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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.
It usually projects from the upper surface of the big toe underlying the nailbed, giving rise to a painful swelling that destroys the nail. [3] Subsequent ulceration and infection may occur. [3] There is an association with trauma and infection. [4] Diagnosis involves medical imaging to exclude other similar conditions, particularly ...
Morton's toe is the condition of having a first metatarsal bone that is shorter than the second metatarsal (see diagram). It is a type of brachymetatarsia. [1] This condition is the result of a premature closing of the first metatarsal's growth plate, resulting in a short big toe, giving the second toe the appearance of being long compared to the first toe.
In addition to these primary symptoms, patients may experience: Clicking or popping sensations in the joint, particularly during movement; Numbness or tingling in the affected toe, possibly due to nerve irritation; Difficulty wearing certain types of footwear, especially those with high heels or narrow toe boxes
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
Hallux rigidus or stiff big toe is degenerative arthritis and stiffness due to bone spurs that affects the metatarsophalangeal joints (MTP) at the base of the hallux (big toe). Hallux flexus was initially described by Davies-Colley [ 1 ] in 1887 as a plantar flexed posture of phalanx relative to the metatarsal head.
Symptoms may be treated by wearing wider shoes to relieve pressure, or the patient can wear padding around the toes. Surgery is also an option, if the pain and discomfort cannot be treated, or for cosmetic reasons. In this procedure, the short metatarsal is typically cut and a piece of bone is grafted between the two ends.