Persistent Pain in the Sole: When to See a Neurologist? - Neurology

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Based on your description of persistent pain in the sole of your foot, particularly at the Yongquan point (the kidney 1 acupuncture point), it is advisable to consult a neurologist. The symptoms you are experiencing, including sharp, stabbing pain that occurs after prolonged standing or walking, could be indicative of several underlying conditions that warrant further investigation.

Firstly, the intermittent nature of your pain, which seems to resolve with rest, suggests a possible issue with nerve compression or irritation. Conditions such as Morton's neuroma, which is a thickening of the tissue around a nerve leading to the toes, or tarsal tunnel syndrome, where the posterior tibial nerve is compressed as it travels through the tarsal tunnel, could be contributing factors. Both conditions can cause sharp, shooting pain in the foot, particularly during activities that put pressure on the affected area.

Additionally, your symptoms could also be related to peripheral neuropathy, which is characterized by damage to the peripheral nerves and can result in pain, tingling, or numbness in the extremities. This condition can arise from various causes, including diabetes, vitamin deficiencies, or other systemic diseases. Given that you mentioned the pain has become more persistent, it is crucial to rule out any progressive neurological conditions.

Another possibility is plantar fasciitis, which is an inflammation of the plantar fascia, the thick band of tissue that runs across the bottom of your foot. This condition often presents with heel pain but can also cause discomfort in the arch and ball of the foot. However, the specific sharp pain you described may lean more towards a neurological issue rather than a purely musculoskeletal one.

When you visit a neurologist, they will likely conduct a thorough clinical examination, which may include a neurological assessment to evaluate your reflexes, muscle strength, and sensory function. They may also recommend imaging studies, such as an MRI or ultrasound, to visualize the structures in your foot and identify any potential nerve entrapments or abnormalities.

In addition to consulting a neurologist, it may also be beneficial to see a podiatrist, who specializes in foot and ankle conditions. They can provide insights into biomechanical issues that may be contributing to your pain and suggest appropriate interventions, such as orthotics or physical therapy.

In summary, given the persistence of your symptoms and their impact on your ability to walk comfortably, it is important to seek medical attention. A neurologist can help determine the underlying cause of your foot pain and develop an appropriate treatment plan. Early intervention can prevent further complications and improve your quality of life.