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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46933
Experience:  Board Certified Physician
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Hi, Im 54 and earlier this year had a pain in my left foot

Customer Question

Hi,
I'm 54 and earlier this year had a pain in my left foot under the ball of the toe. Having recovered,after a few weeks, I awoke last night having hiked for 16 Kms with the same symptoms in my right foot. Very painful but did not happen immediately. I think it may be Plantar Faciititis but this mentions the heel more so than the ball of the toe. What do you think?
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

pain under the ball of the toe is more likely to be bursitis or from a bunion or bone spur or gout or arthritis in the toe joint.

Dr. David :

if you have tight shoes or shoes which are not fitting properly, this can also cause toe pain as well.

Dr. David :

you are right that plantar fasciitis is more often in the sore and heal of the foot pain.

Dr. David :

I am glad you are trying to ice your toes and elevate your feet.

Dr. David :

are you wearing supportive hiking shoes for these hikes?

Customer: It's happened twice. First time wasn't hiking but probably the gym. My trainers seem ok and my feet arches, I'm told are ok.
Customer: This time I hiked yesterday and pushed myself hard. Was wearing walking shoes. No problem until bedtime so do hours later so delayed reaction both times
Dr. David :

talking shoes probably wasn't enough support and flexability.

Dr. David :

trainers would have been a bit better.

Dr. David :

could be strain from the hike or arthritis in the toe, inflammation of the joints after a long hike.

Dr. David :

ice is a good idea.

Dr. David :

also you can use anti-inflammatories

Dr. David :

like ibuprofen or naproxen sodium

Dr. David :

which could help the pain and inflammation

Dr. David :

elevation is good to help decrease swelling.

Dr. David :

put ice in a zip bag and wrap in towel and try to ice for 20-30 minutes 4-6 times a day

Dr. David :

and this can help as well.

Customer: ok thanks.
Dr. David :

you are welcome

Dr. David :

I hope your toes feel better.

Customer: I have ibuprofen
Dr. David :

you can try that

Dr. David :

with some food in your stomach

Dr. David :

and with plenty of water.

Dr. David :

good luck

Dr. David :

let me know if you have other questins.

Dr. David :

if done, please leave positive feedback below the chat box

Customer: Ok, all advice will be taken.
Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my website if you need to reach me again.

Customer: That I assume is the best way to recover. In future how can I prevent this?
Dr. David :

use your trainers next time.

Customer: ok
Dr. David :

thick supportive hiking socks.

Dr. David :

no more talking shoes.

Dr. David :

walking shoes

Dr. David :

for long hikes.

Customer: had the socks. I guess proper warm up with stretching also
Customer: what are best trainers
Dr. David :

no one best trainers.

Dr. David :

have to try on different types to see what works for you.

Dr. David :

yes, proper warm up and stretching is important as well

Customer: thanks. Will take advice. Greetings from Ireland. Bye.
Dr. David :

you are welcome

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