Posts for category: Nerve Injury

By Affiliated Foot & Ankle Care
November 21, 2017
Category: Nerve Injury
Tags: Physical Therapy   Orthotics  

When patients come to us at Affiliated Foot & Ankle Care with foot pain, we need to determine the source of the pain before the appropriate treatment can be prescribed to bring relief. In addition to examining your feet and ankles, our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will take a medical history, conduct tests and ask you questions about your activities and the pain itself. Pain that is related to your muscles tends to ache or throb and joint pain can be perceived as soreness or stiffness. Nerve pain, too, has its own distinct characteristics. Any of the following symptoms may point to nerve pain:

  • Pain is accompanied by a sharp or dull shooting sensation like an electrical shock traveling up or down the leg and foot
  • Muscle weakness in the area where the pain is
  • Pain that doesn’t go away
  • Numbness between the toes
  • The sensation of walking on a small pebble
  • Super sensitivity to cold or hot
  • A tingling or burning feeling on the bottom of your foot

Treatment Options

If the foot doctor determines that you are experiencing a nerve issue, a surgery to decompress or free a nerve that is being pinched may be recommended. Similar to Carpal Tunnel Syndrome surgery, part of the roof of the tunnel that houses the nerve is removed. This gives the nerve more space to transmit and receive messages and thus the pain is eliminated.

There are also conservative measures that your podiatrist may want to try first to relieve nerve pain. These include:

  • Icing the affected area
  • Shoe modifications or custom orthotics
  • Oral medications to relieve pain and inflammation
  • Injection therapy
  • Bracing
  • Immobilization
  • Physical Therapy

As with most podiatric conditions early treatment is best because nerve damage can become permanent if not caught soon enough. If you have pain that you suspect may stem from a nerve problem, contact our Edison, Monroe or Monmouth Junction office in New Jersey by calling: 732-662-3050.


This syndrome is pain on the inside part of the third and fourth toes, where they touch each other. So why does a pain that is in such a small area have its own “syndrome”? The pain between these toes is caused by the nerve being pinched that supplies the area between these two toes. It is a very common injury in athletes, and it can keep them from playing their sport. This injury is common in tennis players and golfers; it seems kind of strange that pain in a tiny area between two to toes could keep a professional player benched.   If we talked to Venus or Serena Williams they would probably say that if they had this pain they would be sitting on the sidelines instead of running the court.

So what is the exact cause of this pain? Well a neuroma is defined as a buildup of tissue around a nerve that pinches the nerve, so it can no longer supply the area that it is supposed to. There is a nerve that runs in between the upper long bones of your third and fourth toes, this nerve can become pinched by the bones or it can be pinched by a buildup of tissue and it will no longer supply the area between these two toes, resulting in pain! This is common in golfers and tennis players because they spin on the ball of their foot, which can cause the nerve to become pinched. This is also very common from wearingshoesthat are too small.

So what can your local podiatrist Dr. Shah at Affiliated Foot and Ankle Care do for you if you are experiencing these symptoms? The most important thing is REST! Tylenol and ibuprofen would be recommended for the pain, and a custom fit shoe insert would be made to stabilize your foot.

By Nrupa Shah