On my last post about feet, one of the comments was about Morton’s Toe. Morton’s Toe, also known as Morton’s Foot—named after one Dudley Joy Morton—or “Greek Toe,” likely affects about 20% of the population. It challenges the body’s balance and can cause muscle and joint pain, but with the right tools it is manageable. I suspect that many people (like myself) who are told that they have high or fallen arches actually have this condition, but don’t know it.
1. Even though it’s called “Morton’s Toe,” it really refers to the bones behind the toes.
In a “normal” foot, the first metatarsal extends more forward than the rest. This causes the big toe to hit the ground first while walking, running, and dancing. (Cue “Part of Your World” from The Little Mermaid.) For those of us with Morton’s Toe, the second metatarsal makes contact first, throwing off our balance, and putting pressure on the second toe and middle of the foot.
Some people with this foot structure have second toes that are visibly longer than the rest, like the feet on the Statue of Liberty. Others might not. An X-ray will show for sure.
2. Symptoms include pain in the ball of the foot.
If you’ve had pain in the ball of the foot, you might have been told that you have “metatarsalagia.” A fancy word that isn’t really a condition, but just a description of discomfort and inflammation.
Additional clues can be where your foot develops calluses, particularly on the outside of the big toe, underneath the second metatarsal head, and on the outside of the foot right behind the baby toe.
Morton’s toe can also make you prone to plantar fasciitis and achilles tendonitis.
3. It can create trigger point and referred pain all the way up the body.
If your second metatarsal is sticking out more then the rest, it can make your foot feel wobbly. Indeed, your body is trying to balance on a single point, where people without this condition can more easily place their weight on either side of the ball of the foot.
This constant balancing act can cause the shins, calves, quads, hips, and back to overcompensate. These areas are bracing and stabilizing so much that it causes muscle and joint fatigue. Your body has to work overtime just to keep you standing, let alone the extra balance and muscular engagement it takes to be in relevé!
If you’re prone to shin splints, calf pain, tight IT bands, and lower back pain, it might all start in your feet.
4. It’s not the same as Morton’s Neuroma, although the two are sometimes related.
Apparently podiatry attracts a lot of Dr. Mortons. The neuroma is named after one Thomas George Morton. Totally different guy.
Morton’s Neuroma occurs when nerves between the metatarsal bones are trapped and become inflamed. It can lead to severe pain as well as numbness. Some people with Morton’s Toe do develop the fibrous neuromas, but not all. Those with the neuroma should avoid high heels and constrictive shoes.
5. Special insoles can help mitigate pain and improve balance.
I’ve been able to manage the discomfort through regular self-massage, exercises, and insoles. A few years ago, the pain in the ball of my left foot was so awful, I couldn’t put weight on it. A (not-so-great) podiatrist told me I must have had a stress fracture, but the X-rays showed nothing wrong. Thankfully, a fellow dancer referred me to her dad, a trigger point massage therapist (shout-out to Chuck Duff). He worked on my calves, shins, feet, and hips, and within a few hours, the pain had disappeared.
Chuck also suggested I try out the insoles sold at mortonsfoot.com. I don’t get any kickback for linking to them, but I will say that their insoles have saved my dancing. They have thin insoles that I wear in my jazz shoes if I know I’ll be an intense workshop or on my feet for an extended amount of time. Their thicker insoles fit right into my regular boots and street shoes.
6. Massage can really help.
Massaging the muscles between the shins, the calf muscles, and the soles of the feet will help loosen the muscles and joints in the foot itself, allowing it to relax. Use a foam roller, stick roller, or a lacrosse ball. I like to use a lacrosse ball on my shins and calves, because it’s a bit more precise than the foam roller. For your shins, place the ball on the floor, then kneel on the ball, as shown in this video. Find the tender parts, and don’t put too much weight on it, but just enough to relax the muscles. The same technique works for your calves.
Also you can massage the muscles between metatarsals with your fingers or a soft pencil eraser. This will help the toes spread out more, distributing your weight more evenly throughout the ball of the foot. The website of Bonnie Prudden, a pioneer of trigger point therapy, has lots of great exercises to mitigate the pain of a long second metatarsal.
7. It’s not a deformity, and if you have it, you’re not a freak.
(Unless you want to be). This kind of foot structure is pretty common, so if you have it, accept it, discover ways to manage it, and give some extra love to your feet. They deserve it.
If you have Morton’s Toe, how have you managed it? Share in the comments!
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