"Dr. Burton S. Schuler, Morton's Toe Expert"- Author of Why You Really Hurt, It All Starts In the Foot.

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Why you get Flat Feet-Fallen Arches-Tired Feet, explains Doc

Authored by Dr. Burton S. Schuler, Google+

Here is a popular blog I wrote almost 2 years ago, except I now include a video on the bottom of the page to help people under stand it better

Everybody knows or has heard of “fallen arches”. The million dollar question is: why do we get fallen arches or flat feet  to start with?   

The Why:  Morton’s Toe   (Long Second Toe) causes fallen arches and flat feet. Dr. Dudley Morton wrote passionately about the true causes of fallen arches, tired feet and weak ankles in his article of 1928, and his books of 1935, 1939 and 1952. He had no doubt that all of these problems were caused by a unstable first metatarsal bone. He said there was a loss of stability at the arch when you had hypermobility of the first metatarsal bone. This loss of stability will then cause the arch to fall, tilt or collapse inwardly because it has less support than normal in keeping the arch up.

He said that once this collapsing starts toward the inside part of the foot, then a chain reaction begins to take place that can cause many problems of your foot, heel and ankle. The muscles of the ankle will attempt to fight off this unnatural inward titling or collapsing of the arch. But if the abnormal forces put upon the muscles at the ankle and at the arch are too great, then these muscles will become strained and exhausted. They will then start to hurt in their attempt to prevent the arch from collapsing and to maintain the balance of the feet.

This unsuccessful battle of trying to prevent the arch from collapsing by the muscles of the ankle is also a common cause of tired feet and weak ankles. Chronic ankle sprains can also be caused by this acquired instability at the ankle joint due to its battle of trying to prevent the arch from collapsing. This straining or exhausting of the muscles can also cause spasms at night.The good news is that these problems can be easily treated with a toe pad or a shoe insert. In reality, true “fallen arches” are a rare thing. In spite of the fact that the term is now used to refer to several foot problems, in actuality it means a total breakdown and substantial deformity of the foot. This severe condition is, in fact, a truly uncommon occurrence in our time.

 In other words if you do have hypermobility at the first metatarsal bone, you will have improper weight bearing, and in turn, will lose the stability needed in supporting the arch. This is the real reason why our arches fall causing flat feet.

How many times in your life have you heard the term “fallen arches” and had no idea what it really meant? Now, the next time you are sitting around with friends or family and someone mentions fallen arches, you can impress the heck out of him by saying , “Did you know that according to Professor Dudley Joy Morton, fallen arches are caused by the laxity of the plantar ligaments, causing a hypermobility of the first metatarsal bone, which affects the stability of the longitudinal arch?”

  How a Morton’s Toe makes you hurt, or what goes wrong 

In a perfect situation, Mother Nature makes the first metatarsal bone as long as or longer than the second metatarsal bone. “Mom” also designed the first metatarsal bone so that it would be able to carry twice the weight as the second metatarsal bone. However if the first metatarsal bone is shorter than the second metatarsal bone, then this proper lifting by the first metatarsal bone cannot take place This is because with every step, the second metatarsal bone will abnormally meet the ground before the first metatarsal bone does. When this happens, the first metatarsal bone is not able of doing its job of supporting most of the weight of the front part of the foot. The second metatarsal bone is now forced to not only to lift its share of the burden, but now is made to absorb the first metatarsal bone’s share, as well. This makes the second metatarsal bone do 100% of the work, when normally it would be doing only one third of the work. This puts a tremendous amount of abnormal stress on the second metatarsal bone. It is this “super stress” put upon the second metatarsal bone that starts the chain of events that can cause us to hurt all over. More important this stress also results in something known as pronation.

  Here is a popular youtube video (about 45,000 viewing) about the Morton’s Toe)

About the Author:  Dr. Burton S. Schuler foot doctor, foot care specialist, podiatrist  of Panama City, Panama City  Beach  Fl ,  is a 1975 graduated   of  the New York College of Podiatric Medicine , and has been in private practice for over 38 years. He is an authority on the human foot and has written two books and hundreds of articles about the foot published in numerous podiatric journals  publications and at www.FootCare4U.com. He is this country’s leading authority on the Morton’s Toe, ((Long Second Toe) and its associated medical and health problems and on the life of Dr. Dudley  J. Morton,  
 His, first book about the Morton’s Toe,   Why You Really Hurt: It All Starts in the Foot published in 2009 is the leading authority on the Morton’s Toe. and presently has over  7,000 copies in print, and sold has thousands of   eBook copies  ( Kindle) on Amazon. The book is published by the La Luz Press, Inc and is disturbed nationally by the Cardinal Publishing Group. Dr. Schuler’s next book about the Morton’s Toe, called the Morton’s Toe Book will be published in 2014 also by the La Luz Press.
In 1982, he published his first book, The Agony of De-Feet: A Podiatrist Guide to Foot Care. During his thirty eight year  career, he has written for Collier’s Encyclopedia and  has been interviewed by The New York Times, Cosmopolitan, and First in Women. Dr. Schuler has appeared on dozens of radio and television programs both here and aboard. He is a Diplomate of both the American Academy of Pain Management, and the National Board of Podiatric Examiners. Dr. Schuler is certified as a wound specialist from the American Academy of Wound Management.  He  has been a professional member of the American Diabetic Association for about 35 years. . His professional  and civic accomplishments have earned  his inclusion in  the 1999-2002  Who’s  Who in America  (Marquis)

Poststatic Dyskinesia or why your Heels Hurt when you get up

Patients in podiatry offices across America frequently complain of morning pain that is sharp and searing in the bottom of the heel–stretching to the arch of the foot.  This is not limited to the feet but can also cause pain in the back or neck when you first start to move around in the morning In fact, the medical term for heel pain, Poststatic Dyskinesia, www.footcare4u.com/category/foot-ailments-treatments/common-foot-ailments/bursitis/  means “pain after rest.”  It can also occur upon standing, after resting or sitting for a while, anytime during the day. Some patients state that they get this pain upon getting out of their car after driving for a while .

/Poststatic Dyskinesia is most commonly caused by a Plantar Fasciitis. The plantar fascia is a thick ligament made from fibrous connective tissue attached from the heel to the ball of the foot, extending into the base of the toes.  When the foot impacts the ground with each step, the foot flattens out, lengthening the foot. This action pulls on the plantar fascia, which stretches slightly and functions as a shock absorber.  The ligament’s tension is released when the heel comes off the ground.

When the plantar fascia stretches excessively, due to a variety of actions such as rigorous exercise, plantar fasciitis may develop. One cause of this is excessive pronation of the foot during walking and standing, which strains the plantar fascia. Panama City, Florida podiatrist Dr. Burton S. Schuler claims that excessive pronation can be caused by a short first metatarsal bone, also known as Morton’s Toe.  The foot does not absorb the shock of hitting the ground properly, resulting in strain on the plantar fascia.  This leads to plantar fasciitis and post-static dyskinesia

When a person rests their feet, such as overnight while sleeping, the plantar fascia is mending itself from the wear and tear of the day. Then with the first few steps in the morning, the plantar fascia becomes torn again. This is why Poststatic Dyskinesia tend is worse the first few steps in the morning or after rest when the feet are relaxed and free of strain.  This burden can be avoided if you have Morton’s Toe and decide to follow the simple treatment regimen of a toe pad that can lead to a pain-free morning 


In the 1920’s and 1930”s Dr. Dudley J. Morton of Yale Medical School and Columbia Medical School wrote that a problem with the 1st metatarsal bone, known as a Morton’s Toe could be the reason for most foot problems. Dr. Janet Travel, White House physician to Presidents Kennedy and Johnson, and Professor Emeritus of Medicine at George Washington University took this concept further by writing and teaching that the Morton’s Toe could cause pain all over your body. She wrote and taught for four decades that a Morton’s Toe could cause back, hip, knee, leg foot and ankles problems. She felt that the Morton’s Toe, was so important that at the age of 89 she made a video tape to teach other physicians about how to recognize it and how to treat it. 


Why You Really Hurt: It All Starts in the Foot, tells the story of two these famous physicians and their association with the common, but painful, medical condition known as the Morton’s Toe.  Millions of   people suffer everyday with chronic aches and pains from head to toe and don’t know why.  Many of them have lost all hope, and believe they will have to live with these pains for the rest of their lives. The book is significant because for the first time  in seventy years  the public is  made aware of the importance of the  Morton’s Toe, and the fact  that could be the real  unidentified reason  (the “medical missing link”)  for their  unending  torments. This book will also show how Morton’s Toe can also cause fibromyalgia, arthritis, sleep disturbances (RLS), temporomandibular joint pain, and numerous other problems through out the body The good news is that all of these problems can be treated with a simple pad that costs about two to three dollars. The bad news is  that in spite of the fact that two of the most famous doctors of the twentieth century were behind the Morton’s Toe, most modern day physicians are not aware of Morton’s Toe or of it ability of causing pain all over the body. This book took six years to research and write, but Dr. Schuler feels it was worth it because it should be able to help many people get out of pain. The book is disturbed national by the Cardinal Publishing Group. It will be translated to Greek this Year.

Welcome from Dr. Burton S. Schuler

Dear Friends,

My staff and I would like to welcome you to our Foot Care-4-U Web site where you can learn about the most common foot ailments and how to treat them. You will also learn about the profession of podiatry, inheritance and your foot, and most importantly about diabetes and your feet. There is also a section on my first book, The Agony of De-Feet, and a section on my new book Why You Really Hurt: It All Starts In The Foot.

My staff and I hope you will enjoy this information and benefit from it.

If you have any questions please feel free to call the office at 850-763-3333

Dr. Burton S. Schuler
Director of The Ambulatory Foot Clinic –
Podiatric Pain Management Center