He said it came from doing "to many surgeries for a bunion or neuroma and seeing it come back a few years later."His explanation for how he thinks a neuroma develops is one of the best I've heard. My personal understanding was that the common neuroma between the 3rd and 4th digit of the metatarsal was from the compression that happened from a tight toe box in a shoe. He extrapolated on this concept.
When the cuboid bone becomes misaligned, the foot on impact can no longer lock the lateral line of the foot for stability on impact. This allows for the foot to actually increase the degree of pronation that occurs. Now, because of this the metatarsal bones rotate. The lateral 2 rotate laterally, the medial three rotate medially. With this the plantar nerve is put under quite a stretch, thus irritating it.
Your body has an ingenious way of protecting itself. It grows a protective coating. Picture, scraping your hand every day. What happens? A callous forms. Irritate the plantar nerve with each step, a callous will start to form around that structure. You get a Morton's Neuroma.
5 comments:
so, how are the bones of the foot realigned? The doctor I saw recommended a plate be installed to fuse the joint/bones of my big toe. He said this would relieve pressure on the neuroma. Thoughts?
I would get a 2nd opinion. I would exhaust every other possible treatment before a fusion of the big toe.
I have never seen someone that has had the big toe fused happy with the outcome or happy with the results of the big toe fused.
Lack of proper movement in the big toe can lead to repetitive back pain and other ailments.
If you don't plan on ever really being active (in terms of really long walks, hikes or running). There is less risk. But if those are things you enjoy, I would be very, very cautious.
The Podiatrist I work with aligns the bones in proper position through manipulation and tapes them.
Would you be able to share the name of this podiatrist, or encourage him/her to do a video demonstration of the techniques used? This is fascinating stuff.
His name is Dr. Allyn Peelen DPM . He routinely trains other health practitioners that are looking for an alternative treatment. He loves to share his knowledge base.
You could see a Chiropractor, they realign bones in the foot all the time. I had a problem with a nerve in my foot and the pain was fixed after 3 treatments.
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