Neuroma occurs when a nerve in the bottom of the foot becomes pinched, often between the metatarsal bones. As the condition worsens, the nerve begins to swell and thicken, creating pain and discomfort. The third and fourth toes are the most common locations for neuromas.
- Tingling or lack of sensation in toes
- Feeling of standing on a pebble or lump in your shoe
- Burning pain in the ball of the foot (may also extend to toes)
The nerves in the feet and toes that take excess pressure can cause inflammation or a neuroma.
The following factors may put you at a higher risk:
- High-impact activities.
- Poor-fitting shoes and high heels.
- Deformities or pre-existing foot conditions. Hammertoes, flat feet, and bunions
X-rays are used to ensure that condition like fracture is not the source of your pain. To determine the size of neuromas, tests such as ultrasound and magnetic resonance imaging (MRI) may be performed to determine the extent of the neuroma.
Treatment for neuromas typically begins with conservative therapies like shoe padding or wider shoes. Wear arch supports or foot pads to keep excess pressure off the affected nerves. Dr. Schoenhaus or Dr. Gold may also use sclerosing alcohol injections or cortisone injections to provide relief.
If these conservative approaches prove unsuccessful, surgical intervention to remove the swollen sections of the nerve may be necessary. Surgery for a neuroma is relatively minor and is typically done under anesthesia in an outpatient setting.