Ball of the Foot Pain
Mulder’s Click Test [Morton’s Neuroma Squeeze Test & BEST TREATMENT]
A Mulder’s Click Test and Sullivan’s Sign are the TOP 2 ways that help confirm Morton’s Neuroma. Make 100% sure you are treating it properly!
- 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.
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!
Mulder’s Click Test [A Morton neuroma squeeze test] Overview:
- A Mulder’s Click Test and Sullivan’s Sign are the TOP 2 ways that help confirm Morton’s Neuroma.
- They are both very useful because anyone can perform them very easily right at home.
- Mulder’s performed by squeezing the foot with one hand from side to side and trying to press on the site of the presumed neuroma; this should elicit a “clicking” sound.
How to Perform Mulder’s Click Test:
- Squeeze the toes from side to side
- Press from both the top and bottom with the other hand to try to move the neuroma.
- Am for the interspace between the metatarsal heads.
- It doesn’t always click, but if it does- then the neuroma is that much more likely
- Sullivan’s Sign shows a splaying of the 3rd and the 4th toes both on X-ray and when just looking at the foot normally.
- The thinking behind this is that if there is a big ball of tissue in between the toes, that they will look a little bit more spread out; which in some case is true.
- Both Sullivan’s sign test and Mulder’s click or Mulder’s squeeze test are very easily performed at home; while both are not guaranteed tests, if positive they very highly indicate that a Morton’s Neuralgia may be present.
Other Tests to check for Morton Neuralgia
- Sullivan’s Sign.
- Xray to check for splaying.
Morton’s Neuralgia does not always show these tests!
Just because Sullivan’s sign or Mulders sign were not present does not mean that you don’t have a Morton’s Neuroma or neuralgia pain. The best way to diagnose this disorder is still clinical results!
- Do you have numbness, burning or tingling?
- Do you ever hear a clicking sound?
- Do you ever feel like there is a pebble in your foot?
- Does it ever feel like your socks are bunched up?
- Does massaging your foot ever make it feel better?
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 biomechanics 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 a 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, hammer toes 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 a metatarsalgia, a Morton’s neuroma, 2nd metatarsal overload syndrome and capsulitis!
- Consider shoes combined with a good supportive orthotic for 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 for 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 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 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