The most frequent cause of this is a Neuroma or an enlargement of one or several sensory nerves of the foot. The patient often experiences a variety of symptoms, which may include; burning, tingling, cramping, shooting pains, or numbness. This is usually caused by faulty foot function allowing the metatarsal bones of the foot to be excessively mobile and cause pinching to the nerve or nerves. Treatment usually consists of splinting, injection therapy, orthotics, therapy and sometimes removal of the enlarged nerve.