Hi, this is Neuro Doctor, an American Board Certified Neurologist with vast clinical experience, and I am very glad to help you with your question.
Is there any blister, swelling, rash, or any signs of infection in the bunion area?
Has she tried any pain med other than Ibuprofen?
No, there is nothing apparent. She hasn't tried any other pain medication. She also has neuropathy in her feet.
Is the neuropathy in both feet?
And is this stabbling pain coming from bunion area or from both feet?
It is coming from the bunion area only.
Okay I got it.
We need to try stronger pain meds
For the severe stabbing pain she can try one of the nerve-pain pills like Gabapentin or Pregabalin, or Amitriptyline
These can help much better than Ibuprofen for severe stabbing pain like this
OK. Is it likely that is will stop or do you think this is going to continue?
She can also try Pain pills like Tylenol#3, or Vicodin etc the opioid pills which also can help for this severe stabbing pain
The pain may respond and subside
Is there anything I can get over the counter?
but if it continues then she may need surgical options too
has she tried special shoes, padding etc?
Yes, but this pain just started an hour ago. She hasn't had anything this intense before.
Okay I see
has she tried Myoflex or Bengay pain relieving skin ointment?
No, this is new. We could try that.
Okay then these are over the counter pain creams
these are effective
Do you think that there is a nerve that is pinched?
they are over the counter
pinched nerve should not present locally in the toe like this
but she needs a clinical examination too
What do you think could be causing the pain?
if this does not subside
the bunion itself can cause such pain
or temporary worsening of neuropathy
if pain continues she needs clinical examination too just to make sure nothing else was missed
Would Oxycodone work?
in fact I had mentioned similar meds earlier above
one contains codeine another one contains hydrocodone
oxycodone too can help
Percoset is a common brand
Would heat or cold help too?
tylenol #3 contains codeine, vicodine contains hydrocodone
heat or cold is helpful too
she should continue these general measures along with meds
or cream mentioned above
OK - we will do that. Thanks
You are welcome
I hope the above options help her immensely
Do you have further questions?
No, I don't.
I hope she recovers quickly and completely from this severe pain, all the best!
You are welcome! All the best!