Replace our shoes to avoid toe capsulitis.
"Pulling force" pain between two toes in the ball of the foot is typically associated with a chronically inflamed joint, a.k.a. capsulitis. The structure that holds the joint synovial fluid is called the joint capsule. This can become inflamed and hurt with increased pressure, as when pushing off while walking. This explains why running makes the pain more severe. As your shoe padding breaks down over time, more pressure winds up on the foot with each stride. Be sure to replace your shoes every 300 to 500 miles to ensure adequate support. Alternating two pairs of shoes can make them last longer. In addition, you may ice the area and/or try anti-inflammatory medication. If these strategies don't help, see a doctor who can take x-rays and fit you for an orthotic. Note that a neuroma (inflamed nerve) can occur in the same area, but it is usually described as a shooting pain and is associated with toe numbness. In any case, treatment of a neuroma is essentially the same.
Jeff Saleman Austin, TX
Bradley Wadington, DPM, FACFAS Hendersonville, NC
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|Title Annotation:||THE CLINIC|
|Author:||Saleman, Jeff; Wadington, Bradley|
|Publication:||Running & FitNews|
|Article Type:||Brief article|
|Date:||Jul 1, 2011|
|Next Article:||Recovering runners, rest means rest.|