Reasons to See a Podiatrist
Visiting a podiatrist can significantly enhance your foot health and overall mobility. Podiatrists specialize in diagnosing, treating, preventing, and rehabilitating lower limb issues. This can include general foot conditions like bunions, calluses, and fungal infections, as well as more complex problems associated with diabetes and arthritis. If you have persistent foot pain, a podiatrist can provide effective relief through treatment and exercises tailored to your specific needs. Athletes, dancers, and runners benefit from a podiatrist’s expertise in managing sports injuries, such as sprains and fractures. Custom orthotics are another vital service provided by podiatrists. These specially designed shoe inserts can correct biomechanical issues, alleviate pain, and enhance walking or running performance. Podiatrists also offer essential footwear advice, helping individuals select the right shoes to support and improve their gait. Additionally, they perform minor surgeries for skin and nail concerns, such as ingrown nails and warts. By addressing foot problems early, podiatrists help prevent further complications, enhancing your quality of life and mobility. If you are suffering from foot, toe, or ankle pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.
What Do Podiatrists Do?
On a daily basis, a podiatrist may perform the following activities:
- Diagnose foot ailments such as ulcers, tumors, fractures, etc.
- Use innovative methods to treat conditions
- Use corrective orthotics, casts, and strappings to correct deformities
- Correct walking patterns and balance
- Provide individual consultations to patients
It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
The Pain of Plantar Fasciitis
Plantar fasciitis causes heel pain, resulting from inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of the foot and connects the heel bone to the toes. It typically occurs due to repetitive strain or overuse, often seen in runners, individuals with high arches or flat feet, and those who stand for prolonged periods. The pain from plantar fasciitis is usually sharp and most intense with the first steps in the morning or after periods of inactivity. It may decrease with movement but can return after long periods of standing or walking. Relief can consist of rest, stretching exercises, and taking anti-inflammatory medication. Wearing supportive shoes and using orthotic inserts can also help. Preventative measures involve maintaining a healthy weight, performing regular foot stretches, and avoiding excessive strain on the feet. If left untreated, plantar fasciitis can lead to chronic heel pain and other complications. If you have heel pain, it is suggested that you visit a podiatrist for a proper diagnosis and an effective treatment plan.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Are Bunions Affecting Your Everyday Life?
Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.
Orthotics Can Help With Arch Support
Proper arch support is essential for maintaining foot health and preventing discomfort. While over-the-counter arch supports are available at many sports and shoe stores, custom orthotics prescribed by a podiatrist can offer personalized relief for those suffering from arch pain. These medical devices are designed and created specifically for your foot. Customized orthotics for arch support help to rebuild the foot’s natural strength by providing targeted support, thereby preventing further injury and aiding in the repair of existing damage. The rigidity of these supports ensures that the arches remain elevated while allowing some flexibility for natural movement. In severe cases, continuous support methods like taping can be beneficial, providing consistent arch stability even when barefoot. Consulting with a podiatrist is vital for ensuring the proper fit and function of your orthotic device, as improperly fitted supports can cause additional harm. If you are experiencing arch pain, it is suggested that you make an appointment with a podiatrist for an exam and treatment.
If you are having discomfort in your feet and would like to try orthotics, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions please contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Nerve Pain in the Foot
Experiencing nerve pain in your foot can impact your daily activities and overall quality of life. One common cause of such pain is Morton's neuroma, a condition where a nerve in the ball of the foot becomes swollen or thickened. This often results from wearing shoes that squeeze the toes together for extended periods, such as high-heeled, tight, or narrow footwear. Symptoms of Morton's neuroma can include a sharp, burning pain in the foot that intensifies with walking and a sensation of a small lump in the ball of the foot, typically between the third and fourth toes. Diagnosis usually involves a physical exam and may require imaging tests like ultrasound, X-ray, or MRI scans to confirm. Switching to shoes that allow ample room for the toes and reducing activities that exacerbate the pain may provide relief. If these measures are insufficient, special pads or devices to spread the toes, steroid injections, or in severe cases, surgery, may be recommended to alleviate symptoms. Persistent nerve pain should not be ignored, as early intervention can prevent further complications. If you are experiencing such pain, consulting a podiatrist is suggested for a comprehensive evaluation and appropriate treatment plan.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
- Ill-fitting high heels or shoes that add pressure to the toe or foot
- Jogging, running or any sport that involves constant impact to the foot
- Flat feet, bunions, and any other foot deformities
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Causes and Duration of Foot Blood Blisters
Blood blisters on the foot are caused by friction or trauma that ruptures blood vessels under the skin without breaking the surface. This can occur from wearing ill-fitting shoes, engaging in vigorous activities, or sudden impact injuries. The resulting blister is filled with blood due to the broken capillaries beneath the skin. Blood blisters are generally more painful than regular blisters because of the pressure from the trapped blood. They typically last for about one to two weeks, during which time the body gradually reabsorbs the blood. To aid healing, it is important to protect the blister from further friction or pressure by using padded bandages and avoiding activities that aggravate the area. If you notice you have a blood blister on your foot, it is suggested that you schedule an appointment with a podiatrist who can help you to manage this condition.
Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
How Do Blisters Form?
Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.
Prevention & Treatment
It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
WhatI Is Sesamoiditis?
Sesamoiditis is a painful condition that affects the sesamoid bones, which are the small bones located beneath the big toe joint in the foot. These bones act as pulleys, aiding in movement and providing support for the tendons. Sesamoiditis occurs when these bones become inflamed or irritated, typically due to overuse or repetitive stress. Dancers, runners, and individuals who engage in activities that involve high impact on the feet are particularly susceptible to this condition. Common symptoms of sesamoiditis include pain and swelling surrounding the base of the big toe, which may worsen with activity and improve with rest. In some cases, there may be difficulty bending or straightening the big toe. If you have pain in this part of your foot, it is suggested that you visit a podiatrist who can accurately diagnose and treat sesamoiditis.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor will treat your condition thoroughly and effectively.
Sesamoiditis
Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.
Causes of Sesamoiditis
- Sudden increase in activity
- Increase in physically strenuous movement without a proper warm up or build up
- Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible
Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Are You Suffering From Ingrown Toenails?
If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!
How Flip-Flops Affect the Feet
Flip-flops are a popular choice for summer footwear, but they can significantly impact foot biomechanics compared to walking barefoot. Studies comparing traditional flip-flops with more structured versions have highlighted differences in ankle movement and ground reaction forces. Traditional flip-flops often increase dorsiflexion, or the upward bending of the foot at the ankle as you walk. This happens because the toes grip to keep the shoe on. More structured flip-flops reduce ankle eversion, which is the outward rolling of the foot when you stand. This design offers better support and may lower the risk of overuse injuries by minimizing excessive ankle movement and reducing impact at the heel when your foot lands. Even so, the inherent design of flip-flops, which often requires gripping with the toes, can lead to discomfort and long-term foot issues. This gripping action can strain the muscles and tendons, leading to plantar fasciitis or tendonitis, among other problems. While flip-flops provide short-term convenience, they may not be ideal for prolonged use or activities that require a lot of walking. To ensure your footwear supports your foot health effectively or to address foot pain, it is suggested that you schedule an appointment with a podiatrist.
Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assist you with all of your foot and ankle needs.
Flip-Flops and Feet
When the weather starts warming up, people enjoy wearing flip-flops. Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer. However, these shoes can cause harm to the feet.
How Can Flip-Flops Affect Me Long-Term?
- Ankle problems
- Hip problems
- Lower back problems
- Pain in the balls of the feet
- Problems with foot arches
- Changes in the way you walk
Are There Injuries Associated with Flip-Flops?
Yes. Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections. Common injuries and ailments include:
- Sprained ankles
- Blisters
- Infections
- Cuts and Scrapes
I like Wearing Flip-Flops. Are There Safe Alternatives?
When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet. These flip-flops will cost more but will also last longer as a result.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Cracked Heels Can Be Unsightly and Painful
Cracked heels occur when the skin on the heels becomes dry and thickens, leading to fissures. The cracks can be caused by prolonged standing, wearing open-back shoes, and skin conditions such as eczema or psoriasis. Cracked heels often appear as dry, rough patches with visible splits, which can feel painful and tender, especially when pressure is applied. Beyond their unsightly appearance, cracked heels can lead to serious complications. The deep fissures can become infected, causing swelling, redness, and bleeding. If left untreated, this can result in cellulitis, a painful bacterial skin infection. For individuals with diabetes or compromised immune systems, the risks are even greater because infections can spread easily and become severe. To prevent and treat cracked heels, it is suggested that you schedule an appointment with a podiatrist who can provide effective treatment solutions, and prevent further complications.
If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.
Ways to Help Heal Them
- Invest in a good foot cream
- Try Using Petroleum Jelly
- Ease up on Soaps
- Drink Plenty of Water
Ways to Prevent Cracked Heels
- Moisturize After Showering
- Skip a Shower
- Keep Shower Water Lukewarm
- Don’t Scrub Your Feet
If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Plantar Fasciitis Is a Degenerative Foot Condition
Plantar fasciitis is a foot condition characterized by inflammation and degeneration of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel to the toes. This condition often develops gradually over time, resulting from repetitive strain and stress on the plantar fascia. Activities that involve prolonged standing, walking, or running, especially on hard surfaces, can worsen the problem. Additionally, factors such as obesity, tight calf muscles, high arches, flat feet, and non-supportive footwear can increase the risk of developing plantar fasciitis. Symptoms include heel pain, particularly in the morning or after periods of inactivity, which can worsen with activity. While plantar fasciitis can be challenging to manage, various treatment options, including rest, stretching exercises, orthotic devices, and in severe cases, corticosteroid injections or surgery, can help alleviate pain and promote healing. If you have persistent heel pain, it is strongly suggested that you consult a podiatrist who can accurately diagnose and treat the cause.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
The Impact of Neuropathy on Feet
Neuropathy, often silently lurking until later stages of life, can significantly impact foot health. It is a condition characterized by nerve damage, leading to numbness, tingling, and pain in the feet. Causes range from diabetes and infections to injuries and hereditary factors. Neuropathy can manifest in various foot problems, including loss of sensation, burning or shooting pain, and muscle weakness, making simple tasks challenging. Diagnosing neuropathy typically involves a thorough medical history, physical examination, and nerve conduction tests to assess nerve function. Prevention strategies include managing underlying conditions like diabetes, maintaining a healthy lifestyle, and avoiding prolonged pressure or trauma to the feet. While there is no outright cure for neuropathy, treatments focus on symptom management and slowing its progression. This may involve medications and lifestyle modifications. If you are experiencing symptoms of neuropathy in your feet, it is suggested that you consult a podiatrist for a thorough exam and tailored treatment plans.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Hammertoe in Kids
Hammertoe, a condition where one or more toes bend abnormally at the middle joint, can affect children as well as adults. It typically occurs due to an imbalance in the toe muscles, often exacerbated by wearing ill-fitting shoes or genetic predisposition. Children with hammertoe may experience discomfort, corns, or calluses, especially when wearing shoes. Treatment options for hammertoe in kids vary depending on the severity of the condition. Non-invasive measures such as wearing roomier footwear, toe exercises, and custom orthotic inserts can provide relief. In more severe cases, surgical intervention may be necessary to correct toe alignment. If you have a child who appears to be developing a hammertoe, it is suggested that you schedule an appointment with a podiatrist who can assess the severity of the condition in addition to providing interventions and treatment that can help to alleviate discomfort, prevent progression, and ensure optimal foot health.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
- Pain in the affected toes
- Development of corns or calluses due to friction
- Inflammation
- Redness
- Contracture of the toes
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why Live with Pain and Numbness in Your Feet?
Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.