A Morton’s neuroma refers to thickening of nerve tissue at the base of the 3rd or 4th toe. While the precise cause of this condition is unknown, it is thought to form from pressure, irritation, or injury of nerves leading to the toes. This condition can cause one to feel like there is a lump or knot near the ball of the foot, like they are walking on a pebble, or wearing socks that have become bunched up. There can be an achy, sharp, or burning pain in the ball of the foot, or tingling, numbness, or cramping in the forefoot or toes. A Morton’s neuroma can become swollen and painful. One can develop a Morton’s neuroma from wearing shoes that are too narrow where the toes are squeezed together or high-heeled shoes where the body weight is forced onto the ball of the foot. Non-invasive treatments for Morton’s neuroma include wearing properly fitted shoes, with heels less than two inches in height, wide toe boxes, and thick soles, using padding in shoes to take the pressure off the nerve, or taping the feet to redistribute body weight and ease inflammation. Medication and injections can also help relieve pain and pressure of this ailment. Custom orthotics can be made to provide support if one has an abnormal foot structure, such as flat feet or overlapping toes causing the condition. Surgery can be performed if a Morton’s neuroma becomes large or fails to be relieved with more conservative treatment options. Left untreated, a Morton’s neuroma can become worse. For this reason, it is suggested that you visit a podiatrist for a proper diagnosis and treatment that fits the severity of your specific foot problem.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Clubfoot is a congenital birth defect. The shape of the baby’s foot points down and is turned in. This happens because the tissues that connect the bone to the muscles in the leg are defective in some way. The tendons are shorter than they should be so the foot is pulled into an abnormal position. There may be additional changes to the ankle joint, bone of the foot, and muscles with clubfoot. Male babies are twice as likely to develop clubfoot at birth than females. A little less than half of those born with a clubfoot will suffer this condition in both feet. Having another birth defect, such as cerebral palsy or spina bifida, increases the chances of a baby being born with clubfoot. Infections during pregnancy, smoking, or using drugs can also increase the likelihood of this defect. This can be a genetic birth defect, especially if there is a family history on the father’s side of the family. Clubfoot has a higher incidence of occurrence in countries with lower incomes. Those born in Hawaii are six times more likely to be born with clubfoot, and those born in Japan are 50% less likely to be born with clubfoot. Clubfoot can be cured but this is not always the case. If your child is born with clubfoot, include a podiatrist on your healthcare team for proper diagnosis and treatment as soon as possible. Early intervention can make a difference.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Many people have swollen feet and it is a rather common condition. It is easily noticed and can be uncomfortable. An injury is a common cause of this ailment which may disappear after the injury has healed. Additionally, there may be underlying health conditions that may cause the feet to swell and it can be a reason to seek prompt medical attention. Many pregnant women experience swollen feet, which is known as edema. Relief can come from frequently elevating the feet and from reducing salt intake. Various lifestyle factors may contribute to the development of swollen feet including sitting down for the majority of the day, wearing shoes that do not fit correctly, and being overweight. Edema may happen as a side effect of taking certain medications including antidepressants, hormones, or blood pressure medications. Many people have found effective methods that can help to control swollen feet. These can consist of drinking fresh water daily, staying active, losing an appropriate amount of weight, and consuming a healthy diet. If you suffer from swollen feet and would like to be properly diagnosed, please consult with a podiatrist who can guide you toward the correct treatment options.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.