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Tingling, burning, shooting sensations to the top of the foot. Pain is worse in shoes, especially laceups. Hitting the nail on the head in describing your symptoms? This condition hurts! And it is making it next to impossible to find shoes that don’t make it worse! Help!
Dorsal neuritis is impingement of the nerve branches providing sensation to the top of the foot. When the dorsal sensory nerve branches get compressed, the top of the foot can experience a range of annoying sensations including those feeling like the top of your foot is being stabbed with a sharp object, a hot poker or tingling like you laid on it wrong.
To understand this condition and what could cause such a thing, it is first important to understand the anatomy of it all. The main nerve branches that supply sensation to the top of the foot are the medial dorsal cutaneous nerve and the intermediate dorsal cutaneous nerve. The medial dorsal cutaneous nerve innervates the top inside part of the foot and the intermediate dorsal cutaneous nerve innervates the top outside part of the foot. Any type of pressure on these nerves can, over time, cause discomfort.
There are several things that can cause pressure to the dorsal cutaneous nerves. Most commonly, the simple pressure from shoes that bind of the top of the foot can bring on these symptoms. People with a high arch foot type, known as a cavus foot, most commonly experienced this type of occurrence. Simply loosening the top of the shoe by skipping the laces in the area of discomfort, or wearing a shoe that does not bind the top of the foot, can do a great deal to relieve this cause of neuritis.
Dorsal neuritis can also be seen in the presence of any space occupying lesion. A dorsal exostosis (a bone spur on the top of the foot) can put pressure on these nerves as well. Besides the simple alteration of shoes, padding and some physical therapy, little else can be done with this type of neuritis causing condition, as the cause of the condition is within the bone structure. Surgical for reduction of the exostosis in this case is recommended when conservative therapy is insufficient to relieve pain.
Another space occupying lesion that can put pressure on the dorsal nerves is in the form of a cyst. These fluid filled herniations of typically either joint capsule or tendon sleeves can also put pressure depending on their size and location. When these fluid filled sacks are soft enough, they can be aspirated and injected with cortisone to help them shrink. If the cyst has been present for some time and has hardened, aspiration/injection becomes much less successful given the thickness of the fluid. Again, in the cases when alteration to shoes, padding and/or physical therapy is unsuccessful in relieving the discomfort, surgical excision of the cystic lesion is recommended.
If you are experiencing dorsal neuritis, please do not hesitate to contact our office and make an appointment. We look forward to helping you beat this annoying pain!
Foot and ankle athletic injuries are very common. We specialize in sports medicine getting you back to sports as soon as possible. The most common foot and ankle sports injuries are plantar fasciitis, ankle sprains, shin splints, Achilles tendonitis, peroneal tendonitis, stress fractures, posterior tibial tendonitis, anterior tibial tendonitis, neuromas, tarsal tunnel syndrome, ankle instability, and metatarsalgia. Gait problems can also cause ileotibial band syndrome, patella tendonitis, back pain, hip pain and piriformis syndrome. Medications, injections, splinting, orthotics and/or physical therapy are often quite helpful in treating most injuries. Our doctors will discuss your injury and prescribe a course of treatment that will return you to sport stronger than when you came into the office.
Fall down, go boom? Foot and ankle trauma is extremely common no matter how young or old you are. Fractures, torn ligaments and tendons, sprain and strains, puncture wounds and toenail trauma occurs every day. Our physicians can help put you back together so that you can recover from your accident as fast as possible. Don't wait too long to seek medical advice after your accident or injury. Delaying treatment often only worsens the problem!
Foot pain related to congenital and acquired foot and ankle deformities is extremely prevalent in our society. Pain can be from flat feet or a high arched foot and associated gait problems; or be from a progressive deformity like a bunion or a hammertoe. Our doctors are extensively trained to diagnose and treat the underlying deformity to help you function at your best. We want to prevent your problems from getting worse, no matter what you inherited from your family! God may have had a sense of humor when he created your feet, but we will work with you to optimize your biomechanical function and aesthetics! No one should suffer from ugly, painful feet!
Neurological foot and ankle issues can be a burning or shooting pain, numbness, weakness or just a "pins and needles" sensation. Nerve can be affected by compression at the spine level, knee level, ankle level or in your foot. Neuropathy can be a subtle nerve degeneration from aging, diabetes, and a myriad of other causes. Do not assume your nerve issues will go away or that nothing can be done. A proper diagnosis can lead to alleviation of your nerve troubles.
Healthy Steps Shoe Store and Spa welcomes patients and their families as well as the surrounding communities of Grapevine, Southlake, Colleyville and beyond to help them with their therapeutic shoe gear needs. A certified pedorthotist is always available by appointment for consultation, and safe pedicures by a licensed medical nail technician highlight your spa experience. An extensive array of prefabricated and custom orthotics as well as many foot care essentials are also readily available to compliment your shoe and sandal purchases. We carry a wide variety of comfort shoe gear that are as pretty as they are comfortable.