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Dr. Abid
Dr. Abid, Doctor
Category: Medical
Satisfied Customers: 5983
Experience:  MBBS, FCPS(R)
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Periodically have sharp pain right foot. Feels like hot needle

Customer Question

Periodically have sharp pain right foot. Feels like hot needle lasting 1-3 seconds repeating every 5-30 seconds. Episodes usually begin at night waking me. Episodes last 6-12 hours and happen 1-2 times a month. Pain always in same spot above bifurcation between 3rd and 4th toe(counting from great toe). Asked my primary doc and he declared he hadn't seen condition before. I'm not diabetic, but also have numbness on plantar surface of same foot. Had ultrasound (doppler) test for PAD, but circulation in normal range on both feet.
Submitted: 7 years ago.
Category: Medical
Expert:  Dr. Abid replied 7 years ago.

Hi well as you have history of off/on sharp pain along with numbness of plantar aspect of same foot often its because of nerve problem so i will suggest you to get MRI lumbar/sacral spine sometime pinched nerve can give this problem,second i will suggest you to check your uricacid level.as pain killer just provide temporary relief but we should reach the exact diagnosis so please go for that.hope this advise will be helpful to you.

Regards.

Customer: replied 7 years ago.
Uric acid normal range; r/o gout. MRI very expensive. Numbness continous for many years and nerve pain variably intermittant and stops after several hours without any spinal manipulation. Pinched nerve in lumbar/sacral spine could not come and go so fast...especially without causing any other symptoms.
Expert:  Dr. Abid replied 7 years ago.

Hi well as you mentioned that you have associated history of numbness of plantar aspect of same foot since last many years so numbness is the feature of nerve involvement and often periodic pain varies with persons activity that sometime extra strain/burden can precepetate pain so i will suggest you to please discuss once with your dr regarding this aspect.

Regards.