I see many patients that come in for burning or tingling of the forefoot. Some even relate a stabbing or shooting pain in the front of the foot. Typically they often describe pain that is worse with shoe gear and relieved by taking off their shoes and rubbing their feet. These are very typical symptoms of somebody with nerve pain.
Neuromas are one of the most common causes of nerve pain in the feet, specifically the forefoot. Neuromas occur typically in females between the ages of 40-60, however they are common in men of the same ages as well. The neuromas itself occurs where two nerves in the feet come together. These two nerves are the medial and lateral plantar nerves that are branches of the posterior tibial nerve. They come together to form one nerve in the 3rd interspace of the foot. This is the region between the 3rd and 4th toes.
Most people will present with numbness and tingling. However some patients just present with pain to the toe or toes. Often there can be a change in shoe gear or activities that precipitate the nerve irritation. The prevailing theory is that this nerve is getting mechanically stimulated or crushed by the surrounding structures or the foot, most likely the metatarsal bones. Repetitive irritation leads to the symptoms that we see i.e., numbness and pain.
There are many great options to relieve nerve pain or neuroma pain. However the most important part of that is identification of the cause. It is paramount to see a provider that has experience and expertise in this area. I have been treating neuromas for over 15 years and have many excellent options to relieve pain and neuromas symptoms long term. If you are experiencing nerve pain I would love to help you get your life back. Give us a call at 425-491-8666 or make an appointment online.
Sincerely,
