On October 5th, Ben Wang received a message from Ms. Lin asking: "I recently started walking and felt a sharp, electric-like pain in my forefoot. After walking a bit longer, I experienced a burning sensation in the back and lower part of my calf, especially when wearing high heels, which made it hard for me to walk. What could be causing this, and how can I relieve the pain?"

Dr. Wang Guijin, Deputy Chief Physician at the Emergency Department of Shenzhen Pingle Orthopedics Hospital, responded: Based on your description, it sounds like you may be suffering from a nerve-related pain syndrome. This condition can be caused by various factors. Women who regularly wear high heels, pointed shoes, or tight footwear may experience changes in the shape of their feet over time. For example, hallux valgus (a common deformity where the big toe angles toward the second toe) can put pressure on the nerves, leading to discomfort. Other foot abnormalities, such as high arches, flat feet, or inward turning of the foot, can also cause misalignment of the nerves, resulting in pain. Additionally, issues like ligament laxity in the medial tibia or changes in weight distribution when standing can contribute to nerve compression and pain.

There are many possible causes, including neuromas—such as Morton’s neuroma—which can lead to similar symptoms. In terms of treatment, non-surgical approaches are usually recommended first. The first step is to eliminate the root cause, such as changing habits like wearing high heels and opting for more comfortable, flat shoes instead. For those with high or flat feet, orthopedic insoles can help redistribute pressure across the foot. Cushions placed under the painful areas of the forefoot can also reduce pressure and ease discomfort. If you're overweight, losing weight through regular exercise and a balanced diet can significantly improve symptoms. Traditional Chinese medicine methods, such as herbal soaks, acupuncture, or massage, may also provide relief. In some cases, nerve block injections or surgical options like nerve resection or correction of deformities such as hallux valgus or varus may be considered.