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This problem begins when the outer coating of a nerve in your foot thickens. This thickening is usually caused by irritation that results when two bones repeatedly rub together (often due to ill-fitting shoes or abnormal bone-movement). The area between the third and fourth toes is the most commonly affected; the area between the second and third toes is another common irritation point.
Symptoms
The pain from neuromas may start gradually, causing burning, tingling, cramping or numbness. Symptoms often occur after you've been walking or standing for a period of a long time. It might feel like you're stepping on a lamp cord. You may need to take your shoe off and rub your foot. In some cases, the pain radiates from the tip of the toes to the ankle.
Evaluation
To help diagnose your problem and determine the best treatment for your neuroma, your podiatrist looks at your medical history, thoroughly examines your foot, and performs any necessary tests.
Exam & Testing
Your podiatrist talks with you about your symptoms, the frequency of your pain, and any past medical history that could involve nerve problems. Then your podiatrist examines your foot carefully, palpating (pressing) the areas around the neuroma to determine the extent of your pain.
X-rays may be used to help identify a possible neuroma, or to rule out other causes of the pain. Ultrasound, which can also relieve pain, involves blocking the nerve by injecting anesthesia around it. Occasionally, magnetic resonance imaging (MRI) may be done to reveal cross-sectional images of soft tissue and bone.
Treatment
After evaluation, one of our podiatrists will discuss the most appropriate care for your neuroma. Non-surgical treatment methods may include:
Orthotics - Custom shoe inserts adjust the structural support of your foot, helping to prevent irritation to the nerve.
Ultrasound Therapy - Sound waves may help reduce the swelling around the neuroma.
Medication - Cortisone injections or other medication can relieve pain and swelling in the nerve's outer coating.
Shoe Changes - Pads can cushion and support the parts of your foot that are vulnerable. Roomy, supportive shoes can help prevent irritation. Foot and Ankle Specialists provides a variety of shoes to meet your specific needs in our Foot Care Products Center convenient located right in our Clearwater office.
Surgery - If non-surgical care does not help, a procedure can be performed either in our office, surgical center, or hospital. You may experience a slight post surgical numbness where the nerve was removed. Usually you can return to normal activities within three to six weeks.
