This is difficult for self care. It takes strong hands. Sit with your foot crossed on top of your other knee. Do a finger and thumb tip pinching action to get between the bones of the mid-foot just behind the toes. The best way is to pinch with the treating hand while pinching the finger knuckles of the treating hand with the other hand for added strength. Think of one hand forming a "O" while the other hand forms a "C" with the ends of the "C" on the second knuckle of the fingers and the first knuckle of the thumb.

Another, less effective but easier, way is to use a pencil (without a point!). Place the foot flat on the floor. Press the erasure end of the pencil into the top of the foot between the metatarsal bones. There is a specific tool available for this care. See Detailed Instructions.

An additional part of the therapy that works very well AFTER the TPT is to bend, by hand, the metatarsal bones in opposite directions (up and down) in comparison with it's neighbor. Take one bone (the first toe metatarsal bone) and push it down forcefully while pulling it's neighbor (the second toe metatarsal bone) up forcefully. Do this for about 15 seconds then reverse the directions for another 15 seconds. Do this for each pair of bones.

In the past foot pain diagnosed as Morton's Neuroma sometimes led to surgery to remove the painful nerve. This seems inappropriate if you consider the irritation to the nerve is actually coming from a chronic muscle spasm (TP) in the muscle surrounding the nerve.

Plantar Fasciatus is another cause of foot pain but not as effectively treated by TPT.

Click here for more detailed instructions