{"id":595,"date":"2020-04-23T11:39:12","date_gmt":"2020-04-23T11:39:12","guid":{"rendered":"https:\/\/cotswoldfootandankle.co.uk\/wp\/?page_id=595"},"modified":"2024-11-03T20:43:30","modified_gmt":"2024-11-03T20:43:30","slug":"forefoot-pain","status":"publish","type":"page","link":"https:\/\/cotswoldfootandankle.co.uk\/?page_id=595","title":{"rendered":"Forefoot Pain"},"content":{"rendered":"

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Forefoot Pain<\/h1>\n

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Symptoms<\/b><\/h4>\n

Metatarsalgia is a forefoot pain in the ball of the foot. It is usually felt in the sole of the foot and sometimes feels like “walking with a stone in the shoe”. It can be in one point or a more diffuse vague pain, ache or burning sensation. It may involve numbness.<\/span><\/p>\n

Causes<\/b><\/h4>\n

Forefoot pain\u00a0 <\/span>is often worse if overweight, frequently wearing high heel shoes or in the presence of\u00a0 <\/span>a lesser toe deformity. A tight calf muscle makes pain at the front of the foot worse. It is more common with an unusual foot shape, such as a high-arched (\u201ccavus\u201d) foot, a large painful\u00a0 <\/span>bunion pain or if patients have long metatarsals. There are many other conditions which can cause metatarsalgia, such as\u00a0 <\/span>a metatarsal stress fracture (\u201cbroken bone\u201d) or a trapped nerve (\u201cMorton\u2019s neuroma\u201d). Arthritis, gout or inflammation of the small metatarsal phalangeal joints can also produce this forefoot pain.<\/span><\/p>\n

Treatment<\/b><\/h4>\n

Initial treatments should involve resting with your feet up after long periods of standing or walking; wearing comfortable shoes with a small heel and plenty of room for your feet and\u00a0 <\/span>stretching exercise\u00a0 <\/span>for your ankle and Achilles tendon. A\u00a0 <\/span>metatarsal insole or pad can be bought in a local chemist and it is worth taking simple painkillers such as anti-inflammatory tablets, if you can tolerate them, or paracetamol.<\/span> <\/span>

You may wish to directly contact a local podiatrist for a biomechanical review and perhaps a customised insole. In Gloucestershire we have many excellent podiatrists of which some are mentioned on the local team of experts page. <\/span>

Blood tests for inflammatory arthritis, diabetes or gout may be useful. Standing X- rays of your foot may show a problem in the bones or joints.<\/span><\/p>\n

Diagnosis<\/b><\/h4>\n

Depending on the Consultant\u2019s examination findings you may require further investigations such as a magnetic resonance (MRI) scan, or rarely a bone scan. If joint damage or\u00a0 <\/span>nerve entrapment is suspected an ultrasound will be performed with the Radiologist.\u00a0 <\/span>Occasionally foot pressure measurements or nerve tests may be required. Sometimes these tests may reassure us that no major damage or disease is present, but a precise diagnosis may not be possible.\u00a0<\/p>\n

After diagnosis all that may be required could be a further visit to the podiatrist to obtain an insole (\u201corthotic\u201d) focused on your problem. An insole shares the weight more evenly about your foot. A clinically or an ultrasound guided injection of steroid into an inflamed joint or around an irritated nerve may reduce inflammation and pain.<\/span><\/p>\n

Surgery<\/b><\/h4>\n

Only a minority will require an operation. Removal of an irritated nerve is performed as a day case under general anaesthetic, so that a tourniquet can be used to allow the Surgeon to see the nerve clearly. Other procedures may alter the shape or length of a metatarsal or straighten out a deformed lesser toe.<\/span><\/p>\n

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Contact Us<\/h1>\n

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There are many ways to book an appointment at the Cotswold Foot & Ankle Clinic. This may be a referral from either your GP, Hospital Consultant, Chartered Physiotherapist or Podiatrist.<\/p>\n

For insured patients you will need to contact your insurance provider. If self-funding you may make a direct referral, but we prefer if you contact your GP, so they can inform us of your medical background.<\/p>\n

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OUR CONSULTANTS MR BROWN AND MR CLINT ARE MEMBERS OF<\/p>\n

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CHELTENHAM LOCATION<\/h5>\n

 <\/p>\n

\"\"Cheltenham Hospital, Nuffield Health
Cheltenham GL51 6SY<\/p>\n

\"\"01242 246 559<\/p>\n

\"\"Lorraine.McNickle@nuffieldhealth.com<\/a><\/p>\n

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OXFORD LOCATION<\/h5>\n

 <\/p>\n

\"\"The Manor Hospital, Nuffield Health
Oxford OX3 7RP<\/p>\n

\"\"01865 307 767<\/p>\n

\"\"Linda.Hanson@nuffieldhealth.com<\/a><\/p>\n

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\u00a9 Cotswold Foot & Ankle Clinic 2024\u00a0\u00a0 \u00a0 <\/span>| \u00a0 \u00a0 <\/span>PRIVACY POLICY<\/span><\/a><\/span><\/p>\n

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Forefoot PainSymptoms Metatarsalgia is a forefoot pain in the ball of the foot. It is usually felt in the sole of the foot and sometimes feels like “walking with a stone in the shoe”. It can be in one point or a more diffuse vague pain, ache or burning sensation. It may involve numbness. Causes […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-595","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cotswoldfootandankle.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/595"}],"collection":[{"href":"https:\/\/cotswoldfootandankle.co.uk\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cotswoldfootandankle.co.uk\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cotswoldfootandankle.co.uk\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cotswoldfootandankle.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=595"}],"version-history":[{"count":7,"href":"https:\/\/cotswoldfootandankle.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/595\/revisions"}],"predecessor-version":[{"id":1332,"href":"https:\/\/cotswoldfootandankle.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/595\/revisions\/1332"}],"wp:attachment":[{"href":"https:\/\/cotswoldfootandankle.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=595"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}