ACFAS Evaluates High Heels and Foot Pain for Female Runners
Runners often cite the wide array of health benefitsphysical, mental, and emotionalas their motivation to keep logging the miles. But like any strenuous physical activity, running can also lead to overuse injuries. One of those injuries affecting women in particular is a foot pain so intense that it prevents them from running at allthe painful neuroma.
Foot and ankle surgeons at the Annual Scientific Conference of the American College of Foot and Ankle Surgeons (ACFAS) in Orlando this week are evaluating how to effectively treat neuromas, a too common foot condition among women. Research has found that female runners are often plagued by intense foot pain that is caused by an unassuming culprit: fashion. Women tend to wear fashionable shoes that are narrow with pointed-toes only to then pound those squished, weary feet into the pavement on training runs. This pattern sets women up for a neuroma, a serious nerve disorder of the feet.
According to Scottsdale foot and ankle surgeon and conference presenter Kris DiNucci DPM, FACFAS, active women who enjoy running are prone to neuromas, especially if they regularly wear narrow shoes and have flat feet. A neuroma occurs when a nerve located between the toes becomes enlarged and inflamed and produces tingling, burning pain.Dr. DiNucci, who is a Fellow member of the American College of Foot and Ankle Surgeons, says the symptoms begin gradual and, left untreated, progressively worsen. Patients often complain that neuroma pain feels as if something is stuck inside the ball of the foot. Relief for the symptoms may come by massaging the foot, wearing wider everyday shoes with low heels, and avoiding running and other activities that aggravate the condition.
The most common occurrence is called Morton's neuroma, which develops at the base of the third and fourth toes. Treatment options depend on how far the condition has progressed. At early stages, padding lessens pressure on the nerve, icing reduces swelling, and over-the-counter anti-inflammatory medications or injection therapy decreases pain and inflammation. Prescription or custom orthotic devices provide support to reduce traction and stress to the nerve. Patients are advised to wear wider shoes with low heels and take a break from running or other aggravating activities until the condition improves. In severe cases, surgery might be the best option to provide relief. A foot and ankle surgeon can release or remove the affected nerve with an outpatient procedure.