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It is so great to see so many others share my pain. I thought I'd share my story. I teach fitness classes and have been a dancer my whole life. Two years ago
I notice my 4th toe falling asleep 35 mins into a spinning class or dance cardio class. I would just ignore it. This went on for about 6 months. Then I moved to New York City, where I was working out less cause you walk everywhere. Then I realized the problem would occur from walking after 30 minutes. So, I went to a podiatrist--who was a QUACK
He didnt even know or mention Mortons Neuroma.. but tried to sell me on orthodics at $400 a pop. He suggested to walk less (ha in nyc!) . So, he made me a make shift meta tarsal brace. Which helped. But, then the pain stopped for a bit. And I moved closer to work so I was barely walking.
Fast forward 6 months... back in Charlotte, doing all my fitness again and this time the pain is SO bad.. that I have to stop teaching class, make an awful face... and just bad. Shooting pain up my leg.
So, I made an appt w/ Foot and Ankle assc. Dr. Adam Shapiro. He took an XRAY to rule out other causes... and then said I had Mortons Neuroma(which by this point I knew that from research). He suggested I buy New Balance 993 EXTRA wide sneakers. I had to buy MENS! They aren't the prettiest, but I do notice a difference. And get the steriod shots every 2 weeks for 90 days.
Without health insurance this visit wouldve been $480. Mine was $259 cause I have to meet my deductible up to $1200. The shot wasn't painful to me. Just black and blue. But, I noticed I could finally walk better. It has been 2 weeks. Tomorrow I go in for my 2nd shot.
BUT! Today I went to see a Chiropractor. At Davis Spine in Mooresville. She had me stand on a computer scale(like you see in the Dr. Scholls commericals) and showed my meta tarsal arch is bad, and I am putting pressure on the outside of my foot. (cause I've been avoiding the meta cause of pain).
She said there are other methods from shots and surgery. And from what I gathered.. surgery is NOT the way to go.
she mentioned Electrotherapy? and the Orthodics. She said the steriods shots sometimes dont last.
Neither doctor has mentioned these Alcohol shots.. but I am def going to ask about it tomorrow.
so, the moral of my story ... is if your toe is falling asleep.. DONT go to a podiatrist. Go see a FOOT and ANKLE Doctor .
Ladies, no more high heels it is a sad day for me FOR SURE.
Longitme reader... firstime poster.
I completed my second marathon in DC last weekend (9 days ago). I had a great run and set a new PR (3:39:22!) which was great. After the marathon I felt good but tired of course. When I got back to my hotel after eating lunch and took my shoes off I noticed my feet were both pretty swollen. I figured this was normal due to the fact that this was the first marathon I really tried hard to "race" through as opposed to just complete. I also figured it was due to the fact I'd done all my trianing for this one in 30 degree weather and on race day the high was 67 degrees at the finish. So I figured the heat was somewhat related. I also noticed a new numbness in the front of my right foot. I didn't pay it much attention as I figured it was just post race soreness and it would go away in a day or two.
I did my usual postrace routine of ibuprofen, icing the bits that hurt, and much later in the day a hot bath with epsom salts.
Three days after the marathon I noticed that everything else felt fine but the toes on the front right of my right foot felt numb. I can pinch them and feel the pressure but they felt generally numb still. Theres no pain per say... just numbness.
Now its 9 days later and the numbness is still there. I can walk on it without any trouble although the first couple of barefoot steps in the morning feel odd. not painfull, just odd. After lots of googling and reading this entire thread it seems like it Morton's Neuroma. I've never felt this before from any of my running so whatever it is it probably happened during the marathon.
So my questions are...
is there any chance this will go away on its own?
is there any risk to resuming running again in a few more days when I hit the two week post marathon mark?
how much success is there with non surgical options?
is there a reasonable time period I should wait to see what happens before I go see a doctor? and if so which type of specialist is best?
I currently pay for healthcare out of pocket, so I'd like to start with the least expensive remedies first as long as I'm not putting my running at risk.
I've written a motherload on this topic and gotten good feedback from other professionals in the field. I used to suffer from this condition and the problem is solved - without drugs or surgery - virtually for free. In fact, it was solved before I was born by a guy named Dr. Morton, after whom the condition he treated was named. But don't expect to hear much about the fix from the medical community. When there ain't no money in the fix, you ain't gonna hear about it. BTW, alcohol will not eliminate the source of new neuromas. They'll come back if you don't treat the source.
I'm going to do something I never do because I hate doing it, but it's late and there is sooo much to cover, and worth your time to read.
I'm linking a previous (fairly recent) post here (please read all the sub-links)...
Found another with input from a foot surgeon who designs intelligent orthotics...
More detail from Dr. Theta...
Seems like there is so much conflicting info online about this subject. Its hard to draw any kind of consensus from all of the things I've read in the last few days.
On the plus side I have an appointment on Monday with a podiatrist to see whats up. For now I've stopped any excercising until I get cleared by the Doc to start again. I never thought I'd say this... but I really hope its not a neuroma although I'm exhibiting all the classic symptoms. I hope its a stress fracture or anything but a neuroma.
I just hope I've caught this soon enough that its not going to hold me back much. Or worse... put a stop to my distance running.
Wish me luck!
Hi, I hope that this will be helpful to someone. I have suffered from Morton's neuroma for the past three years and have tried orthodics (3 prs), physical therapy, cortisone injections and saw a podiatrist for one year. I thought that since I live in Boston I would be able to find help but it was frustrating. I finally flew to Tampa, FLA and had cryosurgery performed by Dr. Marc Katz yesterday. I was very impressed with Dr. Katz. I am painfree today and hopeful now.
Please read my post about PROLOTHERAPY, its what I have done for my MN and it is working. No instant gratification mind you but you all write about dropped metarsals, toes spreading farther apart which is all evidence of stretched ligaments. I have pulled my foot back together and now the nerve is slowly, ever so slowly (gasp :-) healing. Natural cures are slow but address the real cause, when the lesson is learned, it goes away.
I am not selling for anybody by the way, I am a regular guy sharing my healing path.
Thank you for the Prolotherapy suggestion-I appreciate it and will look into it. It has been ten days since I had the cryosurgery for my MN. I went back to work as a kindergarten teacher five days after the cryo. The bottom of my foot is still sore. I am hoping I will be able to run again but I won't know for a little while longer.
Cryo is working to the extent that you are silencing "the messenger". I wore tight pointy shoes and danced all night in my youth, no MN, so why now, a lifetime of abuse to the feet, bones will heal but when ligaments overstretch, they don't shorten back to original length, you see old people with toes crossing over and all sorts of mangled feet: ligament stretch. Is killing the messenger that the deterioration process has started the long term answer; to just shut it up? Beware folks, your body has nerves for a reason.
Here are a couple of articles that appear to support what Designeer is saying in regard to cryotherapy and the inflammatory response.
This podiatrist's perspective on emerging therapies (2/3 down page) and discussion of a study on needling techniques (1/3 down) are on point...
This Doctor's article in CyberPT discusses the changing views within the medical community on inflammation, and their role in prolotherapy...
Thanks for the supporting articles James, think how many people have been damaged by cortisone and other anti-inflammatories, my local PT says they find cortisone shots on a cadaver 30 to 40 years later because of the destroyed tissue !!!!!
James, I really appreciate all of the links and information that you have provided. Neither my podiatrist in Boston nor my PT mentioned Morton's toe as the cause or explained it. I have learned so much thanks to you. I'm going to try the sub-metatarsal wedging of my first metatarsals and the taping of my toes when I run. I'm assuming that you tape the first two and last two toes together, is that what you meant? Thank you again.
Congratulations to those whose experience with this painful condition has allowed sports science to evolve as we write. I suppose that includes us - though we'd all happily trade our neuromas for normal feet - but the sacrifice has not been in vain as we continue to learn how to cure, control or prevent the condition with reasonable certainty the fix will hold.
Designeer, it will be interesting to see how long it takes the big ship to turn on the old news that inflammation can be our friend. In your case hypermobility was corrected by tightening of the ligaments via the managed inflammation of prolotherapy, improving the mechanical stability of your foot. Those who wimp out and allow their doctors to simply prescribe anti-inflammatories and steroids to mask pain may wind up paying a heavy price over time.
Wannarun63, I've managed to keep my less advanced condition at bay by taping the second and fourth toes to spread the metatarsals. To anyone who has seen a natural foot, which tends to run wider than what we're used to seeing, it's no surprise that our comparatively narrow footwear pinches the nerves between our metatarsals. Perhaps my success has been due to spreading the phalanges in just the right place, since neuromas tend to form between the 3rd&4th or 2nd&3rd metatarsals. I planned for both, but it took some experimentation.
Trying various materials of differing thickness and tension, I found it was hard to find tape that would not chafe, cut, or stop circulation. I also needed to avoid overcrowding the toe box of my running shoes. My earlier experiments resulted in having to stop in one of my best marathons to tear off the tape so I could feel my forefoot. I found the tape was too close to the webbing between my toes, and was cutting off circulation. Centering a 3/4" strip on the middle two "knuckles" of each phalange turned out to be best. I finally settled on a common material: 12" strips of Bounty paper towel, which swell with moisture as the feet themselves begin to swell during longer runs. I fold and tear rather than cut to get softer edges, and it takes about a minute to wrap both toes. In my last marathon I doubled the thickness as a gamble, and it didn't cause any blisters or other issues. That and the 1st-metatarsal pad, and I'm good to go so far, as long as 30 miles in one run without a problem.
Good luck to us all as we continue to beat this condition with a little creativity and the latest information.
Hello, I am a newbie to this site and am feeling pretty overwhelmed by all of your information on MN . I think I am not the typical person,(if there is such a thing) that developes MN. I had hip surgery 13 months ago. Immediately following surgery, I woke up with foot drop syndrome. I have gone through braces,physiotherapy,and now recently have finally seen a podiatrist. I am told that the developement of the MN is related to the foot drop. Although I have much of the movement and strength back in my foot, the ball of my foot is still hitting down harder than normal while walking. I have been living with various degrees of pain for 13 months now. I've pushed through the pain for so long and am too active to just become a couch potato. I have managed a few 2 mile walks a week and spend lots of time gardening. I seen my podiatrist for the first time 1 month ago and he diagnosed me with 2 neuromas. After reading up about MN, I had experienced the symptoms for 12 months prior to diagnosis. My podiatrist does not believe in injecting MN as he feels it just masks the condition, but reluctantly, at my pleading, (as the pain had become debilitating) he injected my foot. What a relief it has been. I still have pain elsewhere in my foot due to the foot drop syndrome, but it is all more tolerable now. My Podiatrist is suggesting surgery for the MN and I am leaning towards it as I am thinking of the long-term relief. I do not know what complications could arise from surgery. My biggest fear is that surgery may(?) affect my foot drop back to square one, but my podiatrist says that cannot happen.
Have you heard of anyone like myself who developed the MN from having foot drop syndrome? What are your thoughts on my particular situation? I would appreciate any input please.
My MN came out after I hurt my knee and abused the foot some more, its a domino effect one injury translates to another...........please consider prolotherapy to tighten the ligaments in your foot so the bones don't bang into one another, rather its a 45 degree clamping down on the nerve, Dr. Hauser calls it a dropped metarsal and now I understand it.
I am his patient.
find prolo near you
Hope this helps