Portland Foot Pain Relief: Dr. Tim Irving, a Portland chiropractor, talks about foot pain relief in his SE Portland chiropractic, nutrition and functional medicine studio, Optimum Function
Dropped Metatarsals (Ball of the Foot Pain) - NYC Podiatrist Manhattan and White Plains, NY
Dr. Jeff Adler discusses the symptoms, causes and treatments for Dropped Metatarsals. *******www.adlerfootcare****
Metatarsalgia (foot pain in ball) - Pain in the area between the arch and toes, or ball of the foot, is generally called metatarsalgia. The pain usually centers on one or more of the five bones (metatarsals) in this mid-portion of the foot. Also known as dropped metatarsal heads, metatarsalgia can cause abnormal weight distribution due to overpronation.
Metatarsalgia occurs when one of the metatarsal joints becomes painful or inflamed. People often develop a callus under the affected joint. Metatarsalgia also can be caused by arthritis, foot injury (from sports, a car accident, or repeated stress), hard surfaces (cement or tile floors), and specific footwear (rigid-soled work boots).
A simple change of shoes may solve the problem. In more severe cases, custom orthotics may be prescribed to alleviate the pain and prevent overpronation.
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Common types of foot pain such as plantar fasciitis (heel pain), heel spurs, arch pain, ball of foot pain, Achilles tendon pain, and others. These are often caused by over-pronation, a lower body imbalance that is the direct result of having flat feet
Arch supports for high arched feet need to be custom made inorder to match the high arch exactly. In part two of this series we discuss why high arch feet cause foot pain, knee pain and low back pain.
Arch supports for high arched feet need to be custom made inorder to match the high arch exactly. In part three of this series we discuss the treatment of high arch feet with custom arch supports.
Metatarsos Caídos (Dolor en la Planta del Pie) - Podólogo en NYC Manhattan y White Plains, NY
Su pie está experimentando los siguientes problemas ¿Siente dolor al bajar las escaleras? ¿Siente dolor al no usar calzado sobre un suelo duro? ¿Se está formando una callosidad en la planta del pie? ¿Es el dolor insoportable? ¿Está usted comenzando a cojear?
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Foot Relief Liquid Filled Insoles are commonly referred to as a liquid orthotic because of the way they custom form to your foot. The insoles are filled with a liquid called glycerin which helps to cool the foot in hot weather and keep the foot warm in cold weather. Glycerin is a safe non-toxic substance found in food products. Since no one person has the same shape foot the glycerin forms to the whole foot including the arch giving you a customized support. As you walk or run the glycerin gently massages the foot helping to increasing the blood flow in the tissues of the foot preventing soreness from lack of circulation. The liquid also reduces shock to the feet and body by absorbing the initial impact helping to reduce foot, ankle, knee, hip, and back pain. Customers often submit testimonials raving about the relief of common painful conditions such as plantar fasciitis, heel spurs, metatarsalgia, and heel pain to name a few. The strategically placed pressure points help to guide the liquid to the areas of the foot that need the most protection. The glycerin in Foot Relief Insoles will not freeze and has a boiling point over twice the temperature of water. The insoles can be placed in the freezer or in a heating pad for cold or warm foot therapy. Foot Relief Insoles are machine washable and can be worn during high impact sports such as running, football, soccer, and basketball. They can also be worn with open toe or open backed shoes by placing a small piece of packaging tape under the heel of the insole. Foot Relief Insoles come with a one year manufacturer warranty against damage or defects.
*******www.arch-supports-custom-foot-orthotics-shoe-inserts-insoles****/. These make great kid/kids arch supports and children/childrens orthotics. Ace has selected only the BEST Arch Supports, Semi-Custom Foot Orthotics, Shoe Inserts/Insoles to sell. These arch supports/orthotics are great for children/kids/teenagers suffering from foot pain and shin splints. A mechanical engineer and pedorthist, Ace sells the most accommodative Arch Supports, Semi-Custom Foot Orthotics, Shoe Inserts/Insoles that you can buy. Stop your foot pain, heel pain, forefoot pain, plantar fasciitis, metatarsalgia, morton's neuroma, bunions, flat feet, high arch ankle pain, knee pain, foot pain, shin splints and back pain. Flat feet, high arch, foot/ball pain, heal pain? If you are looking for a great running orthotic or athletic arch support, look no further. Ace knows his FeetPro orthotics are far superior to walkfit (walk-fit) Spenco® Lynco® Birkenstock® Phase 4®/IV Superfeet® (super feet) Good Feet®. Arch supports, semi-custom orthotics, foot insoles, shoe inserts. BEST Arch Supports, Semi-Custom Foot Orthotics, Shoe Inserts/Insoles in: Los Angeles Long Beach, New York, Chicago, Philadelphia, Washington DC, Detroit, Houston, Atlanta, Dallas, Boston, Riverside San Bernardino, Phoenix Mesa, Minneapolis St. Paul, Orange County, San Diego,. Nassau Suffolk, St. Louis, Baltimore, Seattle Bellevue Everett, Tampa St. Petersburg Clearwater, Oakland, Pittsburgh, Miami, Cleveland Lorain Elyria, Denver, Newark, San Juan Bayamon, Portland, Vancouver, Kansas City, San Francisco, Fort Worth—Arlington, San Jose, Cincinnati, Orlando, Sacramento, Fort Lauderdale, Indianapolis, San Antonio, CA, TX, NY, FL, OH, IL, WA, PA, GA FeetPro arch supports make great kids (kid) arch supports and children (childrens) orthotics.
Foot Injury - NYC Podiatrist Manhattan and White Plains, NY
Dr. Jeff Adler discusses the symptoms, causes and treatments for common foot injuries. *******www.adlerfootcare****
Foot Problems: Common Foot Injuries
Metatarsalgia - Pain in the area between the arch and toes, or ball of the foot, is generally called metatarsalgia. The pain usually centers on one or more of the five bones (metatarsals) in this mid-portion of the foot.
Sesamoidotis/Peroneal Tendons - Peroneal tendons support two important foot muscles (Peroneus Brevis and Peroneus Longus) that originate on the outside of the calves. These two muscles allow you to roll to the outside of your foot while standing.
Sports Injuries - Many sports are hard on the feet because of quick repetitive movements, constricting footwear, and/or increased exposure to injury or trauma. Following is a brief overview of some of the most common injuries that result from particular sports.
Shin Splints - Shin splints refer to pain on either side of the leg bone that is caused by muscle or tendon inflammation. The problem is usually related to a collapsing arch, but may be caused by a muscle imbalance between opposing muscle groups in the leg.
Ankle Sprain Injuries - Ankle sprains are caused by an unnatural twisting or force on the ankle bones of the foot, which may result in excessive stretching or tearing of one or more ligaments on the outside of the ankle. The severity of the sprain can impact the degree of damage as well as the type and duration of treatment. If not properly treated, ankle sprains may develop into long-term problems.
Broken Ankle - There are a wide variety of causes for broken ankles, most commonly a fall, an automobile accident, or sports-related trauma. Because a severe sprain can often mask the symptoms of a broken ankle, every ankle injury should be examined by a physician.
Fractures - Nearly one-fourth of all the bones in your body are in your feet. A broken (fractured) bone in your forefoot or in one of your toes is often painful, but rarely disabling. Most of the time, these injuries heal without operative treatment.
Osteochondromas - Osteochondromas are benign bone tumors that form in the bone beneath the toenail. Osteochondromas account for about half of all benign bone tumors, and occur mostly in children and young adults. Unless they cause irritation to the surrounding tissue, they are generally not painful.
Osteochondritis (stiff ankle) - Osteochondritis are lesions that usually cause pain and stiffness of the ankle joint and affect all age groups. Osteochondritis is caused by a twisting-type injury to the ankle. Symptoms include swelling and ankle pain.
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Morton’s Neuroma Treatment - San Francisco Podiatrist Union Square CA
Dr. Bill Metaxas discusses the symptoms, causes and treatments for Morton’s Neuroma.
The term neuroma means a tumor of a nerve. It is an abnormal growth of cells within a nerve, and the majority of them are benign, but a few rare tumors are cancerous. These true neuroma's generally occur in the larger nerve trunks of the ankle and lower leg, and in other parts of the human body. They can occur in the smaller nerves of the foot, but this is very uncommon.
Over 100 years ago, a British physician named a benign tumor of the foot after himself and called it Morton's neuroma. Modern medicine has shown that this tumor, which most often occurs between the bases of the 3rd and 4th toes, should be more accurately termed perineural fibrosis because it is a build up of scar tissue (fibrosis) around, not within, the small nerves between the metatarsal heads. This scar tissue becomes enlarged and causes compression on the nerve, which results in decreased blood and oxygen to the affected nerve segment, resulting in pain. This neoplasm or tumor can occur between any of the metatarsal heads of the foot.
Morton's neuroma, or perineural fibrosis, is caused by local irritation of a segment of a nerve in the front part of the foot which rubs up against a thick ligament beneath the metatarsal heads. There is an initial inflammatory reaction resulting in scarring or fibrosis around the nerve segment. As this scarring enlarges, compression of the nerve segment occurs. Flat-feet, high arched feet, high heel shoes, narrow shoes, pointed shoes, and certain repetitive physical activities can result in the formation of a Morton's neuroma. Frequently as this type of tumor enlarges, patients will experience pain and then remove their shoe and massage the foot, which will temporarily relieve the symptoms.
• Sharp or achy pain in the front part of the foot at the base of the toes.
• Numbness, tingling, or a pins and needles feeling of the toes.
• A sensation of feeling a lump on the bottom of the forefoot.
• A feeling as if the sock is bunched up beneath the foot.
• Feeling a clicking sensation when walking.
• No signs of redness or swelling.
A proper history and physical examination by your Podiatric physician is necessary to be sure that the diagnosis is accurate. Other conditions such as arthritis, synovitis, tendinitis, metatarsalgia, or other types of tumors may mimic the symptoms of Morton's neuroma.
Certain diagnostic tests such as Ultrasound or an MRI may be necessary to clearly make the diagnosis of Morton's neuroma.
Traditional conservative medical treatments include changes or modifications of shoe gear, orthoses, injections, foot padding, and the use of anti-inflammatory medication. Many of these treatments will provide temporary relief, but since we have no way of reversing the scar tissue formation, then ultimately surgical treatment by a Podiatric surgeon may be necessary in order to alleviate the symptoms.
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Mortons Neuromas - Podiatrist in Chelmsford and Newburyport, MA
What is a Neuroma?
A neuroma is a painful condition, also referred to as a “pinched nerve” or a nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes that brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot.
The principle symptom associated with a neuroma is pain between the toes while walking. Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe. The vast majority of people who develop neuromas are women.
• Pain in the forefoot and between the toes.
• Tingling and numbness in the ball of the foot.
• Swelling between the toes.
• Pain in the ball of the foot when weight is placed on it.
How Do You Get a Neuroma?
Although the exact cause for this condition is unclear, a number of factors can contribute to the formation of a neuroma.
Biomechanical deformities, such as a high-arched foot or a flat foot, can lead to the formation of a neuroma. These foot types bring on instability around the toe joints, leading to the development of the condition.
Trauma can cause damage to the nerve, resulting in inflammation or swelling of the nerve.
Improper footwear that causes the toes to be squeezed together are problematic. Avoid high-heeled shoes higher than two inches. Shoes at this height can increase pressure on the forefoot area.
Repeated stress, common to many occupations, can create or aggravate a neuroma.
What Can You Do for Relief?
• 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 and proper insoles that are designed to keep excessive pressure off of the foot.
• High heels should be avoided whenever possible because they place undo strain on the forefoot and can contribute to a number of foot problems.
• 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.
• For simple, undeveloped neuromas, a pair of thick-soled shoes with a wide toe box is often adequate treatment to relieve symptoms, allowing the condition to diminish on its own. For more severe conditions, however, podiatric medical treatment or surgery may be necessary to remove the tumor.
• Use over-the-counter shoe pads. These pads can relieve pressure around the affected area.
Treatment by Your Podiatric Physician
Treatment options vary with the severity of each neuroma, and identifying the neuroma early in its development is important to avoid surgical correction. Podiatric medical care should be sought at the first sign of pain or discomfort; if left untreated, neuromas tend to get worse.
The primary goal of most early treatment regimens is to relieve pressure on areas where a neuroma develops. Your podiatric physician will examine and likely X-ray the affected area and suggest a treatment plan that best suits your individual case.
Padding and Taping:
Special padding at the ball of the foot may change the abnormal foot function and relive the symptoms caused by the neuroma.
Anti-inflammatory drugs and cortisone injections can be prescribed to ease acute pain and inflammation caused by the neuroma.
Custom shoe inserts made by your podiatrist may be useful in controlling foot function. An orthotic device may reduce symptoms and prevent the worsening of the condition.
When early treatments fail and the neuroma progresses past the threshold for such options, podiatric surgery may become necessary. The procedure, which removes the inflamed and enlarged nerve, can usually be conducted on an outpatient basis, with a recovery time that is often just a few weeks. Your podiatric physician will thoroughly describe the surgical procedures to be used and the results you can expect. Any pain following surgery is easily managed with medications prescribed by your podiatrist.
Your Feet Aren’t Supposed to Hurt
Remember that foot pain is not normal, and any disruption in foot function limits your freedom and mobility. It is important to schedule an appointment with your podiatrist at the first sign of pain or discomfort in your feet, and follow proper maintenance guidelines to ensure their proper health for the rest of your life. The advice in this pamphlet should not be used as a substitute for a consultation or evaluation by a podiatric physician.
A New Neuroma Treatment called Sclerosing Injection Therapy
This condition was first described by T. G. Morton in 1876. He used the more vague terminology of metatarsalgia to describe a painful condition in the ball of the foot. Pain is caused by pressure on the digital nerves as they pass between the heads of the metatarsal bones, most commonly between the third and fourth toes, and secondarily between the second and third toes. Patients often feel cramping, tingling or burning and occasionally shooting pains in their forefoot or toes. Many feel the need to remove their shoe to massage the painful area.
Sclerosing Injection Therapy
Surgical excision (neurectomy) to remove a neuroma is frequently done when cortisone injections, foot inserts and anti-inflammatory medication fail. However, surgery should be considered as a last option due to the associated risks such as infection, scar tissue or recurrence. Sclerosing (sometimes called alcohol surgery) can be a wonderful alternative to surgical excision. Alcohol hampers the nerve's ability to transmit painful impulses. Alcohol injections affect the nerve by causing a short circuit, desensitizing the painful area with mild numbness. This is exactly the same result that we aim for with surgery!
Sclerosing therapy can be done in the office and often produces the same level of relief without the risks associated with surgery. More importantly, there are no restrictions on activity after the injections, as there would be with surgery. Patients can expect good results, as success rates are between 70-80%. In rare cases where the therapy was not successful, surgery is still an option.
Neuroma sclerosis requires a series of weekly injections. After 3 injections, pre-treatment symptoms are reevaluated. If no improvement is noted, the series will be discontinued. However, if some improvement is noted, then the series will be completed, up to a total of 7 injections.
Note: Because injections have been given a surgery code by insurance companies, it will appear on your Explanation of Benefits as a surgery, even though you never approached an operating room.
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Call 586-298-1585 - Let Us Help You Heal Your Foot Pain
Foot pain is extremely common, and it is NOT normal. A variety of conditions can result in foot pain:
Arthritis can occur in your feet just as it can occur in other areas of your body, and it can be painful. Patients can develop stiffness and/or pain in the big toe joint, which is termed hallux limitus or hallux rigidus depending on the severity.
Bone spurs commonly occur in the front of the feet (often near the big toe joint), and the middle of the feet, and these can be painful.
Pain can also occur in the ball of the foot from a variety of causes such as metatarsalgia, neuromas, stress fractures, or length discrepancies of the bones in the front of the foot.
Hammertoes, or contracted toes, can cause foot pain.
Bunion deformities near the big toe joint, and Tailor's bunion deformities near the baby toe can also be painful for many people, and often cause difficulty wearing shoes.
Both flat feet (which is called pes planus) and high arched feet (which is called pes cavus) can result in foot pain.
Heel pain is extremely common, and can be caused by conditions such as plantar fasciitis/heel spur syndrome, a stress fracture, or Sever's disease.
Ankle pain is also quite common, and has a variety of causes.
Gout can also cause severe pain in the foot, which some female patients describe as being "worse than childbirth." Fortunately, we can decrease the pain from gout immediately with our treatment regimen for this condition, and patients with gout walk out of the office feeling much better.
Systemic conditions such as rheumatoid arthritis (or RA) can also result in foot deformity and foot pain.
Fortunately, there are many excellent treatment options available for your foot pain. Dr. Stephanie Carollo stresses to her patients that foot pain is NOT normal, and that pain is your body's signal that something is wrong. Call us for an appointment to evaluate your foot pain--OFTEN SAME DAY--and to get you back to living your pain-free, healthy, happy life!
Call 586-298-1585 for an appointment in our Clinton Township or Macomb Township MI Office.
Dr. Stephanie Martin Carollo completed her residency training at the prestigious Cleveland Clinic Foundation/Kaiser Permanente podiatric medicine and surgery program. While there, she received years of extensive training in foot and ankle surgery, diabetic foot care, and wound care from some of the most skilled physicians and surgeons in the country. Dr. Martin Carollo is a graduate of the Ohio College of Podiatric Medicine, where she received numerous awards in addition to serving as Class President for all four years of medical school.