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One cause of metatarsalgia is Morton's neuroma. When toes are squeezed together too often and for too long, the nerve that runs between the toes can swell and get thicker. This swelling can make it painful when walking on that foot. High-heeled, tight, or narrow shoes can make pain worse. This is common in runners, particularly of long distance.
Negative signs include a lack of obvious deformities, erythema, signs of inflammation, or limitation of movement. Direct pressure between the metatarsal heads will replicate the symptoms, as will compression of the forefoot between the finger and thumb so as to compress the transverse arch of the foot. This is referred to as Mulder's sign.
A Morton's toe that is so severe the second and third toe appear longer than the first toe. Dorsal surface of a right foot with Morton's toe (left image) and without (right image). The dashed line highlights joint position. Metatarsals in yellow. Specialty: Orthopedic: Symptoms: A big toe that is short compared to the second toe: Usual onset ...
When the boot or shoes are taken off, there is a cramp-like pain in the affected forefoot, and moderate local edema appears on the dorsal aspect. On moving each toe in turn, that of the involved metatarsal causes pain, and when the bone is palpated from the dorsal surface, a point of tenderness is found directly over the lesion.
Some of the symptoms are: Pain and tingling in and around ankles and sometimes the toes; Swelling of the feet and ankle area. Painful burning, tingling, or numb sensations in the lower legs. Pain worsens and spreads after standing for long periods; pain is worse with activity and is relieved by rest. Electric shock sensations
These signs include: Fever, chills, neck pain, fatigue, inability to look at bright light, or inability to eat or drink. “If you have those symptoms, it’s time to go to the emergency room.
Because the big toe is more important for weight-bearing, balance, walking, and running, breaks to the big toe are more likely to be problematic. [8] [10] If the big toe is stubbed and breaks, it usually breaks the distal (outermost) bone. A crushing injury can break both big-toe bones. [10]
Often, the injury occurs when someone or something falls on the back of the calf while that leg's knee and tips of the toes are touching the ground. The toe is hyperextended and thus the joint is injured. Additionally, athletic shoes with very flexible soles combined with cleats that "grab" the turf will cause overextension of the big toe.