neuroma

A neuroma, also known as Morton's neuroma, is a painful condition that involves a thickening of the tissue around a nerve leading to the toes.

This most commonly occurs between the third and fourth toes. Understanding the causes, symptoms, and treatment options for neuroma is essential for managing the condition effectively. Dr. Aaron Bradley and the team at Sole Foot & Ankle can help you understand your treatment options.

Risk Factors:

Several factors may increase the risk of developing neuroma, including:  wearing tight or high-heeled shoes, certain foot deformities, such as high arches or flat feet, repetitive stress on the forefoot, foot trauma or injury, certain sports activities that involve high impact on the feet.

Symptoms:

Common symptoms of neuroma include: pain or discomfort in the ball of the foot or between the toes, burning or tingling sensation in the toes, numbness or feeling like there is a pebble in your shoe, pain that worsens with walking or wearing tight shoes.

Diagnosis:

Diagnosing a neuroma typically involves a physical examination by a podiatrist. Imaging tests like ultrasound or MRI may be ordered to confirm the diagnosis and evaluate the extent of the neuroma.

Prevention:

To prevent neuroma or reduce the risk of recurrence, you can: wear shoes that fit properly and provide adequate support, avoid high heels and shoes with narrow toe boxes, give your feet regular breaks when engaging in high-impact activities, maintain a healthy weight to reduce pressure on the feet.

Treatment Options:

Treatment for neuroma may include:

Footwear modifications: Wearing shoes with a wide toe box and low heels.

Orthotic devices: Custom orthotic inserts to help support the foot and alleviate pressure on the neuroma.

Corticosteroid injections: Injections may provide temporary relief from pain and inflammation.

Physical therapy: Stretching and strengthening exercises to improve foot mechanics.

Surgical options: In cases where conservative treatments fail, surgical removal of the neuroma may be considered.

  • Neuromas may not resolve on their own and often require treatment to alleviate symptoms and prevent further discomfort.

  • Recovery time after neuroma surgery can vary, but patients typically need several weeks to months to fully heal and resume normal activities.

  • Neuromas can recur, especially if the underlying factors that contribute to their development are not addressed. Proper footwear and foot care are essential for preventing recurrence.