Google

Morton’s Neuroma – Self Help Tips, Treatment and Prevention From The Barefoot Running Doctor at Team Doctors

Morton’s Metatarsalgia ICD-9 355.6 Morton’s Neuroma – Self Help Tips, Treatment and Prevention From The Barefoot Running Doctor at Team Doctors  Tips For Better Health Ask the doctor, Dr. James Stoxen DC In this article is everything you ever wanted to know about Morton’s neuroma and more! Is your foot hurting? Do you have tingling […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

Morton’s Metatarsalgia ICD-9 355.6

Morton’s Neuroma – Self Help Tips, Treatment and Prevention From The Barefoot Running Doctor at Team Doctors 

Tips For Better Health

Ask the doctor, Dr. James Stoxen DC

In this article is everything you ever wanted to know about Morton’s neuroma and more!

Is your foot hurting?

Do you have tingling in the feet or burning feet?

Do you have foot aches and do you have toe numbness?

The “Morton’s Metatarsalgia ICD-9 355.6” (pain between the toes) was first observed in 1835 by Filippo Civinini (1805-1844) (1)

Morton’s neuroma is a common cause of metatarsal swelling and pain – on the bottom of the foot that radiates from between the third and fourth metatarsals, which may cause extreme pain and disability.

Morton’s neuroma, also known as Mortons toe, is one of the most common disorders encountered in the foot (2) and a common cause of metatarsalgia or pain between the third and fourth toes. (3)

Although Morton neuroma is a common diagnosis, debate exists as to the best surgical and nonsurgical treatments. This article discusses the cause, how to diagnose it, nonsurgical and surgical management, and surgical complications of Morton’s neuroma (4) as well as how to avoid it.

What is a Morton’s Neuroma?

Most neuromas, 53%, are located in between the third and fourth toes (metatarsal heads) where the branches of the medial and lateral plantar nerves join. (2) However, neuromas have been found in between the second metatarsal bone and third metatarsal bones in 25% and 22% between the fourth and fifth toes. (2)

The fibrous neuroma develops when the area around the nerve is inflamed and heals itself with scar tissue, which leads to an enlargement of the nerve. This enlargement gets compressed with every step causing it to get bigger and bigger.

When it flares up, Morton’s neuroma creates a sensation of burning or sharp pain and numbness on the front part of the foot (forefoot). These symptoms radiate foot pain in the front of the foot.

“Why do my feet hurt?”

I did not have any injury so how did I get this?

Morton’s neuroma is different from a traumatic neuroma as it happens over time. It starts like a random common pain in the foot. People say, “The bottom of my foot hurts when I walk” They should say, “The bottom of my foot hurts when I walk in these pointy toe high heel shoes.

Why don’t men get it as often?

Morton’s Neuroma occurs more often in women than men, and particularly in those who wear narrow, high-heeled shoes. (5) Men do wear shoes that are too narrow but not on the same scale as the narrow pointed shoes that women wear, plus lifting the heel slides the foot down into this narrow point further squeezing the toes pinching the nerves.

Morton’s neuroma is not a true neuroma. A true neuroma is a tumor of nerves.

Morton’s Neuroma Diagnosis is instead a condition which, “consists of scar tissue and blood vessels that infiltrate the nerve fibers and cause further damage to the nerve and its covering” (6)

Aren’t Morton’s Neuroma Only For Middle Aged Women who wear high heel pointy-toed shoes? No!

The female-to-male ratio for Morton’s neuroma is 5:1 and up to 10:1 (7) however some as young as 15 have got them and men get them too.

How do you get Morton’s neuroma? What causes Morton’s neuroma?

Don’t all Morton’s neuroma’s hurt? Will I know when I have them?

No! You can be checked for the risk factors in a few minutes by a few easy tests and by watching yourself walk.

Then you can make the adjustments I recommend in this article to reduce the risk before your feet start swelling and you have pain.

If you know the cause of a condition you can treat and prevent it.

There could be several causes of a Morton’s neuroma. So, if you are looking for a magic cure, there is not one single remedy.

What are the causes of the Morton’s neuroma?

The neuroma pain is caused by over use stress and strain in the area that leads to the release of inflammation. When an area has chronic inflammation, it doesn’t necessarily cause a swollen foot, but over time, it leads to a constant layering of scar tissue in the area.

That is what doctors and scientists feel cause the neuroma.

Some doctors and scientists believe this abnormal over use stress comes from an abnormal or poor walking form such as overpronation (foot over rolls when it plants), the combination of hypo mobility and hyper mobility where the bones of the foot are both stiff or locked and others move excessively to make up for the locked ones, and of course the obvious, narrow or high heel shoes.

___________________________________________________________

 

You don’t have to have chronic pain in the area to have a constant layering of scar tissue. Only when the inflammation gets high enough do you have a swollen foot and feel pain. Inflammation can stay under the brains radar as “silent inflammation” or “low grade inflammation” but still over years do its damage. Inflammation in the foot can get pretty high without you feeling pain.

Some people have pain in their feet every day and think its normal. They don’t realize that part of the inflammatory process is the layering down of scar tissue. Chronic low grade inflammation increases the risk for many diseases of aging so don’t let this chronic foot pain go on.

For more information on the damaging effects of inflammation read these articles:

The Inflammation-Depression Connection Approach and The Science Based Natural Approach to Depression, click here

Video Tutorial #37 Aches, Pains, Allergies, Fatigue, Brain Fog, Diseases of Aging Have One Common Thread… INFLAMMATION, click here

Don’t wait until you have a painful swollen foot and a thick fibrous neuroma between your toes because then it is more difficult to treat.

__________________________________________________________________________________________

What is the standard examination in a doctor’s office to confirm a Morton’s neuroma?

Morton’s Neuroma Tests

Web Space Compression Tenderness Test – Doctors push their thumb between the 3rd and 4th toes (metatarsals). If there is pain there they suspect a Morton’s neuroma.

Foot Squeeze Test – Doctors squeeze the foot from the sides and if it hurts between the bones, they suspect a Morton’s neuroma. (8)

Gauthers Test - involves squeezing the metatarsals together and moving them up and down for 30 seconds, which leads to pain.

__________________________________________________________________________________________

Morton’s Neuroma Diagnosis

How do I know it’s not a foot stress fracture?

The Morton’s pain and foot symptoms are different from a foot stress fracture symptoms in that it feels like there is a ball or stone in the bones of the foot. Patients feel as if they have a bruise causing pain and swelling under the third or fourth toe or line a stone impact bruise where the bottom of the foot hurts between the second metatarsal bone and third metatarsal bone but primarily between the third toe and fourth toe and knuckle joints of the toes.

What else could this pain be?

With such a limited physical examination, doctors are unable to rule out other conditions that may be causing the pain. This might be a stress fracture of the neck of the metatarsal, a neoplasm or cancer, Freiburg osteochondrosis, ganglion cysts, a true neuroma, a neurofibroma, a schwannoma or a locked and misaligned, metatarsal.

The foot has 33 joints to absorb the impact forces of over 3,500,000 impacts or steps from walking or running per year. If one or two toes are locked other toes may have to move excessively to take up the impact forces. It is important for doctors to check for these abnormal movement patterns of the toes to see if this is the cause of a Morton’s neuroma.

In my office I find most patients have a locked and misaligned metatarsal, which is part of a more complex locking of many bones of the foot. Read on…

Because most doctors do not check for joint play or abnormal movement patterns in the 33 joints of the foot a lot of them miss this. Also because doctors are not taught how to manipulate the foot they wouldn’t think to look for it.

You check for locked or excessively moving bones in the foot with the foot wiggle test. It wasn’t invented by one of the Wiggles but I have checked the Wiggles with this test.

Morton’s Neuroma Vs Metatarsalgia – Diagnostic Tests Diagnostics

Diagnostic Imaging

The first step is to make sure you have a Morton’s neuroma and not some mystery condition or misdiagnosed!

I think you will be amazed at what the research reveals about how often Morton’s neuroma is misdiagnosed and how often it is actually seen on MRI and sonography.  You still have to question if the bulged bundle of nerve and fibrous tissue is the cause of your pain.

What I want you to get out of this section is this:

Even though you have evidence of a neuroma it does not mean the pain is coming from the neuroma and it doesn’t mean you still cant avoid surgery by opening some additional space for what ever is being pinched causing the pain. I do it all the time!

X-rays Are No Benefit!

The usual route for a foot injury is to take radio-graphs of the entire foot however this is not an injury and x-rays are no help determine a positive Morton’s neuroma diagnosis vs metatarsalgia (simple pain in the toes).

This is because the neuroma is a soft tissue and you usually cannot see these soft tissue neuromas on x-rays. They are best for bones and joints. A doctor may take x-rays because every case is different and it’s hard to determine if they are medically necessary without knowing all the variables in your case. It’s safe to say you cannot see a neuroma on an x-ray.

How do I know it’s not a foot stress fracture?

The Morton’s pain, foot symptoms can different from symptoms of a stress fracture in that they feel there is a ball or stone in the bones in the foot. Patients feel as if they have a bruise causing pain and swelling under the third or fourth toe or line a stone impact bruise where the bottom of the foot hurts between the second metatarsal bone and third metatarsal bone but primarily between the third toe and fourth toe and knuckle joints of the toes.

If the pain is in the second metatarsal it could be a locking of that bone. Also you would treat a neuroma almost the same way as a stress fracture so its not critical if its hard to distinguish between the two.

For more information on stress fractures of the foot, read this article I wrote:

Stress Fracture Of the Second Metatarsal – Self Help Tips to Treatment and Prevention from The Barefoot Running Doctor, click here to view

MRI or Ultrasonography?

For many soft tissue conditions, the Morton’s neuroma MRI is the diagnostic test of choice. However, for Morton’s neuroma MRI can is good for large neuromas but the ultrasonograph is best if the neuroma is less than 5 mm.

In a study of 25 patients with confirmed Morton’s Neuroma Diagnosis, 88% were picked up by the MRI scan and 96% were picked up by the ultrasonograph. Of those 4 that were missed by the MRI and caught by the ultrasonograph, 4 of 5 were smaller than 5 mm. So for smaller neuromas, the ultrasonograph may be more sensitive. (9)

Sonography is good to differentiate between a Morton’s Neuroma Diagnosis 15.2%, an inflammation of the bursa between the toes 20.5%, and just simple swelling of the toe joints 11.7%. (10)

However, just because there is evidence of a neuroma on ultrasonography, it does not mean that the pain is coming from the neuroma. So if your doctor finds a neuroma on an MRI and ultrasonography, do not assume this is where the pain is coming from and rush off for surgery. Read on!

Not All Mortons Neuromas Are Painful Conditions

_______________________________________________________________________________________

In a study, researchers did ultrasonography on 96 feet with no pain. In this observational prospective study, patients with asymptomatic forefeet (they had no foot pain!) who were seen by two foot and ankle surgeons for unrelated mid- or hind foot pathology were examined clinically and sonographically for the presence of interdigital nerve thickening (a fibrous neuroma). (11)

Fifty-four percent of the volunteers (26 of 48) had sonographic nerve thickening and in 17 cases (35.4%) enlarged nerves were found bilaterally. (11)

Ultrasound, even in highly skilled hands, has a high rate of incidental finding of an asymptomatic inter-digital nerve enlargement (painless Morton’s neuroma), which can lead to a false diagnosis of a Morton’s neuroma. Sonographic evidence of Morton’s neuroma per se is unreliable unless it is correlated with an equivocal clinical examination. Clinical examination is still the gold standard for the diagnosis of a Morton’s neuroma. (11)

The physical exam done by someone who has reversed the symptoms of metatarsalgia where there was evidence of a Morton’s neuroma is your best physician for this.

If you go to a surgeon, what are you more likely to get? Surgery So if you go to a surgeon and he recommends surgery you should not be surprised.

While more research has been conducted since these reviews, Morton’s neuroma continues to be a complex condition with a wide variety of conservative and surgical interventions.

_________________________________________________________________________________________

The Typical Conservative Standard Treatment Protocol For Those Who Evaluate And Treat You As A Lever Mechanism

The pain caused by Morton’s neuroma is typically associated with standing activity and may be linked to wearing heels or tight shoes that compress the toe box. (12)

This is normally what doctors quote as the cause of Morton’s neuroma. If this is what they think the cause is then they are limited to changing your footwear, standard physical therapy, drugs and surgery.

There are three stages to this lever method treatment approach, which involve progressively more invasive and expensive treatment approaches.

1. The first stage consisted of

  • Patient Education
  • Footwear Modifications and
  • Metatarsal Inflammation Relief with Physical Therapy (13)

2. The second stage consists of a steroid/local anesthetic injection into the affected interspace.

note; Stage one and two conservative treatments include footwear changes, steroid injections, physical therapy, and topical or NSAID pain reliever.(13)

3. The third stage is surgical excision of the inflamed interdigital nerve. (13)

What is interesting is 79% got better even with this very weak treatment approach. With this course of care, (21%) of the patient’s eventually required surgical excision of the nerve (13).

Just think how many may more of the 21% would have avoided surgery with a more aggressive treatment approach outlined later in this article.

Stage 1. Typical Footwear Modifications for Morton’s Neuroma

Conservative measures such as footwear modification and targeted injection of the hot spot are attempted before considering surgical intervention. (14)

The usual patient education varies depending on the depth of knowledge of the physician, how much time he or she has to educate you and the variables in your case. You may be asked to lose weight, don’t stand a lot and maybe some instructions on how to walk with less stress on your toes.

The typical footwear recommendations they make are:

  1. Do not to wear pointy toed or narrow toed shoes.
  2. Do not wear high heel shoes.
  3. Wear footwear that is of a soft material. I disagree with this!
  4. Get custom fit orthotics. I disagree with this!

I never recommend orthotics!
I never recommend a softer material for footwear!
(I explain this later)

Stage 2. Steroid/Local Anesthetic Injection for Morton’s Neuroma

Some doctors have such little faith in physical therapy, footwear modifications etc that they just recommend an injection into your foot right away the first day.

A single ultrasound-guided corticosteroid injection resulted in generally short-term pain relief for symptomatic Morton’s neuromas. The effectiveness of the injection appears to be more significant and long-lasting for lesions smaller than 5 mm. (3)

Ultrasound guided alcohol ablation of Morton’s neuroma may offer an alternative to surgery. In this study, 32% had complete resolution of pain, 66% improved but 20% went on to have surgery because of continuing pain (1)

After doctors see that conservative measures fail, surgical treatment can be indicated.

If all you had was injections before surgery you haven’t done all you can to treat this condition to prevent surgery.

Stage 3. Surgical Excision Of The Morton’s Neuroma This is what the surgery looks like

Morton’s Neuroma Surgery

There are two approaches to surgery to neuroma removal. There is the plantar approach and the dorsal approach.

The Plantar Approach – The plantar approach neuroma removal, can leave a painful scar on the weight bearing area; hence, some prefer the dorsal approach. (16)

The Dorsal Approachneuroma removal is associated with better rehabilitation and less scar problems. There can be residual numbness after surgery. (16)

Most studies reveal the outcome of Morton’s neuroma excision in the treatment of metatarsalgia with a postoperative success rate of 80 – 90%.

After neuroma excision, numbness in the web space postoperative is very common but most patients are unaware of the sensory loss.

After neuroma excision surgery you could be left with a stump neuroma. A stump neuroma is a stump from a severed nerve. In some patients it causes no symptoms but with others it is extremely painful.

Keh et al. who reported a 93% long-term subjective relief from neurectomy (surgically remove the nerve)

However, the authors report that many patients complain of some residual discomfort in the region of the surgery and 70% still have some degree of footwear restriction. (17)

After surgery can I wear my heels again? Most likely, NO!

So many ladies think that once they operate to remove the neuroma they can eventually go back to the high heels again. Not so!

Footwear problems in patients may affect the outcome of neuroma removal surgery in spite of providing good pain relief. In our series, the majority (71%) had problems wearing fashionable shoes even though they were happy with the surgery. Only 29% of patients had no footwear restriction (2)

Some women resist footwear modifications or the footwear modifications of any kind. In my opinion of those I have seen where the footwear modifications were a softer shoe with an orthotic make the overall mechanics of their condition were worse.

I feel the footwear I am recommending is more effective because of the common sense reasoning behind it and because more there are more attractive style options to choose from with these recommendations.

A big applause from the shoe fan-addicts

Surgeons don’t want to admit that the surgery for Morton’s Neuroma does not always work 100% of the time!

The excision of plantar neuromas is not always successful. Publications show failures as high as 14–21%. (18)

These are the studies the surgeons do not want published. Not all studies get to the public for obvious reasons.

Do you think a clinic would publish a study with poor outcomes? Who would recommend their center if they published a study saying they had poor outcomes?

If after surgery you still have pain, what is the course of care for now?

Wasn’t surgery the LAST resort?

Spinal Cord Stimulator? I call this a radical option!

Spinal cord stimulators are used when all avenues of controlling chronic debilitating pain are exhausted. It is like a tens unit that is implanted in the abdomen which has wires that run up inside your spinal cord and deliver a current to the cord area. The patient can increase or decrease the impulse from a remote they carry around with them.

Usually these stimulators are implanted when patients have a failed back surgery syndrome. Doctors rationalize this surgery because the alternative is prescription drugs, most commonly narcotic painkillers. Because patients tend to increase the dosage as years go by the risk for overdose is greater.

I had 2 patients that had spinal cord stimulators surgically implanted in their bodies. Interesting enough, the patients had to have a psychological exam before the surgery to see if they could handle the stimulator permanently implanted in their spinal cord area.

After care at Team Doctors, because of the relief they had from the treatment approach, both patients decided to have these stimulators surgically removed.

However, in one study, SCS immediately abolished pain of the Morton’s neuroma and the patient was able to perform her normal daily activities within 1 month. (19)

The Team Doctors Human Spring Model and Approach to Mortons Neuromas

The cause and development of Morton’s Neuroma remain controversial. (20)

Although the pathology of Morton’s neuromas is understood the development or causes of Morton’s neuroma are less agreed upon.

Why?

Because doctors cannot agree on the cause of Morton’s Neuroma it makes it difficult for physicians to treat this common injury until it is too late, requiring surgery.

I explain why in this post…

What causes the abnormal nerve to become inflamed  between the 3rd and 4th metatarsal heads that leads to Morton’s neuroma?

The first thing we have to understand is that chronic trauma has been proposed as possible factor in the cause of thickening of the nerve and pain described as Morton’s neuroma. (20) The nerve can thicken from a chronic inflammatory process that happens without pain.

So if we can isolate the sources of the chronic trauma and address it, we may be able to tone down the inflammation enough to reduce the pain thus save you from unnecessary pain and suffering and importantly unnecessary surgery.

This is the most sensible plan!

What can cause chronic trauma to the toes of the foot?

First we need to address the footwear cause of chronic trauma.

I agree with abstaining from pointy-toed shoes, narrow shoes and high heel shoes. If the toes are jammed together by the shoe then the toes will damage the nerve between them.

You MUST have a shoe with an open toe box. Don’t worry ladies, there are some really sharp shoes with open toe box styles.

I do not agree with wearing shoes with soft material. Here is why.

First, soft materials allow the foot to collapse into the material destabilizing the foot position. The pressure of the body weight can cause the foot to sink in at the ball of the foot so that there is the unequal weight distribution leading to a collapse of the toes together, increasing pressure between the toes.

Orthotics, Inserts and Arch Supports

Apart from the etiology, increased load, which is transferred to the central metatarsals, some doctors feel Morton’s neuroma can be treated successfully with orthotic devices. (21)

I remove orthotics and take a different approach for many reasons:

We already know that the nerve is pinched from pressure on the toes. So, then further jamming the toes in the bound shoe with a space occupying shim that doesn’t allow the bones to move? How do you approach the orthotic concept when you are barefoot?

There are easier and more long-term ways to transfer the load off the sore toes without a shim (orthotic) you have to put in every shoe.

Orthotics vs. Spring Down Motion

So many scientists now believe that footwear is the leading cause of deforming foot conditions. What I recommend is that children and adults walk, run and work out the barefeet as much as possible.

Zipfel, B. & Berger, L.R. Shod versus unshod: the emergence of forefoot pathology in modern humans. Conclusions: The pathological lesions found in the metatarsals of the three recent human groups generally appeared to be more severe than those found in the pre-pastoral group. This result may support the hypothesis that pathological variation in the metatarsus was affected by habitual behavior including the wearing of footwear and exposure to modern substrates. (22)

When does this scar tissue formation start?

_____________________________________________________________________________________________

There is plenty of evidence that the irritation that could be the initial stages of development of Morton’s neuroma starts in childhood.

According to the results of a study presented at the 2009 American Association Orthopedic Surgeons Annual Meeting, many young children are wearing shoes that are too small. As a result, these children may be at high risk for having serious foot deformities.

Improper footwear is well recognized to be an extrinsic factor regarding the development of forefoot deformities. Small forefoot boxes in children’s footwear could impair toe function and proper development and promote early establishment of forefoot deformity,” said lead author Norman Espinosa, MD, of the University of Zürich.

The study, which took place in Switzerland, included 128 boys and 120 girls from age 5 to age 10. Researchers measured the children’s feet as well as their indoor and outdoor footwear to determine whether the children were wearing properly sized shoes. They also compared their footwear measurements to the sizes given on the manufacturers’ labels to see if the shoes were marked properly. Finally, they measured the angles of the children’s toes to learn whether any of the subjects were developing hallux valgus.

The study found that most of the children tested were wearing the wrong size shoes. “We defined fitting as perfect when the inner shoe length surmounted the foot length by at least 10 mm (optimal 12 mm),” explained Dr. Espinosa.

More than half (52.8 percent) of the children had outdoor shoes that were too small; 13.3 percent of children were wearing outdoor shoes that were too large for them. A similar pattern was seen with children’s indoor shoes or slippers. Six in 10 children (61.6 percent) were wearing indoor shoes that were too small; 1 in 10 (10.2 per­cent) were wearing shoes that were too large.

In part, the problem may arise because parents buy shoes based on the size marked by the manufacturer, perhaps without even having the child present to try on the shoe. When researchers compared the size marked on the shoe to the actual size of the shoe, they found that more than 90 percent of both indoor and outdoor shoes were smaller than the manufacturer’s marked size. Indoor shoes were almost always (97.6 percent) smaller than the manufacturer’s marked size.

“It was a truly striking finding,” says Dr. Espinosa. “The shoe sizes given by the manufacturers almost never matched with the true sizes measured by our group.”

To prevent these problems, Dr. Espinosa makes the following recommendations for parents:

  • Measure the child’s feet every time new footwear is purchased.
  • Consider the actual size of the shoe rather than just the number marked on the inside of the shoe or the box.
  • Check for shoe fit every month or so, especially during times of a growth spurt. Many children will outgrow shoes long before the shoes wear out.

“We truly did not expect such a large percentage of incorrectly declared shoe sizes,” he says. “We now know that we should focus on parental education to help prevent early onset of juvenile foot deformity.” (23)

American Academy of Orthopedic Surgeons
American Association of Orthopedic Surgeons

______________________________________________________________________________________

What are other causes of stress on the metatarsals and surrounding tissues? What causes the irritation that leads to inflammation and scar tissue formation?

Morton’s neuroma is known to develop as a result of chronic nerve stress and irritation, particularly with excessive toe dorsiflexion.

One researcher describes it like this, Most likely a mechanically induced degenerative neuropathy that has a strong predilection for the third common digital nerve in middle aged women. (24)

Excessive motion between the third and fourth metatarsals

This explanation is made simpler by a review of the anatomy of the foot, muscles of the foot, ligaments of the foot, the foot tendons their strategic attachment and function to suspend in the foot as an integrated spring.

The answer I am providing gives us additional options for more innovative and common sense examination approaches, preventive maintenance and treatment options you and your doctor can explore.

Landing With Excessive Pronation dorsiflexion

Excessive Foot Pronation Theory

A biomechanical theory of causation involves the mechanics of the foot and ankle that excessively pronates the foot may compensate by dorsiflexion of the metatarsals subsequently irritating of the nerve between the bones.

Pronation, Neutral and Supination Landing

Excessive Dorsiflexion Theory

So mechanically it is most common with women who lift their toes up and those who’s foot rolls from the outside to the inside outside the safe range.

Dorsiflexion of toes

A foot that is mechanically unstable – weakness in the spring suspension system The tibialis posterior lifts and locks digit 1-3 leaving an abnormal movement between 3 and 4.

Excessive motion between the third and fourth metatarsals and metatarsal heads, the tethered third common digital nerve in the third web space, the third and fourth metatarsal heads flanking the third common digital nerve, the excessive weight bearing over use stress on the forefoot, particularly by wearing pointed and high-heeled shoes. (24)

Micro damage to the third common digital nerve causes inflammation, then scar tissue then repeats to layer scar tissue over and over again. Nerve fiber degeneration and excessive intraneual fibrous tissue formation resulting in an excessively large nerve. The enlargement can cause further trauma making it hurt more. (24)

First, you have to ask yourself this. If the cause is narrow footwear that squeezes the toes together, why is it mostly between the 3rd and 4th toes?

You would think that there would be an equal distribution of neuromas between all the toes in the foot.

The answer I am providing gives us additional options for more innovative and common sense examination approaches, preventive maintenance and treatment options you and your doctor can explore.

The answers lie in something you do every day without thinking. The answers lie in the way you walk.

Simply by closely observing your walking patterns we can see where the chronic damage is coming from. Which is causing the accumulation of fibrous scar tissue, the Morton’s neuroma and high levels of inflammation and pain in the toes, called metatarsalgia.

The Gait Evaluation – A more Thorough Examination

Videotape your walk—-

_____________________________________________________________________________

Allow me to introduce you to your human spring.

What is the difference between an intact or locked spring?

  • When your spring mechanism is intact, you spring off the ground.
  • When your spring mechanism is locked, you bang into the ground!

This should make sense

The natural spring mechanism is integrated into all 7 floors of the human body.

Essentially, the human body is a giant human spring. The body is a giant spring with 7 floors of springs: 

  1. The arch
  2. The subtalar joint
  3. The ankle mortise
  4. The knee
  5. The hip
  6. The spine
  7. The head-neck
__________________________________________________________________________

 

There are two mechanisms that allow the body to function as a spring:

  • The configuration of the arch with the 26 bones and the ligament attachments.
    • All 33 joints must have complete inner-joint mobility for the foot to roll from the outside to the inside without stress on any of the metatarsals.
  • The spring suspension system which is composed of the muscles and tendons that attach on the under surface of the arch.
    • The balance of strength in your suspension system muscles determine if your foot rolls within the safe range between rolling from the outside (supination) to the inside (pronation)
    • The muscles that prevent over pronation and over supination of the foot consist of the tibialis posterior, tibialis anterior, peroneus longus, and peroneus brevis.

The strength of these supination and pronation spring suspension muscles and tendons are not covered much in bodybuilding or fitness magazines, training routines etc. but of all the muscles, in fact these are THE most important muscles in the body to work.

Why?

  • These muscles suspend your foot as a leaf spring so it can bounce your body off the ground instead of bang your body into the ground.
  • They store FREE elastic energy when your mass impacts the ground when they stretch. This storage of energy is what allows your body to move more efficiently as a spring mechanism rather than an inefficient lever mechanism.

These muscles, which I also refer to the pronator supinator cuff muscles, maintain the foot and lower limb in the safe range between supination and pronation.

When your foot lands it absorbs the force of the impacts two ways:

  1. It loads the impact force in the arch mechanism
  2. It rolls the impact force gradually from the outside to the inside.

The Tibialis Posterior Muscle (below) (blue tendon) This is the tibialis posterior (blue tendon) that supports the first metatarsal-cuneiform, second and third. You can also see the tibialis posterior (blue tendon), which attaches at the mid-arch at the first second and third metatarsal cuneiform joints where the spring action happens on impact.

What I have found consistently in patient after patient is a weakness in the tibialis posterior muscle. When it is weak it cannot stop the foot from over rolling into an unsafe position. When this happens the arch drops and locks in the first, second and third metatarsal cuneiform joints.

If this joint area is stiff or locked then the tibialis posterior cannot contract maximally against this joint. It’s impossible if the joint is locked. I find this muscle to be the weakest of the cuff.

When the persons walk compensates for this arch collapse drop and lock the patient has to roll the foot outward (toe out) to roll the foot around the locked arch area the foot rolls over the tibialis posterior tendon.

This abnormal stress on the tendon leads to a painful spasm of the tibialis posterior muscle-tendon that further compresses the first, second and third metatarsals together. (see blue tendon attachment)

Spasms in the muscles that cross a joint or two joints cause the joints to become compressed and when we apply this understanding to the human spring model, spasms cause a preload internal compressive force on the human spring. This preload internal compressive force reduces the overall force of impact capacity you can load into the spring mechanism.

  • When your spring mechanism gets weak your spring mechanism collapses into a lever mechanism.
  • When it collapses, the brain senses the abnormal movement patterns of walking as a lever and tries to protect you from the over use stress and strain by tripping spasms.
  • Spasms compress the spring further.

Why is there hypermobility between the 3rd and 4th metatarsals?

If you look at the attachment of the tibialis posterior (blue), the tendons attach strategically on the first metatarsal bone, second metatarsal bone and third metatarsal bone and not the fourth metatarsal bone or fifth metatarsal bone.

The fourth and fifth metatarsals are not controlled by this tendon. They typically remain freely moving. In fact they must move more to make up for a lack of movement in the first second and third metatarsals.

When you have locking of the second and third toes at the arch joint spring (metatarsal-cuneiform) joints the foot can no longer push off straight with the second toe pointing towards the target.

The way the foot compensates for this locking is when you point the foot out like a duck walk or slew foot so you can roll around the locked joint.

So you have a complex of three metatarsals that are locked or stiffer than normal and between the 3rd and 4th metatarsals an excessive motion.

One study stated the cause of the neuroma fibrous formation was from an increased load transferred to the middle metatarsals on weight bearing. (26)

Any motion of a joint or complex of joints outside its normal range lead to abnormal movement patterns that can cause stress and strain, wear and tear, widespread silent inflammation, which starts as an invisibly swollen foot, which can lead to scar tissue development and later painful inflammation and a visibly swollen foot.

This excessive motion is what I feel causes the excessive irritation to the nerve that leads to the accumulation of fibrous scar tissue formation.

Foot Lock

When your body impacts the ground, the force of the impact is spread across 33 joints of the foot and ankle.

I do what is called motion palpation of all 33 joints of the foot to screen for any locked joints that could be preventing the safe and full loading of the stress of impacts into the body.

If any of these 33 joints are locked the stress of this impact will not be absorbed by the protective mechanism, the arch spring and the human spring suspension system, it will be transferred to the tissues leading to any number of impact stress related conditions:

Some call this an over use injury but in reality it is an injury where stress is not distributed evenly due to some joints in the foot locking and others moving too much.

The spring suspension system of the arch and its suspension system muscles and tendons protects your body from abnormal stress that leads to conditions When this drops and locks it creates over use stress through the entire body in a pattern that is predictable. Its just like a machine.

The over use stress on the other structures could manifest as over use injuries such as:

  • Plantar Fasciitis
  • Heel Spurs
  • Heel Pain
  • Foot Pain
  • Morton’s neuromas
  • Tibialis Posterior Tendon Dysfunction (see below)
  • Ankle Sprain
  • Shin Splints
  • TFL & Illiotibial Band Syndrome
  • Gluteus Medius Pain
  • Lower Back Pain
  • Mid Back Pain
  • Neck Pain Syndromes 
  • Headaches

In his book, How I Got My Wiggle Back, Anthony Field talks about how his wife had chronic debilitating pain from Morton’s neuroma’s in both feet for 9 years. She had the MRI and the doctor said she needed surgery to remove the neuromas in both her feet. I treated her with this approach or 4-5 hours for 4 days and she was pain free which made the surgery medically unnecessary. (30)

So if you feel you have metatarsalgia or Morton’s neuroma from a weak dropped and locked spring mechanism then you should evaluate yourself for other conditions that may be developing up the pattern.

 

To think you wont get these actually does not abide by the laws of physics and nature. So more often than not you will see these conditions in your future if these abnormal mechanics are left untreated.

________________________________________________________________________________________

High Heels

Also, another study determined that high heels increased pressure on the 3rd and 4th metatarsals. The aggravation and possibly the etiology of these forms of forefoot pain may be related to acute or chronic extrinsic pressure to the forefoot.

The role of non-weight bearing, compression of the metatarsal heads, weight bearing, and toe-stance (on the metatarsal heads) on the intermetatarsal pressure of the third interspace was measured in eleven asymptomatic volunteers.

Intermetatarsal pressures for

  • Non weight bearing 21mm Hg
  • Non weight bearing with medial-lateral compression of the metatarsal heads 21mm Hg
  • Weight bearing 29mm Hg
  • Toe Stance 36 mm Hg

These findings support the proposition that increases in forefoot plantar pressures convey greater pressures to the inter metatarsal space and metatarsal heads (27)

_____________________________________________________________________________________

The Combined Effect

If you look at the combination of the high heels elevating pressures between the toes in the forefoot, the rolling of the compressive force of the landings from the inside to the outside with over pronation combined with the locking of the first 3 toes and a excessively moving 4th toe you have a bigger picture of the full cause of this scar tissue formation between the toes.

Now we have a more thorough approach with more options to reverse this mechanical abnormality to reverse this condition with conservative care.

The Gait Evaluation – A more Thorough Examination

Simply by evaluating the gait (shown by example above in this post) you can watch it back advancing the movie slowly frame by frame to look for the conditions that might lead to Morton’s Neuroma below;

  • Are your feet, shins and legs relaxed prior and during impact?
  • At impact and while transferring the weight across the planted foot are any of the toes off the ground?
  • Does your calf shake when it hits the ground (from the back)?
  • Do you push or pull your body across the ground or spring your body off the ground?
  • Does your foot point straight with the second toe being the pointer toe towards the direction you are going or do you point your toe outward like a duck walk?
  • Is your shin, ankle and foot in alignment or do you have a weak or weak ankles? (over pronation)
  • Do you walk heel-toe or land heel first? There is no spring there. The impact goes bone (heel) to bone (talus) to bone (shin) The spring suspension system is in the middle/front of the foot!

How do we correct the form and technique of your walk?

  1. Relax your foot on impact. Do not pull your toes up (dorsiflexion) prior to landing and as you transfer the weight onto your foot. This causes increased pressure when has been shown to increase the risk of Morton’s neuroma.
  2. Plant the foot with the second metatarsal toe pointing to the direction you are going. If half of the weight is on the big toe and the other half on toes 3-5 then the weight is equally distributed across the foot. This will reduce the over use stress on the third metatarsal bones and fourth metatarsal bones.
If you have a visible weakness in your tibialis posterior it is impossible for us to strengthen it within a few weeks to keep the foot from over rolling into an unsafe position to cause damage to the body. Therefore we need to check this over rolling movement with some form of shoe. However we have to accomplish this without locking up the arch, as we know this leads to stress in the metatarsals.

The answer is to control the over rolling at the heel which still allows the body to be protected from the impacts by the spring mechanism because there is nothing inhibiting the healthy rolling and loading of the arch mechanism.

Safe and Unsafe Zone

Shoes – What are the best shoes for walking or running with Morton’s Neuroma?

If your muscles aren’t strong enough to hold the foot from rolling too far to the inside you wont be able to strengthen them fast enough to maintain them in the safe range between supination to pronation (outside foot to inside foot).

So you will have to get a shoe that prevents the over rolling. Here is where other doctors and I differ.

Many doctors insist on putting an orthotic or arch support to keep the arch from over rolling.

What already explained was that there was too much pressure on these joints causing the neuroma.

Why add another space occupying shim in the already confining shoe to potentially squeeze it down further.

If you inhibit spring movement with the orthotic the muscles cannot get stronger because you inhibit the spring loading down.

I never recommend orthotics for this purpose.

For more information I recommend viewing Tutorial #97 On Your Feet All Day? Fatigued? Achy? Over Pronation? I Recommend Footwear with Extended Medial Counters, click here 

Human Spring Approach to Morton’s neuroma

I have developed a 3-step approach to restoring safer, spring loading capacity:

  1. Phase I – Release the spring from forces that create compressive forces on the human spring from muscle spasms.
  2. Phase II – Strengthen the spring suspension system muscles
  3. Phase III – Impact train the spring suspension system

Phase Ia Morton’s Neuroma Stretches treatment:

    •  Morton’s Neuroma Stretches – Remove restrictions from the spring mechanism in the 33 joints of the foot with stretching and mobilization of all 33 joints of the foot specifically those of the hypo-mobile (stiff or locked) digit 1, 2 and 3.
    • You will be physically separating all the bones of the forefoot with the same muscle and tendon stretching and joint manipulation I do in my office to allow more room for the nerve to pass between the joints. This spreads out the stress to all the 33 joints lessening the stress on specifically (the third metatarsal and fourth metatarsal).

Dr Stoxen’s best stretches for Morton’s Neuroma, video tutorials:

Video Tutorial #84 Scissor Stretching Of The Feet
Video Tutorial #85 Stretching Great For Morton’s Neuromas And Heels
Video Tutorial #88 Stretching Of The Foot While Sitting At Your Chair
Video Tutorial #89 A Stretch To Increase The Flexibility Of Your Foot

Phase Ib – Morton’s Neuroma Deep Tissue Treatments:

      • These treatments are focused on relaxing the painful spasms in the tense muscles of the spring suspension system primarily the tibialis posterior that are compressing the arch spring. Essentially you are releasing the over use stress from the metatarsals with a stiff or locked spring.
      • One massage therapist noted positive results with massage to reverse a Morton’s neuroma (28) I suggest you read this article.
      • When you do the deep tissue treatments below, the purpose is to release the compressive forces from your entire lower body to allow the bones to move more freely the way they were designed to move and not compressed with abnormal restrictive and excessive movements that cause inflammation and scar tissue formation between the toes.

View the Links below to Dr Stoxen’s self help video tutorials for Morton’s Neuroma:

Video Tutorial #78 Deep Tissue Treatment Of The Knee Popliteus Muscle
Video Tutorial #79 Deep Tissue Treatment Of The Gluteus Medius Muscle of the Hip
Video Tutorial #80 Deep Tissue Treatment Of The Subtalar Joint Of The Ankle On The Inside
Video Tutorial #81 Deep Tissue Treatment Of The Ankle (Subtalar Joint Outside) 
Video Tutorial #82 Deep Tissue Treatment Under 
Video Tutorial #83 Deep Tissue Treatment Above 
Video Tutorial #87 Deep Tissue Of The Ankle Mortise

Watch above as Dr. Stoxen demonstrates the deep tissue treatment he uses to release the muscles under the toes. Specifically pay attention to the pain under the 3rd and 4th metatarsal. pictured is the deep tissue point.

Deep Tissue Release Point for Morton’s Neuroma

 

Watch above as Dr. Stoxen demonstrates a great stretch for Morton’s Neuroma!

Probe your body with deep pressure for pain and sore ropy spasms outlined in these video tutorials.

      • If you feel them treat them at the same time with the technique I recommend in the video tutorial.
      • Release all preload tension on the spring for maximum safe deep loading of the spring mechanism.
      • Now lets release the abnormal over use stress from the foot muscles that is causing the over use stress on the body by releasing the entire integrated spring mechanism from toe to head.

Manipulative Therapy

In one review of research on the efficiency of manual therapies on many different musculoskeletal disorders, the evidence was inconclusive, but favorable toward the use of manipulation and mobilization of the foot to decrease pain associated with Morton’s neuroma. (29)

We need to spread out the forces on the landings across all the toes. We also need to keep the pressure off the toes from landing the foot on the side or rolling the weight over the foot so it compresses the bones together.

I adjust the metatarsal cuneiform joints of all toes and spend approximately 10 – 30 hours stretching, doing deep tissue on compressive painful muscle spasms and manipulating patients feet to normalize the movement and mechanics.

Patients will tell you I really aggressively work on these muscles and joints the entire time and that this is a grueling process for not only the patient but for the doctor as well. In fact, patients have described this as a ‘pain exorcism’ or an overhaul, which addresses the accumulation of 40- 60 years of stiffness, inflammation and deformation of the body.

Dr. James Stoxen DC Shares About ‘THE PAIN EXORCISM in detail in his interview on BFM 89.9 The Business Station, From Kuala Lumpur, May 25, 2012, click here to listen now

You may think this is a long time to spend on treating the feet however remember that these patients have had their feet locked in a leather or rubber-binding device squeezing the toes for decades.

If you wear sandals all summer, that is 4 months or about 1,000,000 impacts with the foot in a dorsiflexed locked position as this is required to keep sandals on the feet.

Some female patients have to wear high heels every day for work and therefore are working in heels for 3 decades by their 55th birthday.

If the doctor is right that the deformities start in childhood with shoes that are ill fitting  that means that by age 55 each patient has the damaging forces from between 100,000,000 – 130,000,000 abnormal impacts on this 33 joint complex to accumulate deformities and scar tissue which therefore stiffens the mechanism and scar tissue surrounding the nerves between the bones.

When they come to me the analogy is like trying to thaw out a piece of frozen steak with my bare hands. That is how stiff these feet are.

Morton’s Neuroma Exercises

Phase II and III – Strengthen the spring suspension system, primarily the tibialis posterior muscle with lever system training or strength training and later spring mechanism training with running, jumping and plyometric drills.

Treating the client’s muscular imbalances was an important step in combating compensation patterns the client had adopted to avoid painful motions of the foot.

You must develop of the spring suspension system muscles! This requires;

movement training

SPRING RESISTANCE TRAINING– Strengthen the spring suspension system muscles like a lever. Train with resistance exercises adding cuffs strapped to the foot moving it in a variety of directions such as eversion, inversion, abduction, adduction, pronation and supination.

SPRING IMPACT TRAINING – Strengthen the spring like a spring. I restore the spring suspension system muscles ability to resist impacts with barefoot drills like zigzag patterns, circular patterns, shuffle patterns as well as doing multi direction plyometric drills with graduated increased speeds starting with walking, jogging, running plyometrics.

Because we are going to release our natural spring mechanism, artificial spring protection like heavy cushioned soles wont be necessary. In fact, we should set a goal to get back to walking and running barefoot like we did as a youth.

Why?

The inability to walk or run barefoot safely is one of the first signs of aging ” Dr. James Stoxen DC

Are we running to slow the aging process or speed it up? Then when you’re in the competition you can cheat by putting shoes on that allow for additional recoil of the elastic of the shoe!

Please read these articles which discuss the training of the body to improve impact resistance.

      • Video Tutorial #12 Is Running Bad For Your Knees? How Does The Body Spring Back Safely From Impacts Of Running and Walking?, click here to view
      • Tutorial #28 Self-Tests & Exercises To Reduce Over Pronation and Over Supination From Impacts During Walking and Running , click here to view

Can I wear high heels with Morton’s neuromas? NO!

Can I still run with Morton’s neuromas?

Hey, I have seen women run at high speeds down the street in high heels. Would I recommend it? No way!

If you cannot walk without banging into the ground you have no business running!

How do you know when it is safe to run again?

You just don’t go out and run and see what happens!

You have to videotape yourself walking, jogging and running at increased speeds, which test the impact resistance of the spring suspension system to maintain the foot and limb in the safe range.

Watch this video below of national champion taekwondo, Christian Medina and Dr Stoxen running barefoot down the street. One of our staff was in the back of an SUV videotaping through the window while another staff member was driving.

These are the snapshots taken from the video analysis.

Dr. James Stoxen Dc barefoot running training with Christian Medina

As you can see we ran the entire run in zig-zag patterns. This forces the foot to land in positions that naturally release the 33 joints from different angles and strengthens the suspension system muscles equally from the inside and the outside.

That is how I have been able to run barefoot on solid concrete and asphalt streets without Morton’s Neuromas, shin splints or other impact related conditions.

In conclusion…

There is no one perfect approach. However, we should approach Morton’s neuromas and other conditions with logic that follow the laws of physics and nature.

I have tried my best to present to you my best recommendations based on these laws, the prevailing scientific literature and my many years of clinical experience.

You may not rush off to your family chiropractor or alternative medical center for this but I have found that conservative treatment at our chiropractic center with an integrative medical approach.

Please feel free to share your Morton’s Neuroma story in complete anonymity in the comments below. I will advise the best I can.

Thank you for sharing this article with those you feel it can help!

References – Morton’s Neuroma

1.  Pasero G, Marson P.  [Filippo Civinini (1805-1844) and the discovery of plantar neuroma].  Reumatismo. 2006 Oct-Dec;58(4):319-22. [PubMed]

2.  Pace A, Scammell B, Dhar S. The outcome of Morton’s neurectomy in the treatment of metatarsalgia.  Int Orthop. 2010 Apr;34(4):511-5. doi: 10.1007/s00264-009-0812-3. Epub 2009 May 30.  [PubMed]

3.  Fazal MA, Khan I, Thomas C. Ultrasonography and magnetic resonance imaging in the diagnosis of Morton’s neuroma. J Am Podiatr Med Assoc. 2012 May-Jun;102(3):184-6. [PubMed]

4.  Adams WR 2nd.  Morton’s neuroma. Clin Podiatr Med Surg. 2010 Oct;27(4):535-45. doi: 10.1016/j.cpm.2010.06.004.  [PubMed]

5.  Summers A. Diagnosis and treatment of Morton’s neuroma. Emerg Nurse. 2010 Sep;18(5):16-7. PubMed]

6.  Quinn TJ, Jacobson JA, Craig JG, et al. Sonography of Morton’s neuromas. AJR. 2000;174(6):1723–1728.  [PubMed]

7.  Summers A. Diagnosis and treatment of Morton’s neuroma. Emerg Nurse. 2010;18(5):16–17. [PubMed]

8.  Owens R, Gougoulias N, Guthrie H, Sakellariou A. Frimley Morton’s neuroma: clinical testing and imaging in 76 feet, compared to a control group. Foot Ankle Surg. 2011 Sep;17(3):197-200. doi: 10.1016/j.fas.2010.07.002. Epub 2010 Sep 17. [PubMed]

9.  Fazal MA, Khan I, Thomas C. Ultrasonography and magnetic resonance imaging in the diagnosis of Morton’s neuroma. J Am Podiatr Med Assoc. 2012 May-Jun;102(3):184-6. [PubMed]

10.  Iagnocco A., Coari G., Palombi G., Valesini G.  Sonography in the study of Metatarsalgia, J Rheumatol 2001 Jun;28(6);1338-40  [PubMed]

11.  Symeonidis PD, Iselin LD, Simmons N, Fowler S, Dracopoulos G, Stavrou P.  Prevalence of interdigital nerve enlargements in an asymptomatic population.   Foot Ankle Int. 2012 Jul;33(7):543-7. doi: 10.3113/FAI.2012.0543.  [PubMed]

12.  Peng H, Swierzewski SJ., III Morton’s Neuroma [PubMed]

13. Bennett GL, Graham CE, Mauldin DM.  Morton’s interdigital neuroma: a comprehensive treatment protocol.  Foot Ankle Int. 1995 Dec;16(12):760-3.  [PubMed]

14. Hassouna H, Singh D.  Morton’s metatarsalgia: pathogenesis, aetiology and current management.  Acta Orthop Belg. 2005 Dec;71(6):646-55.  [PubMed]

15.  Fazal MA, Khan I, Thomas C. Ultrasonography and magnetic resonance imaging in the diagnosis of Morton’s neuroma. J Am Podiatr Med Assoc. 2012 May-Jun;102(3):184-6. [PubMed]

16.  Faraj AA, Hosur A. The outcome after using two different approaches for excision of Morton’s neuroma.   Chin Med J (Engl). 2010 Aug;123(16):2195-8.  [PubMed]

17.  Keh R, Ballew K. Long term follow-up of Morton’s neuroma. J Foot Surg. 1992;31(1):93–95. [PubMed]

18.  Johnson JE, Johnson KA, Unni KK. Persistent pain after excision of an interdigital neuroma. Results of reoperation. J Bone Joint Surg Am. 1988;70(5):651–657.  [PubMed]

19.  Spinal cord stimulation for recurrent painful neuromas of the foot. Neurol Sci. 2011 Aug;32(4):723-5. doi: 10.1007/s10072-011-0649-6. Epub 2011 Jun 16.  Messina G, Nazzi V, Sinisi M, Dones I, Pollo B, Franzini A[PubMed]

20.  Hassouna H, Singh D.  Morton’s metatarsalgia: pathogenesis, aetiology and current management.  Acta Orthop Belg. 2005 Dec;71(6):646-55.   [PubMed]

21.  Fuhrmann RA, Roth A, Venbrocks RA. [Metatarsalgia. Differential diagnosis and therapeutic algorithm].  Orthopade. 2005 Aug;34(8):767-8, 769-72, 774-5.  [PubMed]

22.  Zipfel, B. & Berger, L.R. Shod versus unshod: the emergence of forefoot pathology in modern humans. (The Foot:  The International Journal Of Foot Science – Volume 17, issue 4 – December  (2007)  [PubMed]

23.  Norman Espinosa, MD, American Academy of Orthopedic Surgeons AAOS Now
March 2009 Issue  [PubMed]

24. Wu KK, Mortons Interdigital Neuroma: a clinical review of its etiology, treatment and results. J Foot Ankle Surg 1996 Mar-Apr;35(2):112-9; discussion 187-8.  [PubMed]

25.  Rattray F, Ludwig L. Clinical Massage Therapy: Understanding, Assessing And Treating over 70 Conditions. Elmira, ON: Talus Incorporated; 2000.  [PubMed]

26.  Symeonidis PD, Iselin LD, Simmons N, Fowler S, Dracopoulos G, Stavrou P.  Prevalence of interdigital nerve enlargements in an asymptomatic population.   Foot Ankle Int. 2012 Jul;33(7):543-7. doi: 10.3113/FAI.2012.0543.  [PubMed]

27.  Holmes GB Jr. Quantitative determination of intermetatarsal pressure.  Foot Ankle. 1992 Nov-Dec;13(9):532-5.  [PubMed]

28.  Berry K, Gonzalez P, Bowman RG. Physical Medicine and Treatment for Morton Neuroma. Medscape  [PubMed]

29.  Bronfort G, Haas M, Evans R, et al. Effectiveness of manual therapies: the UK evidence report. [Accessed January 24, 2012];Chiropractic & Osteopathy. 2010 18(3):1–33.  [PubMed]

30.  Field A., Truman G. How I Got My Wiggle Back, Wiley Publishing (2012)  [Amazon.com]

 


 
Disclaimer

 

Dr. James Stoxen DC Has Been Appointed to the Advisory Board for the American Board of Anti-Aging Health Practitioners and The American Board of Anti-Aging /Regenerative Medicine

  Dr. James Stoxen DC Has Been appointed to the Advisory Board for the American Board of Anti-Aging Health Practitioners (ABAAHP) and The American Board of Anti-Aging /Regenerative Medicine (ABAARM)   The American Board of Anti-Aging Health Practitioners was founded in 1999 to provide advanced education, representation, and specialty recognition of scientific and healthcare professionals. The long-term […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

 

Dr. James Stoxen DC Has Been appointed to the Advisory Board for the American Board of Anti-Aging Health Practitioners (ABAAHP) and The American Board of Anti-Aging /Regenerative Medicine (ABAARM)

Dr. James Stoxen DC

 

The American Board of Anti-Aging Health Practitioners was founded in 1999 to provide advanced education, representation, and specialty recognition of scientific and healthcare professionals. The long-term objective of ABAAHP is to achieve formal sub-specialty recognition and a new status for Anti-Aging medicine and for those practicing it as qualified clinicians. Together, the A4M and ABAAHP represent over 24,000 physicians, scientific and healthcare practitioners from 110 nations. The process involves the single step of a written examination, which demonstrates proficiency in several key areas of Anti-Aging medicine. After passing the written exam and completion of certification criteria, a certificate is issued to the healthcare practitioner confirming their status as a Diplomate of Anti-Aging Medicine.

The American Board of Anti-Aging Health Practitioners (ABAAHP) is a certification program of the American Academy of Anti-Aging Medicine. ABAAHP issues Diplomate Certification to Doctors of Chiropractic (DC), Doctors of Dentistry (DDS), Naturopathic Doctors (ND), Registered Pharmacists (R.Ph.), Scientists (PhD and similar), Registered Nurses (RN), Nurse Practitioners (NP), Physician Assistants (PA), Doctors of Pharmacy (PharmD) and Acupuncturists.

The ABAAHP program is the first certification program of its kind. It raises the standard of professional care and recognition offered by practitioners delivering integrative, complementary, and alternative healthcare as well as allied health professionals. By completing the ABAAHP process, you receive specialty certification as a Diplomate practicing Anti-Aging medicine.

The American Board of Anti-Aging / Regenerative Medicine was founded in 1997 as a professional physician certification and review board for individuals with M.D. (Doctor of Medicine), D.O. (Doctor of Osteopathic Medicine), M.B.B.S. (Bachelor of Medicine/Bachelor of Science), or D.P.M. (Doctor of Podiatric Medicine) degrees. ABAARM offers these medical professionals with recognition of their specialty knowledge and clinical practice of Anti-Aging medical care. The long-term objective of ABAARM is to achieve formal sub-specialty recognition and a new status for Anti-Aging medicine and for those practicing it as qualified clinicians.

The American Board of Anti-Aging /Regenerative Medicine (ABAARM) is a certification program of the American Academy of Anti-Aging Medicine. ABAARM issues Board Certification to individuals with M.D., D.O., D.P.M. and M.B.B.S. degrees. Together, the A4M and ABAARM represent over 24,000 physicians from 110 nations in the new clinical specialty of Anti-Aging medicine.

Dr James Stoxen DC is proud to be on the advisory board for the International Sports Hall of Fame. Thank you Dr Robert Goldman for your trust in our judgment on who shall be inducted in the ISHOF.

Doc Gringeri and Dr. Stoxen Visit The Wiggles Show!

  Doc Gringeri and Dr. Stoxen Visit the Wiggles Show!                                            

//The code must be inserted ahead of the call the_content, but AFTER the_post()

 

Doc Gringeri and Dr. Stoxen Visit the Wiggles Show!

Dr. James Stoxen DC, Dr. Richard Gringeri DD, Rodney Squires and Anthony Field

 

Dr. Richard Gringeri, Anthony Field and Dr. James Stoxen DC

 

Dr. Richard Gringeri and Dr. James Stoxen DC

 

Dr. Richard Gringeri DC, Dr. James Stoxen DC and Greg Page

 

Dr. James Stoxen DC, Anthony Field and Dr. Richard Gringeri DC

 

Dr Rich Gringeri DC (left) and Dr. James Stoxen DC (right)

 

Greg Page and Dr. James Stoxen DC

 

Dr. Richard Gringeri DC, Greg Page and Dr. James Stoxen DC

 

Dr. Richard Gringeri DC, Dr. James Stoxen DC, and Rodney Squires

 

Dr. James Stoxen DC

 

Dr. Gringeri, Dr. Stoxen and Rodney Squires Backstage at the Wiggles Concert

 

Dr. Gringeri and Dr. Stoxen Backstage at the Wiggles Concert

 

Anthony Field, Dr. Gringeri, Dr. Stoxen and Rodney Squires

 

Dr. Stoxen and Dr. Gringeri backstage at the Wiggles Concert

 

Dr. Stoxen, Dr. Gringeri and Anthony Field backstage

 

Dr. Stoxen, Anthony Field and Dr. Gringeri

 

 

 

 

 

 

 

Video Tutorial #202 When my feet hurt.. I did this pressure point and got relief.

MY FEET HURT! Tips For Better Health Ask the doctor, Dr James Stoxen DC Dr. James Stoxen DC of Chicago IL, USA and Dr. Amir Majidi DC of  Toronto, Ontario, Canada, April 29, 2012 at a park, Kuala Lumpur, Malaysia I remember standing on my feet all day 14 – 16 hours a day for 135 days in a […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

MY FEET HURT!

Tips For Better Health

Ask the doctor, Dr James Stoxen DC

Dr. James Stoxen DC of Chicago IL, USA and Dr. Amir Majidi DC of  Toronto, Ontario, CanadaApril 29, 2012 at a parkKuala Lumpur, Malaysia

I remember standing on my feet all day 14 – 16 hours a day for 135 days in a row on one of those runs when I was getting calls from so many big name entertainers that I could not say, NO!

But I ended up with sore toes,  pain on the bottom of the foot pain on the side of the foot.  Lets just say my feet were in pain!   I also remember I had pain in the big toe like a turf toe.

I did this deep tissue treatment for my foot so I could get pain relief from aching foot pain.

Are you asking yourself, Do I have to go to a pain center and get pain killers?”  Do I do foot exercises?

Maybe.  Maybe not if you can work out the spasms around the toe.  I don’t know what your condition is but this is what I do for my big toe.

Here is some deep tissue self – help pressure points for the big toe.  Just remember if it does not help you may have to go to a foot specialist.

Today i’m going to demonstrate for you how to release the muscle spasms, from your Big toe. (the inside)

This did help with my foot swelling and severe foot pain.

I cannot promise it will help you.

When you stand walk or run barefoot, most of the weight is spread over the big toe and the second toe.

The force or mass of the impacts rolls over these two areas the most.

The human spring as I call it, is built into the body to absorb the force of the landings.

When the body is not moving correctly or if the body is moving in ways that it was not engineered to move in, then the Human Spring becomes locked.

This can happen in a variety of ways:

  • wearing shoes that do not fit our feet
  • wearing high heel shoes
  • abnormal walking patterns
  • weak feet

Today I am going to show you how to release the muscle spasms from your first toe. (the inside)

deep tissue point to release the big toe underneath

The Deep Tissue point is shown above and in the video as well.

Helpful Excerpt from Anthony Fields book, ‘How I Got My Wiggle Back“,

For this exercise use your thumb to apply slight pressure down to the bone, if possible, in the designated areas; you’ll know when you’ve hit the exact spot-if you have inflamed ligaments or muscles in that area there will be some pain. Don’t worry, you are not causing damage. It hurts because the muscles are stiff and inflamed. Now, gently apply pressure with your thumb or finger and hold it. Don’t panic if it is painful, after about two to three minutes, the discomfort starts to subside. The pain will come and go in waves and a few times and eventually all you feel is pressure. If you don’t hold the point until all the pain goes away, you will feel sore in this area the next day.

Measure the area you are treating using your thumb print—-it’s called a Chinese inch. Move one Chinese inch at a time until you have covered the entire area.

You may feel a rush of blood and energy through the treated area.

Once you have hit all the secret spots, your arch spring may be loose enough to be “unlocked”Anthony Field shares how Dr. James Stoxen DC and Dr. Richard Gringeri Helped him back to health

You can find this self – help release exercise and many more in Anthony Fields book, ‘How I Got My Wiggle Back’, click here to order now!

To learn more about releasing the toe underneath watch:

Video Tutorial #82 Dr. James Stoxen Demonstrates Self-Help Deep Tissue Treatment Under the Big Toe And Second Toe, click here to view

 

Disclaimer

Video Testimonial – Dr. James Stoxen DC – National College of Chiropractic Grad 1986

  This is a video testimonial I am proud to have done about National University Health Sciences, formerly National College of Chiropractic.   My father Dr Paul Stoxen DC graduated there in 1949 and I graduated there in 1986. They really did a great job in preparing me for my career as a chiropractor. I […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

 

This is a video testimonial I am proud to have done about National University Health Sciences, formerly National College of Chiropractic.

 

My father Dr Paul Stoxen DC graduated there in 1949 and I graduated there in 1986. They really did a great job in preparing me for my career as a chiropractor. I highly recommend NCC!

Meet Dr. James Stoxen DC, who graduated from National in 1986:

I choose National because it offered the chiropractic component and more importantly for me, I wanted to lecture and be involved in the medical component. I liked the more medical oriented method rather than the straight method because I felt that I could communicate better with the medical profession on their level and you know what? It was a good idea.

Why did James Stoxen choose a career in chiropractic medicine?

My mother sat me down one day when I was 17 years old. She had a piece of paper in her hand and I said, “Oh No, here we go”. She said, “Now what we are going to do is write out all the things you love to do and what you see yourself doing in the future.

I wrote things down such as:

  1. I like to go to rock concerts
  2. I like to work on Athletes
  3. I like sports
  4. I like training
  5. I like to go to sporting events
  6. I like to travel around the world
  7. I want to meet interesting people and be around successful people
  8. I like to help others

She took the pencil and circled all of those things and said, “If you could find a career that will allow you to do all of those things then you will never work a day in your life and that is exactly how I feel.

I have the greatest job ever!!!!!!!

Today, Dr. Stoxen has treated national and world champion athletes and has treated celebrities at concerts and tours around the world. read more

I have been back stage as an entertainer doctor working 12-15 hours a day with some of the icons that I idolized as a kid. As well as the new and up and coming recording artist that you hear on the radio. Half of them I have worked for.

Dr. Stoxen has lectured at medical conferences around the world about his approach to patient care. read more

I found that the body is a natural spring that recycles energy with each impact so that means we can run long distances and we can go all day without getting tired. The spring protects us from these impacts and the landings in sports as well as in running and walking.

I found that was the secret. I incorporated the physics and engineering. I put this together with treatment.

This whole Human Spring Approach came because of my knowledge.

The College professors at ‘National University’, taught me how to research, go to the library for research study. They taught me to investigate what research studies were making sense and what not making sense.

Based on what I learned at ‘National University’, I was able to go through thousands of research papers and prepare excellent presentations using the studies and findings that were here already.

I used the Human Spring Approach to treat a very famous celebrity, Anthony Field, from the “Wiggles’.

In 15 hours over the course of a weekend I was able to move the restriction on his Human Spring. We were able to reverse 25 years of chronic pain that he could not find the answers to help him.

Dr. James Stoxen DC

He decided to write a book about it, ‘How I Got My Wiggle Back’ by Anthony Field and Greg Truman. In this book he tells the whole story how he formed the Wiggles and how he suffered for those 25 years barely getting through the tours. He also shares how he was in agony and depression. The inflammation from his dietary problems and musculoskeletal problems made the depression worse. He was on medication for many years. Dr. Richard Gringeri and I helped him get off the medication and get on to a better, healthy life.

What’s Dr. Stoxen’s advice to those considering a career in chiropractic medicine?

You really need to find your dream job! So that every day you go to work, it’s not work.

Get our your piece of paper and make out that list then circle it. See if chiropractic fits and if it does then choose it.

for more information on National University of Health and Sciences click here
or call 1-800-826-6285

 

 

Video Tutorial #198 ‘Getting Fit At The Playground Series’, Beginners Hanging Abdominal Stretch-Strengthening, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC

Dr. James Stoxen DC of Chicago IL and Dr. John Petrozzi Dc of Leichhardt NSW Australia April 29, 2012 at a park Kuala Lumpur, Malaysia     Beginner Hanging Abdominal Stretch Training, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC We have been talking about some of the exercises that are […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

Dr. James Stoxen DC of Chicago IL and Dr. John Petrozzi Dc of Leichhardt NSW Australia
April 29, 2012 at a park
Kuala Lumpur, Malaysia

 

Dr. James Stoxen DC Spotting Dr. John Petrozzi DC, Beginner Abdominal Stretch

 

Beginner Hanging Abdominal Stretch Training, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC

We have been talking about some of the exercises that are in Anthony Fields Book, ‘How I Got My Wiggle Back’. You can learn a lot about the Human Spring Approach by reading the book.

You can find the book at your local bookstore as well as on Amazon.com. click here to view

Today we are going to develop the mid-section (abdominal muscles) to get the Human Spring stronger. By strengthening the spring mechanism it will help the body bounce off the ground.

Dr. John Petrozzi has been working hard on his Ab routine and perfecting it to the delight of Anthony Field, from the ‘Wiggles.’

Dr. Petrozzi is Anthony Field’s doctor in Sydney Australia.

This is a very simple beginners abdominal stretch you can do. It is great if your just trying to get started and warmed up. You might not be able to do gymnastics but this exercise would be a good start to help train your abdominal muscles and get the blood flowing.

Directions:

  1. Grab the bar or rings above. Do not strain the muscles of your hands, forearms or shoulders on the grip
  2. Slowly relax your muscles and lean forward shoulders.shoulders, chest, back or abdominals as you stretch down.  Feel the stretch of the muscles of the front of your body including your shoulders, chest, abdominals, quads and calves.
  3. Use your ABDOMINAL MUSCLES ONLY to pull yourself back up again. It is a pelvic tilt and a crunch-like movement.
  4. DON’T CHEAT, you will only be cheating yourself
  5. Repeat the exercise as many times as you can do it with proper form and technique.

As you can see from the video above. Dr. Petrozzi is really honing in on these exercises and you can too!!!

Watch Anthony Field from the Wiggles train backstage incorporating the Hanging Abdominal Stretch on the Flying Trapeze in the video below

Get outside and bring your kids to the park and instead of sitting on the bench just looking at them get in shape.  Resist the temptation to be texting and email your friends, surfing the net or talking to the other out of shape parents in the area.

No pitty partys at the playground!

Challenge yourself with the other “Getting Fit at the Playground Series’ exercise and have fun with your kids by challenging them to do the exercises too.   Take turns to see how many you can do and how many they can do and make a game.

Always coach by complimenting them first, telling them what to improve second then complimenting their overall performance to conclude with a big smile and a thumbs up or a pat on the back.

This is what I recommend for family fitness, health and fun.

View the other ‘Getting Fit At The Playground Series’ blog posts below:

Video Tutorial # 195 “Getting Fit At The Playground” Series: The Hanging Abdominal Raise With Pike Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC, click here

Video Tutorial #196 ‘Getting Fit At The Playground Series’ The Hanging Abdominal Split, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC, click here

Video Tutorial #197 ‘Getting Fit At The Playground” Series, The Hanging Abdominal Raise With Lateral Flexion, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC, click here

Video Tutorial #199 Getting Fit At The Playground Series, Beginners Hanging Abdominal Swing,  Demonstrated By Dr. John Petrozzi DC, Spotted By  Dr. James Stoxen DC, click here

 

 

Video Tutorial #197 ‘Getting Fit At The Playground” Series, The Hanging Abdominal Raise With Lateral Flexion, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC

Dr. James Stoxen DC of Chicago IL and Dr. John Petrozzi Dc of Leichhardt NSW Australia, April 29, 2012 at a park in Kuala Lumpur, Malaysia   The Hanging Abdominal Raise With Lateral Flexion, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC Today we are at the park in Kuala Lumpur, Malaysia with Dr. John Petrozzi […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

Dr. James Stoxen DC of Chicago IL and Dr. John Petrozzi Dc of Leichhardt NSW Australia, April 29, 2012 at a park in Kuala Lumpur, Malaysia

Abdominal Raise With Lateral Flexion, Dr. James Stoxen DC and Dr. John Petrozzi DC

 

The Hanging Abdominal Raise With Lateral Flexion, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC

Today we are at the park in Kuala Lumpur, Malaysia with Dr. John Petrozzi who is Anthony Fields’, from the Wiggles, doctor in Australia.

He is my good friend or as they say ‘my mate’.

I encourage you to go outside with your children and do some exercise with them. Instead of sitting on a bench on the sidelines why not play with them and try some of these exercises in ‘The Getting Fit At The Playground Series’.

Dr. Petrozzi is going to show you how to do a Hanging Ab Routine which is an Abdominal Raise With Lateral Flexion.

Watch Anthony Field, from the Wiggles,  on the flying trapeze backstage doing hanging abdominal exercises in the video below:

You can do this exercise on various apparatuses, such as a bar or rings at the playground.

Dr. James Stoxen DC with Anthony Field Backstage

This exercise works the transverse abdominis muscles and the lateral Obliques.

Instructions:

  1. First reach up and grab a hold of the rings or bar.
  2. Slowly bend your knees to 90 degrees.
  3. Then lift your pelvis so your knees are above your waist and your thighs are parallel to the ground.
  4. Laterally flex your torso to the left and then back to the right approximately 30 degrees. repeat

It’s very important that you take in deep breaths

Please note that this is an advanced exercise. If you cannot do this at first then you can work up to it.

Once again I encourage you to take a break and get outside and do some exercises with your kids.

View The other ‘Getting Fit At The Playground Series’ below:

Video Tutorial # 195 “Getting Fit At The Playground” Series: The Hanging Abdominal Raise With Pike Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC, click here

Video Tutorial #196 ‘Getting Fit At The Playground Series’ The Hanging Abdominal Split, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC, click here

Video Tutorial #198 ‘Getting Fit At The Playground Series’, Beginners Hanging Abdominal Stretch-Strengthening, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC, click here

Video Tutorial #199 Getting Fit At The Playground Series, Beginners Hanging Abdominal Swing,  Demonstrated By Dr. John Petrozzi DC, Spotted By  Dr. James Stoxen DC, click here

Disclaimer

THE BAREFOOT DOCTOR: ARTICLE IN MALAYSIAN BUSINESS MAY 16TH, 2012

  Interview by Sharmila Valli Narayanan May 16, 2012 Dr James Stoxen is a well-known figure among rock stars and celebrities in the United States. He is a star in the world of chiropractors and an advocate of running barefoot. Sharmila Valli Narayanan meets up with the man with the magic touch who literally brings back the spring […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

 

Interview by Sharmila Valli Narayanan
May 16, 2012

Dr James Stoxen is a well-known figure among rock stars and celebrities in the United States. He is a star in the world of chiropractors and an advocate of running barefoot. Sharmila Valli Narayanan meets up with the man with the magic touch who literally brings back the spring to your step.

Chiropractor Dr James Stoxen DC is a strong advocate of running barefoot. According to him, most of us walk wrongly, which, in turn, causes all kinds of problems to crop up from knee and joint pains to backache.One of the Malaysian reporters whocame to interview him had over the past year developed a mysterious condition in her legs that caused this once-fit runner unable to run.

Worse, her left leg had become numb. She had consulted many specialists and podiatrists but to no avail. Most of them said that she would eventually have to undergo surgery to get some relief from the pain. They also told her that her running days were behind her.

Stoxen, who has been an ‘on-site chiropractor’ for American A-List stars’ concerts since 2003, listened to her complaints and videotaped her walking. He studied the video recording of her gait and said there was no problem with how she walked.

He asked her to come in for a consultation where for about two-and-a-half hours he used his hands to do some deep tissue massaging on her left leg. To the pleasant surprise of the journalist, she actually began to experience sensation in her leg after enduring numbness for more than a year. He told her in order for her to be fully recovered, she would need a series of treatment for both her legs.

He also gave her the book How I Got My Wiggle Back by Anthony Field, ‘the founder and co-star of the world’s most popular children’s musical group, The Wiggles’. The book chronicles Field’s long struggle to battle chronic pain (among other things) to get back his health and vigour. Field’s life took a turn for the better after meeting Stoxen and he credits Stoxen for helping him get back on the road to wellness.

Dr. James Stoxen DC with Anthony Fiel

Over the years, Stoxen has helped many of his patients, some of whom were scheduled for hip replacement, recover from their pain without resorting to drugs or surgery.

The barrel-chested Stoxen is a picture of health and vitality himself at 50. It is a difficult task to get him to steer away from one of his favourite topics: the advantages of running barefoot or going shoeless. Not for nothing is he known in the US as the anti-shoe doctor.

Shoes, even the best designed or most expensive ones, give an artificial spring to the feet, while going barefoot is more natural and it actually develops the feet’s natural cushion,’ he claims. Stoxen has been running barefoot for three years and even has taken part in races – barefoot of course. ‘As children, we ran barefoot but we can’t seem to do it as adults. That’s one sign of ageing.’

He cautions again embracing barefootedness immediately. The feet have to be conditioned first by exercises (prescribed in Field’s book) and runners are urged to try running barefoot on grassy surfaces first before
graduating to hard surfaces.

Stoxen: Shoes give an artificial spring to the feet, while going barefoot is more natural and it actually develops the natural cushion.

The man who is in great demand among the rich and famous comes from a humble background. He grew up in South Side, Chicago, a working- class neighbourhood.

He credits his parents for helping to instill in him the idea of having a dream. He describes an incident from his childhood: ‘My parents took me with them when they wanted to buy an apartment. We saw a lot of luxury apartments that were clearly beyond my parents’ budget. Later on, when I was older, I realised why my parents went to look at these expensive apartments. They wanted me to have a dream or vision of the kind of apartment I wanted to live in. They were indirectly letting me know that if I wanted to stay in places like this, I had to make good in life. And that meant getting a good education and working hard.’

He recalls another incident when he was 17 that had a powerful influence on him. ‘My mom came to me with a piece of paper and told me to write down what I wanted to do with my life.’ Stoxen listed down his loves. ‘I love exercise and sports. I wanted to travel around the world like my idol James Bond. I wanted to go to concerts and the ultimate dream was to rub shoulders with the stars.’ His mother told him to look for a job that would combine all this.

Stoxen decided to become a chiropractor because he was attracted by the concept of healing using one’s hands. ‘In my line of work, there is no need for medicine or surgery to heal people; just the hands do all the work.’

Today, Stoxen is living his dream. His job involves all that he loves. ‘I have a life that people only dream about. Everywhere I go, I am treated like a king,’ says Stoxen, who was in Kuala Lumpur recently to give a talk.

Stoxen has toured with all the big names such as Justin Timberlake, Beyonce, Mariah Carey, the 2008 American Idols Tour and Cirque De Soleil. On these tours, he works on the back-up dancers, musicians and any other members who need help with pain and adjustments. He has also personally attended to many top celebrities whom he does not name because of confidentiality issues.

Working with celebrity and concerts is not glamorous at all, says Stoxen. It’s a lot of hard work: working 12 hours days until the wee hours of the morning is the norm, as most concert crew come to see him after the concert.

Dr. James Stoxen DC

Stoxen has not forgotten his humble background. Unlike many other celebrity doctors who have their clinics in Beverly Hills, Stoxen’s centre is in a working-class area in Chicago with a high crime rate. ‘Doctors who treat celebrities need not always be based in Beverly Hills. If you give quality service, people will come to you. I can treat patients everywhere,’ he says.

Being in this neighbourhood, besides giving him a level of comfort, also provides him with an opportunity to help the community. His centre has given away more than US$1 million worth of free treatment to the people in the area. ‘You get more out of life when you give to others,’ he philosophises.

When asked on how to find a good chiropractor, he says, ‘A good chiropractor’s reputation precedes him. Find a chiropractor that approaches your body as a spring mechanism that is capable of healing itself.’
Stoxen hopes to teach more about this healing technique in the future.

‘I hope to have doctors change their model of evaluating treating, training and maintaining the human body from a lever system to a spring mechanism. Basically, I’d like to only teach this new standard of care in medicine to healers around the world,’ he says. mb

 

 

 

The Barefoot Doctor: Article in Malaysia Business, May 16th, 2012 Page 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Barefoot Doctor: Article in Malaysian Business, May 16th, 2012 Page 2

Video Tutorial # 195 “Getting Fit At The Playground” Series: The Hanging Abdominal Raise With Pike Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC

  Dr. James Stoxen DC of Chicago IL and Dr. John Petrozzi Dc of Leichhardt NSW Australia April 29, 2012 Kuala Lumpur, Malaysia Challenge your abdominal muscles with a hanging abdominal raise with pike exercise  In this video tutorial I introduce to you Dr. John Petrozzi DC who is also the principal of Petrozzi Wellness Centre […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

 

Dr. James Stoxen DC of Chicago IL and
Dr. John Petrozzi Dc of Leichhardt NSW Australia
April 29, 2012
Kuala Lumpur, Malaysia

Dr. John Petrozzi DC

Challenge your abdominal muscles with a hanging abdominal raise with pike exercise 

In this video tutorial I introduce to you Dr. John Petrozzi DC who is also the principal of Petrozzi Wellness Centre which is located in Leichardt, Australia.  Dr. Petrozzi also assists the children’s entertainment group ‘The Wiggles’ and other people with high public profiles. To learn more about Dr. John Petrozzi DC and Petrozzi Wellness Centre,  click here.

Today we are going to demonstrate a hanging abdominal raise with pike routine. This is one of Anthony Fields, frontman for the ‘Wiggles‘, famous routines that he did to get himself into super fit shape.

You can read about it in his book, ‘How I Got My Wiggle Back’ which you can pick up in Australia, US, UK and Canada. You can also order it from the Amazon site by clicking here.

Dr. James Stoxen DC Trains Anthony Field Backstage

This is not an easy exercise for most people. It is more advanced. We will challenge Dr. Petrozzi (although he is a young guy in shape).

This exercise is one you can do just about anywhere there is a bar, rings or something to grab hold of above.

A park setting such as this one in the video is an excellent place.

You can even take your kids and do this exercise taking turns with them.

  1. Make sure you hold on with a good solid grip above to the rings.
  2. Relax your arms.
  3. Lift up with your legs to a pike position
  4. point your toes
  5. try to hold for 20 seconds

To challenge yourself even further you can add a lift from the mid section while lifting your legs into the pike position.

If necessary you might need someone to spot you underneath your legs.

Dr. James Stoxen DC and Dr. John Petrozzi DC

 

Be sure to breath in and out.

As you can see above in the video the hanging ab exercise can be challenging the further you get the legs out from the fulcrum, the more the force is at the abdominal area.

You can see the other ‘Getting Fit At The Playground Series’ posts by clicking on the links below:

Video Tutorial #196 ‘Getting Fit At The Playground Series’ The Hanging Abdominal Split, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC, click here

Video Tutorial #197 ‘Getting Fit At The Playground” Series, The Hanging Abdominal Raise With Lateral Flexion, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC, click here

Video Tutorial #198 ‘Getting Fit At The Playground Series’, Beginners Hanging Abdominal Stretch-Strengthening, Demonstrated By Dr. John Petrozzi DC, Spotted By Dr. James Stoxen DC, click here

Video Tutorial #199 Getting Fit At The Playground Series, Beginners Hanging Abdominal Swing,  Demonstrated By Dr. John Petrozzi DC, Spotted By  Dr. James Stoxen DC, click here

I urge you to get out and take your kids to the park and have some fun while at the same time challenging yourself with the hanging abdominal raise with pike exercise!

Disclaimer 

ARTICLE, NYCC SPINAL COLUMN: NYCC Chiropractor, Dr. Amir Majidi DC Embracing Human Spring Approach, How I Got My Wiggle Back and our 48 hour Trip to Malaysia

  Hi Friends This is a really great article in the New York Chiropractic College newsletter, The Spinal Column, about a young chiropractor, Dr Amir Majidi DC, who has embraced the Human Spring Theory, and has become one of my research assistants, then traveled 32 hours to Kuala Lumpur, Malaysia to help me lecture in […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

 

Hi Friends

This is a really great article in the New York Chiropractic College newsletter, The Spinal Column, about a young chiropractor, Dr Amir Majidi DC, who has embraced the Human Spring Theory, and has become one of my research assistants, then traveled 32 hours to Kuala Lumpur, Malaysia to help me lecture in Kuala Lumpur, Malaysia, April 27 – 29, 2012.  click here

Enjoy the article, below!

New York Chiropractic College
May 2012 edition
Title: Depew Intern Embraces Human Spring Theory

click here for the original article

Dr. Amir Majidi DC

A 30-YEAR-OLD MAN OR woman goes FOR A walk or run around the block and then complains of knee or back pain; but then there’s the 70-yearold who runs 15 miles every day and is pain free. Why? A couple of years ago, ninth trimester Depew intern Amir Majidi began seeking answers to this riddle, which had puzzled him for years. Searches on the Internet satisfied his curiosity and led him to a research assistantship with Team Doctors, of Chicago, Ill., and a rewarding friendship with its pioneering owner, Dr. James Stoxen, DC.

Majidi, who possesses a voracious appetite for anything he can read about chiropractic, discovered blogs about Dr. Stoxen and soon became fascinated by his approach to chiropractic: the Human Spring Model of evaluation, treatment, training and maintaining the human body. Stoxen’s model, as described in his website, Why Do I Run Barefoot , views the body as
“a spring mechanism vs. a lever mechanism as it is currently viewed by the scientific community. This human spring model states the body is composed of muscles, ligaments, tendons that protect it and recycle energy for maximum efficiency through the elastic recoil mechanisms. This allows movement such as walking, running, and performance in sports to be safer and more efficient.” Stoxen explains, “Our bodies spring off the ground when the spring mechanism is intact. When the spring mechanism locks, it switches to the less protective and less efficient lever system, which causes our body’s mass to bang into the ground with less efficiency.”

Dr. Amir Majidi DC and Dr. James Stoxen DC

Stoxen feels there is a strong connection between this spring mechanism breakdown and the occurrence of chronic pain, chronic fatigue, and the diseases of aging related to chronic inflammation due mainly to “binding or restrictive devices on any region of the body, especially the foot and weakness in the spring suspension system muscles that function to spring the mass off the ground during impacts.” To combat this, he releases the tension and joint-play restriction from the spring, strengthens the spring suspension system muscles, and advises walking and running barefoot with specific drills and plyometric training. This theory hit home for Majidi, who learned to appreciate structure from his engineer father. Stoxen has taken him under his wing. “I want to learn and he helped me by phone, video conferencing, and through video tutorials and articles published in his blog.”

The Human Spring Model and approach has recently attracted much media attention, thanks in large part to one of its most grateful advocates: Anthony Field, creator and a founding member of The Wiggles – the world’s most successful musical group for young children. Field was handicapped by chronic pain, chronic fatigue, misdiagnosed fibromyalgia and depression during his 20 years on the road. In 2004 he had decided to walk away from The Wiggles; that is, until his search to hire a chiropractor for the cast, as was his custom in each city they visited, led him to Dr. Stoxen, a chiropractor who had developed a solid reputation among people in show business and was able to help him. At first, Field protested when Stoxen examined him and predicted that he was on the verge of a physical collapse. Stoxen asked him to remove his shoes and socks, and, after watching him walk, was able to pinpoint all of his aches and pains and the reason behind them: His spring mechanism was jammed! After 15 hours of treatment Field’s spring mechanism was restored, as was his career, which ignited his praise for the chiropractic profession. One month later, Anthony and The Wiggles performed 12 consecutive sold-out shows in Madison Square Garden – pain free. In his newly released memoir, How I Got My Wiggle Back, he recounts his struggles and road to recovery. (A video overview by Field, found by clicking here, was played at the Association for Chiropractic Colleges-Research Agenda Conference in March.)

Majidi points out that the importance of this “new and thorough way of looking at the human body,” as well as the attention it has received from the medical community, have not escaped the notice of the Foundation for Chiropractic Progress (F4CP), which recently named Anthony Field as one of its new spokespersons for 2012. Kent Greenawalt, chairman of F4CP, stated in the organization’s March 1 press release that Field’s story “will positively affect the many individuals who will begin to recognize the value of chiropractic care.” Already, Field has told his story of this drug-free approach the chiropractors used, and the results that changed his life on more than 30 network news stations including ABC, CBS, NBC, FOX, CNN and the Today Show. In addition, How I Got My Wiggle Back was mentioned in the April 2 issue of People magazine.

Dr. Amir Majidi DC

In his role as research assistant for Team Doctors, Majidi conducts online searches through National Institutes of Health and Medline to assist Stoxen in preparation for lectures. He just returned from Kuala Lumpur, Malaysia, where he assisted Dr. Stoxen with his presentation “The Inflammation- Depression Connection.” He has been invited to assist Dr.Stoxen with workshops and presentations at medical conferences in Bangkok, Bali, and Shanghai in the fall.

“I’m not an expert. I’m still developing,” says Majidi. “My number-one goal is to keep chiropractic advancing.” A resident of Toronto, Canada, since the seventh grade, when his family emigrated from Dubai, UAE, he adds, “I’m proud to be from NYCC, and I want to help anyone who is interested.” So far as he knows, he may be the only Canadian to approach chiropractic from the Human Spring Theory. Majidi plans to return to Toronto after graduation this fall and become affiliated in some way with Team Doctors. In the meantime, he has adopted his youthful mentor’s practice of treating and advising patients by this approach. “Dr. Stoxen is 50; he runs barefoot five miles, three times a week, and is pain-free,” he says admiringly. “I want to be that way when I’m 50 years old!” It looks like Majidi’s puzzle is close to being solved.

 

 

USA TODAY – Wiggles Founder, Anthony Field and Dr. James Stoxen DC Appear In The Champions of Chiropractic, Advertorial In USA Today

      Hi Friends, This is the article that appeared in the USA Today Newspaper on Thursday, April 26th, 2012 while I was lecturing in Malaysia. I finally got a copy. The Champions of Chiropractic is an appropriate title for Anthony Field, a champion for children, treated by Team Doctors, Treatment and Training Center […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

 

Dr. James Stoxen DC

 

 

Hi Friends,

This is the article that appeared in the USA Today Newspaper on Thursday, April
26th, 2012 while I was lecturing in Malaysia. I finally got a copy.

The Champions of Chiropractic is an appropriate title for Anthony Field, a
champion for children, treated by Team Doctors, Treatment and Training Center of
Champions.

Working with Anthony Field has been a very rewarding victory!

Huge thanks to the Foundation For Chiropractic Progress for making this happen.

 

Dr Stoxen

for more information on donating to the foundation for chiropractic progress click here

 

 

 

 

 

 

 

 

 

 

 

 

 

Tour Team Doctors With Dr. James Stoxen DC And Music Legend, George Daniels

  Watch above in this video of Dr Stoxen touring music legend, George Daniels around the Team Doctors Chiropractic Treatment and Training Center. This is the legendary George Daniels from Chicago and the Owner of George’s Music Room. Simply a Chi-town legend and everybody’s “Uncle G” from the G-Spot Radio Show.    Click here to watch […]

//The code must be inserted ahead of the call the_content, but AFTER the_post()

 

Watch above in this video of Dr Stoxen touring music legend, George Daniels around the Team Doctors Chiropractic Treatment and Training Center.

Dr. James Stoxen DC with George Daniels at Team Doctors

This is the legendary George Daniels from Chicago and the Owner of George’s Music Room. Simply a Chi-town legend and everybody’s “Uncle G” from the G-Spot Radio Show. 

 

Click here to watch one of  Dr. Stoxen’s interviews on the G-Spot Radio Show with George Daniels and Caryn Lee 

Dr. James Stoxen DC owns and operates Team Doctors Chiropractic Treatment and Training Centre. It’s located at

Dr. James Stoxen DC at Team Doctors

6430 Pulaski dr.
Chicago IL 60629
(773) 735-5200

Backstage Passes at Team Doctors

Team Doctors combines chiropractic care, therapy, active rehabilitation and strength training for athletes and non athletes in a private rehab training center. Team Doctors has a physiotherapy center and an active rehabilitation and training center is equipped to treat, train and advise these top athletes and entertainers. Dr Stoxen and his staff have been rehabilitating patients for numerous musculoskeletal conditions as well as personally trained athletes to compete and win national or world championships.


Team Doctors center director is Dr. James Stoxen, D.C,. Dr. Stoxen is a sought after speaker internationally lecturing at medical CME / ACME accredited medical conferences around the world.

 

 

Follow

Get every new post delivered to your Inbox

Join other followers

Email: