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 Morton’s neuroma. Often, this conditions causes you to feel as if a rock is stuck in your shoe, your sock is bunch up, or something is poking you in the ball of the foot…
 
A neuroma is a condition that arises from irritation of a nerve resulting in inflammation of the nerve sheath, or covering. They occur most commonly in the small nerves that run between the metatarsal bones in the ball of the foot. This benign condition most commonly occurs between the third and fourth toes (Morton Neuroma).
 
Causes:
 
Irritation to the nerve can result from improper shoes (too tight, high heels), injury or a mechanical abnormality of the foot.
 
Symptoms:
 
The most common symptom of a neuroma is pain in the ball of the foot that may radiate into the toes or even up the foot to the heel or ankle. The pain is variously described as sharp, burning or tingling in nature. Patients may complain of a generalized discomfort in the ball of the foot or the feeling that their sock is bunched up under the foot. If the neuroma becomes large, you may also experience a “clicking” sensation or “lump” in the ball of your foot. Symptoms can be aggravated by activity that bends the foot—walking, running, cycling, wearing high-heeled shoes—or by wearing tight shoes.
 
Diagnosis and Treatment
 
To diagnose Morton’s neuroma, your podiatrist will perform a physical exam, where they will feel around for a mass or tender spot. Some imaging tests—like x-rays —may be ordered to rule out any other causes of your foot pain.
 
Treatment is 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
 
Call you podiatrist today at Kalmar Family Podiatry at 631-549-0955 or contact us below to schedule a consultation and to review your treatment options. 

 

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