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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Acute Metatarsalgia?

I’m a 29 year-old female. I live in Buenos Aires      work as a teacher. I don’t have any important health problems. 6 years ago I started feeling pain in my right foot. My doctor’s diagnose was metatarsalgia due to flat feet and he recommended me to wear orthopedic insoles (custom made). They solved the problem for a couple of years but then the pain came back. I went to the doctor again and he recommended a different type of insoles (with a small ‘bump’ in the middle). They worked out for a couple of years. Unfortunately now I have a feeling of discomfort and pain even when I’m wearing them. Another alarming tip: until 3 years ago I was able to wear sandals for a couple of days (and not wear my insoles) during the hottest summer days. Now I can’t dare not to use my insoles even for 1 day because otherwise I feel a terrible pain in my foot. Extra tip: my second right toe is longer than the big one. I haven’t gained any weight lately and my activities haven’t changed. I don’t walk a lot and I don’t practice any sports. I never wear high heels and my footwear is comfortable. I had X-rays in my feet 6 months ago and the 2 doctors that saw it told me there was nothing wrong. These doctors said that the only solution to my pain is wearing insoles but they aren’t working right now. What do I have to do? (I m wearing brand new insoles right now.)
Sat, 23 May 2020
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Orthopaedic Surgeon 's  Response
Hi,

There are variety of insoles available in the market ranging from medial arch support to metatarsal bar. The disadvantages of using them is the loss of strength of those muscles whose function is been sub-served by the insoles. All you need to do is to keep on changing from one type of insole to another type after every couple of months and to do physiotherapy exercises to strengthen your foot muscles.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Rohan Shanker Tiwari, Orthopedic Surgeon
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How To Treat Acute Metatarsalgia?

Hi, There are variety of insoles available in the market ranging from medial arch support to metatarsal bar. The disadvantages of using them is the loss of strength of those muscles whose function is been sub-served by the insoles. All you need to do is to keep on changing from one type of insole to another type after every couple of months and to do physiotherapy exercises to strengthen your foot muscles. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon