or Connect
EpicSki › The Barking Bear Forums › On the Snow (Skiing Forums) › Ask the Boot Guys › Pinching foot nerve in boots
New Posts  All Forums:Forum Nav:

Pinching foot nerve in boots

post #1 of 5
Thread Starter 

A little background and I apologize for the long post... I've struggled with pinched nerves in my right foot for the last few years. Last year I was able to make some Rossignol EVO 100 boots work with some heavily modified Intuition liners but they were not comfortable and my foot was swimming in the boots.

 

Over Thanksgiving I made a trip to see Mike at Southern Ski in South Carolina. I had some 26.5 Salomon X-Pro 100 and 120 boots with me to see which was best and be fitted. He recommended putting me in a 25.5 X-Pro 120 instead and I agreed. Long story short, I spent $850 on new boots and spent 5 hours with Mike while he tried everything he could. Hats off to him as he stayed way past his normal closing time to help me out. He stretched the toe box, jacked up the instep, stretched the last, removed some foam from the liners tongue, and even tried cutting some of the stitching around the toe of the liner. I have footbeds from Archcrafters and Mike said they weren't perfect because they didn't put me in best stance but they were better than anything I could buy off the shelf.

 

After all of that, I have a little more knowledge and I'm sure I have a better performing boot but ultimately, I'm no better off than when I had a bone stock 26.5 X-pro 100 or 120 shell. With the original shells, I would pinch the nerve between my first and second toe in 15 minutes or less. After all that work, I'm still getting that nerve pinched in 15 minutes or less.

 

Mike's recommendation after all of this was to try skiing the boots for a day or two and take a break in the lodge when needed and go see a bootfitter out west if I'm still having problems on the slopes. I'm not opposed to this option but it does make me a bit worried about taking an 8 day trip out west when I can only do one run before having to go back into the lodge and pull my foot out of the boot. Buckle tightness doesn’t really seem to matter and once I lose feeling in those toes, I have to pull my foot out of the boot for 2-3 minutes to regain feeling.

 

Not to undermine Mike, but does anyone have any other recommendations? I’ve tried no socks and even no footbeds but there is no difference.

 

post #2 of 5

 

After all of that, I have a little more knowledge and I'm sure I have a better performing boot but ultimately, I'm no better off than when I had a bone stock 26.5 X-pro 100 or 120 shell. With the original shells, I would pinch the nerve between my first and second toe in 15 minutes or less. After all that work, I'm still getting that nerve pinched in 15 minutes or less.

 

Mike's recommendation after all of this was to try skiing the boots for a day or two and take a break in the lodge when needed and go see a bootfitter out west if I'm still having problems on the slopes. I'm not opposed to this option but it does make me a bit worried about taking an 8 day trip out west when I can only do one run before having to go back into the lodge and pull my foot out of the boot. Buckle tightness doesn’t really seem to matter and once I lose feeling in those toes, I have to pull my foot out of the boot for 2-3 minutes to regain feeling.

 

Not to undermine Mike, but does anyone have any other recommendations? I’ve tried no socks and even no footbeds but there is no difference.

 

Mortons Location

Morton’s neuroma occurs most commonly in the third interspace (72% of cases) followed by the second (30% of cases) and the fourth (5% of cases). The cause of the increased incidence of in the third intermetatarsal space is unknown but it is thought that the following factors may be contributing:

  1. The intermetatarsal space is narrower in the second and third interspaces than in the first and fourth interspaces resulting in increased pressures; and,
  2. The tarso-metatarsal articulation between the second and third metatarsals is relatively hypermobile, which contributes to the mechanical irritation of the nerve

 

I did some digging after your left the other evening and found the descriptive above----I think you are in the 5% of folks who have interdigital joint space neuroma's of the first and second joint space which shows up in the picture but is rarely seen.

 

This problem could be caused by pressure from the side of the boot or even from weight on the met heads---we did stretch the forefoot of the boot for width and if I didn't get enough, I will be glad to push the boot out some more.

 

If the problem is from weight bearing we would need to try something else---I think you had said that it occurs in some shoes, does it occur in most shoes?

 

mike

post #3 of 5
Thread Starter 

Thanks for the reply Mike. I would say this occurs with just about every shoe for the first few days and I primarily wear running shoes with medium to lots of cushion. I've been fitted for running shoes before and was told that a 9.5 regular would be better for me than an 9 wide because of my high instep but I typically buy both shoes interchangeably and generally have the same break-in period where I have minor discomfort between the 1st and 2nd toes for a few days. I know I have some golf shoes right now that are 9 wide and I don't have that problem but then again the laces only go over my instep.

 

I'll try to call tomorrow and discuss if you plan to be at work.

post #4 of 5

I'll be at the shop and have some thoughts about things to try.

 

 

Best Regards

 

mike 

post #5 of 5
Thread Starter 

Ok so for others benefit, it turns out that just standing on my right foot for about 15 minutes was enough to pinch the nerve. Mike recommended some duct tape under the metatarsal heads of my 2-5 toes to allow my 1st met head to drop. However, I have a pair of footbeds that I no longer care about so he recommended just cutting that footbed instead as a trial.

 

I'm probably going to get some surprised looks when everyone see's the amount I had to cut out though. This footbed is about 6mm thick or 1/4". Originally, I just tried cutting a small piece under the 1st met head but that didn't do anything except feel funny. I expanded the cutout a bit more but that created some pain on the ball of my foot where the edge was. So ultimately, I cut out everything surrounding the big fat pad for my 1st toe and then tapered the footbed a little bit on the bottom to 5mm to make the edge a bit nicer (could probably use some more tapering). My semi-custom footbed is only 5mm thick for reference.

 

The conclusion is at this point that cutting the footbed has helped. It's not fixed but it's manageable at this point. I was able to keep the boot on for about 45-60 without any serious numbness or pain. The numbness is still there but I feel like I can take a quick break every hour to manage it or maybe even just lean on the outside of my ski in lift lines to unweight the inside of my foot.

 

The side pictures of my foot on the footbeds is pretty much unweighted. I was sitting in a chair and just leaning forward a hair to take the picture.

 

Mike, I'll call again tomorrow sometime to discuss.

 

 

 

New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Ask the Boot Guys
EpicSki › The Barking Bear Forums › On the Snow (Skiing Forums) › Ask the Boot Guys › Pinching foot nerve in boots