 [ Symptoms ] i woke up this morning with an excruciating pain in my foot it is painful to touch and is hot to the touch not a cramp there are no marks or bruising it feels like someone stomped down on it or like it may be broken it gets really painful and throbs then it eases up a little but it does not go away [ Disease ] one possibility for sudden excruciating foot pain usually the big toe is the most painful would be gout assuming you are not having muscle cramps a spider bite or an injury this possibility would be high on my list you would need to see your medical provider right away so that you can have a simple lab test if your medical provider feels that you do have gout this can be promptly treated and you can get some immediate relief