Ask The Experts - Experts

Based on your description there are several causes of your symptoms with the most concerning being developing RSD/CRPS (Reflex sympathetic Dystrophy) (Complex Region Pain Syndrome). Other causes could be soft tissue injury or a lower back injury. I would recommend you be evaluated by a orthopedist or neurologist immediately.

Based on your description, it sounds as though you have an ingrown toenail (paronychia) with cellulitis (soft tissue infection). The treatment is an incision and drainage of the nail margin and oral antibiotics. I wound recommend you see your doctor immediately for an examination.

Based on your description, this may be a severe sprain. I would highly recommend your daughter be evaluated by a foot and ankle specialist as untreated ankle sprains can lead to ankle instability in the future. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

For treatment of posterior tibial tendonitis, it takes about 3-6 weeks for the inflammation to resolve. Avoiding high impact activities and using a supportive shoe gear is essential. Ice, elevation, mild compression (tubi-grip), and anti-inflammatory medications if you tolerate them. If the discomfort still remains despite these measures immobilization in a removable cast walking boot is required. If left untreated this can lead to adult aquired flatfoot.

Based on your description, I wound recommend you have an examination and x-rays as you may have fractured the bone and possibly injured the surrounding tendons. The long term sequelea of an untreated fracture of the cuboid or other rear-foot bone includes early osteoarthritis and tendonitis. With any acute injury RICE therapy is recommended, (REST, ICE, COMPRESSION, ELEVATION). . We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, I would recommend you follow-up with your doctor as an x-ray will determine if your hardware is loosening. As for possible neuropathy symptoms, there are many treatments available that you can discuss with your doctor as well.

Based on your description, you may have a stress fracture of your 2nd metatarsal bone. Stress fracture is a "hairline" fracture of the bone and is not commonly seen an x-ray. I would recommend you return to the orthopedic doctor for re-evaluation. Stress fractures of the foot are treated with immobilization, ice and elevation. In the differential diagnosis, morton's neuroma and capsulitis are possibilities.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a type of neuritis. Anatomically there are 2 nerves in the are you describe, the sural and intermediate dorsal cutaneous. The other possilbilty is a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduced the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. As for the neuritis treatments is anti-inflammatory medications and removing the irritating stimulus, ie cross legged sitting. If you would like to be evaluated please contact us at 772-461-4400.

Based on your description, I would high recommend you call your podiatrist and be re-examined due to worsening of your condition. Agree with MRI as this can examine the soft tissues as well as the bone structures of the foot. The pulling and snapping sensations are called splinting or guarding and our the bodies normal response to a musculoskeletal injury.

Based on your description, I would recommend you have an MRI due to your continuing discomfort.

Based on your description, I would recommend you follow-up with a foot and ankle specialist as the injury and symptoms you describe indicate that there may be a nerve and /or tendon injury from the laceration of the ankle. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, I would recommend you have an x-ray to determine if you have a fracture. You can splint the toes together and use a stiff sole shoe as this should help alleviate your pain in addition to the ice you are already using.

Based on your description, I would recommend you have an x-ray to determine if you have a fracture. You can splint the toes together and use a stiff sole shoe as this should help alleviate your pain in addition to the ice you are already using.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, there are several causes of bilateral lower extremity swelling, ranging from kidney insufficiency, cardiac insufficiency, lymphedema and varicose veins. I wound recommend you be examined during your fluid retention to work-up the underlying cause.

Based on your description, I would highly recommend you be evaluated by your primary care physician to rule out DVT as this can be deadly. With that being said, you do describe symptoms of neuropathy or a nerve entrapment affecting your lower leg. This can also be evaluated by your primary care physician.

As a podiatrist, we do not treat above the knee. With that said I recommend you be evaluated by your primary care doctor.

Based on your description, I would recommend you have be examined by your primary care physician immediately.

Based on your description, you are being treated appropriately and would follow-up as recommended by your physician.

Based on your description, it sounds as though you developed a hematoma following the trauma to your calf. A hematoma is a collection of blood outside of a blood vessel. Blood that escapes from the blood stream is very irritating and may cause symptoms of inflammation including pain, swelling and redness. he medical term ecchymosis is what most people would recognize as a bruise, or blood that has leaked out of a broken blood vessel under the skin that is caused by an injury. Another word for this injury is a contusion. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, it sounds like you have a neuritis/neuropraxia based on the symptoms you describe. Treatment is to identify the nerve involved. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have an ingrown toenail. This usually requires excision of the nail margin. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

As a podiatrist we do not treat alignments above the knee. As for the rash on her foot, this could range from infection, fungus to a dermatitis and may be related to the hand as well. Therefore, I would recommend you follow-up with a Dermatologist.

Based on your history and the new onset pain and swelling of the foot and ankle, I would recommend you follow-up with your Orthopedist for an physical examination.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. With that being said, you may have varicose veins that at times become engorged and can cause dis coloration of the skin as well as itching. Anatomically there is a muscle belly (Extensor Brevis) in this location you describe that has a dark purple color. . We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. With that being said, it sounds as though you had a reaction to the steroid injection. I would recommend you follow-up with that physician.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a hand specialist.

As a Podiatrist I do not treat issues above the knee. I recommend you be evaluated by an ear, nose and throat specialist.

Based on your description you most likely have a neuroma, neuropraxia, or neuritis. A neuroma is a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation. Most commonly between the third and fourth toes but can affect other toes, in your case it is called a Joplin's neuroma. This usually affects the medial side of the hallux (big toe). Although your description states more proximal to the big toe so this could be a neuritis or neuropraxia. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduced the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

As a podiatrist we do not treat knee problems. I would recommend you follow-up with an Orthopedist.

As a podiatrist, I do not treat above the knee and would recommend you follow-up with an orthopedic surgeon.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a neglected fracutre of your toe. Without a x-ray diagnosis of a fracture cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your foot. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said,you may have inflammation of your of the lateral tendons of the foot. You could also have a stress fracture of the second metatarsal as well as a porokeratosis, plantars wart, or intractable keratosis. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, it sounds as though you may have an infection based on the red swollen line. As plantar fascial pain does not involve redness and swelling. Therefore, I would recommend you follow-up with your physician as soon as possible.

Based on your description, Inclusion cysts can require surgical excision. Attempting to draw it out with saltwater will not work. You may try the cyrosurgery but if this fails surgical excision is usually required. Any type of incision on the bottom of the foot can cause scarring. Since your lesion is so painful, I would recommend you see another podiatrist for a second opinion. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a hand specialist.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. This may be related to your back injury. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400. You may want to follow-up with your back surgeon for an evaluation as well.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, this sounds like you have traumatic injury that caused Hallux Valgus. This deformity of the 1st metatarsal phalangeal joint which causes subluxation of the joint over time. You most likely have some artritis associated with the injury as well. Conservative treatment options include use of a rigid shank shoe, orthotics, ice and anti-inflammatory medications if you can tolerate them. If you fail to have relief with these treatments surgical intervention may be warranted. I would recommend an evaluation with an x-ray to determine the severity of the arthritis as delayed treatment decreases the options available. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your peroneal tendons at the level of the cuboid bone and fifth metatarsal base. You could also have a stress fracture of the fifth metatarsal. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. It is always optimal to initiate treatment as soon as possible. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a hand specialist.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a hand specialist.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. Your grandson most likely has a bad contusion (soft tissue injury) that should heal with time (21 days). Treatment includes ice, protective shoe gear (cast boot), rest, children's Motrin if he can take it and gentle compression. An MRI would only be indicated if he was not improving with these treatments. We would be happy to see him in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. With that being said, any popping and cracking sensation can range from tendons moving around a bony protrusion as well as loose bodies around a joint to subluxation of a joint or tendon. Because you describe peroneal tendonitis, there is common issue with subluxation of the tendon around the ankle joint. This should be pick-up on an MRI. I wound recommend you follow-up with you podiatrist and have the MRI repeated.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a stress fracture of your metatarsal. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

I would recommend you see your pediatrician for an evaluation.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, crush injuries cause soft tissue damage that results in a lot of swelling. With extreme amounts of swelling in toes can cause a compartment syndrome that is a limb threatening condition. For this reason, I would highly recommend you follow-up with a local physician or your local ER.

Based on your description, I would recommend you follow-up with orthopedic surgeon for an evaluation of your lower back and knee.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a high arched foot that creates a peak on at your mid-foot that can cause irritation of a dorsal nerve in a shoe that fits tight in this area, such as a slip on shoe. Self treatment for this condition is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. You should notice improvement in 7 -10 days. We would be happy to see you for this if you continue to have problems, our office number is 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your peroneal tendons. These tendon are located on the lateral aspect of your foot and ankle and are responsible for everting your foot and stabilizing your first metatarsal on the ground. You could also have a stress fracture of the fifth metatarsal as well. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a inflammation of a tendon, ligament or joint in the area you describe as this can cause a feeling of a knot. Treatment includes ice, anti-inflammtory medications if you tolerate them and alteration of shoe gear. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

There are several causes for this type of heel pain, the most common being plantar fascitis. This is an overuse injury of the plantar fascia. This pain is localized on the bottom of the heel and can also be present throughout the arch. If the pain is localized to the back of the heel, this would most likely be Achilles tendinitis. Self treatment for these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. You should notice improvement in 7 -10 days. If there is no improvement, I would recommend an evaluation to rule out less common pathologies. As for the pain on the outside of your foot, this may be inflammation of a tendon, ligament or capsulitis. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a hand specialist.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with your primary care doctor.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a general surgeon.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a orthopedist.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a hand specialist.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. There can be several causes of peroneal tendon discomfort from chronic inflammation, foot and ankle instability, tarsal coalition, nerve entrapment, referred pain and other less common causes. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may injured a ligament, tendon, or bone. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. Lower leg swelling can be caused by several etiologies. Trauma is one as well as venous insufficiency, lymphedema, inflammation and blood clots. For treatment the underlying cause needs to be identified and with a blood clot this can be life threatening. For this reason, I would recommend you be evaluated by a physician.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. As you are having shoulder pain and foot pain with fever, I would highly recommend you be evaluated at your local urgent care center.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, based on your symptoms you should definitely have a physical examination as untreated ankle sprains can cause ankle instability in the future and are also associated with cartilage damage (osteochondral lesions) of the talus. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a fracture or have torn a ligament or tendon. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said this mass may be irritating the sensory nerves that innervate the foot causing tingling and numbness. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, these symptoms are most likely associated with peripheral neuropathy. Peripheral neuropathy causes hypersensitivity, numbness, burning, tightness of the lower extremities. This may be related to your uterine cancer as several treatments for cancer can cause peripheral neuropathy. I would recommend that you discuss this with your physician as there are several treatment options for peripheral neuropathy. Ultimately many specialists are often involved in the treatment of these problems.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. With that being said, after an ankle sprain there is swelling and bruising that occurs in the first 3-4 days. With gravity the swelling can affect the foot. Sometimes you can develop cellulitis (skin infection) from the retained fluid that requires treatment with antibiotics. I would recommend you see your physician immediately for an evaluation.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your second metatarsal phalangeal joint. You could also have a stress fracture of the second metatarsal. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. As for boswellia seratta helping with inflammation, I am not familiar with that. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. Several deformities can cause pronation of the foot and ankle (walking on the inside). This can be related to the hips and knees and would recommend you be evaluated by an orthopedic surgeon.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. Bumps on the feet can be from different etiologies ranging from soft tissue masses to boney prominence to inflammation. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have dislocating peroneal tendons. This may be related to your fracture injury. I would recommend you follow-up with the physician that treated your fractures.

As podiatrists we do not treat the knee. I would recommend you see a orthopedist or rheumatologist about your knee.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a hand specialist.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You need to be evaluated to determine if the fracture is healed. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have an impingement of the sensory nerve that innervates your left great toe. An impingement meaning as you bend your ankle forward you are compressing the nerve. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. This may be related to the trauma you sustained from your toe fracture causing alignment issue at the metatral phalangeal joint. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

Based on your description, I would recommend you be evaluated by a physician. Although you saw no entry point, there still may have been a break in the skin. With puncture wounds there is also a contusion component that will cause soreness. The concern with all puncture wounds is a retained foreign body with infection. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, these symptoms could be associated with peripheral neuropathy and/or nerve entrapment. Peripheral neuropathy causes hypersensitivity, numbness, and burning of the lower extremities. There are several causes of peripheral neuropathy including diabetes, lower back problems, poor circulation and tarsal tunnel syndrome. Treatment involves identifying the underlying pathology. Once this is identified a treatment plan can be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

As a podiatrist we do not treat alignments above the knee. I recommend you follow-up with a hand specialist.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. With that being said, it sounds as though you have lower extremity fluid retention that can be caused by venous insufficency to lymphedema. As for the swollen lumps, these are most likely piezogenic papules that are painful or asymptomatic papules of the feet that result from herniation of fat through the dermis. They are common, nonhereditary, and usually are not the result of an inherent connective tissue defect. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400. Piezogenic papules are painful or asymptomatic papules of the feet and wrists that result from herniation of fat through the dermis. They are common, nonhereditary, and usually are not the result of an inherent connective tissue defect.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said there are several causes of "lumps" on the foot ranging from benign lesions such as a ganglion cyst (benign fluid filled mass) to tendonitis associated with a dislocation of a tendon or tendons. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said there are several causes of "lumps" on the foot ranging from benign lesions such as a ganglion cyst (benign fluid filled mass) to tendonitis associated with a dislocation of a tendon or tendons. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, it sounds like you have drop foot. Foot drop is the dropping of the forefoot due to weakness, damage to the peroneal nerve or paralysis of the muscles in the anterior portion of the lower leg. It is usually a symptom of a greater problem, not a disease in itself. It is characterized by the inability or difficulty in moving the ankle and toes upward (dorsiflexion). The severity in foot drop can range from a temporary to permanent condition, depending on the extent of muscle weakness or paralysis. It can occur unilaterally or bilaterally. In walking, while stepping forward, the knees are slightly bent so the front of the foot can be lifted higher than usual to prevent the foot from dragging along the ground. Foot drop can be caused by nerve damage alone. However, it is also caused by muscle or spinal nerve trauma, abnormal anatomy, toxins or disease. Diseases that can cause foot drop include stroke, Amyotrophic lateral sclerosis (ALS or Lou Gehrig's Disease), muscular dystrophy, Charcot Marie Tooth disease, and multiple sclerosis. I would recommend you be examined by a physician to find the underlying cause.

Unfortunately based on your description one cannot determine a differential diagnosis without a physical examination. Generally speaking masses on the bottom of the foot can range from plantar fibromas to ganglion cysts. The lesions are nodular and feel like a lump on the bottom of the foot. They can become symptomatic when they are irritated from weight bearing. There are many other masses that could present like this but they are far less common. Self treatment for either of these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. Seldom we expect to see these masses to spontaneously resolve. Professional evaluation is recommended. Surgical excision is often required for resolution when these masses are painful. Definitive diagnosis can only be made by biopsy of the mass. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

As a podiatrist we do not treat alignments above the knee.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a retained foreign body vs and inclusion cyst. If this is a retained foreign body reaction then removal is needed. If this is a inclusion cyst the lesion can be debrided and a blistering agent can be applied to assist in removal of the lesion. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have irritated the lateral tendons of your foot from the new pair of shoes. Treatment includes ice, alteration of shoe gear and anti-inflammatory medications if you tolerate them. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this sounds like you have Hallux Limitus, although these symptoms can be associated with other pathologies such as trigger toe. This deformity of the 1st metatarsal phalangeal joint which over time causes a decreased ROM of the joint from deposition of calcium around the joint and degeneration of the cartilage in that joint. Conservative treatment options include use of a rigid shank shoe, orthotics, ice and anti-inflammatory medications if you can tolerate them. If you fail to have relief with these treatments surgical intervention may be warranted. I would recommend an evaluation with an x-ray to determine the severity of the arthritis as delayed treatment decreases the options available. As for your lesser toe joints you may have hammer toes. These are contracture or bending of the toe joints at the middle or end joint. This is an genetic deformity which progresses with age. It is difficult to give you a differential diagnosis without an examination and x-rays. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, it sounds as though you have a hematoma associated with the trauma you sustained. This can cause increased pressure in the leg (compartment syndrome) that is limb threatening. I would highly recommend you follow-up with an orthopedic surgeon to be evaluated immediately.

Based on your description, with the trauma you must likely have developed a hematoma, a collection of blood under the skin. These are generally absorbed by the body but sometimes require surgical drainage. You could possibly have a fracture of your big toe as well. I would recommend you have an examination and x-rays. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you most likely have peroneas brevis tendonitis (inflammation of the tendon insertion). You could also have a stress fracture of the 5th metatarsal as well. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Usually takes 10-20 days for tendonitis to resolve, although sometimes injections or stronger anti-inflammatory medications are required. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, I am unable to provide you with a differential diagnosis. I would recommend she be evaluated if this continues to happen.

Based on your description, it sounds as though you have an impingement of your ankle. I would recommend you have an evaluation and possibly an MRI. Blood colts present with swelling increased warmth, redness and pain. They can be life threatening in the lower extremity and require a venous duplex for diagnosis.

As a podiatrist I do not treat above the knee. I would recommend you be evaluated by an orthopedic surgeon.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of the tendon or joint of that anatomical area vs a stress fracture of the metatarsal bone vs a ligament or tendon rupture. With your athletic activity, I would recommend you be evaluated. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Thank you for your question. From your description, these symptoms are consistent with peripheral neuropathy and/or nerve entrapment. Peripheral neuropathy causes hypersensitivity, numbness, and burning of the lower extremities. There are several causes of peripheral neuropathy including diabetes, lower back problems, poor circulation and tarsal tunnel syndrome. Tarsal tunnel syndrome is a condition that is caused by compression of the tibial nerve or its associated branches as the nerve passes underneath the flexor retinaculum at the level of the ankle or distally. Treatment involves identifying the underlying pathology. Once this is identified a treatment plan can be made.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of the tendon or joint of that anatomical area vs a stress fracture of the metatarsal bone vs a ligament or tendon rupture. With your athletic activity, I would recommend you be evaluated. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a ganglion cyst, which is a benign fluid filled mass but there are several other causes of soft tissue masses. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400. If you are not in our area I would recommend you see a podiatrist.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. There are several causes of your symptoms ranging from inflammation to infection. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, I would recommend you follow-up with a infectious disease doctor.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. This presentation can range from infection to inflammation from trauma to arthritis. Based on this range of diagnosis, I would recommend you be evaluated. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, not being able to lift your great toe can be caused by a tendon rupture, tendon impingement, or nerve damage. I would recommend you see your surgeon to be evaluated for the cause and then your treatment options can be discussed.

Based on your description, it sounds as you are compressing you common peroneal nerve when you cross your legs. The nerve is located at the head of your fibula, the bone on the outside of your leg just below your knee. When the nerve is compressed it causes the symptoms you are experiencing. I would recommend you alter the way you sit to avoid putting pressure on this area.

Based on your description, it sounds like he has a tendonitis based on the MRI findings and his clinical presentation. For an acute tendonitis, treatment involves RICE (rest, ice, compression, elevation). The air cast assists with compression/immobilization. I would recommend you have him evaluated for the cause of the tendonitis, for example has he had a change in shoe gear recently, any trauma to the foot or ankle, over training. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. There are several etiologies that can cause a mass or lump. Based on your mothers history, I would recommend you be evaluated. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this is related to your injury. With puncture wounds of the foot with a shoe on there is always concern for retained foreign bodies and infection. Also the tetanus status is to be up to date. I would recommend you be evaluated by a physician. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, I would recommend you follow-up with your physician as it sounds like your ankle instability is the cause of your symptoms. This most likely will need to be surgically addressed.

Based on your description you most likely have a Stress fracture. Stress fractures are very common in this area of the foot and can be caused by normal walking and standing. trauma is not required. typically there is pain and faint almost imperceptible bruising moderate swelling. Pain is typically worst about 3/4 of an inch from the base of the toe. treatment consists of immobilization and ice /rest & elevation.

From what you describe I am nearly certain that you have post-inflammatory hyperpigmentations. This is a skin reaction that causes some individuals to have dark skin changes at sites of a resolved inflammatory reaction such as an insect bite. These can be treated by a dermatologist. I am not familiar with any prevention strategies except avoidance of insects in the first place ( DEET remains the most effective insect repellant but others are effective as well) also reducing the inflammatory response when bitten my help but that is just an educated guess ( use of topical hydrocrtisone cream or antihistamines)

Sounds like you have been going through quite a bit. I can not come up with any plausible scenario in which a stress fracture could precipitate this complex of symptoms. This points two two different and equally likely situations. # 1 The initial pain on the left foot is not a stress fracture and is related to the other symptoms or #2 The initial pain on the left foot is a stress fracture and is not related to the other symptoms. So lets look at each thing separately first. The area you describe for the initial pain sound like you are describing either sesamoids ( common location for stress fractures) or 1st Metatarsal ( very rare location for stress fracture ) both are common location of gout. You state you were tested for gout and test was negative so I guess we can exclude gout, but I will make one suggestion as gout sounds somewhat likely to me as part of your symptoms. Was the test for gout an aspiration of an affected joint to look for urate crystals ? It is often misunderstood even by healthcare professionals that this is the only true test for gout. Serum uric acid is not reliable for diagnosis of gout as gout can occur with normal uric acid and elevated uric acid will not always lead to gout. In fact during a gout attack Uric acid falls as the uric acid crystallizes in the joint ( ie it is in the joint not in the blood). Next lets look collectively at your burning in the feet /legs and the pain in hands, these symptoms are consistent with neuropathy, and should be worked up as such. In light of the above discussion / limited information, I would think the best place to start is : you have a working diagnosis of neuropathy and unrelated acute gout ( technically intercritical gout). Hope this helps

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a tendon or ligament injury vs a fracture of the 5th metatarsal base or anterior process of the calcaneus. I would recommend you use ice, continue with the crutches and anti-inflammatory medications if you tolerate them. I would highly recommend you see a podiatrist as this type of injury can require surgical intervention. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your peroneus brevis and longus tendons. With a stress fracture you would experience pain with weight bearing. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. I would recommend you follow with a podiatrist. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your sesamoids (2 small bones under your first metatarsal phalangeal joint). You could also have a stress fracture of the sesamoids as well. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. I would highly recommend you follow-up with a podiatrist as sesamoid injuries can cause issues with your big toe joint if not treated. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400

Thank you for your question, but as a podiatrist I do not treat above the knee and recommend you follow up with your physician.

Thank you for your question, but as a podiatrist I do not treat knee injuries and recommend you follow up with your physician.

Based on your description, I would recommend you have an evaluation by a physician as you may have a tendon or ligament tear that could require immobilization. Please feel free to contact our office for an evaluation, 772-461-4400.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion. Please feel free to contact our office for an evaluation, 772-461-4400.

Based on your description, soft tissue masses are difficult to diagnose these lesions without a physical examination and biopsy of the lesion. At this point, I would recommend you follow-up with a surgeon who will biopsy on of the lesions so a diagnosis can be made.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a retained foreign body if a part of the stick broke your skin versus a contusion with inflammation. If this is a retained foreign body reaction then removal is needed. If this is a contusion the symptoms should resolve with time, ice three times a day. As for the electrical shock symptom you describe, is associated with peripheral nerve irritation that should subside as the inflammation resolves. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion. As for your hand lesion, I would recommend you see a orthopedic physician that specializes in the hand and elbow.

Thank you for your question, but as a podiatrist I do not treat back injuries and recommend you follow up with your physician.

Thank you for your question but unfortunately as a podiatrist I do not treat hands. I would recommend you follow-up with your primary care physician.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. There are many reasons for a wound not to heal and without an examination, I cannot provide you with any recommendations. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

I would recommend you follow up with the surgeon that performed your reconstructive surgery.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. With that being said, you may have inflammation of the peroneal tendons, tendonitis. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. As for prevention a true diagnosis needs to be made as then one can evaluate how to avoid over use injuries. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a ganglion cyst, which is a benign fluid filled mass, fluid retention, inflammation of the ankle joint, a lipoma. As for the itching all over, I would recommend you follow-up with your PCP. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a ganglion cyst, which is a benign fluid filled mass, fluid retention, inflammation of the ankle joint, a lipoma. As for the itching all over, I would recommend you follow-up with your PCP. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. This is most likely not related to your heel spur. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

As a podiatrist I do not treat hands, I would recommend you see your primary care physician.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. With that being said, these are most likely blood blisters which are common with runners. These occur from shearing forces from the shoe gear. You can try using different socks and adjusting your shoe laces as well. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

ased on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. There are many things that can cause these symptoms ranging from inflammation to infection. Therefore it is difficult to give you any advice. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. There are many things that can cause these symptoms ranging from inflammation to infection. Therefore it is difficult to give you any advice. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have caused the stress fracture to go on to full fracture or possibly had new fracture do to the new trauma. I would recommend you follow-up with your treating physician immediately.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. It sounds as though you are having some irritation of this part of your foot that results in disruption of your capillaries causing the bruising.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. There are many conditions that can cause these symptoms. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. There are numerous dermatological conditions that affect the feet. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. You may have a sural neurtitis. You may want your podiatrist to block your sural nerve to see if this relieves the symptoms.

As a podiatrist I do not treat the upper torso, I would recommend you see your primary care physician.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a ganglion cyst, which is a benign fluid filled mass. Treatment includes ice, alteration of shoe gear and aspiration of the lesion. Sometimes surgical excision is required. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

With this type of injury, there is a large amount of bleeding from the calcaneous. The bruising takes awhile to resolve, due to gravity and the lower extremity. As for your healing, x-rays are needed to determine this. In general, calcaneal fractures can take months to fully heal.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have peripheral neuropathy, lymphedema/venous insufficiency, or spinal stenosis. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of the lateral tendons of your foot. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. As for recover time, soft tissue usually heals within 21 days. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Unfortunately based on your description one cannot determine a differential diagnosis without a physical examination. Generally speaking masses on the bottom of the foot can range from plantar fibromas to ganglion cysts. The lesions are nodular and feel like a lump on the bottom of the foot. They can become symptomatic when they are irritated from weight bearing. There are many other masses that could present like this but they are far less common. Self treatment for either of these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. Seldom we expect to see these masses to spontaneously resolve. Professional evaluation is recommended. Surgical excision is often required for resolution when these masses are painful. Definitive diagnosis can only be made by biopsy of the mass.

Based on your description, this most is likely a gout attack due to consumption of shellfish. Generally speaking an acute attack is treated with anti-inflammatory medications, ice and elevation. Colchicine was used in the past but now is associated with cardiac risks. I would recommend you follow with your primary care physician.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. . In some cases treatment with a blistering agent may be required to remove the lesion. Please feel free to contact our office for an evaluation, 772-461-4400.

With your vague description, it is hard to give you a differential diagnosis. With that being said, peripheral neuropathy causes hypersensitivity, numbness, burning, tightness of the lower extremities. I would recommend that you discuss this with your physician as there are several treatment options for peripheral neuropathy. Ultimately many specialists are often involved in the treatment of these problems.

Based on your description you most likely have a neuroma, although a popping sensation can be associated with a tendon or ligament injury. With that being said, a neuroma is a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. This is most likely not related to your heel spur. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

As a podiatrist I do not treat the upper torso, I would recommend you see your primary care physician.

Based on your description, some swelling in the ankles is associated with sleep apnea. Other causes of swelling in the ankles can be renal insufficency, congestive heart failure, arthritis, lymphedema, and venous insufficency. As for the numbness and burning sensations, these are symptoms associated with peripheral neuropathy. Causes of neuropathy are diabetes, lower back pathology (spinal stenosis, bulging disk).

Based on your description, when you have swelling of the ankle with bruising this can put pressure on the near by nerves causing them to be irritated and cause symptoms such as tingling and numbness. I wound recommend you elevate, use ice and a compression wrap. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of a tendon on the lateral aspect of your foot. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. This is most likely not related to your heel spur. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

As a podiatrist I do not treat hands. I would recommend you see your primary care physician.

There are several causes for this type of heel pain, the most common being plantar fascitis. This is an overuse injury of the plantar fascia. This pain is localized on the bottom of the heel and can also be present throughout the arch. If the pain is localized to the back of the heel, this would most likely be Achilles tendinitis. Self treatment for these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. You should notice improvement in 7 -10 days. If there is no improvement, I would recommend an evaluation to rule out less common pathologies. Our office number is 461-4400.

Based on your description, you may have tarsal tunnel syndrome. Tarsal tunnel syndrome (TTS), also known as posterior tibial neuralgia, is a compression neuropathy and painful foot condition in which the tibial nerve is compressed as it travels through the tarsal tunnel.[1] This tunnel is found along the inner leg behind the medial malleolus (bump on the inside of the ankle). The posterior tibial artery, tibial nerve, and tendons of the tibialis posterior, flexor digitorum longus, and flexor hallucis longus muscles travel in a bundle through the tarsal tunnel. Inside the tunnel, the nerve splits into three different segments. One nerve (calcaneal) continues to the heel, the other two (medial and lateral plantar nerves) continue on to the bottom of the foot. The tarsal tunnel is delineated by bone on the inside and the flexor retinaculum on the outside. Treatments typically include rest, manipulation, strengthening of tibialis anterior, tibialis posterior, peroneus and short toe flexors, casting with a walker boot, corticosteroid and anesthetic injections, hot wax baths, wrapping, compression hose, and orthotics. Medications may include various anti-inflammatories such as Anaprox, or other medications such as Ultracet, Neurontin and Lyrica. Lidocaine patches are also a treatment that helps some patients.

Based on your description, you may have tarsal tunnel syndrome. Tarsal tunnel syndrome (TTS), also known as posterior tibial neuralgia, is a compression neuropathy and painful foot condition in which the tibial nerve is compressed as it travels through the tarsal tunnel.[1] This tunnel is found along the inner leg behind the medial malleolus (bump on the inside of the ankle). The posterior tibial artery, tibial nerve, and tendons of the tibialis posterior, flexor digitorum longus, and flexor hallucis longus muscles travel in a bundle through the tarsal tunnel. Inside the tunnel, the nerve splits into three different segments. One nerve (calcaneal) continues to the heel, the other two (medial and lateral plantar nerves) continue on to the bottom of the foot. The tarsal tunnel is delineated by bone on the inside and the flexor retinaculum on the outside. Treatments typically include rest, manipulation, strengthening of tibialis anterior, tibialis posterior, peroneus and short toe flexors, casting with a walker boot, corticosteroid and anesthetic injections, hot wax baths, wrapping, compression hose, and orthotics. Medications may include various anti-inflammatories such as Anaprox, or other medications such as Ultracet, Neurontin and Lyrica. Lidocaine patches are also a treatment that helps some patients.

Based on your description, you may have tarsal tunnel syndrome. Tarsal tunnel syndrome (TTS), also known as posterior tibial neuralgia, is a compression neuropathy and painful foot condition in which the tibial nerve is compressed as it travels through the tarsal tunnel.[1] This tunnel is found along the inner leg behind the medial malleolus (bump on the inside of the ankle). The posterior tibial artery, tibial nerve, and tendons of the tibialis posterior, flexor digitorum longus, and flexor hallucis longus muscles travel in a bundle through the tarsal tunnel. Inside the tunnel, the nerve splits into three different segments. One nerve (calcaneal) continues to the heel, the other two (medial and lateral plantar nerves) continue on to the bottom of the foot. The tarsal tunnel is delineated by bone on the inside and the flexor retinaculum on the outside. Treatments typically include rest, manipulation, strengthening of tibialis anterior, tibialis posterior, peroneus and short toe flexors, casting with a walker boot, corticosteroid and anesthetic injections, hot wax baths, wrapping, compression hose, and orthotics. Medications may include various anti-inflammatories such as Anaprox, or other medications such as Ultracet, Neurontin and Lyrica. Lidocaine patches are also a treatment that helps some patients.

There are several causes for this type of heel pain, the most common being plantar fascitis. This is an overuse injury of the plantar fascia. This pain is localized on the bottom of the heel and can also be present throughout the arch. If the pain is localized to the back of the heel, this would most likely be Achilles tendinitis. Self treatment for these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. You should notice improvement in 7 -10 days. If there is no improvement, I would recommend an evaluation to rule out less common pathologies. Our office number is 461-4400.

As a podiatrist I do not treat above the knee. I would recommend you follow-up with your current physician.

Based on your description, I am unable to provide you with a diagnosis. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, nail thickening can happen after trauma to the nail matrix as well as with conditions such as fungus infection of the nail plate. As for your foot swelling this is probably related to your injury. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, I cannot provide you with a differential diagnosis without an examination. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

There are several causes for this type of heel pain, the most common being plantar fascitis. This is an overuse injury of the plantar fascia. This pain is localized on the bottom of the heel and can also be present throughout the arch. If the pain is localized to the back of the heel, this would most likely be Achilles tendinitis. Self treatment for these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. You should notice improvement in 7 -10 days. If there is no improvement, I would recommend an evaluation to rule out less common pathologies. Our office number is 461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your a metatarsal phalangeal joint. You could also have a stress fracture of the metatarsal as well as a porokeratosis, plantars wart, or intractable keratosis. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your a metatarsal phalangeal joint. You could also have a stress fracture of the metatarsal as well as a porokeratosis, plantars wart, or intractable keratosis. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. This is most likely not related to your heel spur. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

I do not treat knees and would highly recommend you be evaluated by your physician for this complaint immediately as you may have a blood clot.

Based on your description, I would recommend you continue with your current treatment regimen as you are only 7 months post op and it is too early to have a repeat procedure done in my opinion. As for having this done arthroscopically, the procedure does not lend itself to this technique as direct visualization of the calcaneous and the achilles tendon is required.

Based on your description, the MRI should provide more information about the issue you are having with your foot as it will identify the soft tissue structures.

Based on your description, you are on the right track with the cuboid syndrome. You may also have peroneal tendonitis as the longus passes under the cuboid notch and the brevis inserts on the 5th metatarsal base. These tendons help stabilize the foot on the ground with side to side motion. You may want to try Ankle brace when you do side to side motion exercises. If this does not help you should be evaluated. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said this is probably growing pains. Other less likely diagnosis would bed nerve entrapment or osteiod osteoma (benign bone tumor). We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this may be a residual blood blister under the epidermis from the bruising you describe. Eventually the skin and blood will slough off. . We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this may be a residual blood blister under the epidermis from the bruising you describe. Eventually the skin and blood will slough off. . We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. In general an ankle sprain usuasally only involves the lateral ankle ligaments that are injured. However with a inversion sprain of the ankle a 5th metatarsal base fracture must be considered. In light of your pain on the bottom of your foot I would highly recommend you be evaluated by a physician for an examination and x-rays. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion. If there is no visiable lesion in your skin, this may be a neuroma. This is a benign nerve tumor caused by nerve irritation that causes numbness, burring sensation, cramping between the toes and on the ball of the foot. Most commonly between the third and fourth toes. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. Please feel free to contact our office for an evaluation, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a nerve entrapment at the area where the initial trauma occurred. You could also have a stress fracture of your tibia. I would recommend you use ice and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400

Based on your description, the area where the splinter was originally could be a foreign bidy reaction/inclusion cyst. As for the other lesions, these may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion. It is difficult to give you a differential diagnosis without an examination. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description this is most likely a Haglund's deformity. Haglund's deformity is a bony prominence on the back of the heel. A tight shoe or a rigid heel counter common on most dress shoes causes irritation of the skin over this bone spur irritating the Achilles insertion. Over time this often leads to the formation of a bursa (a fluid filled sack) between the skin and the bone. This makes the area even more prominent and just makes the problem worse. If the pain is more central this may be a retrocalcaneal exostosis a similar problem due to calcification within the Achilles tendon. Self- treatment for these conditions is ice, avoidance of impact activities, shoe gear (soft heel counter or open back shoe), no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. If the problem is only with the occasional use of dress shoes, a silicone pad placed between your skin and sock often can provide good relief. For some individuals long term relief is best achieved by surgical removal of the prominent bone spur. You should notice improvement in 7 -10 days. If there is no improvement with padding, ice, and changes in shoe gear I would recommend an evaluation to rule out less common pathologies. Our office number is 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your peroneal tendon insertion, tendonitis. I would recommend you use ice, good supportive shoes (a running shoe with motion control), compression wrap brace and anti-inflammatory medications if you tolerate them. I would also check your shoes as Nike has had problems in the past with quality control. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400

Based on your description, this may possibly be related to your back surgery and I would recommend you follow-up with your back surgeon for an evaluation.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have helloma molle which is an inter-digital corn/callus. The black dot in the middle is most likely blood but could also indicate that this may be a wart. I would recommend you use wider shoe gear and a offloading spacer in between your toes. If you get no relief then the lesion may need to be trimmed down. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

As a podiatrist, I only treat below the knee. Therefore, I would recommend you follow-up with your orthopedist as your complaint is there specialty.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

As a podiatrist, I only treat below the knee. Therefore, I would recommend you follow-up with your dermatologist as your complaint is there specialty.

Based on your description, the callus is causing pressure on the small sensory nerves of your 5th toe causing you symptoms. I would recommend you use a pumice stone and moisturizer to soften the callus as well as using a good supportive shoe gear.

Thank you for your question. From your description, these symptoms are most likely associated with Baxter's neuritis. It does not say if this is one foot or both. If both could be peripheral neuropathy. Peripheral neuropathy causes hypersensitivity, numbness, burning, tightness of the lower extremities. Treatment for neuritis is ice, anti-inflammatories and supportive shoe gear. As for peripheral neuropathy identifying the underlying cause/condition is paramount to treatment and would recommend you be evaluated by a Neurologist.

Based on your description, I would recommend you be evaluated by a foot and ankle physician as you most likely have a sprain or fracture that should be treated as the long term sequelae for an untreated injury can lead to ankle instability and arthritis.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a retained foreign body with a granuloma. This is a benign mass that may respond to treatment with ice and alteration of shoe gear, although more likely will require surgical excision based on your description. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Not sure what your asking.

Based on your description of your symptoms, with the x-rays being negative as well as the ultrasound this would lead me to recommend you see a vascular surgeon to be worked up for varicose veins and/or lymphedema.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. . You may have inflammation of the sesmoids vs a neuritis, nerve inflammation. Treatment includes ice and alteration of shoe gear. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your second metatarsal phalangeal joint vs sesmoid inflammation. You could also have a stress fracture of the second metatarsal as well as a first interspace neuroma. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your ankle joint or subtalar joint. Having pain while climbing stairs can also indicate an anterior ankle impingement. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a porokeratosis, plantars wart, or intractable keratosis. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your metatarsal phalangeal joint. You could also have a stress fracture of the metatarsal as well as a ganglion cyst, which is a benign fluid filled mass. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your fifth metatarsal phalangeal joint. You could also have a soft tissue mass such as a ganglion cyst as well as a porokeratosis, plantars wart, or intractable keratosis. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, It is difficult to give you a diagnosis without an examination and x-rays. With that said, this is most likely a Haglund's deformity that has caused a blister on the back of your heel. Haglund's deformity is a bony prominence on the back of the heel. A tight shoe or a rigid heel counter common on most dress shoes causes irritation of the skin over this bone spur irritating the Achilles insertion. Over time this often leads to the formation of a bursa (a fluid filled sack) between the skin and the bone. This makes the area even more prominent and just makes the problem worse. If the pain is more central this may be a retrocalcaneal exostosis a similar problem due to calcification within the Achilles tendon. Self- treatment for these conditions is ice, avoidance of impact activities, shoe gear (soft heel counter or open back shoe), no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. If the problem is only with the occasional use of dress shoes, a silicone pad placed between your skin and sock often can provide good relief. For some individuals long term relief is best achieved by surgical removal of the prominent bone spur. You should notice improvement in 7 -10 days. If there is no improvement with padding, ice, and changes in shoe gear I would recommend an evaluation to rule out less common pathologies. Our office number is 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description its sounds like you have a contusion. If this continues to cause discomfort, I would recommend you have an examination and x-rays. You may want to apply ice 20 minuets on and 20 minuets off as well as anti-inflammatory medications if you tolerate them.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of the peroneal brevis tendon insertion of the foot. The bump could also be a soft tissue mass, skin lesion or bursa. I would recommend you use ice, good supportive shoes, compression wrap and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, I am unable to provide a diagnosis with an examination. With that being said, it sounds as though this may be atopic dermatitis or a tinea pedis. I would recommend you follow-up with a podiatrist or dermatologist when the lesions are present.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have gout. I would recommend you use ice and anti-inflammatory medications if you tolerate them during these flare-ups. I would also recommend you see your physician during a flare-up as lab work and a clinical examination will be able to provide a differential diagnosis. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your second metatarsal phalangeal joint. You could also have a stress fracture of the second metatarsal. There are several causes of inflammation of joints. I would recommend you use ice, good supportive shoes,and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, I am unable to provide a differential diagnosis. I would recommend you follow up with a local foot and ankle specialist if this continues to bother you.

Based on your description, I am unable to provide a differential diagnosis. I would recommend you follow up with a local foot and ankle specialist if this continues to bother you.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of the lateral tendons of the foot. I would recommend you use ice, good supportive shoes, compression wrap and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this sounds like a hematoma but an infection can cause similar symptoms. I would highly recommend you follow-up with your primary doctor to have this evaluated.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your lesser metatarsal phalangeal joints, capsulits. Also as we age we loose the fat pad on the bottom of our feet that is our natural cushioning. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. You could also try adding a metatarsal pad to the insoles you bought. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of a tendon or join on the outer edge of your foot that gives you the liquid feeling you describe. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

As a foot and ankle specialist, I cannot provide you with a diagnosis and highly recommend you proceed to the ER as you have stated.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. Included in the differential diagnosis is capsulitis of the metatarsal phalangeal joints as well as a stress fracture. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. Included in the differential diagnosis is capsulitis of the metatarsal phalangeal joints as well as a stress fracture. If you would like to be evaluated please contact us at 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. Included in the differential diagnosis is capsulitis of the metatarsal phalangeal joints as well as a stress fracture. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. Included in the differential diagnosis is capsulitis of the metatarsal phalangeal joints as well as a stress fracture. If you would like to be evaluated please contact us at 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your ankle or a soft tissue mass/ganglion cyst that is compressing a sensory nerve. You may try ice and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, you may have varicose veins. I would recommend you follow-up with a vascular surgeon if they become painful.

Based on your description, it sounds as though you developed a blisters that opened and now you have raw new skin. I would recommend that you apply triple anti-biotic ointment and cover them with a band-aid.

Based on your description, it sounds as though you may have stepped on a sea urchin spine. I would highly recommend you seek medical treatment with a local foot specialist as you may be developing an infection.

Based on your description, it sounds as though you may have stepped on a sea urchin spine. I would highly recommend you seek medical treatment with a local foot specialist as you may be developing an infection.

If the 5 rings are blue black green and red then it is Olympic toe syndrome otherwise I can not be certain.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion. Please feel free to contact our office for an evaluation, 772-461-4400.

Based on your description, this is most likely growing pains that should be self limited. OTC anti-inflammatory medication can help with the discomfort at night.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. This is most likely not related to your heel spur. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

Based on your description, I would recommend you follow-up with your podiatrist and have an MRI done when the bump is present as it sounds like you have a soft tissue lesion.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. I would highly recommend you see the physician who diagnosed you with the stress fracture as now you may have a complete fracture.

Although there are many different nail disorders that can cause the symptoms that you describe, By far the most common is onycomycosis. Onycomycosis is an infection of the nail and the nail bed caused by fungus. Although it is quite easy to eliminate most fungal infections from the skin, such as athletes foot or ringworm, It is quite difficult to eliminate the fungus from the nail. As a general rule the success of over the counter remedies is low for this condition. Treatment of onycomycosis can range from oral anti-fungal medication (very effective and inexpensive) or laser treatment (fairly effective but expensive) to topical medications which are often ineffective. Popular home remedies such as vicks vapor rub may improve the appearance of the nail for some, but I have not seen good long term results reported. Other causes of these symptoms can include Psoriasis, trauma to the nail matrix ( from a crushing injury or even chronic use of tight shoes) rare inherited conditions, lesions under the nail ( including skin cancers) or other types of infection. definitive diagnosis is made from pathology exam of portion of the nail but most often can be determined by physical exam.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a pre-dislocation syndrome which is a disruption of the plantar plate (a ligament that attaches a the metatarsal heads together on the ball of the foot). This can lead to inflammation of the metatarsal phalangeal joint as the joint becomes more dislocated. As you describe there being no pain at this time you can watch this closely but I would recommend you have an evaluation in the future. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a insect bite or ulceration which puts you at risk for an infection. I would recommend you seek medical evaluation immediately. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

There a many things that can cause these symptoms, but if the pain and swelling are isolated to a single foot/ leg then the most likely problem is Post-thrombotic syndrome. This is the long term consequences of a clot in the deep veins of the legs ( DVT). It is estimated that more then half of individuals that have DVT will develop PTS. Typically the onset of PTS is much less then 37 years, but early symptoms such as painless swelling may be dismissed as normal. Treatment can range from elevation and compression to lymphedema therapy and various compression pumps. other the PTS, a new clot is possible and if this is thought to be at all possible a venous ultrasound should be ordered. These symptoms can also be caused by simple varicose veins, nerve entrapment, Pelvic masses ( benign or malignant), and a host of other causes. because some of the causes of these symptoms can be catastrophic if not treated it is best to see a physician to have this evaluated. Equally compelling, these symptoms may be easily treated if a definitive cause is found. I hope this helps.

There a many things that can cause these symptoms, but if the pain and swelling are isolated to a single foot/ leg then the most likely problem is Post-thrombotic syndrome. This is the long term consequences of a clot in the deep veins of the legs ( DVT). It is estimated that more then half of individuals that have DVT will develop PTS. Typically the onset of PTS is much less then 37 years, but early symptoms such as painless swelling may be dismissed as normal. Treatment can range from elevation and compression to lymphedema therapy and various compression pumps. other the PTS, a new clot is possible and if this is thought to be at all possible a venous ultrasound should be ordered. These symptoms can also be caused by simple varicose veins, nerve entrapment, Pelvic masses ( benign or malignant), and a host of other causes. because some of the causes of these symptoms can be catastrophic if not treated it is best to see a physician to have this evaluated. Equally compelling, these symptoms may be easily treated if a definitive cause is found. I hope this helps.

Based on your description of your diagnosis, it sounds as though you may benefit from resection of the osteophytes (spurs) as you are still having discomfort despite conservative therapy. Fusions or athrodesis is a surgical procedure that involves removing a joint and joining the bones together. This has more complications associated with it. I would recommend you discuss your options with your physician.

Unfortunately based on your description one cannot determine a differential diagnosis without a physical examination. Generally speaking masses on the bottom of the foot can range from plantar fibromas to ganglion cysts. The lesions are nodular and feel like a lump on the bottom of the foot. They can become symptomatic when they are irritated from weight bearing. There are many other masses that could present like this but they are far less common. Self treatment for either of these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. Seldom we expect to see these masses to spontaneously resolve. Professional evaluation is recommended. Surgical excision is often required for resolution when these masses are painful. Definitive diagnosis can only be made by biopsy of the mass.

Unfortunately based on your description one cannot determine a differential diagnosis without a physical examination. Generally speaking masses on the bottom of the foot can range from plantar fibromas to ganglion cysts. The lesions are nodular and feel like a lump on the bottom of the foot. They can become symptomatic when they are irritated from weight bearing. There are many other masses that could present like this but they are far less common. Self treatment for either of these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. Seldom we expect to see these masses to spontaneously resolve. Professional evaluation is recommended. Surgical excision is often required for resolution when these masses are painful. Definitive diagnosis can only be made by biopsy of the mass.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your second metatarsal phalangeal joint. As you describe your 2nd toe crossing over the big toe is usually associated with a bunion deformity of the great toe joint that causes the 2nd toe to become dislocated at the metatarsal phalangeal joint. You can have an isolated crossover deformity of the 2nd toe that is related to a past trauma. The discomfort you have is related to inflammation of the joint and is treated with ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this sounds like you have Hallux Limitus, although these symptoms can be associated with other pathologies such as trigger toe. This deformity of the 1st metatarsal phalangeal joint which over time causes a decreased ROM of the joint from deposition of calcium around the joint and degeneration of the cartilage in that joint. Conservative treatment options include use of a rigid shank shoe, orthotics, ice and anti-inflammatory medications if you can tolerate them. If you fail to have relief with these treatments surgical intervention may be warranted. I would recommend an evaluation with an x-ray to determine the severity of the arthritis as delayed treatment decreases the options available. Our office number is 772-461-4400.

Based on your question, I would recommend you seek medical treatment at an urgent care center or emergency room immediately as it is not appropriate to diagnose infections over the internet. Any infection can have serious and long lasting consequences.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have inflammation of your joints that is triggered by your swimming routine. You can try using ice on the area and possible use of swim shoe. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a ganglion cyst, which is a benign fluid filled mass. Treatment includes ice, alteration of shoe gear and aspiration of the lesion. Sometimes surgical excision is required. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Thank you for your question. From your description, these symptoms are consistent with peripheral neuropathy and/or nerve entrapment. Peripheral neuropathy causes hypersensitivity, numbness, tingling, itchiness, and burning of the lower extremities. There are several causes of peripheral neuropathy including diabetes, lower back problems, poor circulation and tarsal tunnel syndrome. Treatment involves identifying the underlying pathology. Once this is identified a treatment plan can be made.

Thank you for your question. From your description, these symptoms are consistent with peripheral neuropathy and/or nerve entrapment. Peripheral neuropathy causes hypersensitivity, numbness, tingling, itchiness, and burning of the lower extremities. There are several causes of peripheral neuropathy including diabetes, lower back problems, poor circulation and tarsal tunnel syndrome. Treatment involves identifying the underlying pathology. Once this is identified a treatment plan can be made

Thank you for your question. From your description, these symptoms are consistent with peripheral neuropathy and/or nerve entrapment. Peripheral neuropathy causes hypersensitivity, numbness, tingling, itchiness, and burning of the lower extremities. There are several causes of peripheral neuropathy including diabetes, lower back problems, poor circulation and tarsal tunnel syndrome. Treatment involves identifying the underlying pathology. Once this is identified a treatment plan can be made

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your first metatarsal phalangeal joint and most likely your sesamoids (these are 2 small bones that are under your big toe joint). You may want to see when this area is painful in correlation to what activities you are doing and what shoe gear you are using. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your first metatarsal phalangeal joint and most likely your sesamoids (these are 2 small bones that are under your big toe joint). You may want to see when this area is painful in correlation to what activities you are doing and what shoe gear you are using. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

This is a very unfortunate situation, and although the specifics very from patient to patient it is not uncommon to find a patient in your position after the diagnosis of RSD ( or to be more consistent with current terminology CRPS ). The medical literature is very sparse to say the least when it comes to surgery on individuals with this condition and what is out there generally cautions against any surgery that is not to prevent eminent loss of life. Because of this lack of support for surgical intervention, even if you were to find a physician that was in agreement with you that surgery may help, he would not be likely to preform the surgery. It is a sad fact that with our current system, a physician can not always exercise his best judgement even when the affected patient makes a well educated decision to concur with him. The danger of future litigation in the event that the desired outcome is not achieved is to high. You may be able to find a willing surgeon in a state with more advanced tort reform, but unfortunately a surgeon that operates in the circumstances you describe in Florida puts his livelihood at great risk.

Unfortunately I do not treat hands or knees. With that being said, it sounds like you have a dislocation and would recommend you see a orthopedic hand specialist as soon as possible.

Based on your question, I would recommend you seek medical treatment at an urgent care center or emergency room immediately as it is not appropriate to diagnose infections over the internet. Any infection can have serious and long lasting consequences.

There are many things that can present as you describe. These can range from skin lesions such as warts and callus, or even skin cancers, to deeper lesions such as granulomas ,cysts. or even foreign bodies such as glass, slivers etc. The fact that the it burns could indicate an irritation of the sural nerve which is in this area. it is also entirely possible that you have a common deformity called a tailors bunion and an associated bursitis. Most of these things are easily treated. As you are at a large military base you should be able to seek medical care. I know that the navy has podiatrists at their medical facilities and assume the army does as well, but if they should have an orthopedist or even general practice doctor or well trained medic that can help you.

There are many things that can present as you describe. These can range from skin lesions such as warts and callus, or even skin cancers, to deeper lesions such as granulomas ,cysts. or even foreign bodies such as glass, slivers etc. The fact that it blanches white and is red and swollen combined with a know diagnosis of gout raises the concern that this could be a tophus. Tophi are deposits of uric acid crystals outside of joints. If this is indeed the case you need to have this evaluated and treated as soon as possible. Once tohi start to form they can form in other areas. They can be quite painful and lead to disability. Individuals with recurrent or tophaceous gout need to have there uric acid lowered with medication to stop formation of tophi, allow resorption of existing tophi, reduce the frequency of gout attacks and prevent uric acid kidney stones. Unfortunately diet alone is seldom effective at lowering uric acid enough in patients that make tophi. As you are 33 I assume you take few if any Rx medications, but if this assumption is not true also consider that some common medications can raise uric acid.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have stress fracture of a metatarsal. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. Also be sure that you are staying well hydrated. If you would like to be evaluated please contact us at 772-461-4400.

Unfortunately, It sounds like this most likely is neuropathy. Specifically a form of neuropathy often referred to as radiculopathy. Radiculopathy is altered sensation ( and or motor and autonomic function) that is related to compression of a specific peripheral nerve(s) or nerve root(s). In your case with a history of back problems the nerve roots are probably the cause. You did not mention the level(s) of your spinal fusion, but the great toe is innervated by the L4 and L5 spinal nerves. More distal compression such as in the tarsal tunnel is also possible, but most often would be expected to involve more then one toe and is seldom bilateral. As for your symptoms, The sensation of swelling or fullness is a very common presentation of neuropathy. I must admit that the feeling of "an orange" under the toes is a new description I often hear " a sock, cotton, a golf ball, a rock, a sponge" so I would have to say that your symptoms are consistent with what others experience. Finally as for treatment -- In our practice we often obtain nerve conduction velocities to rule out any specific easily treated causes such as tarsal tunnel syndrome if clinically warranted. Once the diagnosis and cause of the neuropathy is determined any modifiable causes are corrected-- control diabetes in diabetic neuropathy, stop alcohol in alcoholic neuropathy, replace B12, folate B1 etc in nutritional neuropathies such as Beriberi etc. once this is done or deemed unnecessary symptoms are treated with pharmaceuticals, but NOT opiates. Your back surgeon may be able to help you with an implantable nerve stimulator, these are fairly new devices that suppress pain via an implanted device that operates somewhat like a pacemaker, and are inserted via a generally minor procedure, and can often be tried before final implantation. Finally some find that self treatment with nerve stimulator such as TENS units is helpful. Others find eastern medicine such as acupuncture helpful, low intensity lasers have also been used, but none of these have been proven helpful in large double blind studies like we have for medications. Hope this helps if we can be of further assistance please feel free to contact our office for an appointment 772-461-4400

Based on your description you most likely have a neuroma. This may or may not be releated to your fractured toe, as this cannot be determined without an x-ray. A neuroma is a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. This is most likely not related to your heel spur. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

Based on your description this is most likely a Haglund's deformity. Haglund's deformity is a bony prominence on the back of the heel. A tight shoe or a rigid heel counter common on most dress shoes causes irritation of the skin over this bone spur irritating the Achilles insertion. Over time this often leads to the formation of a bursa (a fluid filled sack) between the skin and the bone. This makes the area even more prominent and just makes the problem worse. If the pain is more central this may be a retrocalcaneal exostosis a similar problem due to calcification within the Achilles tendon. Self- treatment for these conditions is ice, avoidance of impact activities, shoe gear (soft heel counter or open back shoe), no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. If the problem is only with the occasional use of dress shoes, a silicone pad placed between your skin and sock often can provide good relief. For some individuals long term relief is best achieved by surgical removal of the prominent bone spur. You should notice improvement in 7 -10 days. If there is no improvement with padding, ice, and changes in shoe gear I would recommend an evaluation to rule out less common pathologies. Our office number is 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. Usually the first line of treatment is steroid injections in conjunction with shoe modifications, ie wider shoes with a rubber absorptive sole. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. If you would like to be evaluated please contact us at 772-461-4400.

I would recommend you discuss this with obstetrician and orthopedic surgeon as I am a foot and ankle specialist.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion. Please feel free to contact our office for an evaluation, 772-461-4400.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion. Please feel free to contact our office for an evaluation, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said you may have a contusion and sprain of your midfoot. Treatment includes ice, rest, and mild compression. As for the arch discomfort it may be realeted to you new cleats not providing enough arch support. There are several causes for this type of heel pain, the most common being plantar fascitis. This is an overuse injury of the plantar fascia. This pain is localized on the bottom of the heel and can also be present throughout the arch. If the pain is localized to the back of the heel, this would most likely be Achilles tendinitis. Self treatment for these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. You should notice improvement in 7 -10 days. If there is no improvement, I would recommend an evaluation to rule out less common pathologies. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a ganglion cyst, which is a benign fluid filled mass. As the mass gets larger it can irritate the surrounding nerves causing shrap shooting sensations. Treatment includes ice, alteration of shoe gear and aspiration of the lesion. Sometimes surgical excision is required. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion. Please feel free to contact our office for an evaluation, 772-461-4400.

There are many things that can cause this type of symptoms, but the most common in no particular order Cellulitis, a stress fracture, a sprain ( sometimes the injury is trivial and pain is delayed), gout, tendonitis. The description is quite consistent with gout, but only if the pain is quite severe, this can resolve spontaneously, but most often needs to be treated with medication to quickly resolve the pain. Additionally if recurrent it is important to properly diagnose and treat this to prevent long term problems If the pain is mild to moderate I would consider cellulitis ( a skin infection) to be likely -- this would require antibiotics to treat and if the redness is getting worse he needs to be seen by his doctor for a prescription. If fever or chills develop this would warrant a trip to urgent care or ED. If there is faint bruising noticed this could be a stress fracture but the lack of tenderness with palpation argues against this, but often it is not obvious where to press to reproduce the pain. Stress fractures require rest and immobilization. Most other causes of these symptoms such as tendonitis respond to rest, ice compression and medications such as Aspirin, ibuprofen, naproxen sodium. ( OTC used as directed not to be used if GI, liver or kidney problems.)

When foreign material is imbedded in our body the main problems that are encountered are infection and irritation of local structures. The bottom of the foot and toes is particularly at risk for chronic irritation due to the pressure and friction of walking on the area. Our body responds to this irritation by trying to surround the object with soft tissue ( granuloma ). in the absence of infection this granuloma often becomes a painless bump under the skin with time, but unfortunately can at times the area becomes even more painful. when this happens removal of the foreign material and the surrounding granuloma is often needed to relive symptoms. This is not a do it yourself project. The question implies that there has been a fair amout of time that has passed since the inital injury so infection is less likely however it is important to mention that infections associated with foreign material almost always require removal of the foreign material. Finally especially in the case of glass it is quite common that the glass will cut the skin and immediately fall out, but the resulting scar tissue can be thick and painful, in this case the scar can be removed or injected with steroids to eliminate the pain, once again not a do it yourself project. Have you checked for free clinics in your area, or checked with the local health department you may be able to get free of discounted care. Often this problem can be treated in the office, and is not extremely costly, other times a trip to the OR is needed and this is of course quite expensive. If you are local you can call our office at 772-461-4400 if you are not in our area you may also want to check with podiatrists in your area and see if they offer payment plans and or reduced fees for self pay. If they take medicaid ask if they will see you for medicaid rates ( often much less then usual fee schedule)? We make these types of arrangements frequently--- It can't hurt to ask

Unfortunately, the description you give is not sufficient to even venture an educated guess as to what this could be. Masses , tumors and similar lesions can be caused by a whole host of problems. I would suggest that you see your physician, with a complete history and physical exam of the lesions a diagnosis can often be made, but often even when carefully examined a biopsy is required to reach a diagnosis I'm sorry I can not be of further assistance with this.

Based on your description, you may have a accessory bone at the big toe joint that can cause irritation with barefoot ambulation. A diagnosis cannot be made without an examination and x-rays. Please feel free to contact our office for an evaluation, 772-461-4400.

From your description, these symptoms are most likely associated with peripheral neuropathy. Peripheral neuropathy causes hypersensitivity, numbness, burning, tightness of the lower extremities. I would recommend that you be discuss this with your physician as there are several treatment options for peripheral neuropathy. Ultimately many specialists are often involved in the treatment of these problems.

There are several causes for this type of heel pain, the most common being plantar fascitis. This is an overuse injury of the plantar fascia. This pain is localized on the bottom of the heel and can also be present throughout the arch. If the pain is localized to the back of the heel, this would most likely be Achilles tendinitis. Self treatment for these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. You should notice improvement in 7 -10 days. If there is no improvement, I would recommend an evaluation to rule out less common pathologies. Our office number is 461-4400.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion.

Based on your description, this sounds like you have Hallux Limitus, although these symptoms can be associated with other pathologies such as trigger toe. This deformity of the 1st metatarsal phalangeal joint which over time causes a decreased ROM of the joint from deposition of calcium around the joint and degeneration of the cartilage in that joint. Conservative treatment options include use of a rigid shank shoe, orthotics, ice and anti-inflammatory medications if you can tolerate them. If you fail to have relief with these treatments surgical intervention may be warranted. I would recommend an evaluation with an x-ray to determine the severity of the arthritis as delayed treatment decreases the options available. Our office number is 772-461-4400.

Based on your description this is most likely a Haglund's deformity. Haglund's deformity is a bony prominence on the back of the heel. A tight shoe or a rigid heel counter common on most dress shoes causes irritation of the skin over this bone spur irritating the Achilles insertion. Over time this often leads to the formation of a bursa (a fluid filled sack) between the skin and the bone. This makes the area even more prominent and just makes the problem worse. If the pain is more central this may be a retrocalcaneal exostosis a similar problem due to calcification within the Achilles tendon. Self- treatment for these conditions is ice, avoidance of impact activities, shoe gear (soft heel counter or open back shoe), no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. If the problem is only with the occasional use of dress shoes, a silicone pad placed between your skin and sock often can provide good relief. For some individuals long term relief is best achieved by surgical removal of the prominent bone spur. You should notice improvement in 7 -10 days. If there is no improvement with padding, ice, and changes in shoe gear I would recommend an evaluation to rule out less common pathologies. Our office number is 772-461-4400.

Based on your description, I would recommend you see a physician immediately as your description sounds like cellulitis which is a soft tissue infection requiring antibiotics.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your 5th toe. I would recommend you use ice, good supportive wider shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, you are having irritation of the superficial peroneal nerve of that is causing the pain and irritation of your 1st and 2nd toes. I would recommend you use ice on your midfoot area and alter you shoe laces to avoid pressure on this area. If this does not help over the course of a week I would recommend you have an exam and x-rays. Please feel free to contact our office for an evaluation, 772-461-4400.

Generally speaking masses on the bottom of the foot can range from plantar fibromas to ganglion cysts. The lesions are nodular and feel like a lump on the bottom of the foot. They can become symptomatic when they are irritated from weight bearing. There are many other masses that could present like this but they are far less common. Self treatment for either of these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. Seldom we expect to see these masses to spontaneously resolve. Professional evaluation is recommended. Surgical excision is often required for resolution when these masses are painful. Definitive diagnosis can only be made by biopsy of the mass. From your description, these symptoms are consistent with peripheral neuropathy and/or nerve entrapment. Peripheral neuropathy causes hypersensitivity, numbness, and burning of the lower extremities. There are several causes of peripheral neuropathy including diabetes, lower back problems, poor circulation and tarsal tunnel syndrome. Treatment involves identifying the underlying pathology. Once this is identified a treatment plan can be made.

Based on your description, there are certain viruses that can cause neuritis/neuropathy. Peripheral neuropathy causes hypersensitivity, numbness, burning, tightness of the lower extremities. I would recommend that you be discuss this with your physician who diagnosed you with the viral infection.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. I would recommend you not sit for extended period of time as this can cause nerve irritation of your lower back that can cause nerve symptoms in your feet. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, you most likely have a sub-ungual hematoma. If this involves over 25% of the nail plate removal of the nail plate is recommended. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. I would recommend you not sit for extended period of time as this can cause nerve irritation of your lower back that can cause nerve symptoms in your feet. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this sounds like you have Hallux Limitus, although these symptoms can be associated with other pathologies such as trigger toe. This deformity of the 1st metatarsal phalangeal joint which over time causes a decreased ROM of the joint from deposition of calcium around the joint and degeneration of the cartilage in that joint. Conservative treatment options include use of a rigid shank shoe, orthotics, ice and anti-inflammatory medications if you can tolerate them. If you fail to have relief with these treatments surgical intervention may be warranted. I would recommend an evaluation with an x-ray to determine the severity of the arthritis as delayed treatment decreases the options available. Our office number is 772-461-4400.

Based on your description, I would recommend you have a physical examination and x-rays as it sounds like you have fractured you toe. Our office number is 772-461-4400.

Based on your description, if you are having pain with running you may benefit from an orthotic in your running shoes. I would recommend you see an orthopedist that specializes in the foot and ankle.

DISCOLORED SPOTS UNDER OR ON A NAIL CAN BE MALIGNANT MELANOMA. MELANOMA IS A VERY DANGEROUS CANCER AND WHEN FOUND ON FINGERS OR TOES IS EVEN MORE DANGEROUS!!!! please read response below Discolored spots on or under the toenail can range from simple bleeding under the nail due to tight shoes of injury to the nail or nail fungus ( both very common) to less common but important to recognize findings such as splinter hemorrhages, which can be indicative of an infection of the heart valves, or malignant melanoma. Unfortunately your description alone will not rule out serious causes. Melanoma of the toes has an especially poor prognosis and requires prompt recognition, biopsy, excision, and often lymph node biopsy. Because metastatic melanoma is uniformly fatal with 1 year survial rates from 1% to 36% depending on the organs affected IT IS IMPERATIVE THAT YOU SEE A PHYSICIAN TO RULE THIS OUT. The vast majority of discolored areas can be diagnosed by simple physical exam, but anything that can not should be biopsied. I see at least 5 patients a day with discolored nails as at least a secondary or tertiary concern and find the need to biopsy a nail/ nailbed less then once a month. As for the numbness it is probably unrelated and most likely is Joplin's neuroma, an entrapped nerve on the medial side of the big toe. This type of numbness often responds to use of a wider shoe. this type of numbness can also be seen with spinal stenosis, herniated disks in the back sciatica and similar conditions. I hope this helps.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a soft tissue mass that is irritating a nerve causing a tingling sensation. Treatment includes ice and alteration of shoe gear. Sometimes surgical excision is required. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, I would recommend you seek an examine by a podiatrist or dermatologist as the length on time the lesion has been present would warrant a biopsy of the lesion. Our office number is 772-461-4400.

Based on your description this is most likely a Haglund's deformity. Haglund's deformity is a bony prominence on the back of the heel. A tight shoe or a rigid heel counter common on most dress shoes causes irritation of the skin over this bone spur irritating the Achilles insertion. Over time this often leads to the formation of a bursa (a fluid filled sack) between the skin and the bone. This makes the area even more prominent and just makes the problem worse. If the pain is more central this may be a retrocalcaneal exostosis a similar problem due to calcification within the Achilles tendon. Self- treatment for these conditions is ice, avoidance of impact activities, shoe gear (soft heel counter or open back shoe), no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. If the problem is only with the occasional use of dress shoes, a silicone pad placed between your skin and sock often can provide good relief. For some individuals long term relief is best achieved by surgical removal of the prominent bone spur. You should notice improvement in 7 -10 days. If there is no improvement with padding, ice, and changes in shoe gear I would recommend an evaluation to rule out less common pathologies. Our office number is 772-461-4400.

Based on your description you most likely have a neuroma. This a benign nerve tumor caused by nerve irritation that can cause numbness, burning sensation, cramping between the toes, separation of the toes and on the ball of the foot. Most commonly between the third and fourth toes but can affect other toes. This is most likely not related to your plantar fascitis. Usually the first line of treatment is steroid injections in conjunction with shoe modifications. For patients who failed to get adequate relief for from these measures surgery used to be the next option. However, we now have a newer treatment using alcohol sclerosing injections. This is done as a series of injections. This treatment has reduce the need for surgical removal of the neuromas. With this new treatment option available, we seldom offer surgery as an option except for the small number of patients that do not respond to the sclerosing injections. There are several causes for this type of heel pain, the most common being plantar fascitis. This is an overuse injury of the plantar fascia. This pain is localized on the bottom of the heel and can also be present throughout the arch. If the pain is localized to the back of the heel, this would most likely be Achilles tendinitis. Self treatment for these conditions is ice, no impact activities, proper shoe gear, no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. You should notice improvement in 7 -10 days. If there is no improvement, I would recommend an evaluation to rule out less common pathologies. If you would like to be evaluated please contact us at 772-461-4400.

Thank you for your question. From your description, these symptoms are most likely associated with your peripheral neuropathy. Peripheral neuropathy causes hypersensitivity, numbness, burning, tightness of the lower extremities. I would recommend that you be discuss this with your physician as there are several treatment options for peripheral neuropathy. Ultimately many specialists are often involved in the treatment of these problems.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. It sounds like you are having neuritis that can be caused by lower back pathology vs lower extremity pathology. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, this may be a porokeratosis, plantars wart, or intractable keratosis. These are benign lesions that cause a hard area on the bottom of the foot that gives the sensation of walking on a pebble. Treatments include moisturizer cream and use of a pumice stone. In some cases treatment with a blistering agent may be required to remove the lesion. Please feel free to contact our office for an evaluation, 772-461-4400.

Based on your description, it sounds like you have a soft tissue mass that is impinging on a nerve. I would recommend you follow-up with your doctor and have an MRI done.

Based on your description, you may have developed an bursa over the big toe joint. This is a fluid filled sac over a bony prominence. I would recommend you have an examination. Our office number is 772-461-4400.

Based on your description, this soft tissue mass has involvement with the sensory nerves on the dorsal aspect of your second toe. You may want to try another physicians office to see you sooner. Our office number is 772-461-4400.

Based on your description, I am unable to render a diagnosis. I would recommend you stop drinking the tea as this may be causing water retention in you lower extremities. I would recommend you follow-up with your primary care physician.

Based on your description this is most likely a Haglund's deformity. Haglund's deformity is a bony prominence on the back of the heel. A tight shoe or a rigid heel counter common on most dress shoes causes irritation of the skin over this bone spur irritating the Achilles insertion. Over time this often leads to the formation of a bursa (a fluid filled sack) between the skin and the bone. This makes the area even more prominent and just makes the problem worse. If the pain is more central this may be a retrocalcaneal exostosis a similar problem due to calcification within the Achilles tendon. You also mention pain and brning in your feet that may be associated with tarsal tunnel syndrome, which is entracment of the posterior tibial nerve on the inside on your ankle. Self- treatment for these conditions is ice, avoidance of impact activities, shoe gear (soft heel counter or open back shoe), no barefoot walking, and anti-inflammatory medication (aspirin, ibuprofen), if you tolerate them. If the problem is only with the occasional use of dress shoes, a silicone pad placed between your skin and sock often can provide good relief. For some individuals long term relief is best achieved by surgical removal of the prominent bone spur. You should notice improvement in 7 -10 days. If there is no improvement with padding, ice, and changes in shoe gear I would recommend an evaluation to rule out less common pathologies. Our office number is 772-461-4400.

Thank you for your question. From your description, these symptoms are most likely associated with peripheral neuropathy. Peripheral neuropathy causes hypersensitivity, numbness, burning, tightness of the lower extremities. I would recommend that you be discuss this with your physician as there are several diseases associated with peripheral neuropathy. Ultimately many specialists are often involved in the treatment of these problems.

Based on your description, this sounds like you have Hallux Limitus, although these symptoms can be associated with other pathologies such as trigger toe. This deformity of the 1st metatarsal phalangeal joint which over time causes a decreased ROM of the joint from deposition of calcium around the joint and degeneration of the cartilage in that joint. Conservative treatment options include use of a rigid shank shoe, orthotics, ice and anti-inflammatory medications if you can tolerate them. If you fail to have relief with these treatments surgical intervention may be warranted. I would recommend an evaluation with an x-ray to determine the severity of the arthritis as delayed treatment decreases the options available. Our office number is 772-461-4400

Based on your description, you may have ruptured a tendon or ligament. I would recommend you have an examination and MRI. . We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have a stress fracture of one of your metatarsals. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them and seek an medical exam with an x-ray. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

This is normal at this age due to positioning in the womb. If there is concern, you can mention this to your pediatrician.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. You may have a ganglion cyst, which is a benign fluid filled mass. Treatment includes ice, alteration of shoe gear and aspiration of the lesion. Sometimes surgical excision is required. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. It sounds like you may have inflammation of your big toe joint. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your 3rd toe, a fracture, a contusion, or a vascular problem. I would recommend you examine your shoes to be sure they are the correct size. I would recommend you have a physical examination to determine a differential diagnosis. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your 5th toe joint vs a sural neuritis. You could also have a stress fracture of the 5th metatarsal. I would recommend you use ice, good supportive shoes, and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your metatarsal phalangeal joints, a neuroma or a stress fracutre. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

There are many masses that can be found in this area. most of them are associated with the tendon joint and ligaments in the area. If the mass does not hurt most often no treatment is needed, but it should be evaluated, measured and followed. You did not provide much information about yourself or your medical history. The chance of this being malignant is generally going to be higher if you are very young, very old, have and cancer at any other site in your body, have a family history of cancer especially sarcomas, and some masses have a predilection for one gender or another and for certain races.

You give a very good description of your problem. The deformity in the 2nd toe is referred to as a hammer toe. There are several types of hammertoes and they are often noticed at a young age and progressively get worse as time goes by. More often then not at some point the metatarsal phalangel joint ( the joint where the toe connects to the foot) begins to dislocate. When it does, it becomes prominent on the ball of the foot and often becomes inflamed and painful with walking standing or pushing on the area. This joint can also irritate and entrap the nerve that goes to the 2nd and 3rd toes and this makes the problem even worse. Self treatment is difficult and often not very effective, but what can be tried is application of ice several times a day for about 20 min at a time. eliminate barefoot walking and eliminate flip flops slippers and the like. Use an athletic shoe with soft padding in the sole and lots of room for the toes. a toe splint to hold the toe down can help if the toe is flexible enough. And if you can tolerate asprin, ibuprofen or naproxen ( OTC) these can help but should only be taken for a few days. If you have poor circulation, diabetes, numbness in your feet, or other serious health problems, self treatment is not advised. If self treatment fails this is often treated with cortisone injections,anti-inflammatory medications and padding in the shoes. definitive treatment is often surgical.

Based on your description, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said you could have a stress fracture or ligament strain and I would recommend you have an examination and x-rays. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, your shoe gear may be irritating the nerve on the top of your foot as you describe your symptoms resolving with removal of your shoes. Also with pregnancy, the ligaments in your feet relax thus changing the structure of the feet. You can try altering the lacing on the top of your shoes to reduce the pressure over the top of your foot. If you continue to experience problems, I would recommend you have an examination and possibly x-rays. Our office number is 772-461-4400.

Based on your description, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said the ankle sprain could be related as you may have altered your gait causing inflammation of your great toe joint. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description of your symptoms, it is difficult to give you a differential diagnosis without an examination and x-rays. With that being said, you may have inflammation of your second metatarsal phalangeal joint. You could also have a stress fracture of the second metatarsal as well as a porokeratosis, plantars wart, or intractable keratosis. I would recommend you use ice, good supportive shoes, compression wrap brace and anti-inflammatory medications if you tolerate them. Without a physical examination a differential diagnosis cannot be made. We would be happy to see you in our office and do offer discounts for uninsured patients, 772-461-4400.

Based on your description, and lack of mention of pathology report. I will assume that the original lesion was also a plantar fibroma. It is very common to have more then one plantar fibroma at one time often only one is large and or symptomatic so detection of smaller lesions without a good quality MRI can be difficult . even though Plantar fibromas are benign they are locally invasive and highly recurrent soft tissue masses within the plantar fascia of the foot. This lesion also occurs in other areas of the body such as the hand where it is known as Dupuytren’s contracture. This lesion seldom requires excision unless it is symptomatic or there is significant uncertainty in the diagnosis. When it causes pain or must be biopsied wide excision is often successful but this requires a large incision on the sole of the foot and these incisions can cause healing challenges and, as you seem to be experiencing, any incision on the bottom of the foot often leave scars . When more than one lesion is to be excised the entire fascia must be removed to prevent recurrence and this is an even larger challenge. When the lesion are not symptomatic they can be treated by doing nothing, injection with corticosteroids to cause atrophy of the lesion (exploiting the generally undesired side effect of these medications on collagen turnover) and finally there is some evidence of the use of topical medication on these lesions. The topical medication is not FDA approved for this indication and not widely available, but can be prepared by some compounding pharmacies or ordered by your physician. I have had success with it, but the process is slow. (I have purposely not disclosed the name on the medication so it will not be construed that I am recommending you obtain without a prescription, but you treating physician should know what it is). other then the above suggestions aggressive PT to break up the scar tissue as you are doing is a great first step. I hope this helps

I'm Sorry to hear about this unfortunate situation. Without having the opportunity to examine you and see the records of what has and has not been done I can only give you some cursory input about your situation. First I will address the issue of the foreign body. With the exception of foreign objects that are very porous or known to be contaminated it is often acceptable to leave the object in if it is not causing symptoms. If however if there are symptoms that are thought to be related to the foreign object then the foreign material should be removed. Here in the US if the object is not visible on plain film x-ray and is not able to be felt through the skin an MRI is often used to localize the object prior to excision. As for the sensation of movement at likely cause is that the object is irritating one of the small intrinsic foot muscles or the nerve going to the muscle and causing spasms. This sensation and the pain at night can best be explained by peripheral neuropathy which is a malfunction of the sensory nerves that can occur by it self or in association with other disease such as lupus. Next let me address lupus. If you have no symptoms of lupus it is not clear how you would have been diagnosed with lupus or why you would be treated for lupus. The Diagnosis of lupus is purely a clinical diagnosis there is no test for lupus. If you are certain you do not have any symptoms of lupus and did not at the time of diagnosis then you need to see a rheumatologist and get a second opinion. I do know of instances where patients have been diagnosed with lupus based on positive ANA blood test alone but this is not common with physicians in North America or western Europe. ( 95% of individuals with positive ANA do not have lupus ) The symptoms of lupus are quite variable and can go into remission so lack of current symptoms are not indicative of not having the disease, and comparing symptoms with others with lupus is of almost no diagnostic value. The issue of if you have lupus or not needs to be addressed first, because if you have lupus or are taking impressiveness medications to treat lupus you could be at increased risk of complications if surgical excision of the foreign body is done. I hope this helps

Thank you for your question. From your description, these symptoms are may be symptoms of peripheral neuropathy. Peripheral neuropathy causes hypersensitivity, numbness, burning, tightness of the lower extremities. I would recommend that you be discuss this with your physician as there are several treatment options for peripheral neuropathy. Ultimately many specialists are often involved in the treatment of these problems.

Unfortunately, I do not treat hands. I would recommend you follow-up with a hand specialist.