Dealing With Mortons Neuroma


intermetatarsal neuromaMorton’s Neuroma is the most common neuroma in the foot. It occurs in the forefoot area (the ball of the foot) at the base of the third and fourth toes. It is sometimes referred to as an intermetatarsal neuroma. “Intermetatarsal” describes its location in the ball of the foot between the metatarsal bones (the bones extending from the toes to the midfoot). A neuroma is a thickening, or enlargement, of the nerve as a result of compression or irritation of the nerve. Compression and irritation creates swelling of the nerve, which can eventually lead to permanent nerve damage.


A Morton’s Neuroma is not a true neuroma, which is a tumor that is generally benign. Rather, it is an enlargement of the nerve where it goes between the metatarsal bones of the foot. Because the nerve no longer fits between the gap, the pressure causes pain and sometimes numbness. This enlargement of the nerve is often an inflammation due to irritation. If the forefoot becomes compressed due to shoes that are too narrow, the nerve becomes damaged and inflamed. This inflammation means the nerve no longer fits in the space between the bones, creating further irritation and more inflammation. If this vicious circle can be broken, the problem may be resolved. However, in some situations the nerve can have fibrous tissues formed around it, which may require the destruction of the nerve or surgical removal.


Neuroma pain is classically described as a burning pain in the forefoot. It can also be felt as an aching or shooting pain in the forefoot. Patients with this problem frequently say they feel like they want to take off their shoes and rub their foot. This pain may occur in the middle of a run or at the end of a long run. If your shoes are quite tight or the neuroma is very large, the pain may be present even when walking. Occasionally a sensation of numbness is felt in addition to the pain or even before the pain appears.


You might first seek advice from your family doctor about your foot pain. He or she may refer you to a doctor or surgeon who specializes in foot disorders. Before your appointment, you may want to write a list of answers to the following questions. When did your symptoms begin? Did your symptoms begin gradually or suddenly? What type of footwear do you wear for work? Do you participate in sports? If so, what types in particular? What medications and supplements do you take regularly? Your doctor may ask some of the following questions. Is the pain worse in certain pairs of shoes? Does any type of activity ease the pain or worsen it? Are you having pain in any other part of your body?

Non Surgical Treatment

Wear shoes with plenty of room for the toes to move, low heels, and laces or buckles that allow for width adjustment. Wear shoes with thick, shock-absorbent soles, as well as proper insoles that are designed to keep excessive pressure off of the foot. High-heeled shoes over two inches tall should be avoided whenever possible because they place undue strain on the forefoot. Resting the foot and massaging the affected area can temporarily alleviate neuroma pain. Use an ice pack to help to dull the pain and improve comfort. Use over-the-counter shoe pads. These pads can relieve pressure around the affected area.

Surgical Treatment

When conservative measures are unsuccessful, surgery can be a good choice in the treatment of Morton’s neuroma. The operation for Morton’s neuroma does not require an overnight hospital stay. The anesthetic used is an ankle block, which completely numbs the foot during the surgery. The physician removes the neuroma from an incision made on the top of the foot between the involved metatarsal heads. The nerve to the interspace is exposed and cut next to the metatarsal heads.


Ensuring that shoes are well fitted, low-heeled and with a wide toe area may help to prevent Morton’s neuroma.


What Causes Low Back Pain?

Lower back pain may be a result of improper bending or lifting, excessive exercise, chronic diseases or pregnancy. According to the Mayo Clinic, women are more likely than men to experience lower back pain due to hormonal influences on the bones as well as physical changes during pregnancy. Women whose back pain does not improve within 72 hours of rest and self-care should seek medical evaluation. Sciatic nerve pain is usually caused by a group of compressed nerves located around the left hip area. For some, the pain runs down the left leg causing immobilization. Below are a few things to help relieve the pain of sciatica.

Developing and maintaining good posture is the gift that keeps on giving, preventing back pain (i.e. trips to the doctor and chiropractor) and other sicknesses. It will also potentially save you thousands of dollars in medical bills. Checking your posture is a great way to see if your posture is up to par and will give you an idea of what you need to change. Once you figure out what you need to change, you can begin working to improve your posture. Ovulation and back pain are very commonly associated with each other. Read the article to know about its causes and how to get relief from the pain.

Back pain can affect a person’s ability to function on a day-to-day basis. Chronic back pain is pain that continues over a long period of time, and it may come and go. Learning the cause of your back pain is important if you are going to effectively manage it for an improved quality of life. Facet join pain results from arthritis in between the joints of the spine. If untreated, arthritis between the joints can disfigure and debilitate the joints, causing extreme pain. With advances in modern technology and traditional treatments, facet joint arthritis is treatable, and the pain resulting from facet joint syndrome can be put at bay.back pain cancer

The cervical spine consists of the top seven vertebrae of the spine (C-1 to C-7). The neck and low back are the most flexible parts of the spine and the sites of the most common complaints of pain. This is often because of postural habits that may create pain in the neck.A health professional can perform therapeutic traction on your neck, or you can use a slant board or do a simple yoga pose, Uttanasana, to create healthy traction. Spinal cord stimulators are a treatment option for chronic back pain. A stimulator is a device that sends low electrical impulses to block signals associated with pain from reaching the brain.

According to the American Academy of Orthopaedic Surgeons, about one in fifty adults will experience a herniated disk during his lifetime. Most people recover without needing a doctor’s help. You should see a doctor for your herniated disk if the pain lasts for longer than a few weeks or if it is interfering with your ability to perform daily activities. If your doctor sees “degenerative changes” on your x-ray or MRI, you may have developed osteoarthritis of the spine, or degenerative intervertebral disk disease. According to the Mayo Clinic, age plays a role in degenerative changes of the spine.

Symptoms of degenerative disc disease (a breakdown in a spinal disc) vary, depending on the location of the disc affected and the degree of deterioration. These potential symptoms may occur intermittently or chronically and range from annoying to debilitating. Control the frequency of symptoms by following your physician’s instructions for care of your spine. Degenerative disc disorder is deterioration rather than a disease. Recognize it as a sign of aging and wear on the spinal discs, the shock absorbers of the spine, according to Cedars-Sinai Medical Center. Discs cannot repair themselves when damaged, leading to pain and impairment if left untreated. A disc cannot be “cured,” but help is available.back pain pregnancy


Physiotherapy Blogging

The most common toe deformities are hammer toes, claw toes, and bone spurs. These involve the lesser toes (2nd through 5th toes). In a hammer toe, the toe is bent at the middle knuckle of the toe, while in a claw toe the toe is bent at both the middle knuckle and tip of the toe. A bone spur can occur anywhere on the toes but most commonly affects the 4th and 5th toes. Each of the deformities can create corns on the toes and in more severe cases redness, swelling, and even an open sore can develop.

Mallet toes are similar to hammer toes in appearance, and the two are frequently confused. Mallet toes occur when the last joint of the toe curls around, at the distal interphalangeal joint. Mallet toes are commonly caused by improper footwear too. Mallet toes form gradually, taking time to form. In the beginning they are flexible and can be straightened but if they are not treated they become rigid and even manual manipulation will not straighten them. Mallet toes can occur in any of the lesser toes but the second one is the most likely to be affected.

The articular cartilage is then removed from the proximal portion of the middle phalanx. A 0.54-mm doubly pointed Kirschner wire (K-wire) is driven into the distal-cut bony surface of the middle phalanx, taking care to keep the guidewire in the center of the bone to avoid eccentric positioning. The K-wire is brought out of the tip of the toe while the DIP joint is held in neutral position. The K-wire is then grasped distally and drilled back through the proximal phalanx across the metatarsal head, holding the interphalangeal joints in neutral position with slight flexion at the MTP joints (see images below). 23, 24 Claw toe. Claw toe.

In summary, our results suggest that the role of intrinsic muscle atrophy and muscle imbalance in explaining the presence of claw toe deformity in the diabetic foot may not be as straightforward as widely believed. These muscle factors may not be primary or solely responsible for the development of claw toe deformity in diabetes. Other (predisposing) internal or external factors may be (more) important contributors, either in causing toe deformity or in preventing the establishment of a clear relationship between muscle atrophy and toe deformity. All of these factors may also act together in a multicomponent fashion. Prospective studies are required to test these hypotheses. claw toe causes

The term hammer toe came from the way the toe hits or hammers on the floor with each step. Hammer toes are generally caused by a tendon imbalance in your toes and tight muscles in your feet. The discomfort from this and cramping in your toes can radiate to your entire foot and lower leg, and this might lead to posture and balance changes (affecting the way you walk). Often people will develop hammer toe from leaning too far forward causing the toes to grip the ground to keep them upright. The toe first affected will generally be your longest toe and will only affect your middle three toes.

Each New Balance Orthopedic Shoe is constructed over a wooden structure known as a “last”. There are 13 different lasts that New Balance works from. Each one is uniquely engineered to address specific pressure points or problem areas for men, women and children. Some of the lasts are better for certain activities. For example, the Straight Last (SL) produces an orthopedic shoe designed for running and walking. The Athletic Last, on the other hand, is designed to support feet during fitness activities such as aerobics, jump rope and working out in the gym.

According to the Arthritis Foundation, arthritis can cause swelling and changes to the bones in your feet. Bony changes can lead to mild or severe deformity which can limit your range of motion. Swelling and stiffness may set in and make it hard to move your foot. These changes in foot structure may throw off your gait, causing you to limp or place excessive stress on your knees, hips and back. This can lead to pain in other areas besides the foot. If you have rheumatoid arthritis, your foot may also be warm to the touch. Severe Toe Pain.

Ingrown toenails are hindering painful to walk, are ugly and torture the most affected for a long time. The nail wall is red and painful, and often forms around the nail on the side of “wild meat”. The toe is wet at this point and fester. Usually there are a lot of pain. Why do many people still can not handle long time? There are circulating real horror stories about how uncomfortable and painful, the nail treatment is – because the doctor would “seize” the nails eventually, that is completely removed by surgery. In the past there may have been such therapy. Today, this fear is completely unfounded.claw toe deformity

The psychological effects may overshadow the benefits Your cat’s claws are an important part of its existence and well-being. Think about all of your cat’s activities that require the use of its claws. From relieving stress on the scratching post to protecting himself from falling or from a rival, there are endless needs for their claws. There are dozens of documented cases on the behavioral effects of declawing. Their claws are what allow them to be cats and once they realize they have lost many of their abilities they are bound to change psychologically.


Have I Got Flat Feet?

The Plantar Fascia acts as a ‘bowstring’ connecting the ball of the foot to the heel. It forms the longitudinal arch of the foot and helps to lift the heel off the ground to prepare the foot for the ‘take-off’ (propulsive) phase of the gait cycle. During walking, at the moment the heel begins to lift off the ground, the Plantar Fascia endures tension that is around twice our body weight. The Plantar Fascia also act as a natural shock-absorber during walking and running. However, long term, effective treatment of Plantar Fasciitis consists of a simple program of daily stretching exercises, combined with wearing an orthotic to support the arches.

Plantar Fasciitis is an inflammation of the fibrous portion that runs along the soles of your feet and attaches to your heel bone. If you are a runner, you will find that you experience this pain in the morning after you wake up and take your first steps of the day as well as when you take part in any activities. It is one of the most common causes of heel pain among runners, dancers and athletes. It can also affect those who are pregnant, overweight and people who wear worn out shoes.

There is no cause for concern if your feet are flat and you have no pain. If you experience aches in your feet after walking long distances or standing for many hours, flat feet may be the cause. You may also feel pain in your lower legs and ankles. Your feet may feel stiff or numb, have calluses and possibly lean toward each other. When to See a Podiatrist Depending on the cause of your condition, you may have sustained pain and inflammation. The doctor might prescribe medication to reduce the discomfort from these symptoms. Nonsteroidal anti-inflammatory (NSAIDS) medications are typically used to relieve your swelling and pain. Foot Surgery

Flat foot or fallen arch is a common foot deformity that is medically known as ‘pes planus’ and is characterized by the presence of flat arches of the foot. This means that the entire bottom region of your bare foot is touching the ground. As opposed to contrary belief, it is completely normal to have a flat foot. Motion Control Shoes – This is a blessing for runners that have low arches and usually indulge in rigorous over-pronation. The support provided on the side of the arches also makes running and long walks a comfortable experience.

As a matter of fact, most of us tend to neglect the comfort of our feet by compromising on any shoe wear that looks pretty, gorgeous or perhaps with a good bargain price in this modern society. Still, taking care and protecting the feet is important to alleviate any potential problems in the later part especially if you have flat feet. Therefore, the next time you want to buy shoes for flat feet , make sure that you keep in mind all the tips provided in this article. This article sheds some light on a common type of foot pain called Metatarsalgia, more commonly known as Ball of Foot Pain.

With several ways to deal with the problem, an individual only has to check which is more convenient and necessary for him. Severe cases may require physicians to do surgery while others can recommend physical therapy. A lot of medicines can help alleviate pain but also does not affect or stop the drooping arch in one’s foot. Eventually, permanent damage can be caused by the untreated drooping arch of the foot. However, arch support and flat feet shoes are available over the counter or custom made to address the problem. Exercises can help with the strength of the surrounding muscles. It may relieve some of the pressure in the foot.

If runners or athletes don’t wear shoes that provide proper arch support, they are definitely at a risk of developing this painful foot condition. They must, therefore, make it a point to buy shoes that are designed to prevent over-stretching of this ligament. Here’s some information on the brands that offer the best running shoes for plantar fasciitis. The next time you go shopping for a pair of running shoes, make sure that you buy shoes that not only fit you perfectly, but are also best-suited to the gait and structure of your feet. Wearing proper footwear is a good way to prevent this painful foot condition from surfacing.

Flat feet (also called pes planus or fallen arches ) is a formal reference to a medical condition in which the arch of the foot collapses, with the entire sole of the foot coming into complete or near-complete contact with the ground. In some individuals (an estimated 20-30% of the general population) the arch simply never develops in one foot (unilaterally) or both feet (bilaterally). Fallen Arch” Health A to Z Aetna InteliHealth(R). 2007-12-18 Retrieved 2008-05-27 “Unlike a flexible flatfoot, a rigid flatfoot is often the result of a significant problem affecting the structure or alignment of the bones that make up the foot’s arch.”

Our feet are incredibly well specialized structures. Each foot contains 26 different bones which are held together by 33 joints and more than 100 muscles, tendons and ligaments. The way they weave and align together determines the formation of our arches This is one of best examples of your body doing multitasking! These orthotics are usually expensive and can cost you up to $250 for a pair. Depending on how much pain you have, you may be told to limit your walking and weight bearing activities for a time and wear a cast boot to give time for the swelling and pain to subside.

Your foot arch is your natural shock absorption system. Nature designed it so that when you put your body weight over your feet the shock is absorbed by this mechanism in order to alleviate the impact (and subsequent injuries) that would otherwise hit your feet, ankles, knees and hips. A flat foot is the most visible sign of overpronation , meaning that your arch collapses during the impact on the ground. As a consequence, your ankle twists inward and your knees overcompensates. Shin splint s – This term generally refers to pain anywhere along the shinbone. It is typically due to overuse and is aggravated after exercise and activity. Orthotic insoles, are basically foot supports, that facilitate better shock absorption and even distribution of weight. Thus, they take the immense pressure off the soft tissues as well as the tarsal bones that are present in the mid foot. If you have been thinking of buying insoles, you might have already come across various brands. Well, the manufacturers will naturally make tall claims about their product to be the best. That leaves one feeling quite confused. If you can’t make up your mind, you could consult a doctor or a podiatrist.

Your doctor will first ask you questions about where exactly you are experiencing any discomfort or pain. If your doctor suspects that you have Plantar Fasciitis he will ask you about the type of activities you have been participating in. He might also ask for an X-Ray and MRI to rule out any other problems such as a fracture. In addition to issues in the foot, the ankle and lower legs can be affected by flat feet and fallen arches. Tendinitis mainly affecting the Achilles tendon can cause ankle pain and foot pain. Swelling and inflammation of the tendon may require therapy and surgery to address the pain.

Stand facing a wall with your hands on the wall at about eye level. Put one leg about a step behind your other leg, keeping your back heel flat on the floor. Make sure this leg stays straight at all times. Now bend the knee of the front leg slowly, lowering your body until you feel a stretch in the calf of the back leg. Hold the stretch for 15 to 20 seconds. Repeat 4 times. Do the same for the other leg. Call your health care provider if you experience persistent pain in your feet or your child complains of foot pain or lower leg pain. Prevention

These insoles are designed to give customized support to the feet and will provide the utmost protection. Custom orthotics insoles correct the gait and prevent too much pronation, which is one of the main factors of fallen arches These insoles are much expensive than the premade insoles as they designed right from the scratch to fit with the exact shape of foot. About the Author Adam Farley is an article and blog writer, loves to write articles and blogs on different topics like; Heel Pain, Athletic Shoes Arch Support Right now Adam is working as a writer at

Thin soled shoes or shoes without any innersole cushioning will transfer all the hard impact with man-made surfaces directly into the bones of your feet, stimulating callous formation. So always buy shoes with plenty of cushioning and support, or wear orthotics inside your shoes. document.write(getResources()); Peter Van Dyke is a Dutch foot specialist and orthotist with a special interest in ball of foot pain, Plantar Fasciitis and orthotics. He gives advice on effective remedies to help relieve aching feet and prevent further problems. He also works closely with a number of large orthotics manufacturers in Europe, the USA and Australia.

In a nutshell, there are so many factors that can lead to foot pain. However, this is one of the more common problems you will find. Go visit a podiatrist if you think you or your child might be having this foot condition. Some insoles that provide support at the arch area can help reducing the pronation and the pain. Flat feet” or fallen arches , is when a person’s large arch has collapsed so that the entire sole of the foot comes into contact with the floor or bottom of the shoe when a person is walking.

A flat foot is the most common foot deformity known. This condition can occur in one or both of your feet. Flat feet is known as pes planus, and simply refers to a loss of the arch on the bottom of the foot. If persistent throbbing pain is present in the arch region, especially during activity, you may be feeling the signs of a weakening arch. The mainstream treatment for flat feet or weak arches is orthotics. Orthotics is artificial arch supports inserted into footwear. These inserts can either be over the counter or made from a custom mold or measurement of your foot.

Foot provides us the basic liberty of moving around freely. So you should be extremely careful while walking, running or doing any activity involving foot movement; since the foot is subject to trauma in every step you take. The arch of the foot is formed by the tarsal and metatarsal bones and strengthened by ligaments and tendons. It allows the foot to support the weight of the body in the erect posture with the least weight. Over the last 20 years or so, all the major running footwear producers developed specific technologies aimed at helping runners with flat feet run in comfort and safety.

Flat feet in some adults takes place when there is a partial or complete collapse of the arch. The condition is commonly called fallen arches It usually results from overstretching the tendon that supports the arch or it is a flatfoot condition you have had from childhood that becomes worse as you age. Some women develop the problem after pregnancy. Our arches are what give us the spring in our steps and distribute our body weight across our feet and legs. The arch structure determines how we walk so the arches need to be both sturdy and flexible to adjust to different surfaces as we walk.

No one wants to experience ongoing foot pain. If you are suffering from pain in your heel, toe, and across the bottom of your feet, you might have developed plantar fasciitis. You don’t have to live with the discomfort, however, as there are steps to take to ease the pain. Be sure to wear the proper footwear, exercise the area, and see a podiatrist. All three of these steps can lessen the pain and improve your quality of life. About the Author There are actually several potential causes of pain in your feet with walking. You will need to go see your primary care doctor


Healing Heels

On the whole, the feet are very small when compared to the rest of the body. During the day, most people spend about 12 to 14 hours on their feet. Because the feet are used so much during normal daily activity, the excessive loads that are placed on the feet mean approximately 75% of people worldwide will suffer foot pain at some stage in their lives. Foot pain can also reduce your mobility and independence, as is often seen in the elderly. When your feet hurt, it not only disturbs your body but it can prove to be distracting to your work and concentration.

Causes of foot pain

Prolonged standing, over pronation and the pressures that this places on the joints, muscles and ligaments of the foot are major causes of foot pain. There are many occupations that require long periods of static standing such as the health, retail, fashion and construction industries. Standing for long periods of time causes the muscles of the lower limb to become fatigued and overworked. Blood pooling due to decreased venous return also increases discomfort in the lower limb. The overall result of this being tired aching legs. Ill fitted shoes and wearing high heels can also contribute to foot pain. High heels make women to look smart and taller, however they can become very uncomfortable if they wear these for long periods or during inappropriate activities. High heels increase the pressure on the ball of the foot and toe region above what the foot is designed to withstand. This overloads the structures of the forefoot leading to ball of foot pain and discomfort.

Aging, being overweight and many other systemic diseases such as diabetes, gout, arthritis all increase the likelihood of foot problems. Generally these systemic (whole body) diseases affect the function and structure (depending on the disease) of the foot. This changes the function of the foot and often leads to foot pain. Certain age groups also suffer foot pain at different times of their lives. Children suffer from aches and pains during their growth and development. This was traditionally called growing pains, however today we know that there is treatment for these aches and pains. The two most common children’s pains are, Severs disease (pain at the heel) and Osgoodschlatters Syndrome (pain at the knee). These are both growing related problems that are aggravated by over use and poor mechanics. The elderly are another group that often suffer foot pain. This is largely due to over use from a life time of wear and tear. Although wear and tear are not reversible, there are still treatment options available for this group of patients, to make walking pain free.

What people do when they face the problem of foot pain?

In most of the cases when people suffer foot pain the first thing they do is to reduce their activity. This usually works quote well as it will rest the foot. They apply pain removing gel to the painful area or take anti-inflammatory medications. This approach masks the symptoms of their foot pain. The real underlying problem of most kinds of foot pain is a functional abnormality that will need to be corrected. Over weight and unfit people who are trying to lose weight often walk for exercise. The extra weight and activity further strains the feet, making walking less enjoyable, making exercise and weight loss even less likely. Some people have no option other than to continue activity. This patient group wither either has to work due to financial commitments or has to continue activity as they are part of a sporting team. This group usually tends to push through the pain barrier until it is impossible to go on any longer. Some people chose to ignore their foot pain and continue to wear their fashion shoes (Fore example ladies wearing high heeled fashion shoes). Over time the strain on the foot compounds and eventually results in an overuse injury. When the foot injury gets to this stage it is often impossible to ignore.

The solution for foot pain

Overall the best solution to the above mentioned problems is to support the foot and help to limit excess wear and tear on the foot. This is best done with orthotic innersoles and appropriate footwear. Orthotic innerosles help to support the foot, prevent over pronation and limit wear and tear on the joints, ligaments and muscles of the foot. Orthotic innersoles align the foot in its most efficient functional position and help to reduce the wear and tear on your feet and ankles. The use of these orthotics results in a reduction in the pain in the feet. It is important when selecting orthotic innersoles to select an orthotic that matches your activity level and also your shoe type. For example different orthotic innersoles are used for running as opposed to ladies fashion shoes.