47 yr old, good health, good diet, way to much pepsi, beer, active, 6 pm yesterday had severe pain in top and small toe side of right foot, came on very suddenly, about a 6 on 1-10 pain scale, hurt more when I tried to walk, Took telonol and later ibuprofin eased up after about 5 hours, Nearly gone completely this morning. Dr. diagnosed "neuralgia" and prescribed Gabatentin 200-400mg twice a day as needed. I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. I am a 54 yr old woman who is on her feet alot. What on earth is it? usually only 2 or 3 stabs. Nothing else had any effect and I tried EVERYTHING minus surgery. It would be a great relief if someone develops a viable diagnosis and/or treatment. The intense sharp pain in my right foot 1 to 2 inches behind my little toe last for 2 - 5+ seconds at a time on and off for hours at a time and then not reoccur for hours or even days and them come back for no obvious reasons. I must perhaps find another dr. I got a bit freaked out about that type of surgery but this is getting really bad! pain every few days , then multiple times tonight. I'm a 52 y/o male in pretty good shape. The pain would wake me up in the middle of the night. Took the bus home as I was afraid to drive home because when the pain comes, it is overwhelming and i'm not sure how I would react. Mine is in the center top of the foot, not near the toes or ankle. Glad that pain is gone it was horrific and I never want to experience again. (Quite possibly from weight and age). Sometime that is the best remedy. I am a 50 year old man in pretty good shape and about 165 pounds. I cannot understand why the medical community does not know what this is?? I have had x-rays of both feet and seen a podiatrist. I am 66, very fit and have a very messed up left foot but this is in my right foot, the good one! I am absolutely certain that the stabbing foot pain I was experiencing was caused from my back, at a point in the middle of my back. The pain was the most excruciating pain I have ever felt and I have never had this before. Well, the next day, I went to the internist. I have been awakened by a sharp, agonizing pain many times, as if someone is sticking a sharp knife into the side of my left foot. if potassium levels are to high can it cause this pain? It hasn't returned. The sandals are old, but I only wore them once in a blue moon as they dig into the toenail area. Totally different than a cramp, this was more sudden and intense as any pain I've ever felt. So I guess what I am saying is check your Doctors Experience and record and get a second opinion with an orthopedic surgeon who is a foot/ankle specialist, or even check out a neurologist they can test to see if your nerves are pinched and where, I had that done before my Carpal Tunnel Surgeries. We tried the remedy of b12, ibuprofen and my husband (50 yrs old)experienced a significant decrease of pain. This is the only recent change to my lifestyle ..could this be the link.Medication ? The way it comes and goes is almost like a random muscle spasm except it's just the nerves at the very top of the foot. I am going to let time pass before I will see a medical professional. What causes intermittent sharp pain on top of foot? I allso experience this pain when lying down, and the pain is so severe that I feel like crying.Cannot, as I am a ' macho " male , 68 years old !But it really hurts and ny doctor and even the orthopedist cannot offer any rationable explanation.I had a trombosisis a few years ago and it has been suggested that some small bloodclots may not have been completely dissolved.These may then be stuck momentarily in the small veins on top of my foot.Any opinion on this. Been to the doctor who just looked at me as if I was daft. Seems a lot of you have experienced this. I wonât say that I am glad to see others having this pain, but itâs comforting in a way. I can go several hours without any pain, but then will have several attacks (lasting 5 seconds to 1 minute) in a row. By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. I'M A SHORT OBESE FEMALE, DIABETIC, HYPERTENSIVE. Just a few minutes ago I tried putting on my winter boots to go outside with dog and just about went through the ceiling with an excruciating pain in foot I never felt before. after about 5 mins the pain eased off to nothing. I have every intention of keeping up the inversion table, so hopefully if I pad the top of my feet, I can avoid more top foot stabbing, IF this is the culprit. If anyone has experience with this treatment I would like to hear about it. Truly, it is uncommonly kind. Pain has persisted all day it is now 9 pm and am dreading not being able to sleep tonight.It seemed to be less painfulif i stay busy and on my feet. "Chemotherapy. Pain on top of the foot is a common problem. Have been experiencing this sudden hot, intense pain, on the top of my left foot for about two months now. It only gave me nasty sight effects. I'm 65 and healthy. The top of the foot is served by a different nerve path and not the sciatic. During the examination he identified very tender/sore streak from the point the pain occurred to about 2 inches toward the back of the foot. i was told it may continue for years. Either of these 2 motions will cause the pain but the pain doesn't start for several seconds to a minute after I've done the motion. But if I take 2 Ibuprofen and .025 mg of Alprazolam, I felt relieved within 2 to 3 hours. I may have some very good news for you, however! Still have the stabbing pain and Advil, which has never seemed to affect me seems to lesson the pain to make it tolerable. Just over three years ago (I was 49 at the time, about 165lbs, and in very good health), I began suffering from a stabbing pain in the center top of my right (and rarely my left) foot. It starts to come on the evening when I am lying on the couch watching TV and then gets worse after I am in bed. Does Your Foot Pain Signal a Serious Condition?. I am now on prescription strength Vit D. 50,000 units per week. 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