What is a neuroma?
A neuroma is a painful condition that occurs when there is a benign growth of nerve tissue, most frequently between the third and fourth toes of the foot. It may feel like you have a small rock in your shoe or like you’re always standing on a folded sock.
What causes neuromas?
Anything that causes irritation, constant pressure, or injury to one of the nerves that connect the ball of your foot to your toes can lead to the development of a neuroma, including:
- Wearing shoes that force the toes to be squeezed into the toe box
- Repetitive irritation to the ball of the foot
- Trauma
- Certain foot deformities such as bunions, hammertoes, and flat feet
Certain sports or recreational activities that involve running can also increase the risk of developing a neuroma.
What are common symptoms of a neuroma?
Neuromas may cause one or more of the following:
- Tingling, burning, or numbness
- Sharp pain
- A feeling that something is inside the ball of the foot
- A feeling that there’s something in the shoe or a sock is bunched up
If any of the above symptoms last longer than a few days, schedule an appointment at Podiatry Hotline Foot & Ankle.
How are neuromas diagnosed?
A physical examination is the most common method used to diagnose a neuroma. Your podiatrist examines your foot for any thickened skin, tissue, or lumps that extend from the bottom of your foot. They may feel for any tender spots and “clicking” between the bones of your foot.
Additionally, they will watch you walk around the treatment room to monitor for any gait issues or signs of discomfort while walking. If a neuroma is suspected, an MRI, x-ray, or ultrasound may be ordered.
How are neuromas treated?
After diagnosing a neuroma, your podiatrist develops a personalized treatment plan. Treatment for neuroma usually includes lifestyle modification and nonsurgical treatment options, such as:
Padding
Padding techniques provide support for the metatarsal arch, thereby lessening the pressure on the nerve and decreasing the compression when walking.
Icing
Placing an icepack on the affected area helps reduce swelling.
Orthotic devices
Custom orthotic devices provide the support needed to reduce pressure and compression on the nerve.
Activity modifications
Activities that put repetitive pressure on the neuroma should be avoided until the condition improves.
Shoe modifications
Wear shoes with a wide toe box and avoid narrow-toed shoes or shoes with high heels.
Medications
Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
Injection therapy
Treatment may include injections of cortisone, local anesthetics, or other agents. Such as agents to inactivate the involved nerve.
When nonsurgical treatments are not effective, the surgical removal of the inflamed and enlarged nerve may be the best course of action.
To learn more about neuroma and the treatment options available to you, call Podiatry Hotline Foot & Ankle, or schedule an appointment online today.
