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Your feet are in agony. You try to shrug it off, but as the day goes by, the pain only worsens. You may have developed Plantar fasciitis or Morton's neuroma. Both conditions are described below, and may be alleviated by correct diagnosis and use of corrective insoles or other orthotic devices.

Getting To Know Plantar Fasciitis

While the not the easiest disorder to pronounce, this condition also known as ‘Jogger’s Heels’ is one of the most common causes of heel pain.

Plantar Fascia - This is the ligament (a flat strip of tissue ), which connects the heel’s bone to the toes. This tissue supports your foot’s arch, and as usual with most supportive tissues, the Plantar Fascia Camera is almost always under a lot of pressure.

Overtime, the plantar fascia weakens, swells, and gets irritated. The repeated strain starts to take its toll – causing tiny tears in the ligament. This is when things get problematic – your heels or the bottom of your feet hurts when you walk or stand-up after a few hours of sitting.

Plantar Faciitis

This condition is most common among middle-aged people. But the ‘Jogger’s Heels’ can occur to just about anyone – young and old, especially if you use your feet a lot like soldiers and athletes. You’re more likely to develop plantar fasciitis if…

The Symptoms: Not all foot pains are indications of ‘Jogger’s Heels.’ Most patients who are diagnosed with the said disorder experience pain when they get out of bed or stand-up after sitting for quite some time.

Usually, the stiffness and pain mellow after taking a few steps, but it’s also possible for the pain to intensify as you use your feet more throughout the day. For people with plantar fasciitis, climbing the stairs and standing for extended periods are when their feet and soles hurt the most.

Morton's neuroma is a painful foot condition that affects one of the nerves between the toes.

It's also known as Morton's metatarsalgia or interdigital neuroma.

In Morton's neuroma, a nerve in the foot becomes irritated and thickened, which can cause severe pain.

The condition can occur in one foot or both feet. It usually affects the nerve between the third and fourth toes, but sometimes the second and third toes are affected.

Morton's neuroma can occur at any age, but most often affects middle-aged women. This may be because women tend to wear tight or high-heeled shoes that can put pressure on the feet.

It's also increasingly seen in runners, possibly because of the increased pressure on the toes that occurs when running.

Symptoms of Morton's neuroma

You may initially experience a tingling sensation in the space between your toes, which gets worse over time. This eventually develops into a sharp shooting or burning pain in the ball of your foot or at the base of your toes. There may also be some numbness in your toes.

The pain is often worse when walking or wearing shoes that squash the feet. Some people describe walking with Morton's neuroma as feeling like there's a small stone stuck under your foot. Removing your shoes and rubbing your foot may reduce the pain.

When to seek medical advice

It's a good idea to make an appointment if you have persistent symptoms of Morton's neuroma, as the condition is unlikely to improve on its own. You could also visit your GP, who may well refer you back to a podiatrist.

We will examine your foot and ask you some questions to find out:

We can also suggest simple measures you can try at home to reduce your symptoms, or recommend other treatments.


What causes Morton's neuroma?

Morton's neuroma occurs when one of the nerves between the toe bones becomes irritated, which causes it to become thicker. The exact cause of the irritation is unknown, but it may be caused by the nerve being squashed (compressed), stretched or damaged.

The condition has been linked to:

It's not clear if these directly cause the condition or just make the symptoms worse.

Treating Morton's neuroma

Treatment for Morton's neuroma will depend on how long you've had the condition and its severity. Simple non-surgical treatments are effective for some people. Others may need surgery. 

Non-surgical treatments

We may recommend:

Resting your foot and massaging your toes may also help relieve the pain. Some people also find it useful to hold an ice pack against their foot.

A relatively new procedure called cryosurgery (or cryotherapy), where a small probe is inserted into the foot and used to destroy the thickened nerve tissue by freezing it, is also sometimes used to treat Morton's neuroma. However, this is still fairly experimental and isn't widely available in the UK. You'll usually have to pay for it privately.


Surgery for Morton's neuroma is usually only recommended if you have very severe pain or if the treatments above haven't worked. In this case, your GP can refer you to a podiatric or orthopaedic surgeon to discuss whether surgery is suitable for you.

During the operation, a small incision is made on the top or bottom of your foot so the surgeon can access the affected nerve. They will then either:

The procedure is usually carried out using a general anaesthetic or local anaesthetic. You normally won't need to stay in hospital overnight.

After the procedure, you'll need to wear a special protective shoe until the affected area has healed enough to wear normal footwear. You can usually walk soon after the operation, although it will take weeks or months to make a full recovery.

Most people who have surgery to treat Morton's neuroma have positive results and their pain is relieved afterwards.

As with all types of surgery, however, complications can occur, such as swelling, infection and pain. You should discuss the risks with your surgeon before having the procedure.

Correct diagnosis and correct use of orthotic insoles are one of the most effective treatments for these condition. To enable us to help diagnose your problems, please make an appointment by phoning 01749 676201

Why suffer with foot pain and other conditions?

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