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Has anyone ever heard of a patient having the 2nd metatarsals being shorter on both feet?
I am a healthcare worker and started having burning pain on the top of my right foot. I went to a local podiatrist and after x-rays he told me that in 30 years of practice he has never seen this or heard of a patient with short metatarsals on both feet. He sent a copy of my x-rays to Ohio State University to have a grad student research this. No one in my family has a history of this disorder.
After alcohol injections to help with the neuroma pain (temporary relief), I am going to just have the neuroma removed. I just had the MRI yesterday (I have the CD rom) and I am going to go forward with the surgery because this pain is horrible. He wants to operate fromt he bottom of my foot. I hear good and bad things about this surgery. Should I get a second opinion? Did the short 2nd toe cause my neuroma? Should I consider getting the short toes operated on to elongate them?
Any suggestions would be most appreciated. I can show you the MRI if you are interested.

Attached Images

Mollys right foot.JPG (85.9 KB, 202 views)

It can happen.I m yself do not see a lot of this.

Thanks! So you have seen both feet having substantially smaller 2nd metatarsals (smaller then all other toes). In 30 years of practice, my doctor has never seen or heard of this.
Wonder what the cause is? Also wondering if this is why I have the neuromas?
Thanks

happysmile6&7

Anatomical anomalies are not that uncommon and usually go undiagnosed because they are often asymptomatic. There were theories fifty years ago about metatarsal formulae and the incidence of interdigital corns (4/5). This happens to coincide with the foot site most commonly associated in plantar digital neuiritis, but there may be no direct association. PDN is thought to be caused by stretching nerve tissue in combination with pressure and has been related in theory to prolonged pronated position during propulsion but there is no actual proof of this.

Cheers

Cameron

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Cameron Kippen, Podologist and Shoe Historian




Cameron Kippen

Is there a neuroma present? The pain seems to have moved down towards the toes now. The pain is not as bad as it once was. I did have alcohol injections, so maybe they killed the neuroma????