Diagnosing & Treating Neuromas
What is a Neuroma?
A neuroma, or Morton’s neuroma, is the inflammation and swelling of the nerve covering. It occurs most often in the ball of the foot. It is believed that trauma can cause neuromas, but heredity can even play a role. The injury that creates this condition can come from mechanical imbalances such as pronation or even improperly fitting shoes.
Neuromas cause intermittent pain in the ball of the foot. This pain comes in many different forms, including a cramping, tingling sensation. Sometimes it feels numb, or like there is a hot needle between the toes or a lumpy wrinkle on the bottom of the foot. Wearing tight-fitting shoes often aggravates this condition. Rubbing the foot can relieve the condition.
What are my Treatment Options?
There are several alternatives when discussing the treatment of neuromas.
Cortisone Injections – You will receive a series of two to three cortisone injections with local anesthetic given around the inflamed, swollen and irritated nerve tissue. These injections help reduce the inflammation.
Orthotics – Custom-made shoe inserts are also used. Controlling foot movement with orthotics can improve imbalances and provide significant relief. If left alone, these imbalances are a continued source of irritation to the involved nerve.
Surgery – If conservative measures fail to relieve the pain and inconvenience neuromas create, surgery is an option. All procedures are performed on an outpatient basis. During the period just after surgery, you are able to walk with a postoperative shoe and return to normal activities in a few weeks as tolerated.
Which Treatment is Right for Me?
The best treatment depends entirely on your unique health history and the nature of your particular bunion. Before receiving any treatment, the first step is to have an evaluation by one of our physicians. The doctor will then be in a position to make a recommendation.