Home Circulatory problems Strong punctures in the instep: causes

Strong punctures in the instep: causes

by Alivia Nyhan
Published: Last Updated on

Generally, the pricking sensation in the instep is presented by an inflammation of this area, produced by excessive compression and overload of the metatarsal. These foot conditions are usually treated with therapies and medications; surgeries are rarely performed because they are invasive. They can occur at any age and are usually more common in women than men. At FastlyHeal, we explain the causes of solid punctures in the instep.


Tendinitis refers to inflammation of the tendons, not just in the toes; it can also appear in the heel, wrist, elbow, and shoulder. Some of the causes of this condition are tendon overuse, changes in the surfaces on which you train, such as running on steep slopes, systemic diseases such as rheumatoid arthritis and diabetes, age, as tendons are losing elasticity, and the footwear is very tight in the instep area.

In treating this ailment, the idea is to relieve pain; for that, it will be recommended to apply ice to the affected area and alternate the type of shoes you use. Silicone insoles are highly recommended to avoid pressure, and your doctor may prescribe an anti-inflammatory. In tendinitis, surgery is not usual, and in case the pain becomes chronic, steroid injections are usually an option, as well as physical therapy to strengthen the tendon.

Venous insufficiency

This ailment appears when the veins in the legs fail to circulate blood to the heart, which causes the walls of the veins to lose elasticity, causing cramps, fatigue, a tingling sensation, and the appearance of varicose veins even ulcers.

Venous insufficiency can be caused by family history, maintaining a posture for a long time, whether sitting or standing, overweight and pregnancy. Although women are more likely to develop this ailment, it can also appear in men.

In this case, the recommended treatment is as follows:

  • Prevention is an important part, so you should regularly pay attention to your diet and exercise and avoid excessive alcohol and tobacco consumption.
  • Wear compression stockings to relieve swelling and help Blood circulate properly.
  • If you work standing up, try to move your legs to allow the Blood to circulate occasionally; if you work in front of the computer, it is advisable to use the footrest and raise your legs for a while.
  • In case of serious ailments, there are treatments such as sclerotherapy, which is highly recommended in the case of spider veins; this therapy consists of injecting saline solution into the vein, which hardens and disappears.

Neuroma de Morton

It is an inflammation due to pressure or trauma to the metatarsal nerve, which can eventually lead to permanent damage. The symptoms of this ailment begin in the moments in which narrow footwear is used; with time, this sensation of tingling and pain can become permanent.

People with flat feet, hammertoes, bunions and those with a lot of flexibility are more likely to develop a neuroma. Also, play sports where a lot of pressure is placed on the metatarsal, causing it to become irritated, such as running.

Non-surgical treatment will work depending on the severity of the neuroma, and it will be determined by your doctor. For mild cases, there are different options:

  • Ice can help with inflammation.
  • Your doctor may recommend an orthopedic mechanism to reduce the pressure.
  • Corticosteroid injections help reduce stress and inflammation, although they are not a definitive treatment if there is no prevention, such as wearing the proper footwear or changing activities that generate force.
  • Your doctor can provide anti-inflammatory medications.
  • Custom-made insoles that can correct the foot can be combined with infiltrations and yield good results.

When to visit the doctor?

Suppose varicose veins hurt frequently and have other symptoms such as ulcers, redness, or fever. Go to the podiatrist; there, they can perform a study of the sole to find out if there are areas more overloaded than usual, and you will be given the appropriate treatment for your ailment.

This article is merely informative, at FastlyHeal .com we do not have the power to prescribe medical treatments or make any type of diagnosis. We invite you to see a doctor in the case of presenting any type of condition or discomfort.

If you want to read more articles similar to Strong punctures in the instep: causes, we recommend that you enter our category of Blood, heart and circulation .

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