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

pain in my diabetic foot

by Kavitha
(Delhi)

I am overweight and a diabetic patient(DM type 1,DKA) , whenever I walk or stand for a long and sit to take rest and the moment I stand up again my left foot is very painful some nerves are really painful and I start limping. yesterday I walked and stood for almost 2 and a half hours and now the pain is nothing like what I endured earlier I am not even able to move my Thumb without experiencing pain and the nerves in question are right below my foot thumb towards the middle of the foot they usually bulge a bit and today as well its the same but the pain is too much when I consulted a doctor (not now previously I did and the answer tells me not to go back ) the doctor, said its because you are heavy reduce weight and you will be fine, I reduced somewhat 10 kgs but it was still there and now I have again put on weight please let me know why the pain comes and goes?

Thank you

ANSWER

Hi Kavitha,

Certainly excess weight has something to do with the problem you describe and losing weight would help your feet in general as well as help your diabetes, but the age old problem that occurs is if your foot is hurting it is hard to exercise and thus it is hard to lose weight.
Based on your story it sounds like either you have a problem with a big toe joint, or perhaps with the sesamoid bone directly underneath the big toe joint.
Both of these problems could be aggravated by excess weight but your weight is not the only reason you could develop pain in that area.
I would recommend you try and find a doctor in your area who specializes in foot problems. In general terms, internists and family doctors know very little about foot problems and they tend to lump all foot pain into a couple of the more common diagnoses related to the feet.
In order to avoid more serious foot problems as you move forward, it is very important to control your blood sugars.

Marc Mitnick DPM
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Comments for pain in my diabetic foot

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Sep 25, 2011
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Thank you Very Much
by: Kavitha

Thank you for the reply Doctor I have started loosing weight and also looking for a foot specialist not just for myself but for my mother too,
actually my mother's feet are paining and also giving a sensation of burning she is also overweight,her legs become rigid and then starts paining and burning. No doctor listens to her they simply ignore when she talks about it I don't know why. She went through a number of tests but the doctor said nothing about her feet burning or the pain in them just the triglyceride is more than it should be and her cholesterol is also high she has been prescribed medicines for that only is this anything to do with the foot burning? it is so much easier when you know what it is or what it could be. I am glad I have someone to ask thank you so much I really appreciate your efforts.

please explain what could be the reason while I find someone suitable to diagnose the problem

Thank you

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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

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Unknown location

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Evansville, IA

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San Diego, CA

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Wonderful advice

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This is the best site for foot problem info.

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

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location unknown

pain in my diabetic foot

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