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ball of foot pain

Posted by Donna G. on 1/05/02 at 15:40 (068843)

For the past 24hours I have severe pain on the ball of my right foot.But only when i put any pressure on it(such as standing and walking). I am on my feet alot as I own my own clothing store and must wait on customers. I have no idea what a heelspur feels like, but I can guess that my pain has to be similar. Can you help me diagnosis my problem? Thanks!

Re: ball of foot pain

Dr. David S. Wander on 1/05/02 at 16:39 (068850)

It would be impossible for any doctor on this site to give you an accurate diagnosis without examining your foot and performing a proper history/examination. There are a plethora of problems that can cause pain in the area of the ball of the foot. The most common are listed below:

1) Metatarsalgia--this is a pain and inflammation of one or more metatarsal bones, often caused by an abnormal foot structure or incorrect shoes or overuse.
2) Capsulitis/bursitis--this refers to an inflammation of the tissue surrounding the metatarsal joint or an inflammation of tissue between the metatarsals (a bursa)also often caused by improper foot gear, overuse or mechanical problems with the foot.
3) Neuroma/Morton's neuroma--this is a thickening/fibrosis of a nerve as it passes between the metatarsals and branches into the toes. As the nerve thickens and/or swells it presses up against the ligament connecting the metatarsals and can cause burning pain, aching, shooting pain, the feeling of a 'lump' in the foot, cramping, etc.

Regardless of the cause, you must be evaluated by a podiatrist or orthopedist for an accurate diagnosis to enable you to treat the problem correctly. Good luck.

Re: ball of foot pain

Dr. David S. Wander on 1/05/02 at 16:40 (068852)

Sorry, I almost forgot to mention that another common cause of pain in the area of the ball of the foot is a metatarsal stress fracture. Go to your doctor and get in checked out!

Re: ball of foot pain

Michelle on 1/07/02 at 08:43 (069038)

One of my doctors told me that my arch has fallen. It is the arch by the toes. i asked him why my toe right next to the big one hurt he told me that my arch fell. He told me to go out and by a tri-ad. I did I have been waring one for about three months. I have bought two new one since then. Now the toe by the little toe hurts. It hurts to walk sometime. It is the joints that hurt. What I want to know is it going to keep getting worse. could my doctor be wrong and it be something else (the doctor that looked at it is a chiropractor). I will be looking for input on mty problem. By the way I am 17 years old if that helps any.

Re: ball of foot pain

Dr. Marlene Reid on 1/07/02 at 11:29 (069052)

You need to see a foot specialist, not a chiropractor. Your arch just doesn't fall at 17. Do you have a hammertoe?

Re: ball of foot pain

David M on 1/07/02 at 18:51 (069117)

Yes, a very tough one to diagnose. I'd suggest that it may be nerve related, and you should see a GOOD physiotherapist to get your flexability measured.
My personal experience of similar pain relates to poor flexability in the quad and hip flexor, creating a pinch on the movement of the nerve. After cycling for a while the ball goes numb and is quite painful to walk on.
This problem took a lot research and visiting different people (sports med doctors, podiatrists and physio's) to determine the cause.
I'm now getting treatment have have a few extra stretches to add to my stretching regime.

Re: ball of foot pain

Dr. David S. Wander on 1/05/02 at 16:39 (068850)

It would be impossible for any doctor on this site to give you an accurate diagnosis without examining your foot and performing a proper history/examination. There are a plethora of problems that can cause pain in the area of the ball of the foot. The most common are listed below:

1) Metatarsalgia--this is a pain and inflammation of one or more metatarsal bones, often caused by an abnormal foot structure or incorrect shoes or overuse.
2) Capsulitis/bursitis--this refers to an inflammation of the tissue surrounding the metatarsal joint or an inflammation of tissue between the metatarsals (a bursa)also often caused by improper foot gear, overuse or mechanical problems with the foot.
3) Neuroma/Morton's neuroma--this is a thickening/fibrosis of a nerve as it passes between the metatarsals and branches into the toes. As the nerve thickens and/or swells it presses up against the ligament connecting the metatarsals and can cause burning pain, aching, shooting pain, the feeling of a 'lump' in the foot, cramping, etc.

Regardless of the cause, you must be evaluated by a podiatrist or orthopedist for an accurate diagnosis to enable you to treat the problem correctly. Good luck.

Re: ball of foot pain

Dr. David S. Wander on 1/05/02 at 16:40 (068852)

Sorry, I almost forgot to mention that another common cause of pain in the area of the ball of the foot is a metatarsal stress fracture. Go to your doctor and get in checked out!

Re: ball of foot pain

Michelle on 1/07/02 at 08:43 (069038)

One of my doctors told me that my arch has fallen. It is the arch by the toes. i asked him why my toe right next to the big one hurt he told me that my arch fell. He told me to go out and by a tri-ad. I did I have been waring one for about three months. I have bought two new one since then. Now the toe by the little toe hurts. It hurts to walk sometime. It is the joints that hurt. What I want to know is it going to keep getting worse. could my doctor be wrong and it be something else (the doctor that looked at it is a chiropractor). I will be looking for input on mty problem. By the way I am 17 years old if that helps any.

Re: ball of foot pain

Dr. Marlene Reid on 1/07/02 at 11:29 (069052)

You need to see a foot specialist, not a chiropractor. Your arch just doesn't fall at 17. Do you have a hammertoe?

Re: ball of foot pain

David M on 1/07/02 at 18:51 (069117)

Yes, a very tough one to diagnose. I'd suggest that it may be nerve related, and you should see a GOOD physiotherapist to get your flexability measured.
My personal experience of similar pain relates to poor flexability in the quad and hip flexor, creating a pinch on the movement of the nerve. After cycling for a while the ball goes numb and is quite painful to walk on.
This problem took a lot research and visiting different people (sports med doctors, podiatrists and physio's) to determine the cause.
I'm now getting treatment have have a few extra stretches to add to my stretching regime.