Advertise on Bikeforums.net



User Tag List

Results 1 to 23 of 23
  1. #1
    Senior Member Journeyman's Avatar
    Join Date
    May 2004
    Location
    South Kansas City.
    Posts
    158
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)

    foot pain - neuroma / pinched nerve, are new shoes the answer?

    I've had a pinched and swollen nerve in the middle of my right foot for about two years now. Kept thinking it would go away eventually and it hasn't, consulted a podiatrist last week.......he injected alcohol into the sensory nerve but it didn't help for long. Plan B is to have the nerve removed surgically this winter? Can anyone offer any feedback on a similar problem? My other concern is why is this happening, my left foot lately feels sore so I am concerned that I may be developing a problem with this foot. I have orthopedic foot inserts inside my shoes, much more comfortable but this hasn't prevented or lessened my current injury? Would new and different shoes make a difference? Shimano SPD's currently, if so are there any types of shoes available that may help avoid similar injury?
    The tallest mountains aren't always the ones you climb with your feet. - Martin Luther.

  2. #2
    rck
    rck is offline
    Senior Member rck's Avatar
    Join Date
    Aug 2005
    Location
    monroe (sw) wi
    My Bikes
    cannondale 400st, dean el diente, specialized hybrid
    Posts
    1,173
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Possibly wider shoes? Lake makes them in widths as well as Sidi and possibly some others.
    [SIGPIC][/SIGPIC]

  3. #3
    Senior Member BlazingPedals's Avatar
    Join Date
    Dec 2004
    Location
    Middle of da Mitten
    My Bikes
    Trek 7500, RANS V-Rex, Optima Baron, Velokraft NoCom, M-5 Carbon Highracer, homebuilt recumbent
    Posts
    7,042
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Make sure the shoes are not too tight, possibly convert to road-style shoes which will have a stiffer sole. Alcohol injections? Have you gotten a second opinion? Personally, I don't have much respect for podiatrists. My one experience with them was bad; the quack mis-diagnosed the problem which led to prolonged and excessive treatment that didn't work. Convenient for him, but not for me.

  4. #4
    Senior Member ?? Beverly's Avatar
    Join Date
    Sep 2004
    Location
    Englewood,Ohio
    My Bikes
    2007 Trek Madone 5.0 WSD - 2007 Trek 4300 WSD - 2008 Trek 520
    Posts
    5,090
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Was your problem diagnosed as Morton's neuroma?

    I had this problem a few years ago and switching to Specialized or Sidi cycling shoes solved my problem. They both seem to have the padding needed to relieve pressure on this area of the foot.
    =============================================================
    My cancer updates:
    https://www.mylifeline.org/beverlyow...=myupdates.cfm

    Enjoy the little things in life, for one day you may look back and realize they were the big things.
    -- Antonio Smith

  5. #5
    Senior Member John_V's Avatar
    Join Date
    Jun 2011
    Location
    Tampa, Florida
    My Bikes
    2012 Colnago Ace road bike, 2010 Giant Cypress hybrid
    Posts
    3,145
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    You may want to try some of the Specialized shoes. Mine are so comfortable that I would wear them all day long if they would bend. I have the MTB Sport which cost me $92.00, but I've seen them in the 80's. Never tried the Sidi brand as they are more money than I want to spend on cycling shoes right now.
    HCFR Cycling Team
    Ride Safe ... Ride Hard ... Ride Daily

    2012 Colnago Ace
    2010 Giant Cypress


  6. #6
    Council of the Elders billydonn's Avatar
    Join Date
    Jul 2008
    Location
    Omaha, NE
    My Bikes
    1990 Schwinn Crosscut, 5 Lemonds
    Posts
    3,761
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by John_V View Post
    You may want to try some of the Specialized shoes. Mine are so comfortable that I would wear them all day long if they would bend. I have the MTB Sport which cost me $92.00, but I've seen them in the 80's. Never tried the Sidi brand as they are more money than I want to spend on cycling shoes right now.
    No need to buy the Specialized shoes... you can buy the insoles separately. They have helped me a lot.


    There is a time to resign oneself
    to old age and infirmity. You first.
    My Cycling Blogspot

  7. #7
    Senior Member
    Join Date
    May 2005
    Posts
    6,901
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    If you have Morton's there is lots of info on the net and plenty of posts on BF on the subject. I have had it for several years. A shoe with a little more toe box room may help some. Very surprised that Sidi was recommended. They make great shoes but the Italian last is quite narrow in the toe box. The 2 brands which work for me are Diadora and Gaerne.

    One thing that has helped some is: find a store that caters to runners, not Dick's or a mega sports store, but one that is a specialty store. There are several brands of heat moldable foot beds that are a bit thicker than most insoles that come with cycling shoes. I like Archmolds http://www.archmolds.com/insoles/pro...products_id=28 and use the Striker and Maximum depending on which shoes I am using.

    I have read that the surgery method of resolving this issue has a fairly low success rate. Unless the pain is unbearable see if some other methods work before taking that action.

  8. #8
    Junior Member
    Join Date
    Jul 2006
    Location
    Abilene, Texas
    My Bikes
    Salsa Casseroll Single, Specialized Sequoia, Specialized XC A1, Specialized Expedition, Electra Townie 21
    Posts
    13
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    I have Morton's. The pain was almost unbearable so my doctor gave me a cortizone injection but it took a while to take effect. In the mean time I went to the podiatrist. He confirmed the diagnosis and said he would do surgery in about six weeks when the injection wore off. Many months later I'm still pretty much pain free. Of course one of my toes is almost totally numb. Must have been a good shot. New Balance makes some good shoes for this condition. They have a wider toe box and are available as a walking shoe or a more athletic style. They have a very good website. And sandals are a no no for me. The lack of support causes a lot of trouble. Good luck with your problem.

  9. #9
    Senior Member Journeyman's Avatar
    Join Date
    May 2004
    Location
    South Kansas City.
    Posts
    158
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Yes, its Mortons neuroma in my right foot. After my evening ride yesterday a lot of pain in this foot, even pain last night while trying to sleep. I've had Specialized insoles for about the last two years. I think they've helped a lot but obviously didn't provide a complete solution. So, yesterday I purchased Diadora shoes..... the Shimano SPD - Sl shoes will be retired once I receive the new ones. My concern is less about treatment for the injury, but more than anything my real concern is about avoiding the same problem with my left foot. My sister used to run marathons but had to quit because of her foot problems, so I want to find some kind of solution that will allow me to continue riding at my current level. I hope the shoes help, the Shimano shoes have always felt fine and seemed to have plenty of room but I have had problems with hotspots in the hotter parts of the summer here in Kansas. I agree about Sidi shoes, my impression is they are generally pretty narrow. I'll also check out the running insoles. Its interesting that the swelling on my foot is almost directly under the cleat, I think that where this injury occurs to begin with.
    http://www.mayoclinic.com/health/mor...SECTION=causes
    Last edited by Journeyman; 07-15-11 at 09:11 AM. Reason: additional link - mayo
    The tallest mountains aren't always the ones you climb with your feet. - Martin Luther.

  10. #10
    Lance Legweak HIPCHIP's Avatar
    Join Date
    Apr 2009
    Location
    Woodland, California, USA
    My Bikes
    Felt Z-70, GT RTS-2
    Posts
    790
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    The nerve runs between the bones, and once it swells there's no room for the swelling. The cortisone injection will help to reduce the swelling, but you also need to ice your foot for 20 minutes on and 40 minutes off to help reduce the swelling. Oral anti-inflammatories will help also (aspirin, ibuprofen, etc).

    Have you put on weight? If yes, this is putting more pressure on your foot and causing the foot to pronate more than normal, so if you take the weight off then the problem should go away.

    Make sure you have a nice wide toe box so that your foot isn't being squished, and this goes for all your shoes.

    Pedal float may help as your foot can move around a little more and may take some of the side pressure off. A good set of wide pedals to support your foot is also good.

    Several cortisone injections should help you, but if it doesn't go away the podiatrist will do a simple surgery and remove the swollen nerve which will then stop the pain. I've had several incidents of Morton's Neuroma and they were very hard to get rid of, but I just kept doing the injections, icing, and doing message to allow the swelling to be pushed out and it seems to have helped. I'm overweight due to other injuries, and this is when the neuromas start, but as soon as I lose the weight the problem goes away, so don't give up, just be aggressive with the therapy and it should go away. If you don't want to trust the podiatrist, see if you can find a good SPORTS orthopedist who works on feet and get a second opinion. If you have a university near you, see if they have a bicycle racing team and see who they use for their foot problems and go see that person because these doctors are usually more sports oriented and know how to get you back on the road ASAP, and don't forget to do what the physical therapist tells you to do!!

  11. #11
    Senior Member bigbadwullf's Avatar
    Join Date
    Apr 2011
    Location
    West, Tn.
    Posts
    1,763
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Try riding without socks? Helped my foot comfort out immensely.
    The Bontrager shoes I have are amazingly wide and I have very wide feet. E-sole insoles are awesome. They come with them.

    http://tickers.TickerFactory.com/ezt...S/exercise.png

    2012 Specialized Tarmac Elite Rival Mid Compact
    2007 Cannondale Caffeine 29er Lefty. Crank Bros pedals, wireless cateye. Specialized body geometric seat(uh, saddle)

  12. #12
    Senior Member NOS88's Avatar
    Join Date
    Mar 2006
    Location
    Montgomery County, Pennsylvania
    Posts
    6,379
    Mentioned
    2 Post(s)
    Tagged
    0 Thread(s)
    Keep in mind that the insoles inserted in your shoes will break down over time. What were once comfortable shoes may start to feel less so as this happens. I've replaces insoles in my favorite shoes twice in the last five years. Each time, I noted a vast improvement in comfort.
    A conclusion is the place where you got tired of thinking. - S. Wright

  13. #13
    Old Fogy
    Join Date
    Oct 2006
    Location
    Murray, Utah
    Posts
    1,224
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    I tried all the conventional treatment for a couple of year, cortisone shots, high-priced custom orthotics, anti-inflammatories, wide toe boxes, etc. I finally gave up and went for the surgical removal of the nerve. Ever since, I have a dead spot on my foot that feels like a big wad of my sock under it. Not really painful, but never really comfortable either. Between that and the orthotics, the spring has pretty well gone out of my step. Over the last two years, I have gradually worked up to being able to walk seven miles without blisters or severe pain. I used to walk ten or more miles at least once a week.
    I would consider the surgery a last resort, after nothing else helps.

  14. #14
    Council of the Elders billydonn's Avatar
    Join Date
    Jul 2008
    Location
    Omaha, NE
    My Bikes
    1990 Schwinn Crosscut, 5 Lemonds
    Posts
    3,761
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by Journeyman View Post
    Yes, its Mortons neuroma in my right foot. After my evening ride yesterday a lot of pain in this foot, even pain last night while trying to sleep. I've had Specialized insoles for about the last two years. I think they've helped a lot but obviously didn't provide a complete solution. So, yesterday I purchased Diadora shoes..... the Shimano SPD - Sl shoes will be retired once I receive the new ones. My concern is less about treatment for the injury, but more than anything my real concern is about avoiding the same problem with my left foot. My sister used to run marathons but had to quit because of her foot problems, so I want to find some kind of solution that will allow me to continue riding at my current level. I hope the shoes help, the Shimano shoes have always felt fine and seemed to have plenty of room but I have had problems with hotspots in the hotter parts of the summer here in Kansas. I agree about Sidi shoes, my impression is they are generally pretty narrow. I'll also check out the running insoles. Its interesting that the swelling on my foot is almost directly under the cleat, I think that where this injury occurs to begin with.
    http://www.mayoclinic.com/health/mor...SECTION=causes
    Interesting... my hotfoot nearly always occurs in hot weather when my core temperature rises. Let us know how the new shoes work out. What model did you get?

    There is a time to resign oneself
    to old age and infirmity. You first.
    My Cycling Blogspot

  15. #15
    Senior Member Journeyman's Avatar
    Join Date
    May 2004
    Location
    South Kansas City.
    Posts
    158
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Waldowales, I'd be interested to know was the nerve they removed in your foot a sensory nerve only? Your post concerns me I certainly don't want to have a surgery that would change the way my foot works? Billydonn, I bought the Diadora Aerospeed 2.
    The hotfoot for me only occurs on hot days on the longer rides, 40 plus and usually towards the end of the ride. I am determined to take better care of my feet, I hope some of what I've learned here will help me.
    The tallest mountains aren't always the ones you climb with your feet. - Martin Luther.

  16. #16
    Council of the Elders billydonn's Avatar
    Join Date
    Jul 2008
    Location
    Omaha, NE
    My Bikes
    1990 Schwinn Crosscut, 5 Lemonds
    Posts
    3,761
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by Journeyman View Post
    Waldowales, I'd be interested to know was the nerve they removed in your foot a sensory nerve only? Your post concerns me I certainly don't want to have a surgery that would change the way my foot works? Billydonn, I bought the Diadora Aerospeed 2.
    The hotfoot for me only occurs on hot days on the longer rides, 40 plus and usually towards the end of the ride. I am determined to take better care of my feet, I hope some of what I've learned here will help me.
    Exactly how it works for me! But it sounds like your foot pain does not go away when you stop pedaling and cool down. Mine does. And a few minutes off the bike allows me to continue my ride for a while until I have to stop again. In cooler weather I do not get the problem. Are the new shoes road shoes? Let us know how you come out.

    There is a time to resign oneself
    to old age and infirmity. You first.
    My Cycling Blogspot

  17. #17
    Clipless faller rainycamp's Avatar
    Join Date
    Sep 2007
    Location
    Austin, TX
    My Bikes
    2008 Specialized Allez Elite Compact, 1981 Raleigh Super Record 10-sp, Trek 4900 MTB
    Posts
    265
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    I had a similar problem, and now put a small was of cotton between the two toes that were giving me trouble. It has done the trick. No numbness, hot spot trouble flares up much later than before, and is less intense.
    2008 Specialized Allez Elite Compact
    1981 Raleigh Super Record
    Trek 4900 MTB
    My blog: "Bike Noob" http://bikenoob.wordpress.com

  18. #18
    Senior Member Journeyman's Avatar
    Join Date
    May 2004
    Location
    South Kansas City.
    Posts
    158
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    BillyD, the hotfoot hasn't bothered me for awhile but when I was having problems with this I'd have to stop riding and remove my shoe.....then continue riding. After I purchased the insoles this problem didn't seem to be much of an issue. I think the shoe companies need to provide us with a better design, an ergonomic well ventilated shoe would be welcomed by me. Yes, the Diadora are road shoes.
    The tallest mountains aren't always the ones you climb with your feet. - Martin Luther.

  19. #19
    29er Rider MNRon's Avatar
    Join Date
    Oct 2009
    Location
    Central Minnesota
    My Bikes
    Gary Fisher ARC Pro, Cannondale Caffein 29er Lefty hardtail, building a Kona Major One, Custom steel frame from early 80's with Campy Nuovo Record
    Posts
    169
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    I'm suprised I haven't seen the cleat position solution... Move your cleats back (towards your heel) a bit and that might help. It has helped me a ton. This effectively moves the pressure from the pedal/cleat behind the problem area a bit.
    Don't take life too seriously, you won't get out alive anyway.

  20. #20
    Around now and then DnvrFox's Avatar
    Join Date
    Aug 2001
    Location
    Around now and then
    Posts
    20,812
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by MNRon View Post
    I'm suprised I haven't seen the cleat position solution... Move your cleats back (towards your heel) a bit and that might help. It has helped me a ton. This effectively moves the pressure from the pedal/cleat behind the problem area a bit.
    Also recommended by some well-known fitters to increasse glute power during pedaling.
    DnvrFox - still bicycling, swimming, walking and weight lifting at 74yo is participating a bit in BFN 50+.

  21. #21
    Me and the cat... Pamestique's Avatar
    Join Date
    Jun 2006
    Location
    Tustin, CA
    My Bikes
    2002 Lemond Zurich, 2006 Santa Cruz Superlight, 2010 Landshark, 2012 Santa Cruz Juliana, 2014 Juliana Premiero Origin 29er
    Posts
    4,379
    Mentioned
    7 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by Journeyman View Post
    The hotfoot for me only occurs on hot days on the longer rides, 40 plus and usually towards the end of the ride. I am determined to take better care of my feet, I hope some of what I've learned here will help me.

    I also have a neuroma, on my left foot and have the same problem in hot weather. Basically I can't get rid of the pain altogether, after 30 miles its there whether I like it or not but I can relieve it by flexing my toes inside the shoes or taking the foot out of the pedal and relaxing it a bit or trading off which foot I clip in or unclipped or even just stop and take off the shoe for a moment. I have found loosening the strap across the shoe on hot days to help as well. I wear Sidi's and just loosen the two straps across the toes abit. You probably also know about getting a different pedal/cleat will help (and adjusting the cleat properly). It took me afew but I have finally settled on one (Time Atac). My neuroma started when I first began using Speedplays... the cleat and narrow platform pedal damaged the nerve in my foot; the Atac is wider and sortof spreads out the pressure.
    ______________________________________________________________

    Private docent led mountain bike rides through Limestone Canyon. Go to letsgooutside.org and register today! Also available: hikes, equestrian rides and family events as well as trail maintenance and science study.

  22. #22
    Senior Member DGlenday's Avatar
    Join Date
    Jun 2011
    Location
    Frederick, MD
    My Bikes
    Cannondale, Trek
    Posts
    1,102
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Pinched nerves and neuromas are very different.

    If it's a neuroma, get it surgically removed. My wife had a neuroma, and after it came out she felt like she was dancing on air.
    Regards,
    Duncan

  23. #23
    Member
    Join Date
    Feb 2010
    Posts
    44
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by BlazingPedals View Post
    Make sure the shoes are not too tight, possibly convert to road-style shoes which will have a stiffer sole. Alcohol injections? Have you gotten a second opinion? Personally, I don't have much respect for podiatrists. My one experience with them was bad; the quack mis-diagnosed the problem which led to prolonged and excessive treatment that didn't work. Convenient for him, but not for me.
    Humm, blazingpedals--judging an entire profession from one contact with one physician. I don't know what you do for a living, think about the same judgment.
    I am a licensed Podiatrist for 15 years and treat neuromas every day, cycle about 100-150 miles a week and yes I do have a neuroma that will give me problems once in a while. My partner is not cutting on me yet.
    First, do not have your neuroma excised until you have tried all options. Regrowth of an neurectomy is about 15% and can leave you worse off. Isopropyl alcohol injections 6% (I also use a small amout of short acting corticosteroid) are 80-85% successful, but may require 4-6 of them. You may also try infrared laser treatment, cryotherapy, or prolotherapy (I am using infrared). A small neuroma pad in the cycling shoe is helpful, but functional orthotics may not help in a cycling shoe (you are not walking in the shoe). The other replies have also been great. Wider cycling shoes like sidi mega or lake wide (X at the end of the model number). Move the cleat back all the way in the arch, then move it forward until you feel the neuroma pain, then back it up 3-5mm. Also try a stiff sole with a wide cleat platform like Look or Shimano SPD-SL. The small spd mtn cleat can focus pressure directly under the neuroma. Good luck, be patient and give it time.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •