Middle Toe Numb [Causes, Symptoms & Best Home Treatment]
The most common cause of having a middle toe numb is compression between a big toe and against your pinky toe. The #1 cause is a foot neuroma. FIX IT!
- Morton’s neuroma & ball of the foot pain can be improved with a few simple treatment changes.
- We are foot doctors & we see this problem get better almost every day.
- The goal is to solve this problem without medication or surgery if at all possible.
So, let’s GO!
Why is my middle toe numb?
- These are the most common causes for the middle toes going numb.
Ball of the Foot Pain Pictures & Photo Gallery:
- Metatarsalgia: which means generalized foot pain without a specific cause.
- Second toe capsulitis: this is the inflammation of the second toe joint capsule.
- Capsulitis is related to hammertoe formation, and can lead to a plantar plate tear. There is some overlap between these three disorders. As they get worse tearing and ligament damage can occur.
- Morton’s neuroma: this is the damage and inflammation to the nerves between and underneath the metatarsal joints.
- Fat pad atrophy of the ball of the foot: this is the loss of cushioning in the ball the foot.
- Plantar Plate Tear: A plantar plate tear is ripping of the ligaments holding the toe together.
So, click on the photo gallery to see the specific causes of your ball of the foot pain!
Click on the photo gallery to see the specific causes of your ball of the foot pain!
Middle Toe Numbness Causes:
- Middle toe numbness generally is caused in these toes. These toes usually become tender by getting crushed by the big toe and the 5th toe.
- There are many causes of pain in these toes including a neuroma, long toes, hammer toes and bent toes.
- This is the most common cause of middle toe numbness.
- The ball of your big toe is the joints that start your 2nd, 3rd and 4th toes.
- These are a very common cause of numbness in the middle toes.
- This is probably the second most common cause.
- The ball of the second foot and likely the 2nd toe is the joint.
- This is because the second toe is usually the longest toe, this is usually a very common cause of pain in this site.
- Sometimes if a 5th toe is getting crushed against the shoe, or pinching against the 4th toe, this can cause consistent pain.
What is a Morton’s neuroma:
- A Morton’s neuroma the compression of a nerve in the ball the foot.
- This is most common between the third and fourth metatarsals.
- It can also happen between the second and the third metatarsals.
- This is related to too much pressure on the foot.
The most common symptoms of Morton’s neuroma include:
- Numbness in the middle toes
- Burning and tingling.
- Numbness between the third and fourth toe.
- Numbness between the second and the third toe.
- A deep aching throughout the ball of the foot.
- It gets worse with more walking.
- More symptoms with longer standing.
- A test called a Mulders click can help diagnose the neuroma.
- This includes squeezing your metatarsals together and squeezing the nerve from the top and bottom.
- This will cause a sharp shooting or zapping pain.
- Further pressure can cause increased numbness in the ball the foot or the toes.
- An x-ray can show decreased space between the toes and the joints of the bulb foot.
Morton’s neuroma treatment:
- A podiatrist can help diagnose this further through a history and physical, as well as an injection to the ball of the foot to see if the pain goes away.
- An injection can help decrease inflammation of the nerve.
- Orthotics to relieve pressure from the bulb foot.
- The choose to relieve pressure from the bulb foot.
- Stretching and flexibility decreasing pressure from the bulb foot.
- Weight loss.
- Physical therapy to increase flexibility and remove pressure from the bulb foot.
- Massage therapy to leave pressure and swelling to the ball foot.
- The most successful therapies include wearing good shoes and good orthotics.
- Good supportive slippers at home rather than walking barefoot.
Ball of the Foot Pain Treatment Infographic:
Ball of the Foot Home Treatment:
- Consider taping, orthotics, and great shoes as a combination to fix your foot problem.
- Products are not always necessary to fix your problem.
- The key is correcting the biomechanical problems that are leading to forefoot overload.
- Foot overload means too much pressure in the ball of the foot.
- Generally, something called ankle joint equinus can lead to too much pressure in the ball of your foot. This means your ankle is not flexible enough to move up and down.
- Ball of the foot pain treatment consists of two phases, first is control inflammation, next is to control bio-mechanics.
Remove Control Inflammation:
Massage & Ice Products:
- The metal ball is one of my personal favorites.
- This works great for your arch, less for the ball of the foot.
- These can help relax the arch or heel ligaments, leading to less pressure in the ball of the foot.
- Pills, creams, and ice will never completely fix your problem alone. What they will do is reduce the pressure on the area.
Menthol Based Gels:
- Biofreeze is one of our favorites.
- These gels have been studied to work 2x as long as ice.
- This works great for the ball of the foot.
- Consider using these as options when resting on the couch or going to sleep at night.
- These can work great for loosening your muscles.
- This is means for your hamstring and calf muscles. This can loosen the ankle tightness, putting pressure on the ball of your foot.
- This allows less tightness and pressure on the ball of your foot.
Ball of the Foot Stress Relief.
- The key is to prevent future pain.
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- This means proper cushion, proper stability, and pressure relief from the front of your foot.
- This will relieve pressure from your big toe, your 2nd toe, your Morton’s neuroma, your plantar plate, hammertoes and joint capsules.
Best Metatarsalgia Shoes:
- Getting a great supportive pair of shoes will make sure that there is pressure removed from the ball of your foot.
- This is especially important if you have metatarsalgia, Morton’s neuroma, 2nd metatarsal overload syndrome, and capsulitis!
- Consider shoes combined with a good supportive orthotic for the best pain relief!
- The following link will show you what our favorites are.
Best Ball of the Foot Insoles:
- These are our recommended orthotics & insoles.
- There are different types of different shoes.
- Women’s shoes usually need a less bulky orthotic but allow for less correction.
- A full-length orthotic requires a running shoe, boot, or comfortable walking/dress shoe.
Best Full-Length Orthotics:
- Full-length orthotics are the most recommended type for the ball of the foot pain.
- Be aware that if they are too uncomfortable, it might be worth starting with a less corrective pair.
- Eventually, you can then work your way up to these.
Best Dress Shoe Orthotics:
- These are a stronger option for shoes with tight dress shoes.
- Just be aware that less corrective orthotics & tight shoes are usually not a good combination.
Best 3/4 Length Orthotics:
- These may be a good option for the ball of the foot if the full-length orthotics are too tight or too uncomfortable.
Get A Great Dynamic Stretch:
- It is possible to stretch on your own, but these products can also really help!
- Personally, I have the stationary block set up in my kitchen to stretch every day multiple times while getting my coffee!
- This will take pressure off of the ball of your foot.
Ball of the Foot Pain