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Lump on top of left big toe

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  #1  
Old 8th August 2008, 04:24 PM
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Default Lump on top of left big toe

Hi,
I am having a lump on the top, towards the right (outer) side of my left big toe, just between where the nail begins, and the first joint.
I have noticed this for about two years now, and at one point I thought it had been growing larger but it's been about the size of a dime (in diameter).
Lately, though, I'm noticing now that the skin on the underside of that same toe, directly below where the lump is above, has no sensation, numb, from about the area of where the first joint begins to up around the tip, and mostly along the outer edge of the toe, again, corresponding to where the lump is located above it, on top.
No pain, just these observations.
I can't really afford quality medical care at the moment, so I'm basically just watching and waiting to see where this goes.
Thank you.
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Old 8th August 2008, 05:30 PM
FootDoc FootDoc is offline
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Default Re: Lump on top of left big toe

A lump on a toe the diameter of a dime is HUGE. I'm sure that if you can afford an Internet connection and probably all sorts of other conveniences which are far less important than your health, you could afford at least the expense of a hands-on examination and opinion from a podiatrist to let you determine if it important enough to spend money for actual treatment on it. But if you think it more appropriate to "watch it and see where it goes," rather than channeling the expense of an office visit from the that designated for things you believe you REALLY need, that's YOUR call, though certainly not my recommendation. This and sites such as this are not appropriate venues for making diagnoses on which effective treatment might be based. See a podiatrist.
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  #3  
Old 13th August 2008, 06:09 PM
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Default Re: Lump on top of left big toe

Thank you for you reply. It does appear, though, that you're making a few--let's say 'assumptions' regarding my socio-economic status, and this, of course, is typical of the United States' health-care system in particular (making condescending assumptions), and the rest of our society in general, as the health-care system undeniably serves as a behavioral 'role model' for it.

I do, though, appreciate the advice of seeing a Podiatrist first, in order to obtain an opinion on this condition.
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Old 13th August 2008, 07:54 PM
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Default Re: Lump on top of left big toe

The way one spends his/her available funds is a matter of personal priorities. As I see it, one of the major problems with the U.S. health care system is that far too many folks have come to believe that health care is an entitlement, when at the same time, the real essentials for living, food, shelter and protection from the cold are somehow not seen in that category. Insurance of any kind, by most definition is intended to cover expenditures which are beyond the normal capacity of folks to personally underwrite . . such as loss of a home by fire or disaster or the cost of catastrophic illness. Medical insurance which pays for otherwise affordable services, such as, for example, office visits have only tended to increase the fees asked for those services, as when so many patients get such relatively low cost services free, either through their private insurance or through social service programs, they provide no market incentive to keep fees reasonable, and fees have undeniably soared each time a service is covered. I take umbrage with your opinion that my reply constituted a condescending assumption when it simply stated the almost certain fact that you have discretionary funds to which you apply your priorities, and, in my opinion, health care should be a greater priority than many other things and services for which you likely elect to pay.

In any event, I believe that I gave you appropriate advice in response to the essence of your question, and it appears that you do too.
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Old 14th August 2008, 07:03 AM
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Default Re: Lump on top of left big toe

one could be using the free computer at the libary they sit in all day because they have lost their home after losing their husband and only get to eat and sleep at the shelter. just a thought... have a nice day and please assume away... :P
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Old 14th August 2008, 12:44 PM
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Default Re: Lump on top of left big toe

It is not my purpose to argue with you about the ifs and buts of why an office visit to a podiatrist for an assessment of a problem is not beyond the finances of almost anyone who seems to function in society, and that health care, in general, even when (perish the thought) is paid for by the patient, should be at the high end of one's priorities. But I would judge that in all likelihood, the "one could . ." caveats which you offered do not apply to you anyhow. Everyone makes assumptions, and one who is in the business of dealing with people and the making of often hidden diagnoses is often correct in his/her assumptions. I make judgments which are often no more than educated assumptions every day. But even If I happen not to have been correct in your specific case (though I bet I was), it is still my general opinion, and do not believe it was condescending . . just based on the same type of experience which I bring to bear in my podiatric medical practice on a daily basis.
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Old 15th August 2008, 11:43 AM
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Lightbulb Re: Lump on top of left big toe

Quote:
Originally Posted by FootDoc View Post
The way one spends his/her available funds is a matter of personal priorities. As I see it, one of the major problems with the U.S. health care system is that far too many folks have come to believe that health care is an entitlement, when at the same time, the real essentials for living, food, shelter and protection from the cold are somehow not seen in that category. Insurance of any kind, by most definition is intended to cover expenditures which are beyond the normal capacity of folks to personally underwrite . . such as loss of a home by fire or disaster or the cost of catastrophic illness. Medical insurance which pays for otherwise affordable services, such as, for example, office visits have only tended to increase the fees asked for those services, as when so many patients get such relatively low cost services free, either through their private insurance or through social service programs, they provide no market incentive to keep fees reasonable, and fees have undeniably soared each time a service is covered. I take umbrage with your opinion that my reply constituted a condescending assumption when it simply stated the almost certain fact that you have discretionary funds to which you apply your priorities, and, in my opinion, health care should be a greater priority than many other things and services for which you likely elect to pay.

In any event, I believe that I gave you appropriate advice in response to the essence of your question, and it appears that you do too.
I wonder how you can be certain that the person that originally poisted this thread "has discretionary funds to which he/she applies their priorities" In my opinion it is a human beings right not to have to suffer and endure pain. Of course everybodies pain is relative as of course is everybodies opinion of budgeting week to week. Never the less as I said I believe that we all deserve the right to the same health care.
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Old 15th August 2008, 01:30 PM
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Default Re: Lump on top of left big toe

I will not turn this forum into a battleground venue for other than a discussion of medical issues, so this will be my final comment on this point.

There is almost no one in the U.S. or other than the poorest of the poor third world countries who does not have discretionary funds. Discretionary funds are those funds to which one applies his/her priorities for spending, and if one has a single penny, he/she choses by priority where that penny will be spent. The necessities of life are food, shelter and protection from the environmental weather. We would be in agreement that no one should be without that food or shelter, and there are social programs in the U.S. and most of the world which see to it that most of those in true need are provided such services, either for free or by subsidy. But I take issue with you that "we all deserve the right to the same health care," any more than we all have the right to eat the same food, live with the heat or air conditioning at the same temperature or live in the same quality housing. Those with more money always have and always will be able to afford better things and more comfortable lives. But the point of essence in this whole issue is that the original poster in question believed that she could not afford even a single office visit to a doctor so as to then be able to determine if her foot problem really needed treatment. Now, if she didn't have an Internet connection, as she probably falsely would have me suppose and if she made no other purchases of choice, other than for food and shelter, I would entertain her thought. But reason would dictate otherwise. So, I contend that the ubiquitous thinking, even by those who, with some priority adjustment, can afford them, that medical services which are not paid for by a third party are out of reach, when, at the same time, items and services of lesser importance are not is an untenable position and one driven only by unreasonable expectations.
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Last edited by FootDoc; 15th August 2008 at 01:34 PM.
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Old 19th September 2009, 06:08 PM
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Cool Re: Lump on top of left big toe

Hey Foot Doc-
Don't worry about those other individuals... I feel sorry for those inidividuals who cannot afford proper medical treatment, and the reality is, you could be talking to the .1% of the population within the United States that is using the internet at a library while living in a shelter (although I highly doubt it). The unfortunate reality is this... There are simply those individuals who expect others to pay for their medical care while 2 years ago, when this bump formed... why didn't you get it taken care of? Because it wasn't worth their time then, now they want me and everyone else in the US to pay for it....

Foot Doc, why don't you just travel the country doing pro-bono podiatry... just like Michael Cain in Kung Fu. You should pay for the poor planning of others.
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Old 20th December 2009, 10:54 PM
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Default Re: Lump on top of left big toe

I'm a rural dude with a minor lump on my big toe who came here to help me form a plan of attack. While I expected to find some possible causes, it instead reminded me that nearly everyone in medicine makes more than I ever have and they believe health care is worth whatever the price, even if it wipes out my pre-retirement savings. If the doctor just mentions the 'C' word, I will submit my body to the near daily commute to the pollution, traffic and stress of the city and wipe out my entire savings just for the possibility of hearing I will not die. But I will die someday and probably not because of my toe, but in the meantime I will spend a couple of months of misery in a life shorted by the adventure to find out my toe would not have killed me.

Having opted out of gambling my savings to search further for the diagnosis, I dedicate the time I would have been driving in traffic, pacing the hospital halls, sitting in waiting rooms with sick people and generally stressing out about my mortality to taking long walks in the woods, jogging up hills that take the wind completely out of me, climbing piles of rocks and sitting on top watching the hawks float above the valley. I will gladly ponder how much I am enjoying my life whether it shortens it or not.

It seems you can only see the health care crisis from the waiting room and nobody listens to the people in the waiting room.
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Old 22nd April 2010, 08:03 AM
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Default Re: Lump on top of left big toe

I have a similar lump on my big toe. I am sure it has something to do with my nail bed as I've had similar but not so hard lumps on my fingers. I found the comments on this thread highly amusing but a simple answer the the original question would have been more useful.
I'm in England where we have a free health service which works very well after a fashion but it's still good to be forewarned when ever you visit the mysterious men who seldom wear white coats these days.
Pete
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Old 28th January 2011, 07:06 PM
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Default Re: Lump on top of left big toe

All,
I am a UK podiatrist with 37 year experience and I agree with Footdoc.

We are Podiatrists, not clairvoyants,and none of us are going to risk losing our Registration by doing internet diagnoses of lumps and bumps we can't see.
If the OP could post a picture that might help, but I am not sure that this forum supports graphics.

My advice is see a podiatrist.regards

Podwoman.
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  #13  
Old 24th March 2011, 10:44 PM
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Default Re: Lump on top of left big toe

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Originally Posted by Unregistered View Post
So this forum is about drumming up business for the poor, underpaid docs?? Of course they would say come and see us so they could then tell you to go see their freind the other specialist and so on. The most corrupt industry on this planet is the medical industry. They go through huge hassles with the insurance companies and spend substantial funds to get their payments from the Insurance industry but will then stick the poor unemployed or monetarily strapped self pay with 2-3 times the amount the docs actually get from the insurance companies. Maybe we wouldn't need the insurance industry as much if the medical loan sharks wouldn't stick it to people when they would rather just pay their bill. Health reform in America has to start with the self-rightous blowhards in medicine! Its funny how some docs whine about people feeling "entitled" to something when the docs obviously think they are entitled to some kind of enlightened status because they wasted so much of their life learning now outdated and incorrect "vodoo" medicine. Blow it out your ass FOOT DOC!
Not wishing to disagree with the masses here, but, we are on a forum to get some infomation about a problem we have. We have all come here to cite our problems and none of us have any answers. And we're telling the FOOT DOC to shove it up his ass. How can we expect anyone who might be able to give us an answer to come on here and help out when all we offer is abuse?
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  #14  
Old 8th April 2011, 02:22 AM
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Default Re: Lump on top of left big toe

I have had my consultation visit (co-pay is supposed to be $25 but I always get wacked with a remaining balance so i gave them $100) with a podiatrist on a lump that I noticed right before the 1st joint of my big toe in August. I am of the "If it isn't broken or doesn't hurt, don't fix it mentality"...we are homeowners supporting two children on single income (I was downsized and went to college FT while working PT for peanuts). While we do spend about $13k for medical insurance (BC/BS) the deductibles are insane (depends on each case...this one is $1500 for doctor & $1500 for surgical facility.

My toe is now getting numb and the area is sore with most shoes. Dr left choices to me but was honest. Aspiration is cheaper but usually temporary - biopsy is needed. Or (the option I chose) rather than spend money on each of these, take it off (w/test).

I will let you know what is billed and what it actually costs me (at a surgical center - I am not supposed to be balance billed after deductibles and network rate ("reasonable & customary") have been paid by insurance.
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Old 15th July 2011, 03:15 AM
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Default Re: Lump on top of left big toe

Do you mind letting us know what the outcome of this was? I have a lump very similar to yours on my right toe and unfortunately right now I do not have 25.00 extra for the co-pay. I went to the dr. about three years ago because this same toe in the same area felt numb. It eventually gained it's sensation back and of course this was a wasted trip to the dr. who told me he had no clue what it could be.
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Old 17th September 2011, 05:10 AM
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Default Re: Lump on top of left big toe

Years ago I had a lump on the side of my big toe. It was a cyst. I had it removed in the Dr's office. Not the most fun since it was in the bone and some of the bone was removed. It never came back. Now, years later another is on the second toe of the same foot.
I will be going back to the doctor to be sure this is what it is, but it looks the same, there is no pain, it isn't red or hurtful. If your lump is the sounds like mine yours could be a cyst as well.
Just saying.
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  #17  
Old 19th October 2011, 09:20 PM
miamifootandanklecare.com miamifootandanklecare.com is offline
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Default Re: Lump on top of left big toe

There are many causes of "lumps" on the foot. Some are solid, some are fluid filled, some are associated with bones, joints, tendons and soft tissue. The cause of your lump should be explored and you will need diagnostic testing. Even though the incidence of malignancy may be small, one never knows until one has a diagnosis. I recommend professional consultation. Good luck.
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Old 28th December 2011, 02:46 AM
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Default Re: Lump on top of left big toe

Could be chilblains?
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Old 24th July 2012, 06:43 AM
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Default Re: Lump on top of left big toe

WOW! I look for info about a red lump on my toe & walk into a pissing match! While I agree that being nasty to someone who's offering their opinion & trying to help, is wrong, I must say that FOOTDOC brought it on his/herself by making the rude assumptions that he/she did. Must be nice to be so perfect that you're able to throw stones at others. Believe it or not, circumstances beyond a persons control, that may leave them w/out health ins, DO occur. I'm not sure whether or not people actually feel entitled to health care but in a civilized society a person who TRULY needs the help should be able to get it. If they're living beyond their means &/or spending money on less important things than they do not qualify as a person who truly needs help. Do you really believe that those in need should have to suffer & just deal w/whatever medical problems they're having? God help you if that's the case. I've lived on both sides of the health insurance "fence" & you don't realize what a blessing it is to have until you're w/out it. Having to decide if something is bad enough that it needs medical attention or can wait, because you need to be able to house, feed & clothe your family, is a choice no one should have to make...EVER!
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Old 25th July 2012, 10:12 PM
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Default Re: Lump on top of left big toe

I think the obvious answer is right in front of us. People pay to look at feet. They are fetish types. Once you make enough money you can then afford to see a doctor. Hey, you might even fight a foot doc with a fetish and treat you for free.

Jebus Lawd
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  #21  
Old 18th August 2012, 12:36 PM
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Smile Re: Lump on top of left big toe

I also looked on this site to find answers re a lump on my right big toe...thank god i live in Australia i will go see either the doctor or a podiatrist next week...wont cost too much and I get a medicare refund.
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  #22  
Old 11th September 2012, 05:01 PM
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Smile Re: Lump on top of left big toe

Wow are doctors getting this RUDE...... I also have a large bump growth on my big toe could be a ganglion cyst, surgery sometimes works, sometimes not... it's a little numb but getting larger .. I envy you living in the mountains away from this concrete jungle.. I wish for the day to also GET AWAY FROM THIS THUNDERDOME... All I want is life beyond this THUNDERDOME. LUCKY YOU ENJOY YOUR LIFE AND DO NOT EVER COME BACK TO HELL....
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  #23  
Old 6th November 2012, 03:38 AM
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Default Re: Lump on top of left big toe

Hi All,
Glad to hear that I am not the only one with this problem! I did go to see orthopedist about toe lump when it started to interfere with wearing shoes. X-rays, MRI, then back to Doc who said that she would "take it off, but only if she could also take off the nail" Exit stage right.
Couple of years later, the thing is gradually growing to the point that I figured what the heck - and I found out that doc was no longer there. Maybe new doc doesn't want the nail too?
New doc looks at toe, and says, didn't 1st doc say anything about a biopsy? Noooooooo...
Now to oncologist, sends me for a special MRI- which comes back saying it's weird and doesn't fit any particular diagnosis. Go for Biopsy, long story here..., but comes back with a differing, but still inconclusive diagnosis. Now I can either wait and watch or have the thing taken out. I've already waited and watched, since the first doc, figure take it out. Now the biopsy site is infected, hurt like heck and had discharge and lots of pain over the weekend. Went to anesthesiologist for exam, tried to talk me into the local...around my ankle and /or behind my knee. FORGET IT! I had the local for the biopsy, and it did not work! I also had some kind of IV sedative, that did not work either for the core biopsy. Literally almost jumped off the table and I did yell OW! Hurt like heck. Uh- I don't think the LOCAL WORKED. Or you missed something! I want to be out cold, I don't want to hear anything or know anything that happens. Ideally this would begin at home and then I would reawaken back here too.
Biopsy site is infected-7 weeks later. Doesn't bode well for my powers of healing a bigger cut in my toe. Going to have 2 surgeons, foot and ankle and oncology (not sure why he is going to be there) also may have to follow up with an infectious disease doc. So far, we have about $500 to pay in bills (after insurance!) . The big ones will come after the surgery. On a limited income, and not looking forward to having this turn into my vacation plans for the next few years, have not been able to afford one in a few years as it is. Oncologist seems pretty sure that it is not cancer, but not 100%. They will also now have to try to irrigate the infection out of the toe at the biopsy site.I had an ingrown toenail removed from the same toe 20+ years ago. Podiatrist did it in office-talk about painful needles in the Toe! ( I yelled then too!) Wondering if current issues stem from substandard care all those years ago. I'll let you know what it turns out to be-if they know!
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Old 7th November 2012, 01:15 AM
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Default Re: Lump on top of left big toe

Im a 48-yr old female who had a very painful bunion surgically removed in 1991. I was very strong, lean, athletic when I had the surgery. It took me 3 weeks before I could touch my heel to the ground because it was incredibly painful & sensitive. It took another 2-3 weeks before I could touch my whole foot flat on the ground. It took yet another 2-3 weeks before I could put a tennis shoe on. I was on crutches the whole time. Even now, 21 years later, if I bump or hit my surgery scar, the pain will take my breath away.

A good friend of mine had bunion surgery August 2012. She's in her early 50's. Her bunion was so sensitive & so painful that she could only wear flip flops or soft slippers. After her surgery, she was up & walking without crutches within one week! I asked her how & why she accomplished this. She told me that her doctor put a combo of anti-inflammatory, antibiotic (?) & numbing medicines (like Lidocane?) injection (the exact combo eludes my soggy memory) at the site of the bunion before they started the cutting, & right after they sedated her. She told me that she had little-to- no pain immediately after the surgery & even a week later. She told me that the injection allowed her muscles, nerves & tissue to be relaxed & ready for the surgery & to promote faster healing with reduced /minimal swelling & pain during the healing.

I don't know if this is a common surgical procedure now, but I sure wish they had it back when I had my surgery. Maybe this story will help minimize someone's anxiety about surgery. Please ask your surgeon if they've heard of this, or if is a standard option for his/her surgeries or if they would consider researching & applying the best medicine combo like the one I've mentioned. Good luck to you all & I hope you have a successful, painless outcome.
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Old 21st May 2014, 03:33 AM
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Default Re: Lump on top of left big toe

sure would be nice not having to read through all the garbage the "foot doc" put on here that had nothing to do with the question at hand!! I guess I didn't read through it because I found it quite rude really when all the other person wanted to know was about the lump on said foot!! Which is why I ventured into this forum...but forget it!! I'll find another, friendlier, "foot doc" to advise me. I'm from Canada where I don't have to pay for my medical!!
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