What is Plantar Neuropathy? Symptoms, Causes, Treatment Options

by | May 11, 2021 | Blog | 0 comments

Plantar Neuropathy is a common condition where the nerves on the bottom of the foot become diseased. Unfortunately, millions of adults have this progressive nerve disease. There are a broad range of associated symptoms from a feeling of walking on a stone or pebble, or that your shoe laces are loose, or other sensations such as cold toes, numbness, and even sharp shooting pain.

A strong association with elevated blood sugar levels has always been associated with peripheral neuropathy but the only constant factor is that the older you are, the more likely you will develop this condition.

Most physicians are really stumped as to how to treat this condition. They tell you to have a healthy diet, make sure to have normal blood sugar levels, and to walk. The only problem is that there has been no evidence that those treatments do any thing to prevent or help reverse the nerve damage. That’s because something has been overlooked.

What are the Symptoms?


There are many different associated symptoms experienced by a person with this nerve disease. They depend on how long nerve disease has been present.

Common symptoms of plantar neuropathy:

  • cold toes
  • burning
  • tingling
  • feels likes sock is wadded up under the ball of the foot
  • feels like the shoes laces have come untied
  • feels like there’s something in your shoe that under the ball of your foot
  • sharp shooting pains up the leg(s)

Early on, the symptoms are mild. As time progresses, the symptoms get worse until there is complete loss of feeling to the bottom of the feet.

What Causes Plantar Neuropathy?

Nerve disease to the bottom of the foot is going to cause a wide variety of symptoms; for that reason, this should really be called plantar neuropathy syndrome.

The same underlying cause of nerve disease can lead to many different presenting complaints. Some people will experience pins and needles feelings in their toes; others feel like their toes are very cold. There could be severe pain that is also combined with a numbing feeling. Later in the disease process, people walk like they have had one too many “adult” beverages. The real issue is that if the underlying cause of nerve disease is not addressed and fixed early enough, then permanent nerve damage can occur. That means the nerves are no longer able to send warning signals to the spine that something is wrong and combined with a loss of feeling to the bottom of the foot, can lead to the erosion of skin and the formation of an ulcer.

There is a long list of possible causes. In fact, many textbooks have been written to help physicians diagnose peripheral neuropathy.

The clues that help doctors discover the underlying cause will come from your medical history, the types of medicine you’ve been prescribed, the kinds of surgery you’ve had, even your activity level is important.

One of the most common, yet overlooked, causes of nerve disease to the bottom of the foot is the ankle bone instability.

Treatment Options

  • Observation –the “do nothing” approach.

  • Nerve disease will continue to get worse unless something changes.

  • Pills/Shots

  • Prescription pills for nerve pain is a multibillion dollar industry. They only work at masking the symptoms, they do not fix the underlying cause.

  • Nerve Stimulation

  • There are positive results from this treatment, but at the end of the day. What will the long term results be? Is it addressing the underlying etiology or just putting air in a tire with hole?

  • Nerve Supplements

  • There are hundreds of various “nutrition” supplements that are available to “cure” your peripheral neuropathy. There is no scientific data to support the use of the unregulated pills.

  • Nerve decompression surgery

  • Sounds promising, the nerve is being strangled by the fibers, so just releasing the fibers will lead to improved sensation. The only problem is that the research on tarsal tunnel surgery shows less than promising results.

  • Foot orthosis-arch supports

  • Arch supports do not address the underlying etiology: A displaced-misaligned ankle bone.

The solution begins with realignment and stabilization of the ankle bone.

The problem: A misaligned and displaced ankle bone leads to pronation.

How can we realign and stabilize the ankle bone?

  • This has to be the 1st step in the treatment process.
  • If a tire has a small hole, you must first patch the hole and then put air in the tire.
  • A misaligned hindfoot must be realigned and stabilized, otherwise the other forms of treatment are basically useless.

Having Plantar Neuropathy?

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How Can HyProCure Help?

You can correct your foot misalignment – and the secondary conditions it causes – with HyProCure®, a small titanium stent that is placed in the naturally occurring space between the ankle bone and heel bone to stabilize the ankle keep your ankle bone from sliding forward and off your heel bone and the rest of your body in its natural alignment. Not only is HyProCure® a permanent and effective solution, it can also significantly reduce the negative effects that misaligned feet cause to the rest of your body. Don’t just fix the symptoms, solve the problem!

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