An individual with the lower legs angulating inward, a condition called genuvalgus or “knock knees,” can have a tendency toward excessive pronation. As aresult, this too can lead to a fallen arch resulting in plantar fascitis andheel spurs. Women tend to have more genu valgus than men do. Heel spurs canalso result from an abnormally high arch. The pain this condition causes forces an individual to attempt walking on hisor her toes or ball of the foot to avoid pressure on the heel spur. This canlead to other compensations during walking or running that in turn cause additional problems to the ankle, knee, hip, or back.
Tight shoes are the most common cause of these toe problems. Wearing tight shoes can cause the toe muscles to get out of balance. Two muscles work together to straighten and bend the toes. If a shoe forces a toe to stay in a bent position for too long, the muscles tighten and the tendons shorten (contract). This makes it harder to straighten the toe. Over time, the toe muscles cannot straighten the toe, even if you are not wearing shoes. Not using your toe. Having to stay in bed for a long period of time may cause muscles to shorten ( contractures ). This may lead to toe problems.
Bunions are a common deformity often caused by wearing tight, narrow shoes. This condition occurs at the base of your big toe when the join becomes enlarged. The skin over the joint may be red and tender. Bunions form when the toe moves out of place, and over time the big toe might angle in toward the other toes. Common symptoms of bunions include inflammation, swelling and soreness near the joint of the big toe. If conservative treatments do not solve the problem, your doctor may recommend bunion surgery to remove the bunion and realign the toe. A long recovery is common and may include persistent swelling and stiffness.
Dr. B C Shah may also ask you whether there is a history of bunions in your family and whether you do any activities that place excessive pressure on your toes, such as long-distance running or ballet dancing. A radiograph is a detailed image that allows the bony structure of your foot to be clearly seen and the extent of the deformity caused by the bunion to be assessed. Various non-surgical treatments can be used to ease the pain and discomfort caused by a bunion. However, these treatments cannot stop a bunion from becoming progressively worse over time.
Another cause of pain in the forefoot is a pinched nerve called a neuroma. You might have a neuroma if the pain is in the ball of your foot and shoots out your toes. Unfortunately not all foot pain in the ball of your foot is a pinched nerve. There are tendons and joint capsules in the same area that can become irritated. When tendon or joint capsule becomes inflamed this is called tendonitis or capsulitis. Fungal Toenail. Fungal infections in the nails are usually acquired in public swimming pools or locker rooms. Treat fungal nails with oral or tropical anti-fungal medication.