Neuromas
A neuroma can be one of the many causes of foot pain. A neuroma is defined as a thickening or enlargement of nerve tissue. A Morton’s neuroma is specific to the foot and occurs when the nerve passing between the 3rd and 4th toes becomes entrapped, irritated and compressed.
Symptoms include forefoot pain of burning, tingling, cramping, and numbness of the toes. Common things that may cause nerve compression include wearing tight shoes, shoes with a tapered toe box, or extremely high heels. Repetitive stress or irritation to the ball of the feet such as running may also cause a neuroma.
Neuromas may be treated through physical therapy interventions such as joint mobilization and stretching and well as icing. Orthotics, activity modification, and shoe modifications may help reduce pressure in the foot giving the nerve time to heal.
Plantar Fasciitis
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a thick band of tissue that runs across the bottom of your foot, connecting your heel bone to your toes. With plantar fasciitis, this connective tissue becomes inflamed and can cause a sharp stabbing pain when putting weight on the foot – particularly when taking your first steps in the morning. Pain can be felt at the heel, along the arch and/or the ball of the foot.
Plantar fasciitis is common among runners, people who are overweight/obese and those who wear shoes with minimal support. Faulty foot mechanics (such as being “flat-footed” or having high-arched feet) can also contribute to the development of plantar fasciitis.
Here at Cynergy, we use the combination of manual techniques and stretching exercises to decrease pain and improve the flexibility of the ankle, foot and plantar fascia. Individualized strengthening exercises for the ankle and foot are also provided to improve stability of the ankle and foot while standing and walking. Patient education on supportive footwear and/or shoe inserts is also provided by the physical therapist in order to minimize future stress to the plantar fascia.