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Part 3: Seeking Medical Attention
1. Seek immediate attention if necessary. If you develop severe pain or swelling, see a doctor promptly.
Also, seek medical attention quickly if you are unable to walk or put weight on your foot.
If there are areas of broken skin that are oozing or if you have any signs of infection, seek immediate medical attention.
Signs of infection include redness, warmth or tenderness to the touch, or a fever of 100 °F (37.7 °C) or higher.
Also, seek immediate care if you have any persistent pain or cramping and you have diabetes.
2. Pay attention to any related symptoms. If you notice any changes in the immediate area, or if both feet become painful or are cramping, make an appointment to have your feet examined.
Watch for symptoms such as redness, swelling, a burning sensation, numbness, tingling, or tenderness to the touch. See your doctor if any of these symptoms develop.
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3. See your doctor with persistent cramps. Cramping and pain that continues for more than one week, with or without using rest and ice applications, warrants medical evaluation.
Persistent cramps in one or both feet may indicate an underlying condition with your feet or possibly even a medical cause for the problem. Consider an underlying medical condition. Work with your doctor to evaluate for possible medical causes of your foot cramps if they persist. Some medical conditions that may be causing your foot pain and cramps include the following:
4. Consider an underlying medical condition. Work with your doctor to evaluate for possible medical causes of your foot cramps if they persist. Some medical conditions that may be causing your foot pain and cramps include the following:
Abnormal levels of electrolytes in the body.
Dehydration caused by a need to increase your intake of water and/or electrolytes.
Thyroid disorders.
Vitamin D deficiency.
Kidney disease, including early stages as well as more severe forms of kidney disease that require dialysis.
Diabetes, both type 1 and type 2.
Peripheral arterial disease.
Arthritis, both rheumatoid and osteoarthritis.
Gout, which usually does not cause direct cramps but does cause severe and intense pain.
Cold stress or trench foot, which is caused by working in conditions where your feet stay either exposed to cold or exposed to warmer temperatures, as high as in the 60’s °F, but stay consistently wet.
Nerve damage to either a single nerve or to a bundle of nerve fibers.
Brain disorders such as Parkinson’s, multiple sclerosis, Huntington’s disease, and muscle dystonias.
Pregnancy, most often with foot cramping and pain in the third trimester, but it can occur anytime during the pregnancy.
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5. Follow any recommendations made by your doctor. Several of the medical conditions listed can be easily resolved.
For example, adjusting your fluid intake and/or the types of beverages you drink may be a simple step that resolves the problem. Use vitamin D supplements if instructed to do so by your doctor.
Follow the directions provided by your doctor to correct the problem. Those instructions may include a needed follow-up with additional recommended tests, adjustments to your medications, or a referral to a specialist.
6. Review your medications. Your doctor may be able to adjust some of your prescribed medications that may be contributing to your cramps.
Some examples of medications that may contribute to foot and toe cramps include furosemide, donepezil, neostigmine, raloxifene, tolcapone, albuterol, and lovastatin. This is only a list with examples. If you feel you are taking a different medication that is related to your cramps, discuss this with your doctor.
Never adjust your medications on your own. With the help of your doctor, doses can possibly be adjusted to correct the problem, or a different medication can be prescribed to replace one that may be contributing to your cramps.
In this completed section on seizures, I outlined the principles of when to seek medical help.
Artemus Vazhui