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Burning pain-side of foot by arch and in heel

Discussion in 'Ask your questions here' started by Beth, Jun 17, 2008.

  1. Beth

    Beth Guest


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    Let me attempt to explain to you why it is that what you are asking for cannot be responsibly offered here. The typical diagnostic process involves:

    1. Carefully listening to the patient's complaint, and obtaining a through history of the problem as known by the patient, as well as other known problems which might bear of the issue at hand. The later requires the prodding of the doctor, as the patient frequently does not associate ancillary or collateral condition with his or her problem.

    2. Asking targeted questions and then follow-ups predicated on the answers obtained, in order to narrow the scope of considerations.

    3. Making a physical assessment of the situation by hands-on examination and asking more questions.

    4. Only then can the relevant possibilities be appropriately listed in what is known as the "differential diagnosis." This is a virtual sort of hopper into which the doctor places his/her thoughts as to what conditions might fit, based on the evaluation so far.

    5. Physical, laboratory and radiologic testing as needed, targeted at excluding the items included in the differential diagnosis, one by one, until hopefully only one diagnosis survives the gauntlet.

    What you are asking is that I skip to step #4 without the benefit of knowledge gained in steps #1, 2 and 3. It would be a disservice to you, without appropriate knowledge gleaned in the procedure outlined above, to lead you down a path which is terribly unlikely to be the correct one. The causes of problems involving the lack of or abnormal sensory transmissions are often particularly difficult to pin-point, and the diagnostic path to be taken must be based on the individual particulars of the case and the history.

    Diagnosis is generally the most critical aspect of effective medical care, as without it, the selected treatment can only work by blind luck. That is why forums such as this, which cannot offer the scope of information required for diagnosis, are inappropriate for the responsible offering of even a differential diagnosis, which is essential what you are asking for.

    Once you have obtained a relevant diagnosis, I will be happy to attempt to answer questions in a general fashion regarding that diagnosis as it generally presents and the treatment options available.
     
  2. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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    Unless there is some direct local irritation of the skin or tissues, burning sensations are generally generated by some nerve abnormality. But if your problem occurs for only 5-10 seconds at at time, it will be difficult to ascertain its cause, as it will never be able to be examined while the sensation is present unless, by repositioning the foot or body, or creating a predisposing condition or situation, the sensation can be reliably elicited. Certainly, one of the most common problems causing pain in the heel is plantar fasciitis. As you already think it may be that, why have you not had it professionally checked out? As far as any meaningful thoughts as to what it might be, without lots more information and the all important hands-on examination, such guesses would serve no purpose, especially as you are considering seeing a doctor anyhow. I would recommend your seeing either a podiatrist of an orthopedist who specializes in problems of the foot.
     
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