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Pain in my feet when walking and standing, but none when sitting

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#1
MisterPM

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I've had very painful feet for the last 5 months now. I thought it could be an injury so I haven't been using them very vigorously for the past 3 months. I stopped any jogging I used to do and I keep them propped up and off the floor as much as I can. However, after 3 months of resting them, they still haven't gotten any better.

They feel very aching and painful whenever I put any pressure on them. I bought a new pair of supportive shoes, but after just 10 minutes of walking or standing they still begin to hurt. Only when I'm not using my feet do they feel fine. The pain goes completely away as long as I don't put any pressure on them. Only the bottoms of my feet hurt, from heel to front. The tops never hurt and I don't have any tingling sensations.

I keep a small step stool under my desk so I can prop my feet up off the ground, because even after awhile of sitting with my feet flat on the floor they will eventually start to hurt on the bottoms. They always feel best and perfectly fine whenever I'm lying in bed, or sitting on a very high chair so my feet don't touch the ground, or if I prop them up on my step stool under my desk.

I've never been diagnosed with diabetes before, (and unless this is just an injury that isn't getting any better), could any of this persistent pain be a sign of diabetic neuropathy?

#2
Subby

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Hi. The effects of peripheral neuropathy can vary somewhat from person to person, so vague things like feet aching whether under pressure or not doesn't really cast much light on the situation.

I notice that you posted in the type 1 forum, and I can say it seems pretty unlikely that aching feet would be the first sign of type 1 in particular. Peripheral neuropathy occurs after some time of elevated blood sugars, and when type 1 strikes it tends to lead to very elevated sugars very quickly, so you'd have other very dramatic symptoms appear much sooner than aching feet. IE, feeling extremely sick and even passing out.

I'm not saying it can't happen though, or that it may not be sign of another form of diabetes that can tend to creep up on people like type 2 or type 1.5. Going to the doctor can be a pain, but the only way you'll get a definitive answer to your question is to go and get checked out for diabetes.
20 years T1. NPH and Novorapid.
Some essentials for my blood sugar control: dosing via i:c ratio and cf • basal testing when needed • daily 40 minutes moderate exercise (or close) • carbs somewhere below 120g currently • only eating carbs and carb/fat combos that do not cause a problem spike, with or without insulin.

#3
Gladtobehere

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I experienced some mysterious foot and knee pain many years ago, due to a very unusual office environment and the onset of cold weather. Even though I knew my feet and lower legs were getting cold during office hours (no neuropathy), it took me 3-4 months to put 2 and 2 together and resolve the issue.

Essentially I switched from leather soled dress shoes to comfortable thick and soft soled runners. My feet did not get as cold and the knee and foot pains went away. Dohhhhhhhh! It was a bit of a Homer moment.

Point is to look closely at the environment your feet live in. Also consider genetics....Could be arthritis?

AND Subby is right......................see a doctor.

#4
jenb

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Foot pain can be the result of many different conditions and you should see your doctor sooner than later. It can indicate serious circulatory problems, diabetes, injury....the list is a long one.

Jen

#5
foxl

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It also could be plantar fasciitis. Do you want to fall over, when you get out of bed? Plantar fasciitis - PubMed Health
Linda


[B]Jan A1c 6.3/B]
Jul 09 ... C-pep 1.3, GAD-65 > 30
Mar 10 C-pep 2.8 (20 g carb); GAD 3.2
dx 02/09 in DKA


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#6
jwags

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I have chronic plantar fachitis. It is usually caused by jogging, running or too much exercise. I have to be very careful of the type of shoes I wear. I found a pair of sneaker made by ECCO that has a special plantar fachitis bridge. Also I have recently found a brand of shoes called OORTHAHEEL. They have flats, boots, sandals and tie shoes. I ordered a pair of sandals this summer and they are the best shoes I have ever had. I recently purchased a couple of pair of the orthodics to put in my old boots and sneakers. They make a big difference. When I am off my feet , my feet rarely hurt, it is just when I put pressure on that arch. These orthodics support the arch really well. If you go to the website Footsmart.com and hit Shop by Condiiton, you will find a lot of things to help foot pain.
HbA1c 5.3 3/11 , HbA1c 5/12 6.1
metformin 2550 mg
Moderate carb diet 40-75 carbs a day
3 T of Coconut Oil daily

Vit D, CoQ10, Melatonin, Multi vitamin, zinc, B 12
Chia Seeds , Flaxseeds

Exercise- Tennis - 4 hours/week, Power Walking- 2-3 miles most days, Hiking in the summer on trails and in the mountains

diagnosed Feb 2007
Age 63

#7
MisterPM

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Thank you so much for the replies.

It's just so confusing that I've had this pain for so long and it still hasn't gotten any better. (If it's an injury, I've never had it take this long before.) It's confusing too that I can be in such debilitating pain whenever I'm using them but then feel completely fine whenever I'm not.

I don't have any trouble during first thing in the morning. I wish I could stay in bed all day so that they couldn't begin to hurt. Is it possible to have plantar fasciitis without the very common symptom of significant pain in the mornings?

If it was a neurological problem would I feel the pain everywhere on my feet or just the areas where I use them? How often would tingling sensations occur?

#8
adiantum

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Hi MisterPM, You've not mentioned your A1c nor bg readings. Do you think it could be the cause?
Dx Dec 07 Type2
Control...nutrition & exercise

#9
SCC

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Questions...is it the bottoms of both feet, from heel to toe? Is it a muscular kind of pain or a nerve kind of pain? (sort of an ache v. tingling/weird). Do the soles of your feet look differently than they usually do? Do they look different when they are hurting v. when they are not hurting? When they hurt, can you touch them or massage them and does it make it better or worse? Do they hurt with shoes off v. shoes on? Do you wear shoes that tie?

Anyway, trying to eliminate the variables. It could be something as silly as your shoes are tied too tightly and the circulation is impaired when you stand. Other than that, I join the chorus of "see a doc". Please let us know how it goes!
-Susan
Type 1 - 48 years and counting
Pumping since Sept 07 (MM Revel 523)

#10
jwags

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Thank you so much for the replies.

It's just so confusing that I've had this pain for so long and it still hasn't gotten any better. (If it's an injury, I've never had it take this long before.) It's confusing too that I can be in such debilitating pain whenever I'm using them but then feel completely fine whenever I'm not.

I don't have any trouble during first thing in the morning. I wish I could stay in bed all day so that they couldn't begin to hurt. Is it possible to have plantar fasciitis without the very common symptom of significant pain in the mornings?

If it was a neurological problem would I feel the pain everywhere on my feet or just the areas where I use them? How often would tingling sensations occur?




There is a ligament that runs under your foot. When this gets inflammed from over exercise, injury, bad choice of shoes, etc, the pain can happen at any part of the ligament. The body usually tries to heal itself and sometimes heel spurs are the result. I have had varying amounts of pain with the plantar fascitis. At its worst you can't even step out of bed without excruciating pain. Since wearing orthodics and the proper footwear, I am mostly pain free unless I wear an old pair of high heel boots or poor fitting shoes. Any pair of shoes that does not hit the arch properly will lead to injury. I also have some roller and strecher bars that help stretch the ligament. You can also do massage along the pressure points on either side of the ligament. Some people will get cortizone shots for severe pain, you might want to ask your doctor. I am not crazy about the shots and the relief is usually just temporary. Finding supportive shoes and wearing them all the time is important. If I walk around barefoot it seems that my arch just gets crushed and the pain increases.
HbA1c 5.3 3/11 , HbA1c 5/12 6.1
metformin 2550 mg
Moderate carb diet 40-75 carbs a day
3 T of Coconut Oil daily

Vit D, CoQ10, Melatonin, Multi vitamin, zinc, B 12
Chia Seeds , Flaxseeds

Exercise- Tennis - 4 hours/week, Power Walking- 2-3 miles most days, Hiking in the summer on trails and in the mountains

diagnosed Feb 2007
Age 63

#11
MisterPM

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Questions...is it the bottoms of both feet, from heel to toe? Is it a muscular kind of pain or a nerve kind of pain? (sort of an ache v. tingling/weird). Do the soles of your feet look differently than they usually do? Do they look different when they are hurting v. when they are not hurting? When they hurt, can you touch them or massage them and does it make it better or worse? Do they hurt with shoes off v. shoes on? Do you wear shoes that tie?

Anyway, trying to eliminate the variables. It could be something as silly as your shoes are tied too tightly and the circulation is impaired when you stand. Other than that, I join the chorus of "see a doc". Please let us know how it goes!


It's both of my feet on the entire bottoms. They both look the same from one another when they're hurting and when they're not. It hurts most whenever I'm walking without shoes. I usually have to make sure I'm wearing shoes even if I'm walking from just one room to another. I never try to touch them when they're hurting.

I'm not sure if the pain I feel is muscular or nerve pain. I've been trying to find out what nerve pain specifically feels like but haven't been able to find out. Would nerve pain hurt constantly or only when I use them? Would it hurt all over or just the areas I use? How often would I feel tingling sensations?

(I'm beginning on planning to see a doctor)

#12
Bountyman

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The very bottom of your feet is the farthest distance from your heart. There's also something else going on when you're walking. The way the blood circulates in your body is by heart pressure. Except it's a little modified in your feet. What's happened is the body has evolved so that when we walk our feet help pump the blood back to our heart. Complicated feet. In the circulatory system the turning from arterial to venial goes through capillaries. There's a chance you have impaired capillary transfer in your feet when there's pressure on the sole. Try this; use a foot bath. Put both your feet into a container of hot water just above your ankles for about 10 minutes. Then get up, step on the dry towel you placed next to the container, then walk around the house for a minute and see if that changes things. After you've cleaned up and put everything away...come back here and tell me what a stupid idea that was. :D

'Let thy food be thy medicine, and thy medicine be thy food.'
-Hippocrates, Father of Medicine, 400 BC


#13
Subby

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It's both of my feet on the entire bottoms. They both look the same from one another when they're hurting and when they're not. It hurts most whenever I'm walking without shoes. I usually have to make sure I'm wearing shoes even if I'm walking from just one room to another. I never try to touch them when they're hurting.

I'm not sure if the pain I feel is muscular or nerve pain. I've been trying to find out what nerve pain specifically feels like but haven't been able to find out. Would nerve pain hurt constantly or only when I use them? Would it hurt all over or just the areas I use? How often would I feel tingling sensations?

(I'm beginning on planning to see a doctor)


Excellent. They can check you and determine an answer to these questions. If you don't get very far with a GP/primary physician, ask to see a foot specialist.
20 years T1. NPH and Novorapid.
Some essentials for my blood sugar control: dosing via i:c ratio and cf • basal testing when needed • daily 40 minutes moderate exercise (or close) • carbs somewhere below 120g currently • only eating carbs and carb/fat combos that do not cause a problem spike, with or without insulin.

#14
SCC

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My remote guess is that this is nerve pain or from pressure. It would be pretty amazing to have identical muscular pain in both feet in the exact same place. But the cause of the pain? Of course, that is the mystery.

I have basically zero padding on the bottom of my feet, and high arches, so even if I were not diabetic, I would have to wear shoes. I've read that the padding atrophy is yet another diabetic event that happens sometimes. I have to gimp into the shower from the bedroom.

Will you be able to show the doc the pain - make it happen in the office? Might be good if you can do that too.
-Susan
Type 1 - 48 years and counting
Pumping since Sept 07 (MM Revel 523)

#15
VeeJay

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falling arches hurt, fallen arches don't.

I had p.f. for years along with bone spurs. Then, when the arches finally fell as far as they were going to, the pain let up. All the exercises, shots, etc., did not one whit of good for me. Just had to tough it out. However, I do wear good shoes with a proper arch support and never go barefoot (but that's more because of the arthritis in my big toe than anything else). Merrill shoes are very good for my feet, but I think everyone's feet are different.

Another thing.... a friend of mine has high arches. Her foot pain eased up a lot when she was shown how to lace her shoes properly to take the pressure off her arch.
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