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. Dr. David Geltzer and Dr. Neil Rapoport offer effective neuroma treatment for patients from throughout Philadelphia, Pennsylvania. You can call or book an appointment online to meet with either doctor at Philadelphia Podiatry Associates.
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.
Anything that causes compression or irritation of the nerve can lead to the development of a neuroma.
Neuromas may cause one or more of the following:
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.
Non-surgical treatment for neuromas may include:
Padding techniques provide support for the metatarsal arch, thereby lessening the pressure on the nerve and decreasing the compression when walking.
Placing an icepack on the affected area helps reduce swelling.
Custom orthotic devices provide the support needed to reduce pressure and compression on the nerve.
Activities that put repetitive pressure on the neuroma should be avoided until the condition improves.
Wear shoes with a wide toe box and avoid narrow-toed shoes or shoes with high heels.
Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
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.