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.

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.

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

 

 

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

It's summer in Seattle and you're thrilled to be able to walk, bike, and hike more often. With all the increased physical activity you've started to notice pain in the ball of your foot. And you're wondering what's caused it.

Most often ball of foot pain will be in one specific area but sometimes you'll feel it across the entire ball of your foot. The location will depend on what's causing your pain to begin with.

The following conditions bring on ball of foot pain, however, many of these conditions can have similar causes and are made worse by the same things.

Neuroma

A neuroma (or 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. Early stage neuromas often feel like a bunched up sock under your toes and are intermittent. In later stages the symptoms are more constant and described as tingling, numbness, burning, or shooting pain.

People most predisposed to neuromas are those who:

  • wear pointy or high heeled shoes
  • have an abnormal foot structure such as bunions, hammertoes, and flat feet
  • have had foot trauma such as dropping a heavy object on their foot
  • run or participate in a high intensity sport

Capsulitis (under the ball of your foot)

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.

People most predisposed to capsulitis are those who:

  • have abnormal foot mechanics causing the ball of the foot beneath the second toe joint to take on more of the weight bearing; the second toe is often longer than the big toe

  • have a severe bunion deformity

  • have an arch that is structurally unstable

  • have tight calf muscles

Hallux rigidus

Perhaps you're feeling the pain primarily in your big toe, particularly when you walk or run. Very likely you have halllux rigidus also known at big stiff toe.

People most predisposed to hallux rigidus are those who:

  • have faulty foot mechanics such as flat feet

  • have structural abnormalities that can cause osteoarthritis of the big toe

  • an overuse injury or a stubbed toe

Turf toe

Turf toe is a condition that results from hyperextension of the big toe joint as the heel is raised off the ground. An external force is placed on the big toe, and the soft tissue structures that support the big toe on the top are torn or ruptured. Symptoms include pain, tenderness, and swelling of the toe joint. Turf toe can result in hallux rigidus.

People most predisposed to turf toe are those who:

  • Participate in team sports such as soccer and football. Football kickers are particularly at risk.

Metatarsalgia

Pain in the ball of the foot that occurs on one or more bones is called metatarsalgia. It can be specific such as the pain felt with a neuroma between the 3rd and 4th toes or can involve the entire ball of the foot. It can be experienced as sharp, aching, or burning and feels worse when standing, walking, or running.

People most predisposed to metatarsalgia are those who:

  • have a high-arched foot or a foot with very long metatarsal bone

  • participate in high impact sports

  • wear improper shoes such high heel or rigid soled work boots

  • have had a foot injury - from sports, a car accident, or repeated stress

  • work on hard surfaces (cement or tile floors)

  • are overweight

If you're experiencing any of these symptoms, 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+