![]() These toe deformities can mean that extra stress is placed on the ball of the foot, which can lead to metatarsalgia. Hammer and claw toe can also occur in someone with pes cavus. These can include poorly fitted shoes, injury to the toes, bunions and rheumatoid arthritis. ![]() There are a number of conditions that can cause these toe deformities. With a hammer toe, your toe is permanently bent at its middle joint so that it looks like a hammer. The joint with the metatarsal bone is bent upwards, the middle joint in the toe is bent downwards and the end joint in the toe may also be bent downwards. With a claw toe you have an abnormal position of all three of the joints in the toe. Pes cavus can mean that extra stress is placed on the ball of the foot, which can lead to metatarsalgia. However, most people with pes cavus also have a neurological problem such as cerebral palsy, spina bifida, muscular dystrophy or polio. Sometimes pes cavus can happen out of the blue. It happens because of an imbalance in the muscles of the foot. In pes cavus, your foot has a very high arch which does not flatten when you put weight on your foot. See the separate leaflet called Morton's Neuroma for more detail. Symptoms include pain, burning, numbness and tingling between two of the toes of the foot. It is a condition that affects one of the nerves that run between the metatarsal bones in the foot (the plantar digital nerves). This is sometimes called Morton's metatarsalgia. This can affect the way that pressure is distributed across the foot and may lead to extra stress on the metatarsal heads. Having a stiff ankle or Achilles tendon (the tendon at the heel) This can put extra stress on the feet in general, but particularly on the metatarsal heads. Footwear that is poorly fitted or too tight may also be a cause. This can put extra stress on the metatarsal heads. Other sports such as tennis or sports that involve jumping may also put extra stress on the metatarsal heads and lead to inflammation and pain. Common causes include: Overuseįor example, overuse in runners and athletes, which can cause some mild inflammation in the metatarsal heads and nearby joints. Metatarsalgia can be caused by a number of different conditions. Nerves provide sensation to the skin of your foot. ![]() It is your foot arches that allow your foot to hold up the weight of your body. These arches are called the longitudinal and transverse arches. ![]() The bones, ligaments and tendons within your foot form the foot arches. 2021 14(7):1036-1051.There are also many muscles, tendons and ligaments within your foot. The effect of compression socks on maximal exercise performance and recovery in insufficiently active adults. Montoye AHK, Mithen AA, Westra HL, Besteman SS, Rider BC. Surgical reconstruction of posterior tibial tendon dysfunction: prospective comparison of flexor digitorum longus substitution combined with lateral column lengthening or medial displacement calcaneal osteotomy. Marks RM, Long JT, Ness ME, Khazzam M, Harris GF. Posterior tibial tendon endoscopic debridement for stage I and II posterior tibial tendon dysfunction. Effects of Kinesio tape on supporting medial foot arch in runners with functional flatfoot: a preliminary study. Evaluation and treatment of posterior tibialis tendon insufficiency in the elderly patients. Posterior tibial tendon insufficiency results at different stages. Posterior Tibial Tendon Dysfunction: An Overview. Posterior tibial tendon dysfunction: an overlooked cause of foot deformity. Bubra PS, Keighley G, Rateesh S, Carmody D.
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