What is a Neuroma?

A neuroma is a thickening of nerve tissue that may develop in various parts of the body. The most common neuroma in the foot is a Morton’s neuroma, which occurs at the base of the third and fourth toes.

Symptoms of a Morton’s Neuroma

If you have a Morton’s neuroma, you will probably have one or more of these symptoms where the nerve damage in occurring:

  • Tingling, burning, or numbness
  • Pain
  • A feeling that something is inside the ball of the foot, or that there’s a rise in the shoe or a sock is bunched up

Treatment

First line therapy consists of wearing wider shoes, applying ice to the forefoot, and taking NSAIDS (ibuprofen or naproxen).  If this fails, a cortisone injection may resolve the inflammation of the nerve curing the condition. When the pain does not respond to the above measures, surgical excision is the next step.  This is a relatively simple outpatient procedure with a quick recovery.

The sooner your neuroma is treated, the less likely you will require surgery.

IMG_4960

Incision revealing the inflamed nerve – neuroma.

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Neuroma after excision.

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