Pain in the top of my mid foot

Good Morning,
I have been having pain in the top of my foot for about 1 year. I have had x-ray’s and 1 MRI and results show nothing but inflammation at the top of the 4th metatarsal. I have pain around the top of the 3rd and 4th metatarsal. I am in the military and I run a lot, but the pain has been bad enough that I am having a hard time running. I had surgery last year in the same area to remove a bone spur. My doctor thought it might be the issue.

The pain has since come back and gotten increasingly worse. The more I run the worse the pain is. My foot will go numb when I run, but hours later my foot is painful to even walk on. I take 800mg of ibuprofen to help with the pain, but it hasn’t resolved my pain. Any ideas on what to ask my doctor about?

2 Responses

  1. Foot-com

    Thanks for your response. My last MRI was May 2015. I did however have an x-ray done about 2 weeks ago. The FINDINGS: There is normal osseous alignment without fracture, region of periosteal elevation, or aggressive osseous lesion. The joint spaces are preserved. The Lisfranc joint has a normal radiographic appearance. Soft tissues are normal.
    IMPRESSION: No radiographic evidence of fracture or dislocation.

    so no fractures. I have had steroid / cortisone injections that work great for about 3 1/2 months. About 3 to 3 1/2 months the pain returns and I am back at the Dr. office for another one. But yes they work great temporarily. I have added orthotics as well as been fitted for shoes. Can a neuroma be located in the mid-foot, the photos I looked at seem to be closer to the toes.
    My pain is located in the below link, right were the ladies thumb is. (This is not my foot)


  2. Foot-com

    Hello and thank you for your question.

    Without examining you it is difficult for me to say exactly however I will guide you the best I can. Have they ruled out a stress fracture or neuroma? These are the most common causes of pain to the forefoot. When was your MRI done?

    Sometimes MRIs can be misread. Perhaps having it re-read? Have you done any steroid / cortisone injections? Do they help? I am sorry I cannot provide more information but I hope this helps you.

    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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