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Dorsum of foot pain
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akrentz1
akrentz1's picture
Dorsum of foot pain

I am a 32 year old male who recently started having pain between the second and third metatarsals for no apparent reason. I run avidly without any trouble. Pain is constant and is decreasing however I have pain with plantarflexion of the toes to endrange and dorsiflexion of the toes to endrange. There is an area of swelling about the size of a silver dollar. this has decreased since the second day. I have tried everything for this and I am afraid to start running again as I am not pain free. How do I know when to go to the doctor and have some imaging taken.

Thanks

ESplichal
ESplichal's picture

Hello and thank you for you question. I think it is a good idea to see a Podiatrist and have your foot x-rayed as it sounds like you may have a stress fracture. Although stress fractures do not always show up on a foot x-ray, a Podiatrist would be able to diagnosis this through a clinical examination. If it is a stress fracture you would want to begin the recovery process right away. In the mean time, I recommend icing the foot and limiting your activity - especially running. Good luck!

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Dr. Emily Splichal
Please be advised: we do not provide medical advice, diagnosis or treatment.
By law, we cannot give specific medical advice over the Internet.

akrentz1
akrentz1's picture

Thanks. I have a little to add. Same injury but longer timeframe. I was wesring new orthotics an wore them for 45 min. 8hours later same pain started. It is posible to sustain a stress fracture after 45 min new orthtics and no other change to daily activities.
All imaging was negstive one week and three weeks later but pain continues. Podiatrist did not have any idea why it was still hurting

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ESplichal
ESplichal's picture

Thank you for the additional information.
The risk of getting a stress fracture from 45 minutes of new orthotics is very low. If the pain persists, I encourage your Podiatrist to order an MRI. Depending on where exactly the pain is there are possible midfoot sprains which can also be ruled out again by your Podiatrist. Good luck!

==============
Dr. Emily Splichal
Please be advised: we do not provide medical advice, diagnosis or treatment.
By law, we cannot give specific medical advice over the Internet.


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