Dr. Salma Aziz, D.P.M, M.S.

Neuroma

What is a neuroma? …

“A neuroma is a painful growth of nerve tissue in the foot - most often between the third and fourth toe bones. It forms when bones and ligaments in the feet press together and irritate a nerve. This may be caused by wearing tight or poorly fitting shoes, or by repeated stress on the foot. Neuromas often form in women who wear high heels frequently. Injury or a foot deformity can also cause a neuroma. As a neuroma gets worse it can cause a lot of pain and keep you from activities you enjoy.”

Symptoms…

“Symptoms of a neuroma often start slowly. In most cases , painful symptoms can be reduced without surgery. For severe problems, your doctor may recommend treating the nerve directly. Left untreated, neuromas often get worse.”
As the nerve irritation gets worse, you may feel:

• A sharp burning pain in the ball of the foot, especially when walking. Many people try to ease the pain by rubbing their foot.
• Tingling or numbness between the toes and in the ball of the foot.
• A feeling that you have a stone in your shoe or that your sock is wrinkled.
• A painful lump that reproduces your symptoms when touched.

Reducing Symptoms

The following treatments may be used to reduce painful symptoms.

• Shoe Changes and Orthotics: Shoes with good support, a wide toe box, and thick soles can help prevent nerve irritation. Avoid wearing high heels. If needed, custom shoe inserts (orthotics) can help improve foot function and provide extra support for your feet.
• Padding and Taping: Padding and adhesive tape may be placed on the ball of the foot. This can help correct abnormal foot function and decrease pressure on the nerve.
• Physical Therapy: Massaging your feet and using ice packs can help reduce pain and swelling. Sound waves or whirlpools can also help provide relief.
• Medication: Your doctor may prescribe anti-inflammatory medications to reduce tissue swelling. Cortisone injections are sometimes used to relieve swelling in the nerve as well.

Treating the Nerve

If other treatments haven’t helped your doctor may suggest treating the nerve directly. This can be done two ways:

Surgery: This can be done in the doctor office, surgical center or hospital. During surgery, a local anesthetic numbs your foot, than an incision is made to remove the nerve. You can usually go home the same day. Ask our doctors when you can get back on your feet. You can often resume normal activities within 3 to 6 weeks.

Injections: An alcohol solution (sclerotherapy) may be used to permanently numb the nerve. This type of treatment is done in the office and several treatment as usually needed.