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Sunday, November 2, 2014

Toenail Pain: Where does it come from??

Dear Dr Blake...I have excruciating pain in my toe nails (left foot 3rd and 4th toes) when I walk...it feels like someone is pulling my toenails off upwards (not fwds)....or maybe like having your barefoot toes rolled over by an office chair....there is no toe trauma at all...in fact when I reach down and massage the toes the pain is strangely gone and even unlocatable...so I am almost sure it is a nerve damage situation....I thought I had Morton's Neuroma because the 4th toe is slightly curved in...however, there is no pain when I do the metatarsal squeeze test...also the pain is exclusively in the toe nails, not the ball of the foot. Additionally, a week ago I had an injection into my foot but that did no good whatsoever. Can you give me your thoughts ??? Thx !!

Dr Blake's comment: You are most likely correct that is it nerve pain. The 3rd and 4th toes are in the L5 nerve root distribution. You can have a Morton's neuroma developing between the 3rd and 4th metatarsals, you can just have a bulging disc at L4/5 or L5/S1, or both called "double crush". To evaluate you have to go up the leg from the foot and look for hot spots or "triggers" which would produce neural tension. See a podiatrist or neurologist/physiatrist to evaluate as your starting point. Try Neuro-Eze OTC nerve med (online) and start doing neural flossing (but it could aggravate things also---at least a clue to what is going on). 

http://www.drblakeshealingsole.com/2014/04/mortons-neuroma-video-playlist.html

http://www.drblakeshealingsole.com/2010/08/mortons-neuroma-treatment-options.html

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.