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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 31633
Experience:  Over 20 yrs of Family Practice
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I have severe pain in the top of my foot. What can I do

Resolved Question:

I have severe pain in the top of my foot. What can I do
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Chip replied 5 years ago.
How long has this been going on? Any swelling or redness? Any injury?
Customer: replied 5 years ago.

Going on for about six weeks. No injury no redness Some swelling

Expert:  Dr. Chip replied 5 years ago.
Is it the top of the foot only and not the toes? Any other part of the leg that's swollen? Is the area tender to the touch?
Customer: replied 5 years ago.

Toes ok some ankle swelling after being on my feet a lot. The top of my foot is tender

I have pain in the nite.

Expert:  Dr. Chip replied 5 years ago.
Well, this could be tenosynovitis--inflammation of the tendons that cross the top of the foot, but I'm a little concerned about the ankle and foot swelling since that might be a sign of a deep venous thrombosis--a clot in a leg vein--and that could cause a life threatening pulmonary embolus. Ibuprofen and capsaicin cream could help but you really need to have this evaluated by your doctor as soon as possible. If it's tenosynovitis, a course of prednisone or a cortisone injection would help.
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