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Forefoot

Morton’s Neuroma

A neuroma is an inflamed nerve between the 3rd and 4th toes on the foot caused by pinching or rubbing from opposing bones or ligament. It usually causes a sharp shooting pain in the area with a possible tingling or discomfort in the 3rd and 4th toes of the affected foot. The majority of cases are caused by tight fitting shoes or by abnormal foot positioning during gait. Treatment for Morton’s Neuroma include padding, strapping or orthoses to correct the foot position and a change to wider footwear. In most cases where conservative management fails, cortisone injections or removal of the neuroma may be necessary.

Plantar Plate Injury

The plantar plate is the structure under every toe that supports it during periods of dorsiflexion. It can also be an acute injury in sports where a lot of jumping and landing occurs.

It presents as pain at the base of the toe especially when wearing high heels or playing sport progressing to pain at all times when ambulating. It is sore to palpate and on forced extension of the toes at the metatarsophalangeal joints. Treatment involves icing, rest, padding/strapping and change of footwear and orthoses to reduce the strain on the plantar plate long term. Shoe stiffeners are also effective in managing this condition.