Neuroma treatment can alleviate many patients’ debilitating nerve pain. The condition is also known as a “pinched nerve” or nerve tumor. It is often found between the third and fourth toes. Asa podiatrist, we can identify this conditions, relieve symptoms, and promote healing.
Neuroma treatment is available at Ambulatory Foot & Ankle Clinic in Thayne and the surrounding area. Do not hesitate to get the medical treatment you need. Call us today at 1-307-243-4080 to schedule an appointment or learn more about our services.
According to WebMD, neuroma is a condition that causes the tissue in the toe to thicken. Pressure against the nerve next to this tissue causes irritation and pain. This condition is also known as intermetatarsal neuroma or Morton’s neuroma.
Neuroma pain can be likened to walking with a pebble inside a shoe. The pain typically occurs between the third and fourth toes, counting the big toe as the fourth. Pain is also typically intermittent while walking and near the ball of the foot.
Causes of Neuroma
As stated by the American College of Foot and Ankle Surgeons, any compression or irritation of the nerve can cause a neuroma to develop. High heeled shoes and shoes with tapered toe boxes are two of the most common offenders. Certain populations (such as those with bunions, flat feet, hammertoes, or more flexible feet) are also more at risk for neuroma than others. Injury, trauma, and activities involving repetitive irritation of the ball of the foot (such as court sports or running) can also cause a neuroma.
Symptoms of Neuroma
Pain is the primary symptom of a neuroma. It is often intermittent, and it may feel like a burning sensation in the ball or foot. Affected individuals may also feel like they are standing on something in their shoe, like a small pebble.
Neuroma pain is typically a radiating pain, and the toes may feel numb as the pain continues to radiate. It may make it challenging to walk normally, but there will be no noticeable swelling on the foot.
It is also not uncommon to have neuroma without any symptoms. One study reviewed 2,000 medical records from 85 people who underwent magnetic resonance imaging (MRI) and found that 33% of them had neuroma without reporting any pain.
In most cases, a consultation with a podiatrist is sufficient to determine an official neuroma diagnosis. However, further tests may sometimes be necessary. For example, a doctor may ask about a patient’s symptom history and have them undergo a physical examination, X-ray, ultrasound, range of motion test, or MRI.
During a physical examination, our podiatrist will press around the foot to check for any tender spots. If he feels a click between the toes, it is likely to be a sign of Morton’s neuroma. X-rays can help rule out any other problems, such as fractures. Ultrasounds use sound waves to detect neuromas and any other conditions involving soft tissue. At the same time, a range of motion test can determine whether the pain is caused by arthritis or joint inflammation. Soft tissue may also be examined via MRI, though this tends to be rare.
According to Healthline, neuroma treatment depends on symptom severity, starting from conservative and progressing to more complex measures. Home remedies involve using arch supports or foot pads for the shoes to relieve pressure on the affected nerve. These may be bought over-the-counter or custom-made by prescription to fit the affected foot.
Over-the-counter pain medications can also help alleviate any discomfort. Patients may also benefit from physical therapy, stretching and strengthening exercises, massaging the ball of the foot, resting the foot, and applying ice to sore areas.
If neuroma pain persists, one of our doctors may recommend injecting corticosteroids or anti-inflammatory drugs into the affected area. He may also use a local anesthetic to numb the affected nerve, providing temporary relief. If all else fails to prove sufficient, surgery may be necessary.
Call Us Today
Neuroma pain can deteriorate your overall quality of life. We at Ambulatory Foot & Ankle Clinic can help. Call us today at 1-307-243-4080 to schedule an appointment or learn more about our services.
Frequently Asked Questions
How long will it take me to heal from neuroma surgery?
Your foot will have to stay in a surgical dressing for three weeks as the tissues heal, during which time you will be able to walk in a stiff post-operative shoe. It typically takes around two months for patients to return to their everyday activities.
Can your foot have more than one neuroma at a time?
It is possible, but it is also unlikely. Removing two neuromas is also a more complicated procedure than removing only one neuroma. One of our doctors can go over all your options in a one-on-one consultation.
Can you have a neuroma in both feet at the same time?
Again, this is possible, but it is unlikely. Neuromas tend to be isolated entities that occur only in one foot at a time.
Can a neuroma reoccur once it has been removed?
No, a removed neuroma cannot return. However, whenever the nerve is cut, a small growth at the end of the nerve will develop. This is called a “stump neuroma,” and it may feel sensitive if under a weight-bearing area of the foot.
How many procedures will I need to treat my neuroma?
The answer varies on a case-by-case basis. If you only have one simple neuroma and have never had any previous procedures, you will likely only need one procedure. However, if your medical history is long and complex, you have had multiple neuromas already, or you have already had neuroma surgery, you will likely need at least one repeat procedure. Our doctors can determine the best treatment options for you after a thorough physical examination.
How should I prepare for my appointment with a neuroma podiatrist?
To determine the most accurate diagnosis, Our doctors will need to have a brief overview of your case. Take the time beforehand to pinpoint when your symptoms began, whether they started suddenly or gradually, and what medications and supplements you take regularly. Remember to note the type of shoes you wear and what kind of sports you play. We may also ask if the pain is worse when you are wearing certain shoes or partaking in certain activities, and he may also want to know if you are experiencing pain in any other part of the body.
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