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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 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 fact when I reach down and massage the toes the pain is strangely gone and even 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).

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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.