Foot Pain…but not a Bunion…I think


I’m an avid runner and have had my fair share of injuries over the years. The one injury that seems to be bothering me the most is associated with the first metatarsal joint on my left foot. At first I thought it was a certain pair of shoes, but now I’m not sure. I had done a very modest mileage week, and had my last run on Wednesday. Fast forward to 3:00am Saturday morning and I was awoken with severe throbbing pain in my foot. This has been a common consistency with what I’m dealing with. The pain always sets in while I’m sleeping. The area is on the medial side of the metatarsal head, and hurts to touch, and often shows signs of redness. I have had issues with Gout in the past, but that always manifested in my left big toe, so I guess I’m not going to totally rule it out, but I’ve noticed it more following some hard trail runs that I’ve done. There is no pain on the top of my foot, or even on the joint. There is no pain on the bottom either. It literally is on the side of the joint. Ice has helped alleviate the pain, but I also took 2 Alleve at 10:00pm, and still woke up with throbbing pain. Laying down seems to make it worse. Any ideas?


One Response

  1. Foot-com

    Thank you for your question. Without examining you it is difficult for me to accurately diagnosis what may be causing your foot pain however I make general recommendations. Since you do have a history of gout this could be associated with the foot pain.

    Depending on the severity and duration of your gouty attacks it can begin to weaken the bone at the metatarsal head. There is also a bursa on the medial side of the first metatarsal which during excess friction at the joint will become inflamed and cause pain / redness. What I recommend is seeing a Podiatrist who can more accurately assess you. In the mean time I would minimize your activity and control any inflammation or swelling to the area.

    Best of 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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