Neuromas are a common and painful condition often described as burning, tingling, numbness or a shooting pain that radiates from the ball of the foot often to the 3rd and 4th toes. Others describe the condition as a pinched nerve or swollen nerve or nerve tumor. It is defined more specifically as a benign growth of nerve tissue frequently found between the third and fourth toes. Gait or structural problems often cause pressure in the ball of the foot, which often injures or bruises the protective covering of the nerve. Once injured, scarring occurs and the protective covering becomes enlarged. Orthotic therapy is often reducing stress on the area and minimizing discomfort, but for permanent relief surgery is often required.
CAUSES OF NEUROMAS
- Improper or ill-fitting shoes
- Biomechanical imbalance
- High-heeled shoes
WHAT CAN YOU DO?
- Change to shoes with lower heels
- Wear supportive shoes with a roomy toe box
- Soak and ice your feet for temporary relief
WHAT CAN YOUR PODIATRISTS DO?
- Perform a physical examination
- Request an X-ray, bone scan, CT, MRI or other imaging studies to rule out other causes
- Recommend padding and taping
- Prescribe custom, functional orthotics
- Prescribe anti-inflammatory medication
- Administer cortisone injections
- Perform surgery as required