Surgery Patients with severe cases of hammertoe may need surgery. If the toe is still flexible, only a simple procedure that releases the tendon may be involved. Such procedures sometimes require only a single stitch and a Band-Aid. If the toe has become rigid, surgery on the bone is necessary, but it can still be performed in the doctor's office. A procedure called PIP arthroplasty involves releasing the ligaments at the joint and removing a small piece of toe bone, which restores the toe to its normal position. The toe is held in this position with a pin for about 3 weeks, and then the pin is removed. Metatarsalgia is usually caused by unnatural pressure on the area over time. This pressure can lead to inflammation in the metatarsals and may manifest itself in acute, chronic, or recurrent pain. One of the most prominent contributory factors is actually improperly fitted footwear. This is more common with women because of the many different styles of women’s shoes, but anyone not wearing a properly fitted and supportive shoe is also at risk for Ball of Foot Pain. The main problem occurs when narrow toe shoes force the ball of the foot into a smaller amount of space that it naturally needs. The most common symptom is deep, achy pain under the ball of the foot which can become sharp or stabbing with standing or walking. There may be shooting pain or tingling in the toes, which would indicate an inflamed nerve. A feeling of walking on a lump or cord or a “bunched up sock” under the foot is common. The pain is usually worsened with walking and long periods of standing, especially when pushing off of the ball of the foot. Narrow shoes can increase the pain and rubbing or massaging the forefoot may alleviate the pain. Aligned arches will help your feet; plus straighten and strengthen your back, improve posture, which in turn will lessen leg, knee and lower back pain. To get rid of really bad foot pain depends on what is causing the pain. Arch support insoles for your shoes are good if you have fallen arches. Insoles help with flat foot pain, 1 in every 8 people have flat feet. Activities that cause you to be on your poor aching feet for hours upon hours can feel better with some good arch support shoes. A foot massage can work wonders if your feet, lower back or hamstrings are tight. When the big toe points inward toward the second toe, it is referred to as a bunion. Bunions can form as a result of abnormal bones in the foot that are present at birth or the frequent use of tight or high-heeled shoes. Symptoms of a bunion include red, calloused skin on the inside of the toe and a bump that forms due to extra pain. Pain also occurs in the toes and at the joint and is aggravated by wearing shoes. If the bunion has progressed significantly and causes severe pain or a deformity, surgery may correct the condition. You Might Also Like Gout. The most common injury that is likely to cause pain and swelling in the foot and ankle is an ankle sprain. Ankle sprain is caused due to tearing of ligaments, that are bands of tissue that connect the bones to each other and provide support to the ankle joint. These could get overstretched or torn due to the sudden rolling or twisting movements while running or even walking on uneven surfaces. The symptoms of an ankle sprain include pain, tenderness in the sprained ankle, stiffness in the ankle joint, bruising and swelling. The severity of the symptoms depends on the degree of sprain.