Dr. Berg's Foot Facts

Posts for category: Neuroma

By Dr. Rion Berg
June 15, 2018
Category: Neuroma
Tags: Morton's Neuroma  

If you're feeling a sharp pain between your third and fourth toes you may have developed a foot condition called Morton's Neuroma. What's that you wonder? It's a problem caused by any irritation which leads to thickening of tissue surrounding the nerve that travels to the third and fourth toes.

Recent research at the Royal College of Surgeons of Edinburgh found that Morton's neuroma has climbed by 115% percent (more than doubled) in women between 40 and 69 in the past 10 years. Women who wore high heels greater than 2 inches were at greater risk.

Although it's true that high heels are often the culprit--neuromas develop four times as often in women than men--avoiding heels aren't the only way to prevent this condition. Men and woman who wear shoes that are too tight or have a narrow toe box or participate in sports activities such as running are also more likely to develop this painful condition.

But no need to worry. At the Foot and Ankle Center of Lake City we've helped men and women resolve this problem hundreds of times.

Of course as a Seattle podiatrist my first recommendation will be to limit your high heel use. But even if you don't refrain there are several other solutions to this problem.

  • Ice - to initially relieve the pain and swelling

  • Padding - this relieves the pressure on that stubborn nerve that is causing all your pain
     
  • Orthotics - shoe inserts either over the counter or customized for your feet, if padding is not sufficient.

  • Roomier shoes - if your shoes are squeezing your tootsies, purchase shoes with a wider toe box. Be sure you get the proper fit for running shoes as well dress shoes.

  • Injections with alcohol - guided alcohol injections can work well to shrink the neuroma.

Related articles

Alcohol Injections Nip Neuroma Pain in the Bud
Painful Foot Conditions In Women Runners
When Neuromas Get in the Way of Summer Fun

Call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

For more information about heel pain in runners download our eBook, "The Complete Guide to Stopping Heel Pain in Runners".

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

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By Dr. Rion Berg
February 08, 2018
Category: Neuroma

Have you developed pain in the ball of your foot? Many of my patients tell me their pain has come on suddenly and they weren't necessarily engaging in any physical activity such as running or hiking. 

Ball of foot pain occurs where the toe bones join the metatarsal bones. It can occur in one spot or all across the ball of the foot. Most commonly it's localized to one area. There are many causes of ball of foot pain, but the first step is evaluating the foot to determine where it is and whether any specific activities have contributed to it.

Some things that can cause ball of foot pain are:

  • Athletic activities

  • Amount of time you're on your feet

  • Types of shoes you're wearing

  • Mechanical instability of the foot

  • Tight calf muscles

Once we establish the diagnosis we can apply a treatment that will relieve your pain immediately. Following this we can design a treatment plan designed to prevent reoccurence of your ball of the foot pain.

Remember pain in the foot in not normal. Early evaluation and treatment can help resolve your ball of foot pain.

Other Resources
Neuroma
Metatarsalgia
Sesamoiditis

If you have ball of foot pain, call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

For more information about heel pain in runners download our eBook, "The Complete Guide to Stopping Heel Pain in Runners".

In addition, our newsletter "Foot Sense" comes out monthly.  You can also check out our past issues. Every issue contains a mouth-watering recipe and can be printed out for easier reading!

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Google+

By Dr. Rion Berg
May 11, 2017
Category: Neuroma

As we begin to see more sustained sunshine in Seattle everyone is wants to get outside to catch some rays. You're walking more and you start to notice that you're having pain in the ball of your foot.

What's going on here?

There are two conditions that most commonly cause the pain you're experiencing. But finding out the exact cause will take an assessment from a Seattle podiatrist.

Fortunately there are a few clues that can help you determine which condition it is so that you don't cause yourself more pain than you're already experiencing. Here are two potentials causes of your ball of foot pain.

Neuroma
A neuroma (often called a Morton's Neuroma) is an inflamed nerve that runs between your 3rd and 4th toes on one or both feet. The inflammation causes a thickening of the tissues around the nerve which results in numbness, burning, or shooting pain.

The pain is worse when you hike downhill or wear a high heeled shoe since both of these situations will put more pressure on the ball of your foot. If you take off your hiking boots and give yourself a massage you'll feel better. You also won't experience more pain by walking barefoot.

Bursitis or Capsulitis (under the ball of your foot)
Bursitis under the ball of the foot is caused by an inflamed joint, whereas, capsulitis is inflammation of the ligament under the bottom of your foot. The pain can have an aching quality to it or can be sharp at times. These conditions are aggravated by walking barefoot, wearing high heels, or after prolonged activity.

Although these are separate conditions they will both respond well to:

  • Using a metatarsal pad

  • Wearing wider shoes

  • Staying out of high heeled shoes

Call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

Get our free foot book "No More Foot Pain", mailed directly to your home.

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Google+

 

By Dr. Rion Berg
June 28, 2016
Category: Neuroma
Tags: Morton's Neuroma  

Now that summer is officially here, you're pretty bummed out. You've tried everything you can think of to stop the pain, burning and tingling sensation under the ball of your foot. You want to be out there walking and running but the pain just seems to be getting worse.

Does it also feel like you're walking on pebbles? If so, you more than likely have a neuroma. Neuromas occur more commonly in women than men. Morton's neuromas are the most frequent kind of neuroma and are caused by an enlargement of a bundle of nerves that run between the 3rd and 4th toes. You more than likely feel more pain between these toes than other locations of your foot.

Causes

  • high heels shoes or other shoes that cause constriction of the toes and nerves in the forefoot

  • repetitive stress to the ball of the foot from running or other sports activities

  • wonky foot mechanics e.g. people with flat feet are more likely to get a neuroma

So What Can Be Done?

If you come to see me (Dr. Rion Berg) at my office here are some of the things I'll recommend after I do a complete evaluation and determine the cause.

  • Reduce the swelling and inflammation by treating with ice, anti-inflammatory medications, and by changing out your shoes to provide more room for your toes to move around. If you wear heels, I'll ask you to stop wearing them.

  • Use padding to reduce pressure on the nerves. However, if you have a condition such as flat feet, heel pain, or bunions you likely have faulty foot mechanics. The neuroma will best be treated through prescriptive orthotics to correct the foot structure causing the pressure on the nerve.

  • Another great way to get rid of the problem at its core is through alcohol injections. Ultrasound guided injections of alcohol done over a specified period of time have been extremely successful in shrinking the nerve that causes the pain.

Don't let summer go by without pain relief. Call us today at 206-368-7000 for an appointment, often same day. You can also request an appointment online.

Get our free foot book "No More Foot Pain", mailed directly to your home.

Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.

Follow Dr. Berg on Facebook, Twitter, and Google+