I have been practicing podiatric medicine for more than 30 years and truly have a dedication to my patients and passion for the profession. Please take a look at my website and the resources I have provided. I look forward to meeting you and providing you the food care you deserve.
Forefoot pain is obviously pain and discomfort experienced at the top of the foot. The incidence of forefoot pain occurring in a person increased with age. Any pain found in the ball of the foot is called metatarsalgia, which can be due to Morton’s neuroma, sesamoiditis or stress fractures.Morton’s neuroma and its treatment
Morton’s neuroma is tissue thickening that surrounds the nerves leading to toes. It usually occurs when the third and fourth toes pinch together and compress a nerve. This leads to an enlargement and inflammation of the nerve, burning and tingling sensation and possible cramping of the foot front to give forefoot pain. This condition may also arise through an injury, arthritis, an abnormal bone structure and tight fitting shoes.
Pain can be reduced through massage while all sorts of pads, cortisone injections and roomier shoes like box-toed shoes are also helpful. If all this does not help, the enlarged area may have to be surgically removed to provide long term relief.Sesamoiditis and its treatment
Sesamoiditis is forefoot pain with an inflammation of tendons around the bones embedded in the head of the first metatarsal bone leading to the big toe. Excessive stress is said to be the main cause for sesamoiditis, which is why it is common in people participating in high impact activities like jogging, ballet, aerobics and jarring.
The condition is best treated with rest to reduce stress on the ball of the foot. In addition to this, wear a low heeled show with a stiff sole and soft padding. In extreme cases, the doctor may also suggest surgery.Stress fracture and its treatment
Stress fractures occur when any of the five metatarsal bones break or rupture through overuse during strenuous exercise like aerobics and jogging. Women are at a higher risk of developing forefoot pain from stress fractures than men.
Usually fractures in the first metatarsal bone leading to the big toe are uncommon as the bone is thick. However if a fracture does occur, it is a much more serious one than a fracture occurring in any other metatarsal bones.
Stress fractures generally heal themselves if you avoid rigorous activities. Some doctors advise moderate exercise like walking and swimming when you have a stress fracture. However if pain does not reduce after 3 weeks, seek medical treatment as delayed treatment may lead to a reduced chance of one’s feet functioning as perfectly as before.
If you have a stress fracture as forefoot pain, it is better to wear low healed shoes having stiff soles. Some doctors also recommend using special wooden shoes and a compressive wrap to make walking more comfortable for you.