Question
Dr. Katz,

I was hoping you could answer a couple of questions for me.  I am a healthy, 25 year old, but I have been experiencing toe numbess (primarily big toe but sometimes others).  The numbess occurs after walking or standing for more than 30 minutes.  I am in good shape, and on the low end of the healthy bmi range so I know this is not weight related.  I don't run or do any high impact sports that would cause the numbess either.  Simply walking in the mall or a store aggravates it or standing to wash dishes, do laundry, or cook.  I have tried changing shoes, and I am wearing the correct size (one size larger than my dress shoes), and they are not too tight.  Also, if I stand or walk barefooted I experience foot pain along with the numbess.  That pain also occurs when I've been standing while wearing shoes for awhile.  I don't know what would cause the numbess or the pain.  I was hoping that you may have some ideas.  It's just a cause for concern with me because my grandfather had toes amputated (diabetes-related).  Thanks!

Answer
Hi Jessica,

The numbness and pain could be from diabetes but not likely.  It is more likely due to a condition known as a neuroma.  This is an irritated foot nerve which can produce both numbness and pain.  Other causes could be poor foot function requiring custom orthotic devices.  I would see a podiatrist for an exam and evaluation.  Ultrasound is helpful in identifying a neuroma.

Sincerely,

Marc Katz, DPM
Tampa, FL
Advanced Podiatry
http://www.thetampapodiatrist.com
http://www.tampacryosurgery.com
http://katzpodiatristtampa.blogspot.com
http://painfoot.blogspot.com
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