Pain/soreness/weakness in forefoot when walking

Hi,
I have had chronic problems with the arches of my feet for a long time. More recently, I’ve started experiencing a tremendous amount of pain in my toes, the balls of my feet, and the mid arch area whenever I walk or stand for a prolonged period of time. The best way to describe the pain is a feeling of weakness and soreness, like they’re about to give in at any moment. It is probably the worst in the big toe area, all the way through the arch. Once I stop walking, there’s an odd sort of cooling/burning sensation in the forefoot area.

This pain only comes on when I start walking or standing for a couple of minutes, and it gets worse as I continue activity. The pain is also present in both of my feet, although it’s worse in the left.

I’ve been told I have plantar fasciitis, but I have zero heel pain. My PT also said I have posterior tibial tendonitis, as i do have weakness in the ankle/achilles area as well, but I’m not sure how that makes my toes/forefoot hurt so much. MRI revealed zero issues, same with Xray, and rheumatology tests were negative.

I can’t even leave my apartment anymore, which is particularly odd seeing as I’m an otherwise healthy 27 year old male. Any help you have would be greatly appreciated, as I’m not sure what to do right now…
Thanks
Tom

3 Responses

  1. Foot-com

    Hello and thank you for your question.

    For all heel pain conditions you want to do sufficient stretching, icing, NSAIDs, orthotics, night splints and cortisone injections. If you have exhausted all these options you will want to try physical therapy for at least a month.

    If you get no improvement from physical therapy and have done sufficient, compliant conservative measures and have had pain for more than 6 months you can begin to consider surgical options such as a plantar fascial release, Topaz or Shockwave Therapy.

    If you have not discussed any of the above options with your Podiatrist I would do so before seeking surgical measures. I hope this helps!

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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.

  2. Foot-com

    Hi,
    I have very similar arch pain like yous on my both feet It started in July and I can feel it is getting worse slowly everyday. The stinging pain along the long plantar ligament particularly on the mid arch. I have tried icing, stretching but they only seem to worsen the condition. 3 weeks ago, I tried cortisone injection and that only intensify the pain. Like you, I can not leave home any more. Every step now comes with pain, I don’t know what to do next.

  3. Foot-com

    Hello and thank you for your question.

    Based on your description and the apparent level of diagnostic testing you had done I would look at alternative approaches to addressing your foot pain. I’m not sure if you are experiencing nerve type symptoms or more connective tissue symptoms but I’d approach both with daily myofascial release and acupuncture.

    Look at a product called Yamuna Foot Wakers and Yamuna Body Rolling to address connective tissue. Sometimes when we have fascia adhesions anywhere in our feet or lower leg it can transmit as diffuse foot pain.

    I have had many patients with non-specific pain similar to as you describe and they swear by acupuncture so I think it’s worth a try.

    I hope this helps.

    ==============
    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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