Foot pain.

by Rob Hall
(Devon, uk)

Every now and then, very sporadically, I experience pain in the ball of my left foot, right behind my big toe. When this occurs I find myself limping to get around. It usually subsides after a day or two. It isn't crippling pain but I can replicate it by touching the side of the ball joint and putting slight pressure on it. There is no swelling or redness or warmth. To the naked eye it appears nothing is wrong.

I sometimes get pain in the ankle of the same foot also causing a temporary limp.

I often wonder if it's related to an incident from about 12 years ago. I was having a kick about and my ankle twisted. My friends said they heard a crack and I could put no weight on it. I went to a medical centre who said it was not broken, but they didn't xray it. Maybe a hairline fracture for all this time, but I don't know why it would be sporadic.

Hello Rob,
Obviously it's speculative, but you probably subluxated a joint in the ankle, which is not visible on xray. There's simply a fixation of the joint, but it leads to knock on problems down the road because of the change of gait.

Now there are problems developing in the great toe, which may be related, possibly not.

It's right where gout is prevalent, but then you get the swelling and redness you talk of.

That joint in the great toe needs to be examined and treated. It may have become arthritic, so a new xray may be of value. In any event, look for a chiropractor with a FICS qualification; sports injuries.

I hope this contributes.

Dr B

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