Question
Two nights ago, I experienced a sharp, stabbing pain in my foot, appearing to be approximately under the joint between the 2nd proximal phalange and the 2nd metatarsal. It lasted around 5-10 seconds. The pain was sudden and severe and when it went away there was no real lasting sensation or aching. This happened several times that night and then has happened a few times a night since (twice so far this evening. The first about 8pm and the just now at midnight). It has happened while I have been sitting and standing with no real notable amount of exercise, walking, or standing interspersed.

I am currently 25 years of age, male, taking no medications, and have no history of any major illness. I do have a slight, genetic flat foot.

I would almost guess at Morton's Neuroma, but there is no swelling, I'm not sure if the pain is that sporadic with Morton's, and the pain is under the 2nd toe, not between the 3rd and 4th.

The pain is severe, but I can deal with it. I only post here because I want to check and see if it is something to be concerned about (and also, whether I can deal with the pain or not, I'd rather not /have/ to...).

Thanks very much for your help!

Answer
Hi Joshua,

It is possible to have a Morton's neuroma between the second and third toes that would cause this pain.  Since you have a flat foot, it would also be common to have inflammation of the joint behind the second toe.  This can occur with normal activity or from overuse.  Even a worn shoe can start these problems.

You would not commonly have swelling that is noticeable with these conditions.

It is even possible that you could have a stress fracture, however typically you would have swelling.

You may benefit from custom arch supports in the future.  


I would say that you should ice the area and wear supportive shoes.

If this does not resolve I would see a Podiatrist, especially with severe pain.  That is usually a sign that treatment is needed.

Good Luck.

Sincerely,

Marc Katz, DPM
Tampa, FL
Advanced Podiatry
www.thetampapodiatrist.com
www.tampacryosurgery.com
www.fix-my-foot.com

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