Tuesday, March 4, 2014

Long Second Toe Causing Pain on the Run?

Do you have a freakishly long second toe? Does the ball of your foot or your second toe hurt after running? Is the toenail on your second toe deformed or black? You may have what has been coined as “Morton’s toe”.  Really this is a condition that is usually characterized by a cosmetically long second toe; but really it’s a short, hypermobile 1st ray (that’s your big toe and the metatarsal behind it) and a long second metatarsal (often the same length as the 1st metatarsal).





This foot structure is known to cause lower extremity pain due to hypermobility. Examples of problems associated with this foot type are:

            Metatarsalgia (ball of foot pain)
            Morton’s neuroma
            Capsulitis of the 2nd MPJ
            Hallux Valgus or Limitis
            Metatarsal stress fractures
            Plantar fasciitis
            Calluses
            Hammertoes
            Posterior tibial tendonitis
            Shin splints
            IT Band Syndrome
            Chondromalacia
            Calf strains
            Lower Back Pain, Piriformis syndrome and even neck pain!

Wow! Lots of problems due to an inherited foot type!  Morton’s toe can really affect your posture and change the way you run and walk.  The most common thing that we see is an excessive adductory twist on toe off (also called late-stage pronation). This is when you barely pronate in your rearfoot but wear away the forefoot of your running shoe with a twisting motion when you push off.

There are no running shoes that are fabricated to stop late stage pronation or an adductory twist, but a simple functional orthotic can really change the function of the inherited unstable foot and allow you to run, jump and play with all the other kids without pain.

So, if you do have a freakishly long 2nd toe and have had a myriad of postural symptoms, give us a call and let’s see what we can do to straighten that wobbly tire with a functional orthotic prior to contemplating surgical correction!

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