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Kindest Regards,XXXXX XXXXX, MD
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.
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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.
-- XXXXX XXXXX, MD
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
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