Metatarsalgia and Morton's Neuroma (Evaluation and Treatment)

[@LionTheHeart]

The pain of these conditions is something else. Thank you for straight forward talk.

[@OrthoEvalPal]

You are welcome!

[@mikecolesvids]

THE BEST vid I've see concerning Metatarsalgia - straight forward no BS thanks!

[@OrthoEvalPal]

Thank you! More to come.

[@snowingsart4568]

THANK YOU... HELPING FRIEND.. OMG!!!! BEST

[@antoniokinsey4041]

Thank you so much. When I first searched metatarsalgia on KZbin, so many crappy videos show up. I have seen a podiatrist at my VA hospital and was prescribe very generic orthotics. The problem persists, so I joined a couple of Facebook group on metatarsalgia and all the posts were about how nothing works. Today, I go back on KZbin to see if I can find a better video, and this one was the best. Thank you for being so giving with your time to answer questions in the comments, I took screens shots of them all, including the links, they were filled with great information. Thanks again!

[@OrthoEvalPal]

Hi Antonio, thank you for the great feedback! Hope it helps!! Best regards, Paul

[@dericcormier38]

I've just watched your video. I have had both issues for around ten years it's unbearable at times. I've tried many different things. Because I was a technician I have to wear boots all the time and now I work in a factory on a cement floor. Perfect right. I'm always looking for better ways to relieve the pain. Your video is a great insight for me thank you.

[@pauldobbo]

I've been to the doctors, foot specialists and still in pain. Watching this video I'm now pain free and the lump has drastically reduced in size,just by moving the cushion pad I was using. I've watched video after video but this one is amazing.

[@OrthoEvalPal]

Glad it helped!

[@Blackdog4818]

Where did you buy it? What brand name was it?

[@pauldobbo]

@@Blackdog4818 Hapla Semi-Compressed Chiropody Felt Sheet (2mm, 3mm, 5mm, 7mm, 10mm) that's what I bought on ebay

[@Blackdog4818]

@@pauldobbo I'm only seeing UK sales. Are they available in the States?

[@lilybosnick4541]

Incredibly clear and helpful-- thank you! Shooting electric pain in left foot, between 3rd and 4th, yep. Changing out of my new shoes tomorrow-- zero support there!

[@OrthoEvalPal]

Hi Lily, you may also want to stretch your calves and get a metatarsal relief pad. Best of luck!

[@OrthoEvalPal]

Yes. That is correct. The Morton's neuroma (nerve/tumor) will cause tingling.

[@patriciagay5401]

I get tingling and have loss of metatarsal pads with irritability under all my toes plus a spur on big toe all on left foot. MY calves are mostly tight but I do have back problems. Not good

[@nathanwood5977]

@@patriciagay5401 You sound like me. I have painful toe left foot, pain heel and front ball of right. Back pain and tingling and shooting pains in feet.

[@paulmarquis7958]

Have you tried a custom orthotic with a metatarsal relief bar? Also, a tight calf muscle is one of the biggest contributing factors to Morton's neuroma and metatarsalgia. Use a slant board to stretch your calf.

[@x5-acousticguitarstuff.2]

I have one in Each Foot.. Just the Thumb Nail sends Shivers up my Spine.. I would NEVER let you touch my Foot...

[@defilosofoyloco]

Your explanation helped me to understand in 2 minutes what a visit to a "doctor" I saw last week. I am in such pain that I can barely walk. Almost $600 later and still no solution. All he did was to say I need to use a little pad on my shoes, and stretch exercises. I am still waiting to know what exercises I am supposed to do!!!! He left me in the room and never came back!

[@OrthoEvalPal]

I have almost all of my patients do this stretch right here and for full disclosure the product being used is something I developed. kzbin.info/www/bejne/fYDaqpWwgK99Z6-Lebsite: ezslant.com/As far as the pad in the shoe goes, you should see an orthotist about an orthotic that can help take a load off of it.Good luck!

[@angelicasanchez7450]

Thank you for the information!! I will need to see my podiatrist to determine which one I have. All I know is I am in pain in that area for some time now:(

[@OrthoEvalPal]

Hi Angelica,Yes, a podiatrist should be able to sort that out quite easily. Best of luck!Paul

[@kennyjohnson1428]

Great video . Perfect information

[@OrthoEvalPal]

Thanks Kenny! Here is my foot and ankle playlist for more great videos of patients with real injuries: kzbin.info/aero/PL_jx_nSzcqqHZ0Yxp9OyDLwkFpYBVnddS

[@karenimran3349]

I have Morton’s neuroma due to breaking my foot. It’s very painful. I’ve had two injections. They haven’t worked. I’ve been using tape which helps. I’ve got orthotics and a size larger boots. My feet burns and also go very cold at times.

[@crispycruiser4654]

Conservative care never works. Our bodies have not evolved to hear ligaments or nerves unfortunately

[@opeyemiabifarin2273]

Thank you for this.

[@MrMRbarati]

This is a best explanation to differentiate two type of pain on metatarsals area. I haven’t had any Morton neuroma but have been struggling with the pain at the ball of my foot.

[@OrthoEvalPal]

I'm glad it helps. Best of luck!

[@mikeydread62]

Good explanation. My podiatrist treating my plantar plate tear, advised changing footwear to (and this is not an advertisement!) Hoka One One runners. Almost not flex through the forefoot so metatarsal movement is very limited. And that has been very helpful in reducing daily discomfort and pain.

[@OrthoEvalPal]

I recommend the HOKA quite often for forefoot issues. Glad to hear you are doing better!

[@mohammedndanusababakudu7243]

Thanks sir!

[@moreofawave]

Nice explanation.

[@OrthoEvalPal]

Thank you! More to come.

[@joesharplin5443]

Pretty certain I have the metatarsalgia this all make a lot of sens but do you have examples of the "cliff" type ortho inserts we should look at? dimensions etc..thinking of trying to make my own to see if there is some sort of respite to the pain..unfortunately I can't even play more than 5 holes of golf before I have to take my shoes off due to extreme discomfort..barefoot walking seems to help. thanks for the video!

[@TaichiStraightlife]

What about self-massage or various empowering exercises the patient can do on their own to ameliorate the metatarsalgia long term? Thanks. Thumbs up, by the way.

[@OrthoEvalPal]

Yes, that can be helpful. I've tried passive modalities and soft tissue work for many years to find that a tight calf is a big contributor and mechanical compression is also. Orthotics are very helpful. Thanks for the comment! Best, Paul

[@amberwinget3691]

I'm trying to learn the different ways to wrap my foot with KTfor these 2 foot issues

[@andreamckinney2714]

Very good information

[@amandafarrell4213]

Hi, great video and thanks. Is it possible to get metatarsalgia just in the ball of the foot under the big toe? That is where all my pain is concentrated and if I flex the big toe up it feels tight (and makes the pain worse) Thankyou.

[@kristinelson73]

Can you have both Metatarsalgia and Morton's neuroma? What if your foot becomes majorly numb each night. Then reduces during the day. There used to be tingling and the skin felt burning, but that ended. There always seemed to be extra layers of tissue at the ball of my feet. I visited a podiatrist and he just gave my foot a shot for pain relief. He didn't discuss any more and didn't verify what is in my feet. Schuler Shoes store gave me special rocking shoes and a special internal sole with a high arch and extra padding at the center (below the ball of your foot). Should I go back to a different podiatrist?

[@OrthoEvalPal]

Hi Kristi, Yes, you can have both. Metatarsalgia is a lot easier to treat. With that being said, I treat them very similarly. I do a lot of calf stretching (on the EZ Slant) because the tighter your calf the more pressure you put on the ball of the foot which can irritate both. Offloading the trouble area with a custom orthotic and metatarsal relief can help. The rocker bottom shoe can help and avoid walking on hard surfaces until it resolves. Good luck!

[@noreenkirwan2011]

Hi I have Morton’s Neuroma, plantar fasciitis and I’ve also got a plantar fibroma. I’m in a lot of pain with all these feet problems.

[@johnboyginger]

Excellent info thank you. I think I’ve just experienced metatarsalgia in my right foot from wearing too narrow shoes, particularly cycling shoes. My feet seem to have got wider over the past year as I’ve been more desk-bound. With better wider fitting shoes and some arch support insoles is this condition reversible or something I have to live with?

[@OrthoEvalPal]

This should settle down with proper footwear and orthotics

[@johnboyginger]

@@OrthoEvalPal thank you.

[@christosandreev6392]

I got somehow metatransalgia from cycling (maybe the shoes are too tight. My pain however, isn't on the high arc or above it but just below. It doesn't seem to go away. As soon as I walk it gets painful.

[@michellebeavis9549]

I have Mortons Neuroma and Ledderhose disease in both feet. Left foot considerably worse. I'm getting burning shots in the outside of my big toe now. Walking and standing are now a chore, experiencing pain at rest too. I've been told I'm not a candidate to have the MN's removed as any surgery will trigger the LD. Am using custom orthotics, wide toe box shoes, calf stretches. Is there anything else I can do? As it is getting progressively worse.

[@815donalduck]

I added self massage to my toes with using my hands and reflexology tools as well as foam rolling my calf muscles. My MN hurts like a mother 😡

[@Iris_Sunset]

Would it be normal to experience very sharp pain during that examination? That curve/indention in the ball of my foot that goes from the 1st-3rd metatarsals is very tender, carefully putting on a sock triggers the pain, putting any pressure on the front half of my foot, and bending my toes upward all cause pain. Mine came on suddenly (dull aching pain to sharp stinging severe pain within an hour, and no pain before that). I don’t even want to massage it bc of how tender it is.

[@Blackdog4818]

What is this pad called? And where can I buy one? I have an itch on the top of my foot, worst along where my toe and foot meet on all my toes. I've had previous podiatrist visit where he had me tape my 2nd metatarsal forward, where some ball of foot pain was pretty bad. That and some steroids stopped it for a while. I gained a lot of weight after Covid, and I enjoy running but it's gotten bad even with taping my 2nd toe forward. The longer distance I run the more the top of my foot itches.

[@remnant1018]

My feet don’t feel like there are rocks in them; they feel more like the bone is about to pierce through the ball of each feet and the curve of each heel. At best, they feel bruised. I’ve been icing them and putting CBD isolate muscle rub and Arnicare gel on them. I tried buying an insole from Amazon, but I don’t know how to tell if it’s actually designed for metatarsalgia or not. Wearing certain shoes feels better and others worse. It’s weird. Nike Pegasus feels better, Asics Gel-Excite worse. Some memory foam shoes I never heard of feel better, Skechers memory foam feel worse. I dunno what the difference is, but I wish I could just make the discomfort and pain finally stop and my feet be healed and normal.

[@eileenlocke7877]

Thank u I think I hv this metatarsal prob

[@OrthoEvalPal]

Very common issue.

[@jnewman1718]

Great video and explanation! I feel my toes and ball area in both feet thickened (the skin) and physically these and the heel areas are somewhat red. While walking at home on flip flops, I feel bunched up socks sensation that people have described. But I feel no pain at all and it's been more than 4-5 weeks now. Do I have either of the conditions you described? Appreciate any feed. Thanks.

[@cha1ny104]

So is walking barefoot bad for you? Surely we're built for walking barefoot? Is there not some sort of strength program to cure these problems as opposed to orthotics to treat symptoms? Appreciate any advice, thank you.

[@TheWilliamalexander6]

I have sock a crumble problem , the doctor suggest orthics insoles but is not helping so what do you think

[@HIDlarissaTERRY]

Ok, thank you guys for your input! Read all the comments and answers and of course wrote some ideas and nutrition I’m looking for some which would help with circulation and blood and “c” in agreement with others -- exercise for sure, absolutely Paul is right and interesting piece of machinery he created --- Paul, do you sell it in England!?

[@OrthoEvalPal]

If you could email me your physical address at [e-mail] I can look into it. We have shipped a few to Canada.

[@footballerwaleed9135]

Hey sir!i actually hit the football with my fingers of right foot so I have got this pain for a while can u tell me how to treat it?

[@OrthoEvalPal]

Too difficult to do without a full evaluation

[@sandrarusso252]

I had surgery on my oh cause I had a fractured ankle and they did surgery on my ankle and I put pins in my foot and I supposed to hell oh rocker models of shoe could you tell me what to do

[@bderek85]

Does this woman actually have those conditions in the video? I am in pain now at that area and I can't even press that area with my fingers cos it is so painful like gout. and also my foot is red.

[@Rene.A.D]

Hello! Nice video! I would like to ask a question.. you said metatarsalgia is usually between the 2nd and 3rd, while morton's neuroma is more common between the 3rd and 4th.. but is it also possible for metatarsalgia to occur between the 3rd and 4th? My case is the following: about 2 months ago, I started feeling a very light pain, between the 3rd and 4th of my left foot, only right after waking up. I wake up, feel the pain (it's really light, but annoying) for about 5 minutes (sometimes less) and then it goes away. After that, I can walk as much as I want, I can run, I can jump rope, anything, and I won't feel any pain or discomfort. I will only feel it again in the next morning, after I wake up. As I am more self-conscious about the problem now, my mind is focused on it, so it seems like sometimes I feel a very light pain depending on the movement, or it feels like it is a little bit swollen.. but I don't feel anything wrong when I touch it with my hands. I'm trying some streching, massaging, warm water compress (also tried ice compress), and also tried some diclofenac ointment and pills.. but it doesn't seem to change much. Could this be metatarsalgia in the beggining stages? or morton's neuroma? why does it hurt only after waking up?

[@OrthoEvalPal]

Absolutely! I use the term more common but not limited to... Good Question

[@Rene.A.D]

@@OrthoEvalPal thanks for your reply. A few days ago I came up with the idea that this pain could be resulting from being barefoot all day long.. as we are under quarentine, I haven't really worn shoes for about 2 months, except for the few times I went shopping. So I now started wearing shoes during the day, even at home... and guess what? The pain is 90% gone. I noticed I step on a different spot of my left foot when walking with shoes.

[@duraiselvivelsamy9224]

🙏sir... I also have pain in foot... Will I do these exercise s, what is the reason for it?

[@chuckkay]

Two weeks ago I started feeling some pain between my 3rd and 4th toe right below the metatarsals extending mainly to the 4th toe, left foot. I don't feel any pain in any of the other toes or areas. I am a huge walker. 35 miles per week. 365 days/per year. Getting some age on me too. A couple years ago I noticed this "pinching sensation" between my 4th and 3rd toe - like a cramp. But it lasted only for a few minutes and would disappear for months. I do wear good running shoes for runners. Mainly Newtons and Altras. These shoes are well thought of by runners world-wide. They do not feel too tight and fit well. The Newtons have lugs on the bottom that "spring" you forward. Even though they are cushioned, the lugs do put some pressure into the ball of the joint. The Altras have a wider toe-box and zero drop and more even cushioning. This pain started with a new pair of Newtons about 2 weeks ago. I am switching back to Altras. What I feel now is like when your funny bone is tweaked on your elbow. I feel it on each step. With shoes or even barefooted in the house. No visible sign. But if run my finger over the metatarsal area, I can feel that little nerve or tissue, "pop" just like the funny bone. I also just ordered some inserts called Powerstep Pinnacle Plus Met Insoles. They are described as: "BUILT-IN METATARSAL SUPPORT: The design of the Pinnacle PLUS allows for spreading and cushioning of metatarsal heads for pain relief." I've read 100s of good reviews on many ortho websites. It also feels like my 3rd and 4th toes are pushing into each other. For the heck of it, tonight I put a "make-shift" spacer between those toes. It seems to feel better. I also wear sports/runner socks from Feetures. They conform to your feet. They don't move around when sweating. They prevent blisters. They work well. I'm wondering if they may be constricting the splaying of my toes on impact. When walking, the pain pretty much disappears after about a mile or so... and subsides for quite a few hours afterwards, usually the rest of the day. The pain at this point is not excruciating - more of an annoyance. I am assuming this is Morton's Neuroma. Any thoughts?

[@ARM_DM]

I really think I have Metatarsalgia on the pinky metatarsal but I do not feel the "pebble" effect. Do you think it's just Chronic Tendonitis? I'm on 2 months now.

[@nickcoombes9164]

I have had some orthktics made and they are so deep I cant find shoes that they fit in! I also have fairly narrow feet which doesnt help. Maybe the only way is to go private to get something smaller made, who knows.

[@OrthoEvalPal]

Make sure you take the original insole out of the shoe before putting the orthotic in. That would give you some more room.

[@nickcoombes9164]

@@OrthoEvalPal yes I have done when I can find shoes that do that in the UK, not many, certainly in narrow fitting. Trend seems to be for wider fittings these days and narrow shoes with removable insole £90 plus. I hope I might get a slimmer orthotic if I pay and don't use the NHS. Thanks tho.

[@kyliewears9844]

I have had foot problems my whole life sprains have had pulled 2 ligiments but now i have something wrong with the top of my foot and in between them like dry skin and calaces

[@mpimento3]

How do you treat fat pad atrophy tenderness at the 1st metatarsal pad ? thank you

[@conniebaxter388]

Where can you get the metatarsal relief bar orthotic. I've had this condition for 3 years now and two podiatrists that have not mentioned metatarsalgia

[@OrthoEvalPal]

Hi Connie, You may want to meet with an orthotist or someone who does orthotics. Would be a fairly simple fix. Best of luck. Paul

[@patriciagay5401]

could try a orthotic off the shelf, they do make them for metatarsal

[@sjgar33]

I appreciate you offering the the information but I had to continually stop the video just to look up the medical terminology. It's like you are talking in another language. If you use an uncommon word just explain it or give the definition so us regular Joe's are able to follow you more easily. Yes your video was quite helpful and professional. Thank you.

[@OrthoEvalPal]

Hi Stefana, When I first started this channel I had designed it for medical providers to help with orthopedic evaluations. That is why I use the terminology. I was a little upset with a lot of KZbin content providers who give the public false hope and make claims that are false or do not pertain to everyone just to gain subscribers like..."This 1 exercise will CURE your plantar fasciitis!!" With that being said, I may also do some content geared toward folks like yourself who are looking for understandable, sound medical advice. Thanks for the comment and for watching! Paul

[@EmmaDee]

Ortho EVAL Pal With Paul Marquis I respect what you are saying completely. I feel like crying because I’m so screwed. I’m in small town Alabama, very limited podiatrist in my area. Actually, out of two, one wanted to do a surgery that day and the other realized I’d met my insurance deductible and was going to run me back and forth doing things I had already been through years ago. I’m frustrated and just wish someone could help me.

[@debbiekeen645]

I've had two surgeries on my left foot to remove Morton neuroma! One 20 years ago and one 7 years ago! My 2nd and 3rd toes are "stuck together "! I'm in pain all the time! I've had two different orthotics made and nothing helps. My orthopedic surgeon says now the pain is caused from metatarsal instability and trie to have me wear another pad to wear in between my toes that are "fused" together! I don't know what to do cause it's not helping. Any suggestions?

[@crispycruiser4654]

Conservative care never works

[@dylanhill1640]

Can a person experience these problems in both feet at the same time?

[@tewarukerr9464]

I have extreme pain between my 3rd and 4th just below I can't even walk on it it swollen and very painful..just woke up with it

[@crispycruiser4654]

Morton’s neuroma. Unless you overstretched or stubbed your toe. That would probably be a stretched ligament. But the location points to the former

[@giancho9772]

What should I next do tell me please... removed 3 neuromas with surgery and physiotherapy too kortizones too...... im 18 and I have this shit 2 years :(

[@OrthoEvalPal]

If your calves are tight they could be contributing to overpressure on the ball of the foot. You may consider this:ezslant.com/You probably should be in a pair of orthotics to offload the pressure there. Good Luck!

[@_hymnix]

is it better now??

[@giancho9772]

@@_hymnix yes it is. I suffered so much for 2 years. It was really hard pain. But after surgery and good physiotherapies I have only a little pain. I am wearing good shoes and I can do a lot of things like boxing running etc. I'm really blessed

[@815donalduck]

@@giancho9772 what helped you the most? Did you use a foam roller?

[@giancho9772]

@@815donalduck only surgery

[@kyliewears9844]

It tingles alot but i stoped seeing my foot doctor bc my ankle had healed i have tried bag balm and lotions idk what caused it

[@fabiolauda9853]

Per favore parlate italiano

[@kayladean3741]

Can this swell up if it’s inflamed?

[@815donalduck]

Yupp. I can notice the difference on my feet. I’m struggling with MN on my right foot and it hurts like a mother 😡

[@HIDlarissaTERRY]

Thank you for the introduction-- now, it looks that I always thought that something wrong with my shoes and my feet were burning and it was for years. Please advise best you can some help and support without operations and injection. What ever the diagnose it looks like both and on both feet --

[@OrthoEvalPal]

I would recommend you see foot specialist. So many things could be going on.

[@metalcoffie]

I've had what I think is metatarsalgia for a few years now. There is no cure. Only pads that don't really help. Extremely depressing condition.

[@OrthoEvalPal]

Have you tried an orthotic with a metatarsal relief bar? Also, do you have tight calves! Tight calves are a huge contributor to metatarsalgia. I use the EZ Slant for a lot of my patients with good success. ezslant.com/

[@springin2tri]

There are surgeries to fix the foot. Lapidus and Gastroc Recession.

[@rosemarysandiego1389]

Question: I think I have this but my other symptom which is not mentioned is if someone squeezes my foot it hurts! Like the bones crushing/rubbing together just hurts. Is that also a symptom? If so, what type if medical professional should I see?

[@crikeymos22]

Rosemary San Diego a podiatrist who specialises in biomechanics. Sound like mortons neuroma. Make sure your shoes are long and wide enough. Good way to tell is by taking the insole out and putting full weight on the foot. If there is any overlapping weight bearing then get wider shoes. Hope this helps.

[@EmmaDee]

Mine is EXACTLY, EXACTLY LOCATED WHERE HERS IS!! Is this ever going to go away!!

[@OrthoEvalPal]

HI Emma, with proper orthotics, footwear and flexibility you can do well but sometimes surgery is inevitable.

[@EmmaDee]

Ortho EVAL Pal With Paul Marquis 😢😢 would you care if I sent you an email? I couldn’t find address but I’d love to share a picture of my “gorgeous” foot and you would be welcome to it if it would help your videos. I have some questions because I’ve had two doctors say two different things. Doc 1, neuroma-we’ve done multiple injections, pads, etc and he says surgery. He’s also been to prison years ago due to prescription abuse issues so might pass on that one. Doc 2, seemed to be a doctor that was highly offended that I’ve dared to study my condition on my own and he said All of the doctors on KZbin were bogus. So he decided he wasn’t going to agree with the neuroma plan and even with that huge round callus the size of a quarter between my 2nd and 3rd toe, he’s going more towards plantar. He gave me that anti inflammatory medicine that about killed my kidneys, great pads he showed he how to properly tape on and the boot. Of course here I am 3 weeks later and NO closer to being able to ever walk properly again!! It’s almost as though he realized my insurance deductible was met and wanted to milk it to death running me back and forth but it’s so hard to get away from work. Would you take a look at my pic?

[@OrthoEvalPal]

@@EmmaDee my email is [e-mail] We could consider a Zoom consult. I do online coaching also so I already have a calender on my website

[@deirdreroberts1649]

Between my 3rd and 4th toe I get what feels like a cramp or Charlie horse. Then it feel like it migrates to my arch. This happens when I stretch my big toe after wearing heels. Sometimes it feels like the 3rd and 4th toe are stuck together. Is this Morton's neuroma? It goes away when I stop stretching or roll a ball under my foot or when I bend my toes upward.

[@OrthoEvalPal]

Hi Deirdre, Morton's will cause longer lasting pain than that. Your metatarsals are taking a beating because of the heels and a tight calf is a bigger contributor. This may be helpful: ezslant.com. Here is the EZ Slant KZbin channel: kzbin.info/door/2Nn4Nfz-GDDzKlXYAe9TQw. Best of luck!

[@seeamerica1]

I was told I needed to have either a ultrasound or MRI was needed to diagnose Morton's Neuroma. Which is better?

[@OrthoEvalPal]

US is cheaper but MRI would give a better image.

[@mohammedndanusababakudu7243]

Suggest injections sir! Thanks!

[@OrthoEvalPal]

Some people do get injections with some benefit especially with Morton's

[@henriklarsson5221]

My middletoe is swollen and stiff each morning, and then as the day progress the swell and pain goes down. Right now i can´t stand on it properly in the morning. I have been home the last days to stay of it as much as possible and get it to heal (and spreading the toes, some massaging and stretching) , but in the morning it has been the same for the last 4 days. It sounds like Mortens Neuroma, but i don´t hear anyone talking about swollen toes ? I have an appointment with a foot-specialist next week. cheers

[@OrthoEvalPal]

Usually Morton's is better in the morning and worse to walk on it and there usually no toe swelling. glad to hear you are going to a foot specialist

[@henriklarsson5221]

@@OrthoEvalPal thank you!

[@HumbleCowboy92]

In the case of metatrasalgia, is it normal for the ball of the foot to be tender on the outside for hours after a long shift? I am desperately trying to self-diagnose. I don’t know if I have metatarsalgia or a bunion. All I know is that any length of time on my feet exceeding an hour is hell. I don’t even know if it’s from the wrong shoe size or just not enough support

[@OrthoEvalPal]

You should make a trip to a podiatrist or PT with foot experience.

[@HumbleCowboy92]

@@OrthoEvalPal Thank you! I’m gonna schedule an appointment. I’ve let this go too long

[@inscoredbz]

Mine hurts on the bottom. It's swollen and painful. I can't tell if it's coming from the joint in my middle toe or in-between my middle and fourth toe. It's causing me to limp.

[@OrthoEvalPal]

You want to off load it. Possibly use rocker bottom shoes. I recommend them a lot. amzn.to/3pE3xoS

[@inscoredbz]

@@OrthoEvalPal I had a steroid shot for morton's neuroma and it helped until I went back to work three days later. I have to wear steel toe boots, and on concrete 10 hours a day. Now the bone in the ball of my foot hurts where it meets the middle toe. Can I have more than one thing going on? I think I need to see a "good" foot doctor, there just isn't any at all in my town.

[@Anonymous-bc6zl]

Can they detect Metatarsalgia and Mortons Neuroma on X-rays and MRI's? Can you still have these with negative images?

[@BearHumphries466]

Definitely not Xray but Morton's can on MRI.

[@dasgnsdjflbka]

My MRI didn’t show mine but doc said that can happen and clinical diagnosis is what she goes off of

[@susanmozayani5440]

Any foot exercises you recommend?

[@OrthoEvalPal]

Hi Susan, I always have these patients do calf stretches. I invented this and this is why I use. kzbin.info/door/2Nn4Nfz-GDDzKlXYAe9TQw I shy away from giving full treatment plans on KZbin because there are many diagnoses that can look like this and I believe in a good evaluation in order to give good treatment. Best of luck! Paul

[@HIDlarissaTERRY]

Ortho EVAL Pal With Paul Marquis thank you for that and yes, it’s true about “look” but what you said I’ll try.

[@seeamerica1]

Family doctors don't know anything about the foot, always go to a podiatrist.

[@SirJones357]

Are you a trained/licensed family doctor or osteopath?

[@Yourebeingtrolled]

Family doctors don't know anything about anything

[@815donalduck]

Nahhh…they dunno nothin either…better off going to a PT or sports therapist 👍

[@Anonymous-bc6zl]

Hi I've been having pain for over a year on the inside of my big toe in between first and second toe and over the big toe bone. When I massage it I can feel a bit tingling and cracking on joint. What can this be? Ive seen 3 podiatrist and no diagnosis . I often find walking/even just standing in my shoes or just having shoes on for a period of time or even standing on a rug bring on the soreness and my foot immediately feels tired, forcing me to take of my shoes and rest my feet. X-rays and MRI negative. Your video focuses on other smaller toes so I was hoping you can give some direction. Thanks for your input.

[@helendropinski3754]

I have the same thing, information from anyone would be helpful.

[@cristinamonroyleyva8088]

Uuyy mucho q le entiendo,

[@malikabouhssini5770]

Traduire en français merci

[@barber684danz4]

I have it on both of my foot. Now I know it's not gout. Lol.

[@serenatobiasz4675]

Could a broken ankle cause metatarsargia?

[@OrthoEvalPal]

Hi Serena, It's possible. If the ankle fracture causes limited dorsiflexion then the metatarsals take up much more pressure. That's why I do calf stretching with all of my metatarsalgia patients.

[@serenatobiasz4675]

@@OrthoEvalPal thank you....

[@kmichaelewis]

Would stem cells help with Neuroma?

[@OrthoEvalPal]

I am not aware that it would Ken.

[@loucasanastasiou]

I have had suspected Mormons neuroma for a year now.. I can't run without a burning pain in my foot and I have rested it for 3 months during the past year and the pain was still there. The pain also wakes me up sometimes at night. I want to avoid surgery and injections as much as possible but think it may be the only way :(

[@HIDlarissaTERRY]

loucasanastasiou the doctor - I was rolled to dame very low statistic and it coming back!!!! I am looking for solution and I’m sure something can be done without drugs and cutting pieces --- when I fix it I would put the solution. So, the nutrition I would look for like blood circulation definitely and exercise-- majority would be “C” of course but it have to in the coordinations with others vitamins (I came across once and would look again) and Exercise Absolutely absolutely must!!!! I was suffering for years and blame my shoes and so it’s very far destroyed and burn non stop -- I do not use any drags no painkillers. Rolling bottle with frozen water in it ;) see ya

[@loucasanastasiou]

@Dwight Cook I am managing just well with nutrition thank you, Dwight. Stop being a fucking sheep, looking for an easy fix via surgery. Wake up, it's a butchers job. Surgery does not heal, it does not get to the bottom of the root cause. If you think I am a "weasel" for wanting the best for my body, then I am sorry for you.

[@loucasanastasiou]

@@HIDlarissaTERRY Thank you very much, I am recovering well. Take care x

[@clientapproval1415]

@@loucasanastasiou what did you do ?

[@Jay_Boogie214]

I need surgery 😭 on both feet

[@OrthoEvalPal]

Best of luck Juan!

[@R-Lee-]

When did you first notice the pain in your feet?

[@clientapproval1415]

Did you do the surgery? Did it help

[@teenermeener971]

Just treating the symptoms. Booo!!!

[@badsaification]

Bangla conversation

[@footballerwaleed9135]

Reply please