What is the differential diagnosis for sharp, shooting pain in the second toe?

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Differential Diagnosis for Sharp Shooting Pain in 2nd Toe

Single Most Likely Diagnosis

  • Morton's Neuroma: This condition is characterized by a sharp, shooting, or burning pain in the ball of the foot, often affecting the area between the 2nd and 3rd toes, but can also affect the 2nd toe. It is caused by compression or irritation of the interdigital nerve.

Other Likely Diagnoses

  • Gout: A form of arthritis that can cause sudden, severe attacks of pain, swelling, redness, and tenderness in the joints, often occurring at the base of the big toe but can also affect the 2nd toe.
  • Ingrown Toenail: A condition where the nail grows into the surrounding skin, causing pain, redness, and swelling, which can lead to sharp shooting pain if infected or if the nail digs deeper into the skin.
  • Stress Fracture: A small crack in a bone, often caused by overuse or repetitive stress, which can lead to sharp pain in the affected area, including the toes.

Do Not Miss Diagnoses

  • Cellulitis: A bacterial skin infection that can cause redness, swelling, and pain in the affected area. If left untreated, it can lead to serious complications, such as sepsis or abscess formation.
  • Deep Vein Thrombosis (DVT): A blood clot that forms in a deep vein, usually in the legs. It can cause pain, swelling, and warmth in the affected area, and can be life-threatening if the clot breaks loose and travels to the lungs.
  • Osteomyelitis: A bone infection that can cause pain, swelling, and redness in the affected area. If left untreated, it can lead to serious complications, such as bone destruction or sepsis.

Rare Diagnoses

  • Complex Regional Pain Syndrome (CRPS): A chronic pain condition that can cause severe, burning pain in the affected area, often following an injury or trauma.
  • Erythromelalgia: A rare disorder that causes burning pain, heat, and redness in the hands and feet, often affecting the toes.
  • Peripheral Artery Disease (PAD): A condition where the arteries that supply blood to the legs and feet become narrowed or blocked, leading to pain, cramping, and weakness in the affected area.

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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