Forefoot pain

introduction

Forefoot pain are a very common ailment that many people suffer from. There are numerous diseases that can be the cause of forefoot pain. They are often the result of degenerative changes in the foot, although there are also diseases of other causes.

Pain due to incorrect loading

Many people do the forefoot in the evening after long periods of walking or standing sore. Often this is related to the fact that bad footwear which forces the foot into an unnatural position. The shape of the shoes often depends on fashion aspects and does not take into account the needs of the feet. In particular, elegant shoes such as those worn in this country are usually too narrow at the front, so that the Toes constricted become. Also is often the sole not adapted to the arch of the foot.

Most people also have that Foot muscles insufficiently trained, among other things, there is this insufficiency of the muscles because too little is being walked barefoot.

If there is pain in the forefoot after exercise, it is often helpful to wear shoes that allow the foot to position more naturally. insolesthat have been individually made for the needs of each foot, can provide additional support and thus prevent forefoot pain.

Degenerative diseases

Arthrosis: The foot consists of a large number of bones that are connected to one another by joints. As with all joints in the body, signs of wear and tear occur more and more with advancing age, which may not necessarily lead to discomfort, but can also lead to inflammatory pain in the form of osteoarthritis. If arthroplasty has occurred in the foot, it can cause pain in the forefoot, which becomes worse under strain. The symptoms are exacerbated when tight or high shoes are worn, as these put additional strain on the foot. Comfortable shoes that give the foot enough space and insoles can alleviate the discomfort. Additionally, anti-inflammatory pain relievers like ibuprofen can help reduce pain and inflammation.

Hammer toe (hallux valgus): The hammer toe, medically known as hallux valgus, primarily affects women. This is due to pointed shoes and high heels.If such shoes are worn regularly, the characteristic deformity of the hammer toe occurs over time, the big toe adopts an outward-pointing position while the first metatarsal bone points inward. The forefoot also widens. In addition to pain in the forefoot, there are inflammatory pressure points on the inside of the ball of the foot, which are very painful, especially when wearing tight and high shoes. If a pronounced hallux valgus has formed, the only possible causal treatment is an operation that corrects the deformity. Foot pads can be used symptomatically, and comfortable footwear should be worn.

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Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
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Athletes (joggers, soccer players, etc.) are particularly often affected by diseases of the foot. In some cases, the cause of the foot discomfort cannot be identified at first.
Therefore, the treatment of the foot (e.g. Achilles tendonitis, heel spurs, etc.) requires a lot of experience.
I focus on a wide variety of foot diseases.
The aim of every treatment is treatment without surgery with a complete recovery of performance.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

  • Lumedis - your orthopedic surgeon
    Kaiserstrasse 14
    60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert

Figure ball of foot pain

Figure Pain in the ball of the foot: sole of the right foot (A) and right foot from above (B)

Pain in the ball of the foot
(Ball of the foot is part of the sole of the foot)

  1. Toe phalanx -
    Phalanx distalis
  2. Big toe joint -
    Articulatio interphalangea
  3. Phalanx -
    Phalanx proximalis
  4. Metatarsophalangeal joints -
    Articulationes metatarsophalangeae
  5. Ball of the big toe
  6. Metatarsal bones -
    Os metatarsi
  7. Ball of the little toe
  8. Sole of foot -
    Planta pedis
    Causes:
    - Overwork or overuse
    of the ball of the foot (hike,
    long standing)
    - wrong footwear
    - very overweight
    - Disease of the metatarsophalangeal joints
    (Inflammation, wear and tear, or fractures)
    - gout (deposits of uric acid crystals)
    or rheumatic disease
    - bone tumor

You can find an overview of all Dr-Gumpert images at: medical illustrations

Morton's neuralgia

Persistent pain in the forefoot should definitely be clarified by a doctor.

The Morton's neuralgia is characterized by severe, sudden shooting pain in the area of ​​the forefoot. She will too Morton's metatarsalgia, Morton's neuroma or Morton's Syndrome called. Cause of the pain Thickenings on the nervesthat run along the metatarsal bones to the toes. These thickenings are caused by increased pressure, for example by a Misalignment, mostly a splayfoot, was created. When examining the affected foot, pressure pain can be induced over such a thickening. There can also be multiple nerve thickenings on one foot.

If Morton's neuralgia is suspected after examination of the foot, the diagnosis is made by a Ultrasonic- or MRI image approved.

Therapeutically, attempts are made to pass through the affected areas insoles to relieve so that there is no longer any pressure on the nerves. Furthermore, a Correction of the foot deformity serve to fight pain. If these measures do not apply, there is also the possibility of the Surgically remove thickened nerves.

Injuries

To Accidents can it to Fractures of the metatarsal bones or the Toes which are accompanied by pain in the forefoot, possibly accompanied by swelling. If there is a suspicion, a X-ray image of the foot to make any fractures visible. Afterwards, based on the picture and the examination, it can be decided whether the therapy conservative can be performed or whether a surgery necessary is.

Cuts or others Injuries to the skin or soft tissues can also cause pain in the forefoot, which should be treated properly. In this context it is also important that there are no Inflammation that can cause additional pain and problems of all kinds.