What is a Neuroma?

One of the most common causes of pain in the forefoot is the intermetatarsal neuroma. Often referred to as a Morton’s neuroma, it is the result of thickening of tissue around the nerve between the bases of the toes (usually between the third and fourth toes).

What causes a Neuroma?

The primary cause is improper foot wear such as tight fitting shoes that excessively binds the forefoot. With repetitive trauma to the area after a neuroma develops, the nerve enlarges and becomes firm which will decrease the chances of successful conservative management. In the early stages conservative treatment is usually very successful.

What are the symptoms of a Neuroma?

Pain, numbness, burning and tingling in the ball of the foot that can radiate to the toes. The pain is usually increased by walking barefoot or when the ball of the foot is squeezed together. They are very common in women between the ages of 30 and 50, but both men and women can get them at any age. People often complain that it feels as if they are walking on a ball or a small rock. Larger neuromas can produce a “V’ sign spreading the toes apart.

How is a Neuroma treated?

Conservative treatment is often very successful if the Neuroma is treated in the early stages. This form of treatment includes shoe inserts with an accommodative pad under the painful area. Anti inflammatories, stretching and rest is often prescribed in the early stages. A steroid injection  is also very helpful in reducing the pain in the area.

Surgical management is necessary when the neuroma is unresponsive to conservative management and has been present for a long period of time. Removal of the neuroma or decompression of the tissue surrounding the neuroma are ways to surgically manage this condition.

Contact Talus InMotion Foot & Ankle today to discuss what your best options are to manage your Neuroma.