Dr, Podiatrist and PT can't figure it out

One possibility is plantar fasciitis. The fascia inserts at the front and back of the arch, and excessive wear and tension on it can lead to symptomatology.

I thought this at first. Its only on the bottoms and starts towards the front of my foot and only when I run. Not when I walk or bike or wake up in the morning

What shoes are you running in? Both the previous and current shoes

Sounds like nerve impingement. Also, careful with the stretching. That could be making things worse.

Have you tried using “correct toes” and getting shoes with a wide toe box? See if you can create more room for the bones in your feet to spread out and not compress the nerves?

Might be a neuropathy. Unfortunately, there are a pretty long list of things that can cause numbness and pain in your feet. If nothing is working, you really need to get in to see a foot and ankle ortho and get some x-rays and imaging. The fact that it is bilateral may mean it is something above your foot that is an issue. I ran with a guy who would get numb feet due to lingering issues with sciatica. An MRI can be very helpful in narrowing things down as a lot of conditions will show up on an MRI.

I've run in various iterations of the Pegasus for years (turbos in HS and such) and have tried S. endorphin shift, brooks Hyperion max, hoka tecton and Peg 39s

I've had this and maybe it's different for you, but I think your toe box is too narrow. As a result, you've bruised the ball of your foot. Once you get this problem, even slightly narrow shoes can cause the problem to flare up in the future. That could be why changing shoes hasn't fixed the problem... or ALL your shoes could be too narrow.

The problem with insoles (which I sometimes use) is that they make the shoe even narrower. Can you wiggle your toes when you're laced up to run? If you can't, then the shoe is too tight FOR YOU.

Here is what I do to make my shoes effectively wider. I skip the bottom one or two sets of eyelets. I wear super thin socks... as in t-shirt-thickness thin. You'd be amazed at how much difference a thin pair of socks make in perceived shoe width. I also trim a 1/8 inch off the edge of the insert in the midfoot. If you look carefully, you'll see that some inserts are so wide they almost start to curve up the side of the shoe. Trimming that excess off the insert will make the shoe feel a tiny bit wider.

I have run in the same socks my whole life, never changed once. I've run in Balega's, are those legit?

Also meant to add, I have Mortons toe, coupled with high arches could this result in impingement?

One of the things that caused me forefoot nerve problems is shoes that compressed more on the forefoot center than the edges. This would lead to an effectively U shaped forefoot with the the bones naturally rolling to to the middle and compressing the nerves. With new shoes it was unnoticeable, but after a couple hundred miles it was pronounced.

I didn’t have this problem after a PT helped me spread the foot bones and I found different shoes. I also have started always replacing shoes between 250 and 300 miles.

I second going to a wider toe box brand like Altra or Topo. I would also recommend incorporating some barefoot running to help strengthen the foot and give the foot the ground feel/feedback it wants.

You definitely have herpes.

Consider a blood flow issue like Popliteal artery entrapment syndrome. If nerves are not compressed in the back, (MRI and EMG) then you need to check the blood flow.

Pins and needles and muscles going numb sounds like a trapped nerve. A 50 mile trail race sounds brutal so I guess it all stems from overuse.

Had something similar, would start to feel pins and needles after a few miles followed by numbness in toes and the feeling of a bubble under my foot. Got a cortisone shot which took care of it for a few months then found shoes that wouldn't aggravate it (ironically ones with a narrow toebox).

what shoes did you end up going with?

I've been using Adidas without issues (Adios/Boston/SL)

"At about the 2-3 mile mark my feet promptly felt like they fell asleep"

Don't run more than 2-3 miles