What you may feel
- Burning or shooting forefoot pain, often between the third and fourth toes.
- It may feel like a pebble or folded sock inside the shoe.
- Nearby toes may tingle or feel numb.
- Tight shoes, high heels or squeezing the forefoot may provoke pain.
- Removing the shoe and reducing load may provide temporary relief.
How it is assessed
Assessment checks tenderness between the toes and the effect of footwear. Imaging may help when the diagnosis is uncertain.
Identify the precise areas of pain and numbness and describe the effect of touch. Bring details of other conditions, medicines and previous procedures.
Approaches to care
Care may include footwear with a wider toe box, pressure reduction and further treatment when needed.
Discuss how pain affects sleep, work and movement. At follow-up, report changes in sensation and strength as well as pain intensity.
When to seek urgent help
Sudden or rapidly increasing weakness, abrupt loss of sensation or new bladder or bowel problems need immediate assessment.
Further reading: NHS
This is educational information and does not replace an individual medical assessment. Similar symptoms alone do not establish a diagnosis.