sudden numbness in first and last toe

Hello Dr. Abrams,

I just started my OB/GYN residency and can be on my feet for 30 hours straight. I wear comfortable BASS clogs which I've had for a couple years. After my first night on call, I noticed my 5th toe on the R foot was numb on the lateral side and also under the MP joint. It has been numb almost 2 weeks now. I just finished another 30 hr call yesterday, and now my big toe on the R foot is numb on the medial side. I am young, athletic, healthy, run about 2-3 miles 3 times a week. No diabetes or any health problems. Several months ago, I had what I believed to be Morton's neuroma on the opposite foot, affecting the 2nd-3rd toes, but it resolved spontaneously after several days.

The numbness feels as if you were outside in the winter for too long and your toes get painful, numb. I still have pressure, proprioception, and motor control. However, I sense no touch or pain. It is a very odd feeling and I find myself tripping and hurting my R foot due to the loss of sensation.

I will end up seeing a DPM in the near future. I would like to know what are the causes of toe numbness, and possible therapies.

I would also like your recommendations for shoes, I'm looking to buy some new clogs for work. I am willing to spend up to $200 if necessary. I understand that my feet are essential to my function as a doctor, so I need to take care of them.

Posted By therese on July 16, 2005 at 16:20:17:

A layer of gel combined with a foot cover to help protect metatarsals and toes from friction and pressure. It also ideal for cushioning the ball of foot and provides warmth for people suffering from arthritis or poor circulation to the toes.

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