A decrease in symptoms may occur instantaneously, with a complete recovery in a few months. However, the patient may need to use insoles to prevent a further reoccurrence. In severe cases, surgery may be necessary. Removal of part of the nerve may be preformed. Arch Pain Plantar Fasciitis Plantar fasciitis is the inflammation of the plantar fascia, which is the ligament that connects the heel to the toes; it runs along the bottom of the foot, forming the arch of the foot. When inflamed, the plantar fascia contracts, causing excruciating pain, usually in the morning when it has not yet been stretched out. The condition is characterized by thickening of nerve tissues that are found in the ball of the foot. Mostly, such thickening affects the nerve that travels between the third and fourth toes. The symptoms include pain in the ball of the foot and the toes. Such pain will be accompanied with numbness, tingling, and burning sensation. The pain may not subside during night or with rest. The risk of developing a hammertoe is increased if your toes are already crowded by the pressure of a bunion. Your chances also increase if you have diabetes or other diseases that affect the nerves and muscles of your feet. Forefoot Older people are more likely to have foot pain if they also have a chronic disease. Foot pain in younger people tends to come from aching muscles and stress on bones. In older people, pain most often comes from corns, calluses and toe deformities, of which 75% are bunions. As much as one third of all older people have a bunion. About 30% of older people with foot pain have calluses and about 15% have corns on their toes. Foot pain is a common complaint, and it can have many causes. Read on to learn more about different types of foot pain, diagnosis, and treatments. Causes of Foot Pain Foot pain can affect any part of your foot, from your toes to your Achilles tendon at the back of your heel Some foot pain is just an annoyance, but foot pain can also be more serious, especially if it?s the result of an injury or certain chronic conditions. Minor foot pain usually responds well to home treatment but more severe foot pain needs medical attention. If not treated, some types of foot pain can lead to long-term damage or disability. Injury to the toenail can cause pooling of blood under the nail and the permanent or temporary loss of a toenail. When buying footwear, look for shoes with a wide toebox, good support, and avoid high heels. Simple inserts can help with many types of foot pain. Metatarsal pads are best for the treatment of metatarsalgia. These pads help to take pressure off the ball of the foot. If some simple steps do not alleviate your symptoms, you should see your doctor to ensure you are receiving adequate treatment. Conditions that cause inflammation of the forefoot may also benefit from a cortisone injection Cortisone is a powerful anti-inflammatory medication, and the injection allows a high concentration of this medication to be delivered directly to the area of the problem. Dr. Mechanik will perform an examination to determine whether or not there is tenderness along the sesamoid bones. He may also slightly manipulate the bone and have you straighten and bend the toe. Dr. Mechanik will gently bend the toe toward the foot to assess the point and intensity of discomfort. Chronic pain in the ball of the foot may indicate a more serious condition. Please make an appointment with the PA Foot and Ankle Associates office for a thorough evaluation and diagnosis. Metatarsalgia can often be the result of sports that place tremendous pounding on the ball of the foot, like jogging Treatments and Products for Metatarsalgia Morton?s neuroma is a swelling of the nerve between the bones at the base of the toes in the ball of the foot. The pain it causes usually is in one spot. It can feel like you have a pebble in your shoe. Once the nerve starts to swell, the nearby bones and ligaments put pressure on the nerve, worsening the irritation and inflammation. (I?ve put an illustration of a Morton?s neuroma below. Less often, physical activities that stress the feet (such as running or racquet sports) can cause a Morton?s neuroma. You can temporarily relieve the pain by taking off your shoes, flexing your toes and rubbing your feet. With your right ankle crossed over the knee of your left leg, use your hands to gently pull your toes toward your shin, to increase the flexion; then gently pull your toes toward the sole of your foot, to intensify the extension. Be gentle. Slow and steady wins the race. Repeat with the other foot. Take a step with the right foot , plugging both inner and outer heel prongs into the ground and shifting some of your weight back to the right foot, keeping your center of gravity near the midline. Notice if it is difficult for you to land with both heel prongs plugged in.