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Daniel Nelson, MD
Daniel Nelson, MD, Doctor (MD)
Category: Health
Satisfied Customers: 258
Experience:  Licensed MD. Mayo Clinic Rochester trained physician in Internal Medicine - Critical Care Medicine.
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I woke up this morning with extreme pain in my left foot.

Resolved Question:

I woke up this morning with extreme pain in my left foot. It feels like it is broken or at least badly sprained. I cannot walk on it. I have NOT injured it in any way. What could cause this? Should I have it xrayed? What should I do? The pain is truly disabling. What could cause this sort of thing? I need to go to work tomorrow! I am at a loss as to what I should do.
Submitted: 6 years ago.
Category: Health
Expert:  Daniel Nelson, MD replied 6 years ago.
  • What part of the foot hurts?
  • Is there any redness, swelling, or warmth in that area that are different than the rest of the foot?
  • Can you list any medications and doses you are taking currently, including supplements?
  • May I ask your age?

Stay online, I will get right back to you!

Kindest Regards,
XXXXX XXXXX, MD

Customer: replied 6 years ago.
The pain is in my entire foot with the exception of my big toe. The pain seems to radiate from my ankle down to the bottom of my foot. It is not so much my toes that hurt as it is the rest of my foot. The arch of my foot and the instep of my foot is what hurts the worst. My ankle does not actually hurt but when I move my ankle it makes the rest of my foot hurt!. On a scale of one to ten I would put the pain at a 6 or 7.
Customer: replied 6 years ago.
I need to let you know that I just realized that the bottom of my foot is the most excruciating. The bottom of my foot is horrible! It literally makes me scream! I have never felt like this before,
Expert:  Daniel Nelson, MD replied 6 years ago.

With the pain so diffuse, severe, and with such sudden onset while asleep I am afraid that I would prefer to have you examined to rule out a traumatic sleep injury, and x-ray'd. While the pain in the arch or instep area sounds like plantar fasciitis plus/minus a bone spur (an inflammation of the connective tissue on the bottom of the foot) ... the more extensive pain in the foot is concerning to me for trauma, infection, diffuse tenosynovitis (inflammation of the tendons and the synovial fluid and membranes that surround them), or sprain. At a minimum, you could benefit from a decent pain reliever with a 7/10 pain. Gout and pseudogout can come on suddenly like this, and their treatment is usually prescription based in order to gain control of the acute inflammation they cause.

I recommend that you be seen to rule out the bad things first and foremost. If it's plantar fasciitis it will be treated with anti-inflammatories, stretching exercises, and sometimes custom orthotic inserts. If it's infection, gout, pseudogout, tenosynovitis, sleep trauma ... then we will both be glad to have had it examined, x-ray'd, and treated appropriately. The diffuseness is what throws this away from being a simple diagnosis of plantar fasciitis ... also, the suddenness is concerning. It's not typical of gout or pseudogout either, but their treatments are unique and most often by prescription, as is the case for infection, trauma, and tenosynovitis / synovitis.

I recommend that you be seen. I wish I could examine you over the Internet, but I can't. I want you to be safe and have the bad stuff ruled out first and foremost. Keep me posted for my own knowledge and for my colleagues as well.

Thank you for visiting JustAnswer.com's Health Information. I hope that all of your concerns have been addressed and that your experience here was positive and helpful. If you have a new or different question, please don't hesitate to come back or submit a new question. It has been a pleasure helping you. Your FEEDBACK is very important to me.

Kindest Regards,
XXXXX XXXXX, MD

Daniel Nelson, MD, Doctor (MD)
Category: Health
Satisfied Customers: 258
Experience: Licensed MD. Mayo Clinic Rochester trained physician in Internal Medicine - Critical Care Medicine.
Daniel Nelson, MD and 5 other Health Specialists are ready to help you
Expert:  Daniel Nelson, MD replied 6 years ago.

The severe pain on the bottom of the foot is more consistent with the plantar fasciitis I mentioned above. However, I am still concerned that we need to rule out those other serious conditions ... like infection and synovitis, or infectious synovitis. I will rest more easily knowing a physician has seen you and examined for these other serious conditions.

Regards,
Daniel

--
XXXXX XXXXX, MD

Expert:  Daniel Nelson, MD replied 6 years ago.

I have to head into work for a bit, so I will be away for a couple hours or so. I will be back in the event you have further questions. I just wanted to let you know I won't have access to this site for a couple hours.

Be back in a while,
Daniel

--
XXXXX XXXXX, MD

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