An Excerpt from Harvard Health Letter and PMNews

 You’re not alone if you develop pain in your feet when the temperatures drop outdoors. “Colder weather makes you realize there’s a problem,” said Dr. Jim Ioli, assistant professor of orthopedic surgery at Harvard Medical School. “You’re no longer wearing sandals, and your feet are enclosed in shoes. That brings pain to your attention.”

Dr JamesIoli ABPM Diplomate

Shoes or boots that are tight in the toe put you at risk for a Morton’s neuroma. It’s a thickening of the nerve, usually between the third and fourth toes, and it feels like you’re standing on a pebble, causing stinging, burning, and numbness. Quick fix: Elevating the foot won’t help, but you can rest and ice your foot, take NSAIDs with a doctor’s okay, and get shoes with more room in the toe. A metatarsal pad placed below the pad of the foot can help. Long-term fix: “You may need a series of three steroid injections over a period of six months. If that doesn’t work, we operate to remove the neuroma,” Ioli said.

Source: Buffalo News via Harvard Health Letter [10/11/14]

Jim Ioli, DPM is an ABPM Diplomate