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Numbness and Pain in toes after wearing High heel shoes

Hi,
Not sure where to post this question...............but, about two weeks ago I attended a wedding and wore 3inch high heel shoes for about 8 hours and danced about six hours in them. I never wear high heels only comfortbale shoes on a daily basis! Since then I have had numbness in my 2,3 and 4th..... and EXTREME pain in the balls of my feet..... I have not be able to walk for two weeks now and have taken off of work for this. I have been resting on the couch with my feet elevated and ice on them, for this is the only thing that makes them feel better. I have also been taking advil but this has not been doing anything........ I went to the Doctors the other day and they said I probably have tarsal tunnel syndrome <---- fat chance (I think) because i just don't fit the type of person who would get this syndrome...... I went back to the Doctors for a second opinion and this new dr. thinks I have Morton's Neuroma...... ( I DO NOT HAVE HEALTH INSURANCE, I am a student) The only test I have had so far was a X-ray which ruled out stress fractures........ My Dr. put me on Prednisone (Thanks to $4 RX's at Walmart) and it's been my 4th day taking them. The numbness has subsided in my toes IF and ONLY IF I DO NOT WALK OR STAND ON THEM............. (I used to have numbness constantly in them) I still have get cramping once in a while in them but it's getting better IF again, I DO NOT WALK OR STAND............. On that note, I am so scared that I will never be able to walk again...... Could I possibly have permenant nerve damage and need to have surgery?? PLEASE ADVISE........... I have been miserably depressed because I can not stand or walk........ ANY INFORMATION WOULD BE GREATLY APPRECIATED.............. THanks so much!!!

Answers:

:)Hi and Welcome JustRNJust

I can understand why your are so worried and so sorry your feet are hurting. I must say too we can't always have the diagnosis that best fits our purses unfortunately. When you went to your Dr I'm assuming hes your primary Dr. Did he refer you to a specialist? He may just know what is best for your feet. Its important to find one Dr you feel comfortable with and trust. As far as health insurance this is a problem for many people. Can you get any assistance through local social service agencies? Ask your Dr too if he will accept partial payments ,you be surprised many will or still do, depending where you live rural or otherwise.
I'm not a Dr so i don't presume to know but I certainly hope you improve and can be seen. You may also use the search bar to search these conditions.
For future reference post your questions in one place, if not correct the Dr or admin will move, but it will be seen.
Let us know how you do
Purple98Lady :)Thank you very much PurpleLady for the Advise and Response. Sorry about the mutiple posts............

TO ANYONE WITH A MEDICAL BACKGROUND!

I was referred to an Orthopedic but am assiming that a podiatrist would be more appropriate? What are the main difference between the both? Maybe someone can read my above post and see if there is any medical advice they can offer than, "see a doctor." Thanks so much I would greatly appreciate it!Hi JustRNJust,
I understand your frustration. Feeling pain and not knowing what to do about it can be really upsetting. The way doctors come to diagnoses is through taking a through history and medical exam and then ordering tests when necessary. Through their medical training, they learn patterns of medical problems and they learn how to differentiate between different conditions based on the questions they ask and the exams they preform. You can therefore appreciate the limits of the internet where the doctors neither have the opportunity to gather a thorough history (they can only rely on information that someone offers instead of being able to ask pointed questions themselves), nor do they have the advantages of a physical exam. While the internet is great for general information and education, it is nearly impossible to come up with a diagnosis and treatment for an individual over the internet. That said, "see a doctor" is quite sound medical advice over the internet.
The main difference between orthopedists and podiatrists, is that podiatrists are trained in a school of podiatry (much like dentists are trained in a school of dentistry) while orthopods complete medical school before specializing in orthopedics. The advantage of seeing a podiatrist is that he is only a specialist in feet so he should know the field quite well. Orthopods have the advantage of generally having a broader understanding of the musculoskeletal system. So which one you see is based both on personal preference and what your doctor believes better suits your need. I have seen both and prefer the orthopedists, but I am biased both by my interest in the field and the relationship I have with that doctor. I'd imagine a good podiatrist is a better choice than a bad orthopedists and vis versa, so I wouldn't worry too much about which is the proper specialist to see.
The symptoms you describe aren't specific to any condition, but the two opinions that you've gotten both seem to indicate some nerve impingement, which is very rarely permanent. If the prednisone is working, that seems to indicate some type of inflammation, which could cause the impingement. If that is the case, once the inflammation is treated, the numbness should subside. I'm curious to know why you don't believe you are the type to have tarsal tunnel syndrome (not that I believe that that's the correct diagnosis, its just generally not the kind of condition that afflicts types of people). Other things you may want to look into is the mechanics of your gait and your feet to see if that is causing you pain. Flat feet, high arches, leg length discrepancies, and gait disturbances can all contribute to pain. I really believe that "seeing a doctor" is your best bet for treating your problem. It is clearly bothering you quite a bit, and seeing a doctor in person is important so that he can make an accurate diagnosis and implement the proper treatment. All the best and people keep us posted!Hi Yankee,
Thanks for the reply! It was very nice to offer me that information! IT IS VERY MUCH APPRECIATED AND COMFORTING! I understand everything that you are saying....... I am a RN student and do have somewhat of a medical background, therefor I know that tarsal tunnel is probably not what I have(tarsal tunnel, like Carpal tunnel is more likely to strike those with ill ergonmic or routine repetitve use of the tarsal.) Morton's nueroma seems to be what my 2nd Dr. thinks (through clinical examination)............... and because my symptoms are more specific to this condition. Just wondering if there are any other conditons out there that they can be realted to though..................

TO ALL:
I am just freaked out because I can't find any other cases where Morton's occured due to one incident in a pair of high heels.................................. I have perfectly anatomical feet, no medical conditions, etc...... This just happened to be some freak thing that happened and am scared that I may not ever be able to walk again. I am trying to find out how long it may take for the nerves to heal or for them to decompress. Also, trying to find out if this has happened to anyone else ever THANKS AGAIN!!!!:)JustRNJust

Here is also an outside link regarding the Mortons Neuroma/nerve enlargement and pain. I agree the treatment which will take several weeks is probably the best thing to see if this improves. Hopefully for you it will. Since you are becoming an RN and this occupation will require your feet to be under long term standing and walking or even standing in one place, its even more important to pick your shoes for everyday and otherwise for comfort to best support at all times. Hopefull this will clear up for you with medication and rest. Best Wishes
http://www.kcfootcare.com/mortonsneuroma.shtml

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Numbness and Pain in toes after wearing High heel shoes

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