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Big Toe Chronic Burning Pain

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Old 10th April 2009, 01:46 AM
elonnie elonnie is offline
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Unhappy Big Toe Chronic Burning Pain

2 years ago after a long day on my feet, I had a burning pain sensation on the inside edges and bottom of my big toes. During this time after surgery for a bone spur, nerve study, orthotics and 5 foot doctors the chronic pain will not go away. No diabetes, have good circulation and fairly high arches. Somedays it is better, but than returns. There is no pain without shoes or pressure against the bottom. Mornings are bearable with shoes, but worsens throughout the day. The last 2 doctors actually threw up their hands and said there is nothing else they know to do. I have spent well over $7m on this problem with no relief. The pain is not on the surface of the skin, but feels like it is deep into the area close to the bone. The skin on the inside edges of my toes feels slightly thicker and raised, but not a callus. I can not find anything on the internet that sounds similar. Please help!
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Old 10th April 2009, 02:23 PM
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Default Re: Big Toe Chronic Burning Pain

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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Burning sensations not associated with direct irritation, either physical or chemical, are almost invariably the result of some sort of neuropathic process. Precisely what that might be would require investigation beyond the scope and ability of a forum, and a cause may not be easily revealed in any event. Whether by a neurologist or other specialist, I would recommend consideration of an investigation along those lines.
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Old 11th April 2009, 12:50 AM
elonnie elonnie is offline
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Default Re: Big Toe Chronic Burning Pain

Many thanks to the Foot Dr. Neurological issues seems very likely, should this have surfaced during the nerve study? I have no numbness or tingling either. Would this type of problem worsen throughout the day? I recently modified a pair of over the counter arch supports with a pc of 1/2" thick foam directly under the toes, this really does help. If major pressure is kept off the toe, would it gradually have a chance of improvement or am I damaged for life. Can some forms of neurological damage be repaired and how would that be done? Is this associated in any way with imflammation and would a of regiment pain relievers like ibuprofen help? Many thanks
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Old 11th April 2009, 04:54 AM
FootDoc FootDoc is offline
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Default Re: Big Toe Chronic Burning Pain

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.
************************************************** *********
Nerve conduction studies measure the rate of transmission of the impulse along a nerve, and are especially helpful in the diagnosis of entrapment neruopathies such as carpal tunnel of tarsal tunnel syndromes. Whether or not this would identify a cause of a burning sensation would be entirely speculative. Without knowing the specific etiology, any suggestion as to what might be done or how successful treatment attempts might be would be totally without basis and therefore meaningless. I offered my original opinion only in hopes of giving you some likely direction in which to proceed.
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Old 25th April 2009, 02:46 AM
elonnie elonnie is offline
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Default Re: Big Toe Chronic Burning Pain

I visited my 5th foot Dr recently and finally some relief. Although I had no swelling, redness or infection around my big toe nail the Dr cut the side of the nail away. He said this referral pain sometimes can be felt a distance from the actual source of the pain. He said there was a nasty turned down hook on the edge of the nail which appeared to have been pushing deep into the surrounding skin, resulting in pain. Now after a week it feels much better.

However, on the same toe on the inside bottom edge closer to the joint there is a slight bump the size of a dime of thicker skin resembling a callus in a typical callus location. This skin is thicker then the surrounding area and slightly rough, but not near enough to consider removing any of it. Right in the center of this bump there is a very tender spot the size of a small pea which is very painful if I moderately push my finger nail into it. This slightly raised bump and sore spot appears to be the second part of my problem. As a precurser to visiting the Dr again, is there any sensitive areas in that part of the toe could cause this pain when pushed on? Could there be a nerve or tendon close by? Many thanks again!!!
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