Nerve damage in the foot can develop when nerves between the toe bones become irritated and enlarged. These nerves travel between the toes and supply feeling to the forefoot. Irritation usually affects the nerve between the third and fourth toes, although another space can be involved. The thickened tissue surrounding an irritated nerve is known as a neuroma. Pressure from wearing tight or pointed shoes can contribute to the problem. Other causes include thinning of the protective fat beneath the forefoot and poor foot alignment. Certain foot shapes can also place stress on these nerves.
Symptoms often begin with a mild ache near the third or fourth toe. The discomfort can then become burning, tingling, or sharp pain in the ball of the foot. Some patients feel as though a pebble is trapped under the foot. Pain can spread into the toes and become more noticeable when wearing shoes that squeeze the forefoot. Continued irritation can make closed-toe shoes difficult to tolerate. A podiatrist will ask when the symptoms started and what makes them worse. The examination includes checking the painful area, foot structure, and toe movement. Imaging tests can help to rule out other problems, but they do not always clearly show an irritated nerve.
A podiatrist can reduce pressure on the affected nerve and address causes of irritation. Treatment includes recommending shoes with a wider toe box and proper support. Custom orthotics can improve foot alignment, while carefully placed pads can shift weight away from the painful area. A podiatrist may also provide an injection to decrease pain and inflammation around the nerve. When these measures do not bring enough relief, other office-based procedures can be discussed. Surgery to remove the enlarged nerve is reserved for persistent symptoms and can leave lasting numbness in nearby toes. If you have symptoms of nerve damage in the foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Manalapan, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
