems persists, then maybe injections of corticosteroids might be considered. If the situation aggravates, surgery might be considered, but only after more sensitive imaging examinations. In this case, the best diagnosing tool is magnetic resonance imaging (MRI) as it is superior to CT scan or X-ray radiography in revealing such lesions. Therefore, please consult with your doctor about this possibility. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ervin Toçi, General & Family Physician