Foot soreness and pain?
Hello Dr.
Lai: I have been experiencing soreness and pain in my left foot for the past two months, particularly near the lower back area.
This discomfort radiates down to my left heel, and whenever I sit for more than ten minutes, I feel weakness and soreness when I stand up.
Which department should I consult when I seek medical attention? I would appreciate your advice.
Thank you.
Ayu, 30~39 year old female. Ask Date: 2007/06/03
Dr. Lai Junlong reply Family Medicine
Hello: In response to your question, the individual is experiencing numbness and tingling in the left foot that extends to the left heel, which worsens with prolonged sitting.
Based on the patient's complaints, the most likely causes are nerve compression symptoms or poor blood circulation.
It is recommended to consult a neurologist, or initially see a family medicine physician for a preliminary evaluation to identify the exact cause and refer to the appropriate specialist if necessary.
Thank you.
Reply Date: 2007/06/03
More Info
When experiencing foot pain, especially if it has persisted for two months and is accompanied by symptoms such as weakness and discomfort that radiates from the lower back to the heel, it is crucial to seek medical attention. The symptoms you describe could be indicative of several underlying conditions, including nerve compression, musculoskeletal issues, or even referred pain from the lumbar spine.
When to See a Doctor
1. Duration and Severity: Since your symptoms have lasted for two months and are affecting your daily activities, it is advisable to consult a healthcare professional. Persistent pain, especially if it worsens with certain positions or activities, should not be ignored.
2. Associated Symptoms: If you experience additional symptoms such as numbness, tingling, or weakness in the leg or foot, these could suggest nerve involvement, such as sciatica or peripheral neuropathy.
3. Impact on Daily Life: If your pain is affecting your ability to sit, stand, or walk comfortably, it is essential to seek medical advice. Pain that limits your mobility or affects your quality of life warrants a professional evaluation.
Which Specialist to See
Given your symptoms, you should consider seeing a physiatrist (a specialist in physical medicine and rehabilitation) or an orthopedic doctor. These specialists can evaluate musculoskeletal issues and nerve-related problems. If your doctor suspects a neurological issue, they may refer you to a neurologist for further evaluation.
Diagnostic Approach
When you visit the doctor, they will likely perform a thorough physical examination and may ask about your medical history, including any previous injuries or conditions. They may also recommend imaging studies, such as X-rays or MRI scans, to assess for any structural abnormalities in the spine or foot.
Treatment Options
1. Physical Therapy: Depending on the diagnosis, physical therapy may be recommended to strengthen the muscles around the affected area, improve flexibility, and alleviate pain.
2. Medications: Over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen), may help reduce inflammation and pain. If the pain is severe, your doctor may prescribe stronger medications.
3. Lifestyle Modifications: Adjusting your posture, using supportive footwear, and avoiding prolonged sitting or standing may help alleviate symptoms.
4. Injections: In some cases, corticosteroid injections may be used to reduce inflammation and pain in specific areas.
Conclusion
In summary, if you are experiencing persistent foot pain that radiates from your lower back to your heel, it is essential to seek medical attention. Start by consulting a physiatrist or orthopedic specialist, who can provide a comprehensive evaluation and appropriate treatment plan. Early intervention can help prevent further complications and improve your quality of life. Remember, it is always better to address these symptoms sooner rather than later to ensure optimal recovery and management of your condition.
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