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Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 1985
Experience:  Neurosurgeon - Brain, spine, and peripheral nerve surgery
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I have an icy hot feeling in both arches. No injury, worse

Customer Question

I have an icy hot feeling in both arches. No injury, worse when sitting or if my knee is bent. My toes can go numb at times. Work up negative for plantar fasciitis. Thoughts?
JA: What seems to make the symptoms worse or better? Have you noticed any swelling?
Customer: No sqelling. Worst when sitting
JA: Anything else in your medical history you think the doctor should know?
Customer: Celiac disease. Raynauds. It kind of feels like someone is tickling my arches whenever my knee is bent.
Submitted: 9 months ago.
Category: Neurology
Expert:  Dr. Captain replied 9 months ago.


Welcome to the question/answer interface.

I am a Family Medicine doctor, board certified with active licenses and certification in Internal Medicine, Pediatrics, Obstetrics and Gynecology, as well as Integrative Medicine & Naturopathy, with advanced training in Neurology, Cardiovascular Medicine, Gastroenterology, Endocrinology, and Psychiatry. I am also well-trained in Functional Medicine. For your review, here is my direct link with my current ratings from patients like you:

I have read your post and observations.

Would you prefer a summary answer to your question, or would you prefer more back-and-forth, where there will be a series of more questions and more details clarified? There is no difference in charges for your preference.

Either way, I’ll do my best to take the appropriate time to help you.

Customer: replied 9 months ago.
Back and forth please
Expert:  Dr. Captain replied 9 months ago.

Sounds good!

Expert:  Dr. Captain replied 9 months ago.

when you say "workup was negative" for plantar fasciitis... what do you mean?

Customer: replied 9 months ago.
I can move my toes without problem. No pain with flexing my toes or pointing them. I had an MRI of my entire spine, which was normal. I also had X-rays of l4 and l5 8! Flexion and extension.I had an mri of my feet, which was normal. Also xrays, norna. injection for possible tarsel tunnel (no change in symptoms)
Expert:  Dr. Captain replied 9 months ago.

I see. thank you. that's helpful to know.

Customer: replied 9 months ago.
No pain in my heel, no pain with first step in the morning.
Expert:  Dr. Captain replied 9 months ago.

have you tried stretching or applying ice or heat and how that affects your numbness?

Customer: replied 9 months ago.
Lots of stretching. Ice makes it worse. Massage makes it better. No change with ibuprofen
Expert:  Dr. Captain replied 9 months ago.

interesting. you may have some tendonitis or this could be a symptom or your raynauds. no traumas or acute impact with anything traumatic right?

Customer: replied 9 months ago.
No trauma or injury
Customer: replied 9 months ago.
Would raynauds cause problems primarily in the arches? It does not change with temperature
Expert:  Dr. Captain replied 9 months ago.

raynauds can cause difficulty anywhere blood vessels reach. if you happen to have smaller vessels to that area, you could get these kinds of symptoms. the fact that massage helps is suggestive.

Customer: replied 9 months ago.
How would I treat that?
Expert:  Dr. Captain replied 9 months ago.

The raynauds is typically treated with medications prescribed by a physician.

Customer: replied 9 months ago.
Any other workup to recommend?
Expert:  Dr. Captain replied 9 months ago.

- Consider freezing a plastic water bottle and rolling it under your foot. This helps with inflammation and also stretches tissues

- Try inserting orthotics into the shoes you wear. This will helps to disperse body weight evenly over the underfoot.

- Stretch the affected body parts. Slowly, Thoroughly, and Regularly

- Regular dosing with anti-inflammatory medications helps reduce inflammation and improves comfort.

- Consider consulting with a Physical Therapist or Exercise Therapist for additional support and guidance with stretching and strengthening.

An Example Home-Treatment Regimen

- Sleep for a goal 8-10 hours, (daytime naps are healthy)

- If needed, consider elevating the injury with pillows

- Take at least 1 hot bath/shower every other day

- Drink water continuously throughout the day, avoid caffeine/alcohol. Goal is clear urine

- Add at least 5 minutes of dedicated stress relief daily

- Achieve at least 20 minutes of moderate exercise every day

Here is a selection of orthopedic stretches and exercises for you:

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