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Possible neuropathy on toes?

rowan

Well-Known Member
Messages
1,462
Location
Tamar Valley, West Devon
Type of diabetes
Treatment type
Tablets (oral)
I have other foot problems which have a variety of symptoms so it's taken a while to realise this could be neuropathy. I will be phoning doctor in the morning but just wanted to ask about it here too.
A while ago I noticed a strange feeling in one toe, very sensitive to the touch but more annoying than painful. It was nothing like any previous problems but I just added it to a long list of odd symptoms.
But more recently I've realised the top bit around the nail and top joint has gone a bit numb, and the black spot at the base of the toenail has got a little bit bigger.
I have lost all my toenails before from nail psoriasis so thought that was starting again, but it's not the same, and is only on the one toe, which is unusual.

I'm getting pain in a couple of toes on the other foot, although that could be psoriatic or osteo arthritis, I get both. But there's no change to the nail on those 2 toes.
I also get a few shooting pains on my soles which I was told a few years ago was probably nerve damage from the severe palmoplantar pustulosis I've had for around 9-10 years, which made sense at the time because the pustules come from deep under the skin so I figured it probably would have some affect on nerves. But I've recently discovered that shooting pains can also be a sign of neuropathy?

That's the problem when you have multiple illnesses, you tend to blame any symptoms on what you already know about, but I'm getting a bit concerned now!
 
Have you banged your toe lately, or been wearing shoes a smidge too tight?

A couple of months ago, I had something sounding similar (aside from any numbness_. I had the dark spot at the nail bed and I'd had pain for a couple of days. A quick trip to the podiatrist suggests I'd bumped it, or something, and the dark patch was a bruise. I was urged to photograph the mark, using my phone, and monitor it over the weeks, to ensure it was growing out. It moved, as predicted.

The nail has now partially detached (vertically, which has been a bit tricky to keep trimmed!), but the new nail is following nicely behind.

Perhaps don't necessarily assume the worst, and see if there is a walk-in diabetic foot clinic somewhere near where you live you could visit for specialist advice?
 
Have you banged your toe lately, or been wearing shoes a smidge too tight?

A couple of months ago, I had something sounding similar (aside from any numbness_. I had the dark spot at the nail bed and I'd had pain for a couple of days. A quick trip to the podiatrist suggests I'd bumped it, or something, and the dark patch was a bruise. I was urged to photograph the mark, using my phone, and monitor it over the weeks, to ensure it was growing out. It moved, as predicted.

The nail has now partially detached (vertically, which has been a bit tricky to keep trimmed!), but the new nail is following nicely behind.

Perhaps don't necessarily assume the worst, and see if there is a walk-in diabetic foot clinic somewhere near where you live you could visit for specialist advice?

No, I take exceptional care of my feet because of the problems I already have, I never wear tight socks or shoes and if I bang a toe it tends to split the already thin skin so I definitely know about it.
It has stayed in the same place for a few weeks, not moved at all apart from a slight increase in size.

And there's no walk-in anything round here, I'm right out in the sticks! ;) Should be able to get a doctors appointment quite quickly though.
 
To be fair it took several weeks for an upward progression of the bruise to become apparent on my foot, with an increase in size (I had forgotten about until you mentioned it) matching the bruise appearing in view from the nail bed.

My walk in was in the next city, so I did have to get my bones over there. In the UK, I live out of town too, but I favoured a specialist opinion over my GP.

Not trying to persuade you that you have what I did, more suggesting sometimes these alarming presentations are something simple and extremely benign.
 
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