A neuroma is a painful swelling of a nerve, usually occuring in the balls or heel of the foot. Symptoms include sporadic pain, burning, tingling or numbness of one or more toes, and a popping sensation when walking. Pain is often soothed by taking weight off the foot or by massaging the area.
In the foot, there are long bones (metatarsals) which have thin nerves running between them. The nerves split in a Y-shape when they reach the toes. If the metatarsals move abnormally, they can pinch the nerve between them, causing inflammation, and eventually, permanent nerve damage. Morton’s Neuroma is the most common of this type and affects the nerve between the third and fourth toes. Neuromas may occur after a nerve has been injured, either from impact or a traumatic wound, or from damage suffered during surgery.
A physical examination and one or more imaging tests will determine whether the pain is caused by a neuroma or by a condition with similar symptoms such as arthritis, stress fractures, tendon inflammation, tarsal tunnel syndrome, or from nerve compressions in the ankle or leg. Treatment begins with a combination of conservative treatments ranging from paddings and strappings, shoe modification, physical therapy, medications, or cortisone injections to reduce swelling and custom orthotics to correct problematic metatarsal movements and take pressure off the affected nerve. If the nerve is permanently damaged, the patient may decide to undergo chemical destruction of the nerve, have the nerve surgically removed, or endure the pain.
Call Dr. Praveen Vohra at 815-254-3338 to have your nerve related problems evaluated today.