How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Thomas, MD Your Own Question

Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57364
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
24257177
Type Your Medical Question Here...
Dr. Thomas, MD is online now
A new question is answered every 9 seconds

My second right toe goes numb from time to time. I run about

Resolved Question:

My second right toe goes numb from time to time. I run about 20k a week and stairclimb (moving escalator, not a stepper!) 10k a week. I have poor circulation and am usually cold. Recently, the ball of my right foot also goes numb whilst I am running). Should I be concerned?
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 3 years ago.
Hello
Although this could be circulation it could also be a morton's neuroma, being in this location, or simply nerve compression from shoes that are not optimal, given the running.
There is also a condition called tarsal tunnel syndrome that compresses the nerve much like carpal tunnel syndrome.

first I would see a podiatrist or orthopedic foot specialist, probably have an MRI which would show a neuroma or nerve compression, then initial treatment will most likely be an adjustment to the shoes themselves.
also unfortunately rest and perhaps physical therapy
Some cases do need surgery eventually.
Good luck
let me know if you have further questions

Bonuses and positive feedback most helpful. Answers for informational purposes only.

Customer: replied 3 years ago.
I have raynaud's. My feet are always cold and my second toe goes numb if my feet are cold. The ball of my foot only goes numb when I am running - it never happens at any other time. My fingertips also tingle when I am particularly cold. Recently, when I have been running my right leg (same leg as numb toe/ball of foot) feels hard to lift, a bit like it is a dead leg from the hip downwards. I have worn the same running shoes for 12 years, I have a natural anterior tilt. If this is from running, I am okay with that as I know what to do to alleviate it but I am concerned for my circulation. I train hard, like a professional athelete but recently my legs have started to feel very very tired. Could I be running to fast (top speed 13kph)?
Expert:  Dr. Thomas, MD replied 3 years ago.
You could be running too much or overdoing it.
Circulation is only one possibility, Doppler studies of the legs could show this...an ultrasound so you should have your doctor order this.
you should also have a good neurological examination to make sure sensation, reflexes and strength are OK to rule out problems such as MS.
I would not keep running with out evaluation and without evaluation of the foot, preferably with MRI as a problem that can be corrected can get worse when neglected.

Good luck again

Bonuses and positive feedback most helpful. Answers for informational purposes only.

Customer: replied 3 years ago.
Just one last question, it has been suggested that I have siatica - I have looked it up and apparently it is a common diagnosis for unknown leg pain - from my symptoms is it possible that it could be siatica? If I don't exercise, I don't get the leg pain but I still suffer from the cold and tingly/numb fingertips and right second toe. In the last year, I have knowingly pushed myself when running even though I haven't felt like doing it because I've felt physically tired.
Expert:  Dr. Thomas, MD replied 3 years ago.
Yes
Not exactly sciatic but disc problems in the lower spine could cause such symptoms, but not the weakness generally.
An MRI, once again, but of the lower spine....if indicated by exam...would show disc, nerve root, ligament,etc.

Orthopedist, or physiatrist would be the best docs to see, overall. My preference is the physiatrist.
good luck again

Bonuses and positive feedback most helpful. Answers for informational purposes only.

Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 57364
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Dr. Thomas, MD and 4 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Dr. Thomas, MD
Dr. Thomas, MD
Doctor
57364 Satisfied Customers
Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc