Left upper sole of foot in pain and swollen?

Question

My left foot is in pain. The upper part of the sole rite below the toes is swollen and throbs with pain. When step on my left foot it hurts more. I was wearing a pair of high heels yesterday which hurt both my feet temporarily. My rite foot is good, but left started hurting an hour ago. What could it be?

Answer 1

Could be gout. It it's so tender you can't stand the sheets to touch it at nite, it's likely gout. See the dr. as soon as possible.

Answer 2

1

Answer 3

The three most common problems in the foot are Gout (as above) plantar fascitis (but usually presents with heel pain) and stress fractures (most likely what you have). You do, however have to include bunion and a simple tendinitis in the differential.

Stress fractures refers to the failure of the skeleton to withstand submaximal forces over time.

Two entities of stress fracture have been defined. Fatigue fracture is classically described in military recruits and runners in which normal bone is exposed to repeated abnormal stresses. In insufficiency fracture, normal stress is applied to abnormal bone (eg, bone with osteoporosis or Paget disease).

Normal bone is a dynamic organ with constant and simultaneous bone deposition by osteoblasts and bone resorption by osteoclasts. Bone reacts to stress by increasing bone density at the site of stress through increasing osteoblastic activity. However, there is a limit to the adaptability of bone to stress. On continuous or repeated trauma to the same site, osteoclastic activity can exceed osteoblastic activity, and trabecular microfractures can result. With the persistence of the traumatic forces, the trabecular microfractures progress to small cortical fractures, termed stress fractures. If the trauma persists, a complete fracture can result.

A commonly associated condition is shin splints. These are believed to result from periosteal reaction caused by microperiosteal tears from abnormal stress mediated by Sharpey fibers, which connect the tendons to the bones. Shin splints usually do not progress to further trauma to the bone.

Anatomy: While stress fractures can occur in any bone, tibial stress fractures are the most common. The proximal one third is usually involved in children and the elderly and the distal one third in long-distance runners. Stress fractures of the pubis also are common in long-distance runners, as is distal fibula involvement. Other common sites are the navicular, calcaneus, and metatarsals, particularly the second, third, and fourth.

Clinical Details: The patient typically complains of pain at the fracture site, which is precipitated in a reproducible way by exercise. This can happen in a beginner who has just started a rigorous program or in an athlete who has suddenly stepped up his or her training program. In the patient with osteoporosis, a clear history of trauma may not always be available. The bone mineral density may be so reduced that only a minimal trauma can cause a fracture.

Other Problems to be Considered:

Underlying severe stress reaction "bone contusion" without a linear component can be challenging to distinguish from actual stress fracture on MRI.

Bone contusion associated with a stress fracture can be difficult to distinguish with MRI from red marrow. However, the linear low signal line helps demonstrate the actual fracture.

Considering scintigraphy, the differential diagnosis may be more complicated due to the lack of specificity and spatial resolution that MRI provides.

A physiological periosteal reaction, bone tumor, AVN, plantar fascitis, or a bone spur can cause problems.

If you need any more help you can email me or see your doctor about obtaining a x-ray and evaluating the foot to look for all possible causes.

Answer 4

call your doctor asap...i have been diagnosed with preeclampsia and he told me to watch out for pain in my upper right abdominal area...itching could also be an indicator of low platelet counts or liver problems...i don't want to scare you...everything might be just fine, but in case it's not you want to have it seen about asap...good luck and i hope all is well!!

Answer 5

something like that happened to my sister, have you stepped on anything small and gard, if you have, you should most likey see the docter