Burning top of foot

[mpdive]

I have read multiple posts about this and have also read about the Mortons condition, but I think mine is different.  On occasion such as last night, I was awoke by a stabbing pain on the top of my right foot.  I refer to these as "labor pains" because you can feel the jolt coming on and it lasts for a couple of seconds then subsides.  It is like a burning electrical shock.  It will continue to do it at anywhere from 30 to 45 second intervals.  My toes are unaffected.  If I attempt to touch the top of my foot it is extremely painful in the throbbing area.  I am a 50 year old male with a history of lower back surgeries. L4 L5 and L6.  I am wondering if it is sciatic nerve related.  I am just surprised that it happens so sporadic.  The last episode was 11 months ago.  I have Neurotin in the medicine cabinet but it would be useless to start a regiment since it usually ends within 12 hours.  Any help would be greatly appreciated.  Since four o clock this morning I have "been in labor" and it's getting aggravating since it's impossible to sleep
Thanks in advance
Mike

[mpdive]

Thank you so much for the reply.  The same night I posted the reply it stopped, and I may not see these symptoms again for months.  I have Lyrica here at home but it would be senseless to start a regimen since it's occurence is so unpredictable.  My only concern is the lack of sleep that occurs while the shooting pains persist.  This time I was so exhausted and with the addition of 4 Advils I finally dozed off.  The next morning it was gone.  What triggers the episodes is a mystery to me.  I want to personally thank you for taking the time to respond on these forums.  I'm sure you are very busy, but yet you take the time to answer questions.  Thanks again!
Mike in South Carolina

[Dr Sharma]

Hi there. This could be due to the nerve compression due to multiple back surgeries. Complex regional pain syndrome should be kept in mind as a possibility with previous trauma and surgery acting as the trigger. This causes severe burning pain in the region and the treatment would include nerve blocks by a pain physician in a specialized clinic. Neurontin would give some relief but should only be started on a prescription. Take care and all the best.