Differential Diagnosis for Forefoot Pain
Single Most Likely Diagnosis
- Morton's Neuroma: This condition is a common cause of forefoot pain, characterized by a benign growth of nerve tissue between the toes, typically between the third and fourth toes. It is often associated with wearing tight or high-heeled shoes.
Other Likely Diagnoses
- Plantar Fasciitis: Inflammation of the plantar fascia, a band of tissue that runs along the bottom of the foot, can cause pain in the forefoot, especially with weight-bearing activities.
- Metatarsalgia: This condition refers to pain and inflammation in the metatarsal area, often due to overuse, poor foot mechanics, or ill-fitting shoes.
- Bunions: A bunion is a bony growth that can develop at the base of the big toe, causing pain and discomfort in the forefoot.
- Hammer Toes: Abnormal contraction of the toes can lead to pain and discomfort in the forefoot, especially if shoes are too tight.
Do Not Miss Diagnoses
- Infection (e.g., Cellulitis or Abscess): Infections in the forefoot can be serious and require prompt medical attention. Symptoms may include redness, swelling, warmth, and increased pain.
- Deep Vein Thrombosis (DVT): Although less common, DVT can cause forefoot pain and swelling, and is a medical emergency due to the risk of pulmonary embolism.
- Gout: This form of arthritis can cause sudden, severe pain in the forefoot, often accompanied by redness and swelling.
- Diabetic Foot Ulcer: In people with diabetes, foot ulcers can develop and cause forefoot pain, and are at risk of becoming infected.
Rare Diagnoses
- Freiberg's Disease: A rare condition that affects the metatarsal bones, causing pain and stiffness in the forefoot.
- Kohler's Disease: A rare bone disorder that affects the navicular bone, causing pain in the forefoot.
- Charcot Foot: A rare condition that affects people with diabetes, causing destruction of the bones and joints in the foot, leading to forefoot pain and deformity.
- Erythromelalgia: A rare disorder that causes burning pain, heat, and redness in the feet, including the forefoot.