Forefoot Pain- Adult Leeds
1. Information Resources for Patients and Carers
Quick info:
Patient information
Please see attached patient information leaflet on sprained ankle. Please see attached patient information leaflet on plantar fasciitis
Please see attached patient information leaflet on achilles tendinopathy.
Please see attached patient information leaflet on Morton's Neuroma.
Please see attached patient information leaflet on hallux rigidus.
Please see attached patient information leaflet on hallux valgus. Please see attached patient information leaflet on ganglions.
2. Referral Forms
Quick info:
Referral Forms:
Quick View - PDF
MSK7 Foot Ankle V3
MSK 8 Specialist Foot Management V3
MSK14 Problem Not on Pathway Form V3
Mail Merged
The forms below are provided as a repository. They can be downloaded to your computer and be imported to your clinical system. This is so all practices have access to the most up to date forms.
EMIS - merged
MSK7 Foot Ankle V3
MSK 8 Specialist Foot Management V3
MSK14 Problem Not on Pathway Form V3
SystmOne - merged
MSK7 Foot Ankle V3
MSK 8 Specialist Foot Management V3
MSK14 Problem Not on Pathway Form V3
3. Forefoot Pain
Quick info:
GP information
The forefoot consists of anything distal to and including the metatarsals see attached image.
Metatarsals are prone to fracture. This usually occurs as a result of trauma; however, underlying bone pathology can be of a non- traumatic origin, eg pathological. If the foot is painful and swollen over the metatarsal region, a fracture must be ruled out. An X- Ray should be obtained but caution that X-Rays may be normal early on with stress fractures. If clinical suspicion persists, onward referral to the MSK-MDT should be considered (some stress fractures will never be visible on plain X-Ray).
Pain under the ball of the foot, which is relieved with removing shoes, may be due to an intermetatarsal neuroma, often referred to as "Morton's Neuroma". These can present in other ways such as pins and needles or a painful numbness in the ball of the foot. There may be numbness in adjacent toes or a feeling like walking on a stone. The commonest interspace is the 3rd & 4th, but a neuroma can exist in any interspace.
Other forefoot pains can be the result of:
- inflammatory arthropathy
- diabetic neuropathy
- intermetatarsal bursitis (similar symptoms to Morton's Neuroma)
- joint osteoarthritis (OA)
- MTPJ dislocation (or pre-dislocation syndrome)
- fat pad atrophy
- tendinitis
- osteochondromas (Freiberg's infraction)
- ganglions
- tumours
- poor-fitting, worn, or poor-quality footwear
4. Morton's Neuroma
Quick info:
Patient information
Please see attached patient information leaflet on Morton's Neuroma.
6. Refer Tier 1 Podiatry Referral Form (MSK7)
Quick info:
Referral Forms:
The forms below are provided as a repository. They can be downloaded to your computer and be imported to your clinical system. This is so all practices have access to the most up to date forms.
EMIS - merged
SystmOne - merged
Choose and Book
You can find this clinic on Choose and Book under:
Speciality:Podiatry
Clinic type:Biomechanical
Provider information
The only provider of Tier 1 Podiatry in the city is the Leeds Community Health Service. This service is directly bookable via Choose and Book. Please complete the appropriate form and send via Choose and Book.
If symptoms persist, referral to Tier 1 Podiatry is appropriate, who will refer onward to MSK-MDT if symptoms persist or there is diagnostic doubt.
Tier 1 Podiatry can provide the following:
- Orthotics
- Silicone splints
- Padding
- Specialist footwear advice
- Advice on managing their individual presentation
- Onward referral to the MSK-MDT if required
12. Refer MSK-MDT Referral Form (MSK7)
Quick info:
Referral Forms:
The forms below are provided as a repository. They can be downloaded to your computer and be imported to your clinical system. This is so all practices have access to the most up to date forms.
EMIS - merged
MSK7 Foot Ankle V3
SystmOne - merged
MSK7 Foot Ankle V3
Choose and Book
You can find this clinic on Choose and Book under:
Speciality: Orthopaedics
Clinic Type: Foot and Ankle Pain
Provider information
The only provider of the MSK-MDT clinic in the city is the Leeds Musculoskeletal Service. This is a multiprofessional clinic including senior physiotherapists and musculoskeletal physicians.
This clinic provides diagnosis, investigation, treatment and onward referral if needed.
This service is directly bookable via Choose and Book. Please complete the appropriate form and send via Choose and Book.
Key Dates
Published: 09-0ct-2015, by Leeds
Valid until: 17-Jun-2016