A board-certified podiatrist from Advanced Foot and Ankle Specialists is experienced in treatment for foot neuromas and - most importantly - know when it is something more complicated. Our physicians have treated thousands of patients and successfully performed complicated and reconstructive surgeries. An evaluation by one of our doctors can help you determine the best course of action. We work closely with you, listening to your symptoms, to help determine the best course of treatment.
Many patients with foot neuromas will experience cramping, numbness or tingling in their feet. Tight and narrow shoes may be the cause. However, this is commonly misdiagnosed as a stress fracture.
When we have completed a thorough examination and determined that the condition is a foot neuroma, physical therapy, injections or neurolysis may be and option for you.
Neurolysisis a therapeutic procedure used to treat neuromas of the feet. During this nonsurgical procedure, the affected nerve is chemically destroyed via seven weekly injections of ethanol mixed with a local anesthetic. Because nerve tissue has an attraction to ethanol, it absorbs the substance, which, after repeated exposure, becomes toxic and destroys the pain-causing nerve. Neurolysis has a success rate of more than 60 percent. However, this treatment modality is not widely accepted by insurance companies.
A neuroma is an enlarged, benign growth of nerves, most commonly between the third and fourth toes. Neuromas are caused by tissue rubbing against and irritating the nerves. Pressure from poorly fitting shoes or an abnormal bone structure can also lead to this condition. Symptoms may include sensations of thickness, burning, numbness, tingling, or pain in the ball of the foot. Treatments generally include wearing corrective shoes or orthotics and/or receiving cortisone injections. In severe cases, surgical removal of the growth may be necessary.
Morton's neuroma is a thickening of tissues around the nerve that leads to the toes. Morton's neuroma usually develops between the third and fourth toes in response to irritation, such as that caused by wearing high-heeled or narrow shoes, or from trauma. Symptoms may include a burning pain that radiates from the ball of the foot to the toes or numbness in the toes. Conservative treatments usually resolve the pain or progressions of the condition, and range from wearing roomier, lower-heeled footwear or using orthotics to reduce the pressure on the nerve, to injections of corticosteroid medication to reduce swelling and inflammation.