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S1 pain ONLY in foot - is this possible ?

Hi there , For on year I have had the most excruciating burning pain on the sole of my right foot ( occasionally on the side and round front of ankle too - but mostly on the sole ) . I have no pain at all in my back, buttocks or leg. have had all kinds of MRIs etc of the foot and it is perfectly normal - no inflammation ,arthritis etc. I then had a lumbar MRI which found a herniated disk at L5 with impingement of the S1 nerve. The doctor thinks this is the cause of my foot pain. He did some nerve blocks which relieved the pain completely ( temporarily) . But then it came back so last week he did a microdiscectomy. I STILL have the same foot pain . My question is : have any if you JUST had foot pain with an L5 S1 nerve problem ?
Apparently it is an ' unusual presentation' but the docs seem convinced that the nerve root is the cause especially because I responded so well to the root blocks and steroids. I am now not so sure they are right and wonder if it could be a problem local to the foot itself., especially as the microdiscectomy didn't seem to relieve the foot pain. Thoughts ?


  • The burn is identical to mine it sounds like. Did they tell you it could take 18 months of recovery? It could take lyrica and steroids to reduce the inflammation until then and after that it could still be permanent damage. So sorry to hear this but hang in there if it's still early on since the block did indicate help is possible.
  • ...Indicates that the source of my foot pain is DEFINITELY associated with the L5S1 nerve root and not related to nerves in the foot itself .. I just ned to be sure I understand that correctly.
    Did you have excruciating foot pain Volvo ?
    Thanks so much for your help !
  • My L5/S1 was bone to bone blown out for years and they wouldn't cut because of pain. Once the nerve issue started down my butt and right leg (the back and outside of the leg) and my right heel felt like it was on fire and wet, they went to several injections and nerve blocks to test. L5 was the target. What you see in my avatar is the cage they put in in 9/2011. Ironically and sadly, the back pain got better but the nerve was damaged at that point. They/I waited too long. The pain was def associated with the L5 right side nerve though. MRI and a discogram if the MRI doesn't tell them. Likely though, the nerve block kconfirmed your issue and it is not a foot problem IN MY Experience. I am not a doctor. But I stayed at a holiday inn express last night :)
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