Burning feet - Enbrel

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   Hi I finally found something about my burning feet problem. Not embrel causing it but the arthritis is.

Metatarsalgia is characterized by a pain and/or burning, and/or swelling on the ball of the fore foot. Classically one or more of the metatarsal bones, and the tissues, muscles, bursa, and capsules directly under the metatarsal bones in the fore foot area, start to burn, hurt or swell. This is normally due to abnormal pressure, over a prolonged amount of time, anywhere from months to years.  
There are several reasons for this abnormal pressure, including high heel shoes, Arthritis, and hard walking surfaces, but the most common reason is due to what's known as Morton's Syndrome. There are five metatarsal bones in our feet. The very end of these bones in the fore foot area is called the "head" of the metatarsal bones. This is what our toe bones are attached to.  
In Morton's Syndrome the first metatarsal bone, this is the one that the big toe bone is attached to, is unnaturally short. Hence resulting in a short 1st toe, or the more classically longer 2nd toe, what is know as "Morton Toe". Because of this shortness, the 1st metatarsal bone can not support all of the weight Mother Nature intended it to support. This excessive weight has to go somewhere and in the vast majority of the time it is shifted onto the 2nd metatarsal. 
     This atypical shifting is what causes all of the pain, swelling and burning in Metatarsalgia, but may also be the cause of a Callus being formed under the metatarsal heads. Morton's Syndrome is a Hereditary condition, that is to say you are born with a short 1st metatarsal. About 1/3 of the population has this.  

Treatment
The simplest thing to do to start with is to change your shoes. If your problem is caused by the constant wearing of high heels, it is a good bet that the odd pressure put on your fore foot is contributing to your discomfort.  
If high heels is not the problem, then you can assume the problem is mostly likely caused by a short 1st metatarsal bone that we see in Morton's Syndrome. At this time professional care is indicated. In our clinic this problem is approached on 2 levels. The first one being to get you out of the pain you came in with. Be it Arthritis, Bursitis, capsulitis and/or myositis (muscle pain), we use Physical Therapy and padding and strappings, to get you out of pain. Once this is accomplished, we will fabricate an Orthotic to rebalance the fore foot and to accommodate for the short 1st metatarsal bone. We have found that by using this treatment protocol, surgery is rarely if ever needed.  

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Burning feet - Enbrel

Treatment

Causes and Risk Factors of Metatarsalgia

Treatment of Metatarsalgia