Question
Let me start off by saying that I am male,age late 20's and weigh at 128 kilos,6ft.5 inches tall.  I work 10hours a day on my feet walking at a fast pace on concrete floor. Around 2 month ago i started to get a burning tingling sensaton in my forefoot.  Which usually gets worse by escalating to a sharp jabbing pain every step i take.  
I have gone to a nerologist and have taken an MRI and result was negative for any nerve dammage.  I also managed to get a Bone scan of the affected area. The results was to quote" the lateral sessamoid over the head of the left first metatarsal and the medial sassamoid over the head of the right metatarsal are bipartite " unquote.  I am told that this would suggest that the pain  is developmental(over a period of time).  During all this time I have been going to a Physiotherapist for advise and treatments for scar tissue( skin around the forefoot is all stiff and  very painfull to walk on)that results after a bad episode.
I also went to see a orthopedic specialist to ask what could be causing the pain, after looking over my bone scan, MRI reults awell as reviewing my ongoing Physio treatments he still couldnt tell me a definite cause to my syptoms.
I have done all these tests and have had special treatment and excersizes for my forefoot. I would like to know of any other tests or a specialist field were i can ply for anwers as to why i have these symptons.

thank you  

Answer
Dear Ron

I am not a doctor and most of what you have written in your question is very specific information.  I do have a large amount of knowledge in the hip area, but you are asking about problems in the foot and I can't really answer that.  I wish I could, as I can only imagine the type of pain you are feeling.

Have the doctors taken any blood tests to see if it's an enzyme problem?  In addition, sometimes diabetics or poeple with gout have leg problems too.  

Have they looked into possible circulatory problems?  The skin around the forefoot being stiff might indicate circulatory problems.  Is your foot discolored at all?  That also indicates circulatory problems.  

If I were you, I'd see if your doctor might think it's blood or enzyme or circulatory problem since the orthopedist says it's not neurological nor does it seem to be the bone.  You might also want to look into finding a teaching hospital in your area and get in touch with the orthopedic department too.  

I wish I could be of more help, but it's just not where my expertise lies...
Best of luck to you.

Sharon Davis