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Causes of Foot Pain Behind the Toes

by Dr. David R. Northcutt
Dr. David Northcutt is a podiatrist and foot and ankle surgeon at Dallas Podiatry Works in TX.

“I’m Dr. David Northcutt and I’d like to give you some information on Metatarsalgia. Metatarsalgia is a generalized term for pain in the forefoot. The pain typically occurs just behind your toes on the bottom of the foot. Oftentimes pain will occur or be worse with walking barefoot on hard surfaces. You may experience metatarsalgia from overuse from activities such as running and jumping. Sometimes this pain can develop by wearing an ill-fitting pair of shoes – this also can include high heeled shoes, due to the excess of pressure placed on the front part of the foot. Certain foot types can cause more weight to be placed on the ball of the feet, which can predispose you to developing metatarsalgia. Another contributing factor includes obesity, which applies excessive pressure to the feet.
Sometimes pain in the ball of the foot can be capsulitis, which typically affects the second toe joint. This occurs when ligaments surrounding the joint at the base of the second toe become inflamed. Pain is usually worse when walking barefoot on hard surfaces. If this is not treated, there will be continued weakening of the surrounding ligaments, which can cause dislocation of the toe, and a hammertoe deformity.
The diagnosis of capsulitis and metatarsalgia will include a history and physical exam of the foot and ankle, including range of motion tests and testing for the stability of the joints. X-rays will be taken. Treatment of these conditions usually begins with resting and ice. It also includes reducing pressure to the area, or anti-inflammatories also can be helpful. Shoe modifications and padding are used to take pressure off of the painful areas and taping or splinting of the toes sometimes can be beneficial.
Usually stretching exercises also are performed if you have tight calf muscles.
If these nonsurgical treatments fail, surgery may need to be performed. If caught early, typically nonsurgical treatments often are sufficient. If you have any symptoms of pain in the front part of your foot, just behind the toes, please contact us at Dallas Podiatry Works. We would love to be a member of your healthcare team.”

RATED BEST DALLAS PODIATRIST FOR YOUR FOOT & ANKLE CARE NEEDS
"I did 3 EPAT treatments and it gave me tremendous relief from my plantar fasciitis. I highly recommend this for anyone who is dealing with PF. Also, the physical therapist Dr. Brook sent me too is fantastic. I am definitely on the mend and so glad I did EPAT."- All H. 5 star
"Dr Northcutt is a fantastic physician. My first surgery with him (although painful), went very well. A couple of issues (with his staff) needed to be corrected, I appreciated his calm and professional demeanor and he corrected those issues promptly. He sets the bar high (the mark of a great physician), and that is the key reason why I'm coming back to him to correct my other foot. I would highly recommend him."- She B. 5 star
"The staff at Dallas Podiatry Works could not have been more courteous, helpful, and professional in doing their job. They made me feel comfortable when I was there, which is certainly appreciated. They answered all the questions that I had and just made each visit the most pleasurable that it could be. I would highly recommend them to anyone needing this type of care."- Joseph B. 5 star
"My experience was a good one from pre-op to post -op. I saw the doctor right before my surgery.He explained the process to me and my husband. The recovery nurse was great. It was neither crowded or chaotic as some day surgery centers. My foot is doing well as I follow instructions. I look forward to my one week progress visit!"- Patricia T.5 star
"I had dealt with a painful foot problem for five months and had seen three different Doctors before seeing an article in D Magazine about Dr. Joel Brook. Dr. Brook took one look at my foot, explained the causes for my pain and set me up on a successful treatment plan. He is very knowledgeable, thorough and exhibits a caring attitude. I highly recommend him."- Ginger W. 5 star
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Join the 50,000 happy feet that have found relief at Dallas Podiatry Works! Our Dallas podiatrist provides 5-star-rated foot and ankle care. Our advanced foot care includes children's foot care, foot and ankle sports injuries, stem cell therapy, bunion treatment, toenail restoration, toenail fungus treatment, hammertoe treatment, claw toe treatment, neuroma treatment, heel pain relief, limb salvage, wound care, arthritis treatment, boutique foot services, corn removals, callus removals, wart removals and more.
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