Commonly called a Morton’s Neuroma, this problem begins when the outer coating of a nerve in the patients’ foot thickens. This thickening is usually caused by irritation that results when two bones repeatedly rub together, often due to abnormal foot biomechanics, combined with increased pressure from footwear. The area between the third and fourth toes is the most commonly affected area; however it can occur between other toes.
- The pain starts gradually, causing burning, tingling, cramping, or numbness.
- Symptoms often occur after the patient has been walking for a period of time. Initially it may start after a few hours of walking, then only after half an hour and eventually it occurs after only walking 100 meters.
- The patient may feel as though they are stepping on a small lump in their shoe. In some cases, the pain and numbness will decrease after lightly rubbing their foot as it improves the circulation to the affected area, however this will only be temporary until they begin walking again with shoes.
To help diagnose and determine the best treatment for a neuroma a Podiatrist will look at the patients’ medical history, examine their foot, and perform a few simple tests.
How to Treat Neuromas?
After a detailed evaluation, I will talk with the patient about the most appropriate care for their neuroma. Nonsurgical treatment methods may include temporary padding and strapping and shoe adjustments. If temporary treatment is successful a more permanent device may be made. If there is an underlying biomechanical foot problem, I will discuss the reasons for this with the patient.
An immediate reduction of neuroma pain with correct treatment options may be possible. I will assess the presentation of each patient and recommend a treatment plan to achieve the best results. Often a complete resolution can be expected within 1-2 weeks.