Neuroma (Morton's Neuroma)
If you’ve ever had the feeling of walking around with a rock in your shoe, then you might understand the first symptoms of a Neuroma. Sometimes you find relief with taking your shoe off and rubbing the affected area.
A neuroma is a painful condition that can also be referred to as a “pinched nerve” or a benign nerve tumor. This benign nerve tumor is inflammation and growth around a digital nerve that is located between the long bones (metatarsals) of the foot. The vast majority of neuromas occur between the third and fourth toes better known as a Morton Neuroma.
 
Causes: Although the exact cause is unclear, there are a number of factors that attribute to nerve irritation
  • Improper footwear: Tight or narrow toe box shoes cause pressure to the toes and can squeeze them together. High inch heels can also cause increased pressure on the forefoot area (usually greater than 2 inches)
  • Biomechanical Faults, such as high-arched foot or a float foot; These foot type bring on instability around the toe joint
  • Repetitive stress
  • Trauma
Symptoms:
  • Pain between the toes or to the forefoot
  • Numbness, tingling, burning, paresthesias in the ball of the foot
  • Swelling between the toes
  • Pain about the ball of the foot with ambulation
Treatment: Dictated by the severity and amount of discomfort experienced
  • Changing of shoe gear is typically the first step to help alleviate the symptoms including wider shower, lower heeled shoes.
  • Custom orthotics to offload the area
  • Anti-inflammatory medications
  • Injections: Corticosteroid, Alcohol Sclerosing
  • Experimental treatments: Amniotic Injection, Laser Therapy, Extracorporeal Shock Wave Therapy (ESWT), Platelet Rich Plasma
Surgical Options: When conservative therapies fail podiatric surgery may be necessary.
  • Nerve removal: Cutting and removing the inflamed and enlarged nerve
  • Nerve decompression: Minimally invasive surgery the decompresses the nerve allowing the inflamed nerve time to heal. Not indicated for every patient
Call you podiatrist today at Kalmar Family Podiatry at 631-549-0955 to schedule a consultation and to review your treatment options. 

 

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