Differential Diagnosis for Swollen Feet and Sensitive Soles
- Single Most Likely Diagnosis
- Edema due to fluid retention: This is often seen in individuals with poor circulation, heart failure, or those taking certain medications. The swelling and sensitivity can be attributed to the accumulation of fluid in the feet.
- Other Likely Diagnoses
- Plantar fasciitis: Inflammation of the plantar fascia can cause pain and sensitivity in the soles of the feet, which may be accompanied by swelling.
- Overuse or repetitive strain injury: Activities that involve standing, walking, or running can lead to inflammation and strain in the feet, resulting in swelling and sensitivity.
- Poorly fitting shoes: Ill-fitting shoes can cause friction, pressure, and irritation, leading to swelling and sensitivity in the feet.
- Do Not Miss Diagnoses
- Deep vein thrombosis (DVT): Although less common, DVT can cause swelling and pain in one leg, and it is crucial to rule out this potentially life-threatening condition.
- Cellulitis: A bacterial skin infection that can cause swelling, redness, and sensitivity in the affected area, which may be deadly if left untreated.
- Diabetic neuropathy: Individuals with diabetes may experience nerve damage, leading to sensitivity and swelling in the feet, which can be a precursor to more severe complications.
- Rare Diagnoses
- Erythromelalgia: A rare disorder characterized by burning pain, heat, and redness in the hands and feet, which can also cause swelling and sensitivity.
- Complex regional pain syndrome (CRPS): A chronic pain condition that can cause swelling, sensitivity, and inflammation in one limb, often following an injury or trauma.
- Lymphedema: A condition characterized by the abnormal accumulation of protein-rich fluid in the interstitial tissue, leading to swelling and sensitivity in the affected limb.