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Differential Diagnosis for Pain Down Top of Foot at the Small Toe Side

Single Most Likely Diagnosis

  • Peroneal Tendonitis: This condition is characterized by inflammation of the peroneal tendons, which run along the outside of the ankle and foot. The pain is typically located on the top of the foot at the small toe side and can worsen with activities that involve pulling the foot up, such as dorsiflexion.

Other Likely Diagnoses

  • Extensor Tendonitis: Inflammation of the extensor tendons, which are responsible for toe extension and foot dorsiflexion, can cause pain on the top of the foot. Increased pain with foot dorsiflexion is a common symptom.
  • Cuboid Syndrome: This condition involves the cuboid bone in the midfoot and can cause pain on the top of the foot near the small toe side. It often occurs after an injury or repetitive strain.
  • Stress Fracture of the Fifth Metatarsal: A stress fracture in this bone, which is located on the outside of the foot near the small toe, can cause pain in the area, especially with activities that involve pulling the foot up.

Do Not Miss Diagnoses

  • Deep Vein Thrombosis (DVT): Although less common, DVT can cause pain in the foot and leg, especially if the clot is located in the deep veins of the lower extremity. It's crucial to consider DVT due to its potential for severe complications, such as pulmonary embolism.
  • Compartment Syndrome: This is a serious condition that occurs when pressure within the muscle compartments increases, leading to inadequate blood supply. It can cause severe pain, especially with movement, and requires immediate medical attention.

Rare Diagnoses

  • Erythromelalgia: A rare disorder characterized by burning pain, heat, and redness in the hands and feet. It can cause pain in the feet, including the top of the foot near the small toe side.
  • Tarsal Tunnel Syndrome: Similar to carpal tunnel syndrome but affecting the tarsal tunnel on the inside of the ankle, this condition can cause pain, numbness, and tingling in the foot, including the area near the small toe.

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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