Top of the pageCheck Your Symptoms

Topic Overview

Illustration of the bones of the foot

Everyone has had a minor problem with a toe, foot, or ankle. Most of the time
our body movements do not cause problems, but it’s not surprising that symptoms
develop from everyday wear and tear or overuse. Toe, foot, or ankle problems
can also occur from injuries or the natural process of aging.

Your
toes, feet, or ankles may burn, sting, hurt, feel tired, sore, stiff, numb,
tingly, hot, or cold. You may have had a “charley horse” (muscle cramp) in your foot while lying in bed at night. Your feet or ankles may
change color or
swell. You may have noticed an embarrassing
odor from your feet. Some changes in your feet and
ankles are normal
as a person ages or
during pregnancy. Home treatment is usually all that
is needed to relieve your symptoms.

Toe, foot, or ankle problems
may be caused by an injury. If you think an injury caused your problem, see the
topic
Toe, Foot, or Ankle Injuries.
But there are many noninjury causes of toe,
foot, or ankle problems.

Skin problems

Most skin problems that affect your
feet are more annoying than they are serious. If you have:

  • The feeling of walking on pebbles: You may have
    plantar warts on the bottom of your
    feet.
  • Patches of thick and tough skin on the heel or ball of your
    foot: You may have a
    callus, corn, blister, or skin
    growth.
  • Red, peeling, cracking, burning, and itchy skin between
    your toes or on the bottom of your feet: You may have
    athlete’s foot. Or maybe your feet are reacting to the
    shoes you are wearing (shoe dermatitis).
  • Red,
    swollen, and painful skin around a toenail: You may have an
    ingrown nail or an infection around your nail (paronychia).
  • Red, swollen soles of your
    feet that are painful to the touch or when you walk: You may have a bacterial
    infection. Public showers, hot tubs, or swimming pools are common areas where
    bacterial infections, athlete’s foot, and
    warts can be spread to your feet.

Joint problems

Toe joints are more likely to
develop problems than other joints in your feet.

  • Heat, pain, redness, swelling, and extreme
    tenderness that comes on quickly in your big toe joint may be caused by
    gout. Similar symptoms can occur with an
    infection.
  • If you have swelling or a bump
    at the base of your big toe, you may have a
    bunion.
  • If you have a bump on the outside
    of your little toe, you may have a
    bunionette, also called a Tailor’s
    bunion.
  • If your toes, other than your big toes, bend in an odd
    position, you may have
    hammer toes, mallet toes, or claw toes.
  • Joint pain, stiffness, and swelling are
    common when you have conditions such as
    bursitis,
    arthritis,
    lupus, or gout.

Pain

You may develop pain in the front (ball) of your
foot (metatarsalgia) or in your heel. Heel problems commonly
occur when you overuse calf muscles, wear shoes with high heels, or participate
in activities, such as running, that cause repeated pounding on your heels.

Numbness or tingling

Many conditions may affect the
nerves of the foot and cause numbness, tingling, and burning.

  • Pain, burning, tingling, or numbness that
    occurs between your toes, especially the third and fourth toes, and in the ball
    of your foot may be caused by a growth around the nerves (Morton’s neuroma).
  • Pain, numbness, and
    tingling that begins in your back or buttock, moves down your leg, and into
    your foot may be
    sciatica, caused by a pinched nerve (nerve root
    compression).
  • Foot and ankle pain that occurs with numbness and
    weakness in your foot may be caused by a pinched nerve in your ankle (tarsal tunnel syndrome) or back (sciatica).
  • Burning, numbness, or lack of feeling in your feet may be caused
    by poor circulation, especially in people who have
    diabetes or
    peripheral arterial disease. The circulation problem
    can lead to nerve damage (peripheral neuropathies). Foot problems are more likely to develop in people who
    have these conditions.

Check your symptoms to decide if and when
you should see a doctor.

Check Your Symptoms

Do you have a toe, foot, or ankle problem?
This includes symptoms like pain and changes in the way your feet look or feel.
Yes
Toe, foot, or ankle problem
No
Toe, foot, or ankle problem
How old are you?
Less than 5 years
Less than 5 years
5 years or older
5 years or older
Are you male or female?
Male
Male
Female
Female
Did you injure the toe, foot, or ankle in the past month?
Yes
Toe, foot, or ankle injury in the past month
No
Toe, foot, or ankle injury in the past month
Have you had toe, foot, or ankle surgery in the past month?
If a cast, splint, or brace is causing the problem, follow the instructions you got about how to loosen it.
Yes
Toe, foot, or ankle surgery in the past month
No
Toe, foot, or ankle surgery in the past month
Do you have a problem with your nails?
This means a problem that affects the nails only and not any other part of the limb (no other parts of the finger or hand or of the toe or foot).
Yes
Nail problem
No
Nail problem
Has sudden, severe weakness or severe numbness affected the whole leg or the whole foot?
Weakness is being unable to use the leg or foot normally no matter how hard you try. Pain or swelling may make it hard to move, but that is not the same thing as weakness.
Yes
Severe or sudden numbness or weakness in the whole leg or foot
No
Severe or sudden numbness or weakness in the whole leg or foot
When did it start?
Think about when you first noticed the weakness or numbness or when you first noticed a major change in the symptoms.
Less than 4 hours ago
Numbness or weakness began less than 4 hours ago
From 4 hours to 2 days (48 hours) ago
Numbness or weakness began from 4 to less than 48 hours ago
From 2 days to 2 weeks ago
Numbness or weakness began 2 days to 2 weeks ago
More than 2 weeks ago
Numbness or weakness began more than 2 weeks ago
Do you still have any weakness or numbness?
Weakness or numbness that does not go away may be more serious.
Yes
Numbness or weakness is now present
No
Numbness or weakness is now present
Has the weakness or numbness:
Gotten worse?
Numbness or weakness is getting worse
Stayed about the same (not better or worse)?
Numbness or weakness is unchanged
Gotten better?
Numbness or weakness is improving
Is the foot or are any of the toes blue, very pale, or cold and different from the other foot or toes?
If the foot or leg is in a cast, splint, or brace, follow the instructions you got about how to loosen it.
Yes
Foot or toes are blue, very pale, or cold and different from other foot or toes
No
Foot or toes are blue, very pale, or cold and different from other foot or toes
Is there any pain in the toes, foot, or ankle?
Yes
Pain in toes, foot, or ankle
No
Pain in toes, foot, or ankle
How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?
5 to 10: Moderate to severe pain
Moderate to severe pain
1 to 4: Mild pain
Mild pain
Has the pain:
Gotten worse?
Pain is increasing
Stayed about the same (not better or worse)?
Pain is unchanged
Gotten better?
Pain is improving
Is there a new limp?
Yes
New limp
No
New limp
Do you have any pain in your toes, foot, or ankle?
Yes
Toe, foot, or ankle pain
No
Toe, foot, or ankle pain
How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?
8 to 10: Severe pain
Severe pain
5 to 7: Moderate pain
Moderate pain
1 to 4: Mild pain
Mild pain
How long has the pain lasted?
Less than 2 full days (48 hours)
Pain less than 2 days
2 days to 2 weeks
Pain 2 days to 2 weeks
More than 2 weeks
Pain more than 2 weeks
Has the pain:
Gotten worse?
Pain is getting worse
Stayed about the same (not better or worse)?
Pain is unchanged
Gotten better?
Pain is getting better
Do you think the problem may be causing a fever?
Some bone and joint problems can cause a fever.
Yes
Possible fever
No
Possible fever
Are there any symptoms of infection?
Yes
Symptoms of infection
No
Symptoms of infection
Are there red streaks leading away from the area or pus draining from it?
Yes
Red streaks or pus
No
Red streaks or pus
Do you have diabetes, a weakened immune system, peripheral arterial disease, or any surgical hardware in the area?
“Hardware” includes things like artificial joints, plates or screws, catheters, and medicine pumps.
Yes
Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area
No
Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area
Are you having trouble moving the foot or toes?
Pain and swelling can limit movement.
Yes
Difficulty moving foot or toes
No
Difficulty moving foot or toes
Is it very hard to move or somewhat hard to move?
“Very hard” means you can’t move it at all in any direction without causing severe pain. “Somewhat hard” means you can move it at least a little, though you may have some pain when you do it.
Very hard
Very hard to move
Somewhat hard
Somewhat hard to move
How long have you had trouble moving the foot or toes?
Less than 2 days
Difficulty moving foot for less than 2 days
2 days to 2 weeks
Difficulty moving foot for 2 days to 2 weeks
More than 2 weeks
Difficulty moving foot for more than 2 weeks
Has the loss of movement been:
Getting worse?
Difficulty moving is getting worse
Staying about the same (not better or worse)?
Difficulty moving is unchanged
Getting better?
Difficulty moving is improving
Is there any swelling?
Yes
Swelling
No
Swelling
Do you have any new shortness of breath or chest pain?
When this occurs with swelling or deep pain in one leg, it can be a symptom of a blood clot that has moved from the leg to the lung.
Yes
Shortness of breath or chest pain
No
Shortness of breath or chest pain
Have you been urinating a lot less than usual lately?
Yes
Decreased urination
No
Decreased urination
Is the swelling getting worse (over hours or days)?
Yes
Swelling is getting worse
No
Swelling is getting worse
Is there a painful lump, bump, growth, or thickened area on the foot or toe?
Yes
Painful lump, bump, thickening, or growth on toe or foot
No
Painful lump, bump, thickening, or growth on toe or foot
Have you had toe, foot, or ankle problems for more than 2 weeks?
Yes
Symptoms for more than 2 weeks
No
Symptoms for more than 2 weeks

Many things can affect how your body responds to a symptom and what kind
of care you may need. These include:

  • Your age. Babies and older
    adults tend to get sicker quicker.
  • Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
    disease, you may need to pay closer attention to certain symptoms and seek care
    sooner.
  • Medicines you take. Certain
    medicines, herbal remedies, and supplements can cause symptoms or make them
    worse.
  • Recent health events, such as surgery
    or injury. These kinds of events can cause symptoms afterwards or make them
    more serious.
  • Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
    use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be
able to take care of this problem at home.

  • Try home treatment to relieve the
    symptoms.
  • Call your doctor if symptoms get worse or you have any
    concerns (for example, if symptoms are not getting better as you would expect).
    You may need care sooner.

Pain in children under 3 years

It can be hard to tell how much pain a baby or toddler is in.

  • Severe pain (8 to 10): The
    pain is so bad that the baby cannot sleep, cannot get comfortable, and cries
    constantly no matter what you do. The baby may kick, make fists, or
    grimace.
  • Moderate pain (5 to 7): The baby is
    very fussy, clings to you a lot, and may have trouble sleeping but responds
    when you try to comfort him or her.
  • Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds
    when you try to comfort him or her.

Pain in children 3 years and older

  • Severe pain (8 to 10): The pain
    is so bad that the child can’t stand it for more than a few hours, can’t sleep,
    and can’t do anything else except focus on the pain. No one can tolerate severe
    pain for more than a few hours.
  • Moderate pain (5 to 7): The pain is bad enough to disrupt the child’s normal activities and
    sleep, but the child can tolerate it for hours or days.
  • Mild pain (1 to 4): The child notices and may complain of the pain,
    but it is not bad enough to disrupt his or her sleep or activities.

When an area turns blue, very pale, or cold, it can mean that there has been a sudden change in the blood
supply to the area. This can be serious.

There are other reasons
for color and temperature changes. Bruises often look blue. A limb may turn
blue or pale if you leave it in one position for too long, but its normal color
returns after you move it. What you are looking for is a change in how the area
looks (it turns blue or pale) and feels (it becomes cold to the touch), and
this change does not go away.

Certain health conditions and medicines weaken the immune system’s ability to fight off infection and
illness. Some examples in adults are:

  • Diseases such as diabetes, cancer, heart disease,
    and HIV/AIDS.
  • Long-term alcohol and drug
    problems.
  • Steroid medicines, which may be used to treat a variety
    of conditions.
  • Chemotherapy and radiation therapy for
    cancer.
  • Other medicines used to treat autoimmune
    disease.
  • Medicines taken after organ transplant.
  • Not
    having a spleen.

Pain in adults and older children

  • Severe pain (8 to 10): The pain
    is so bad that you can’t stand it for more than a few hours, can’t sleep, and
    can’t do anything else except focus on the pain.
  • Moderate pain (5 to 7): The pain is bad enough to disrupt your
    normal activities and your sleep, but you can tolerate it for hours or days.
    Moderate can also mean pain that comes and goes even if it’s severe when it’s
    there.
  • Mild pain (1 to 4): You notice the pain,
    but it is not bad enough to disrupt your sleep or activities.

Symptoms of infection may
include:

  • Increased pain, swelling, warmth, or redness in or
    around the area.
  • Red streaks leading from the area.
  • Pus draining from the area.
  • A fever.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

  • Call your doctor now to discuss the symptoms and
    arrange for care.
  • If you cannot reach your doctor or you don’t have
    one, seek care in the next hour.
  • You do not need to call an
    ambulance unless:

    • You cannot travel safely either by driving
      yourself or by having someone else drive you.
    • You are in an area
      where heavy traffic or other problems may slow you down.

Seek Care Today

Based on your answers, you may need care soon. The
problem probably will not get better without medical care.

  • Call your doctor today to discuss the symptoms
    and arrange for care.
  • If you cannot reach your doctor or you don’t
    have one, seek care today.
  • If it is evening, watch the symptoms and
    seek care in the morning.
  • If the symptoms get worse, seek care
    sooner.

Make an Appointment

Based on your answers, the problem may not improve without medical
care.

  • Make an appointment to see your doctor in the
    next 1 to 2 weeks.
  • If appropriate, try home treatment while you
    are waiting for the appointment.
  • If symptoms get worse or you have
    any concerns, call your doctor. You may need care sooner.

Call 911 Now

Based on your answers, you need
emergency care.

Call 911 or other emergency services now.

Postoperative Problems
Nail Problems and Injuries
Toe, Foot, and Ankle Injuries

Home Treatment

Most minor toe, foot, or ankle
problems go away on their own. Home treatment is usually all that is needed to
relieve your pain, swelling, and stiffness.

  • If you have swelling, be sure to
    remove all rings, anklets, or any other jewelry that goes around your leg or ankle.
    It will be harder to remove your jewelry if swelling increases, which
    in turn can cause other serious problems, such as nerve compression or
    restricted blood flow.
  • Use
    rest, ice, compression, and elevation (RICE) for pain and
    swelling.
  • Stop, change, or take a break from any activities that
    cause your symptoms.

    • Avoid “running through the pain,” which may
      increase damage to your foot.
    • Consider changing your exercise
      routine if you think running or another high-impact sport is causing your foot
      pain. Switch temporarily to a low-impact exercise activity, such as
      cross-country skiing, stair-climbing machines, bicycling (regular or
      stationary), rowing, or swimming.
    • Use sensible
      sports training techniques, such as wearing the right
      shoes and stretching before activities.
  • Gently massage your feet to reduce discomfort,
    relax your feet, and promote circulation.
  • Wear comfortable and
    supportive shoes and socks. See
    tips on good footwear to learn how to choose the right shoes for
    you.
  • Consider using an
    orthotic shoe device, such as an arch support, to help
    relieve your foot pain.
  • Try
    heel-cord exercises to increase your strength and
    flexibility if your heel or heel cord (Achilles tendon) is tight and painful.
    This may help relieve your heel pain.
Medicine you can buy without a prescription
Try a nonprescription
medicine to help treat your pain:

Talk to your child’s doctor before switching back and
forth between doses of acetaminophen and ibuprofen. When you switch between two
medicines, there is a chance your child will get too much medicine.

Safety tips
Be sure to follow these
safety tips when you use a nonprescription medicine:
  • Carefully read and follow all directions
    on the medicine bottle and box.
  • Do not take more than the
    recommended dose.
  • Do not take a medicine if you have had an
    allergic reaction to it in the past.
  • If
    you have been told to avoid a medicine, call your doctor before you take
    it.
  • If you are or could be pregnant, do not take any medicine other
    than acetaminophen unless your doctor has told you to.
  • Do not give aspirin to anyone younger than age 20 unless your doctor tells you to.

Try home treatment for these other foot problems such
as:

  • Foot cramps. Try the following home treatment to
    help relieve leg cramps:

    • Straighten your leg.
    • Hold your
      foot and pull it toward you. It is probably easiest to do this from a sitting
      position. You can loop a towel around the end of your foot and pull it toward
      you if you have trouble reaching your foot.
    • Gently rub or massage
      your foot.
  • Calluses and
    corns. Home treatment may help relieve discomfort from
    corns, calluses, or other thickened skin:

    • To thin a corn or callus, rub the thickened
      skin with a towel after a shower or bath.
    • Use a pumice stone after
      bathing to reduce the tissue. Do not do this if you have
      diabetes,
      peripheral arterial disease, or an
      immune system problem, or if you have been told that you have
      poor circulation in your feet.
    • Pad pressure areas with
      doughnut-shaped felt,
      moleskin patches, or lamb’s wool.
    • Never cut corns or calluses.
      Infection may develop.
    • Some lotions and
      moisturizers may also relieve symptoms from corns and calluses.
  • Blisters. Home treatment for blisters
    depends on whether the blister is small or large and whether it has broken
    open. See a picture of
    blisters.
  • Swollen ankles and feet. Try the
    following home treatment measures to reduce swelling in your ankles and feet:

    • Elevate swollen feet and ankles on a
      footstool or pillows (above the level of your heart) when sitting for any
      length of time.
    • Get up and walk around for a few minutes every hour
      if you sit for any length of time.
    • Cut down on your salt (sodium) intake or make a salt substitute. Sodium can be hidden in foods such as
      cheese, canned soups, and salad dressing. Talk to your doctor before trying a
      salt substitute.

If you are diagnosed with a foot problem, other home treatment steps may help.

Symptoms to watch for during home treatment

Check your symptoms if any of the following occur during home
treatment:

  • Pain or swelling develops.
  • Signs of infection develop.
  • Numbness,
    tingling, or cool, pale skin develops.
  • Symptoms continue despite
    home treatment.
  • Symptoms become more severe or frequent.

Prevention

The following tips may prevent toe, foot,
or ankle problems.

General tips

  • Bathe your feet daily in lukewarm (not hot)
    water. Use a mild soap, preferably one containing moisturizers, or use a
    moisturizer separately.
  • Avoid problems by wearing good footwear. Wear comfortable and supportive shoes. Support weak or unstable ankles by using a brace or
    taping before exercise or activities that increase your risk of
    problems.
  • Wear the correct size panty hose and stockings. Avoid
    wearing constricting garters, knee-high, or thigh-high
    stockings.
  • Use a rubber mat to stand on if your work requires you
    to stand on hard surfaces. This may reduce stress on your
    feet.
  • Maintain a reasonable weight for your height.

Exercise tips

  • Do
    stretching exercises for the tendons at the back of
    the heels. This is especially important for athletes before sports activities
    but is also helpful for people who are not involved with
    sports.
  • Walk regularly to improve circulation, increase
    flexibility, reduce fatigue, and encourage bone and muscle
    development.
  • Establish good exercise habits and
    sports training techniques.
  • Consider
    consulting a sports-training specialist if you are a competitive or serious
    recreational athlete. He or she can recommend training and conditioning
    programs to prevent foot problems.

Foot care tips

Preparing For Your Appointment

To prepare for your appointment, see the topic Making the Most of Your Appointment.

You can help your
doctor diagnose and treat your condition by being prepared to answer the
following questions:

  • What are your main symptoms?
  • How long
    have you had your symptoms?
  • What were you doing when your symptoms
    started?
  • Have you had this problem in the past? If so, do you know
    what caused the problem at that time? How was it treated?
  • What
    activities related to sports, work, or your lifestyle, make your symptoms
    better or worse?
  • Did foot problems begin after you started wearing
    new footwear?
  • What home treatment have you tried? Did it
    help?
  • What nonprescription medicines have you taken? Did they
    help?
  • Have you started any new medicines or have you had a change
    in the dosage of a medicine?
  • Do you have any
    health risks?

Credits

ByHealthwise Staff
Primary Medical Reviewer William H. Blahd, Jr., MD, FACEP – Emergency Medicine

Current as ofMarch 20, 2017

Current as of:
March 20, 2017