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The response to the question below was authored by Marc Mitnick DPM

Intense Pain & Burning middle of the bottom of foot

by Dawn

I started a 2nd job about 6 months ago cashiering 4 hours a day 3 times a week (I cashiered for about 15 years a decade ago). A couple of months ago I noticed that when I got up in the mornings my feet felt tender & very stiff & it hurt to walk for a little while. In the last month I have begun this agonizing pain in the bottom middle of my right foot & there is like a bump in that area, that is almost so painful I can't even stand to have my feet rubbed any longer. I had a bunionectomy on my right foot about 10 years ago followed by a second surgery to scrape the scar tissue. I have orthotic prescribed heel inserts but they don't be seem to helping at all. Please advise!

RESPONSE
Hi Dawn,

I am just grabbing at straws here because it could be any number of things and I do not have the luxury of actually examining you.
Having said that, if you feel an actual lump, the most lump you will find in the part of the foot that you describe would be a plantar fibroma, also known as plantarfibromatosis.
This is a growth that is actually a herniation of the plantar fascial ligament which is the long ligament that runs on the bottom of the foot from the heel to the ball of the foot. This ligament acts to maintain the integrity of the arch.
In most cases a structural weakness in the ligament will cause a portion to herniate through its lining and it will appear as a lump on the bottom portion of the foot, behind the ball of the foot and in front of the heel.
In many cases these lumps are painless but in other individuals they can be very painful.
For years the literature would tell us that these are benign growths but more recently have I have seen articles stating that these growths should either be biopsied or an MRI should be performed just to rule out any chance of malignancy.
Keep in mind that I am not even sure you have a plantarfibroma but as I said earlier that is the most common lump we as foot specialists see on the bottom of the foot.
So in light of the possibility that your growth is a plantarfibroma and certainly because it is very painful my recommendation would be to see a foot specialist in your area and get a proper diagnosis and then treatment.

Marc Mitnick DPM
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Comments for Intense Pain & Burning middle of the bottom of foot

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Apr 30, 2015
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Thanks
by: Bessie

Thanks for your response. I was not aware you were not in control of all the atuff here. I learned this week it is a different Dr. Katz and mine does not do cryosurgery. I am hopeful for custom orthotics and my feet feel better since I stopped wearing the other ones.
Bessie Mae

Apr 29, 2015
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Plantar Fibromas - latest diagnosis
by: Bessie Mae

Going for MRI tomorrow and the next day since insurance will not approve both feet. Been thinking I had plantar faciitis and wearing what I call mean inserts (no give). The doc said that was the worse thing I could have been doing since it causes pressure and leads to swelling and more pain. After MRI he said he will look at removing them but hoping custom orthotics that provide my high arch support while not pressing on these can be tried first. He is a doc you advertise on here for cryo surgery for neuromas. This is the third doc and third diagnosis. I have have 40 weeks of PT, injections, creams (2 Rx's compounds), 3 orthotics so far. I hear such negative results from surgery so have avoided it so far. Hope you have ideas. Thanks.

RESPONSE

Good luck and I hope you get some answers. I just want you to know that I do not personally endorse any doctor who advertises on this site. The doctor has an advertising relationship with Google and not with me. Google controls the ads that appear on this site. I have no control over them.

Marc Mitnick DPM

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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

MedlinePlus

Arthritis Foundation

University of Rochester Medical Center

Harvard Health

Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center

MY PRODUCT RECOMMENDATIONS(items I prescribe in the office)

Orthotics for multiple types of foot pain best buy in a pre-made orthotic click link below

Orthotics for heel and arch pain for those who must wear dress shoes click link below

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(location unknown)

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Regards,

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Unknown location

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Unknown location

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New Zealand

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Sincerely

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Arizona

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South Carolina

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location unknown

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location unknown

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Bre

location unknown

Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.

anonymous

Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!

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Seattle, WA

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location unknown

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New Jersey

Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.

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location unknown

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Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!

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Evansville, IA

Dear Marc

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San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

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location unknown

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Jackie

Whichita, KS

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mark

Boston, MA

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....Keep up what your doing. Your a life saver.

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Colorado

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annielou

Colorado

Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown

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Canada

I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......

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location unknown

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Wisconsin

Thank you for your response. You have provided some great insight (to my question)....

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Renae

North Carolina

Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Florida

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown

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Robert

New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

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Lenoir, NC

Thank you so much Doc for a quick and thorough response!

Rustam

Bellevue, WA

I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!

Jodi

location unknown

Intense Pain & Burning middle of the bottom of foot

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