Neuromas Don’t Come With Instructions
Neuromas affect the toes and ball of the foot, however, the pain can be sporadic and difficult to predict. A neuroma is a swollen nerve that occurs in the nerves at the base of the toes or on the bottom of the foot. This happens because when a nerve is recurrently pinched, it will increase in size and acquire fibrous tissue. Symptoms associated with this condition include numbness, burning, feeling of a bulge between toes, feeling of walking on an uneven surface, an unusual pain or cramp that forms in the toes during movement and constantly requiring a massage on the foot to reduce any intermittent pain. Factors that increase the chance of this condition occurring are flat feet (increasing pressure on nerves), wearing shoes with high heels (placing extra weight on the front of the foot) and narrow shoes (which cramp toes together in tight spaces).
Treatment for this condition involves:
- Utilizing cushioning pads or shoe inserts to assist with supporting the arch, providing space in between toes and alleviating pressure that may have been placed on the pinched nerve.
- Placing orthotics in shoes to redistribute weight placed on the foot to optimize support in areas that need it the most.
- Physical therapy that includes stretching of the toes.
- Choosing footwear with wide toe boxes to allow toes to move freely.
- When conservative methods are not successful, surgery may be required to remove the nerve or reduce pressure in the area with the neuroma. This procedure produces a high success rate, although patients may have a slight lasting numbness between toes. The recovery time is also fast. The use of supportive devices such as crutches may be required up to a month after surgery.
Neuromas can be severe when not treated correctly. Please contact us if you have this condition to avoid unnecessary surgery. Here at NOLA Sole Podiatry located in New Orleans, LA, our podiatrists, Dr. Kristina Robertson, DPM and Dr. Taylor Robertson, DPM, will use proven methods to treat this condition. Make an appointment with us today by calling our office at 504-302-1586!