Forefoot (Front of the foot) Problems

Neuroma

A neuroma is a swelling of a nerve sheath. This will cause sensations of cramping, and shooting pains. A neuroma can occur anywhere, however the most common area is in the front of the foot between the third and fourth toes. This is usually diagnosed on the first office visit and a treatment regimen is initiated that includes anti inflammatory medication, shoe inserts, steroid injections and padding. The latest technique is to instill sclerosing alcohol into the area and may require up to three treatments. Most people suffering from neuromas will respond to conservative measures without the need for surgery.

 Toe Deformities

Contracted toes with corns, fat toes and other deformities of the digits that can be painful in and out of shoes. Some toes may contain corns that rub against a shoe and make wearing shoes unbearable. These can be surgically corrected with little to no down time. Minimal scarring is noted as plastic surgical closure techniques are employed with post op scar reduction.

A bunion is a deformity of the big toe joint that increases in severity over time. There can be an enlargement of the bump that is present with a bunion or the big toe shifts towards the second toe and this can lead to overlapping toes with the second toe contracted. As heredity and a person's basic foot type will predispose a person to developing bunion deformities, the types of shoes that are worn will also effect the position of the joint. The only way to truly correct the bony deformity of a bunion is through surgical intervention. At your visit, radiographs will be taken to determine the extent of the deformity and the exact procedure that would be required to correct the deformity. Most procedures are done at an outpatient surgical center and most patients can ambulate immediately post op. Scar reduction techniques are employed for this correction as well.

Brachymetatarsalgia

A congenital condition where there is a shortened appearing toe (usually the 4 th ) that is caused by a shortened metatarsal bone. The shortened bone is lengthened to restore a natural looking toe parabola.

Foot arthritis can be painful during activity with joint stiffness, aching and throbbing. Pain is present when attempting to walk or exercise. Utilizing new materials and updated techniques, the joint implant will eliminate pain and restore a slight degree of motion allowing comfort in shoe gear and exercise and the ability to even wear a heel that is 1.5 inches.