 Poster: A snowHead
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Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
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Craghopper, Sometimes just changing footwear gets an improvement, next step is biomechanical evaluation with a view to orthoses to try and alter the alignment of the relevant metetarsals (the nerve runs between them). If that fails surgery is often the only anwer.
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Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
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I have had the same thing now for around ten years, I have insoles made up which have a hollow in the area of the nerve for all my day to day footwear, which solves the problem. For skiing I just use normal skiboot insoles and do not have a problem.
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You need to Login to know who's really who.
You need to Login to know who's really who.
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craghopper, If it's only occuring in your ski boots then it could be the lateral border (little toe side ) is compressing the foot, either due to the shape of the boot or because you are pronating. Bootfitter time! If it occurs on other occasions then there are other more likely issues.
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Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
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You'll need to Register first of course.
You'll need to Register first of course.
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I had it and was "cured" by a talented bootfitter. He created a fairly large lump in the foot bed which opened up the metatarselthingies, worked for me but the guy was one of the best in the business.
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Craghopper, in ski boots there are a couple of important things to make sure of
1 the boot size is correct in terms of length and width (not compressing the forefoot but equally not loads of space for it to float around in)
2 a well made supportive insole... the addition of a well placed and correctly sized neuroma plug (like a metatarsal pad but thinner) to lift and separate the metatarsal shafts and take the pressure off the nerve
3 the footbed is well made and supporting the foot properly so there is no rotation of the foot which can cause pressure on the lateral side of the foot and as such compress the nerves.
in day to day terms the normal treatment plan starts with supportive orthotic with neuroma pad, if that isn't enough then cortisone injections (mixed with lidocaine so i am told) around the area to reduce the scar tissue...then if all else fails surgery to excise the nerve... this is required for approx 1 in 10
if you do need to go this route ask where the incision will be, insist on them going in through the dorsal (top) surface of the foot, whilst the surgery is marginally more complex due to the location of th nerves in relation to the top of the foot it is far more preferable to cutting into the sole of the foot which can result in a long recovery period.... the only down side is the possibility of what is called a stump neuroma (a swelling of the nerve where it is excised) but this is fairly rare and the slight lack of sensation on the sides of the affected toes is out weight by the lack of pain
BTW i have never done neuroma surgery but i have observed, and see them in ski boots on a frequent basis
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I've had 2 Mortons Neuroma's on 1 foot. Had the injections (interesting). Then had the surgery over 2 years. Both done through the top of the foot. Day patient surgery for me. Now have Bursae on the ends of the Metatarsals probably as a result of losing so much volume from the fat pad under the foot when the surgery was done. I keep hoping I'll wake up one day and my foot won't hurt, and I can wear sandals and high heels again.
CEM came to my rescue with Metatarsal Bar's in my footwear and ski boots. 
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You'll get to see more forums and be part of the best ski club on the net.
You'll get to see more forums and be part of the best ski club on the net.
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