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.
What cause neuromas?
Anything that causes compression or irritation of the nerve can lead to the development of a neuroma.
- 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
What are common symptoms of a neuroma?
Neuromas may cause one or more of the following:
- Tingling, burning, or numbness
- 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
How are neuromas diagnosed?
A physical examination is the most common method used to diagnose a neuroma. Dr. Geltzer or Dr. Rapoport will examine the foot for any thickened skin or tissue or lumps that extend from the bottom 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, and ultrasound studies may be ordered.
How are neuromas treated at Philadelphia Podiatry?
Non-surgical treatment for neuromas may include:
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 fail surgical removal of the inflamed and enlarged nerve may be indicated.
