A neuroma (sometimes referred to as a Morton’s neuroma) is a painful condition of the small nerves in your foot. A thickening or development of scar tissue forms around one or more of the nerves leading to your toes. Over time, this may cause a tingling, burning, or stinging sensation in the ball of your foot and toes.
The causes of neuromas aren’t entirely known for certain, but high heels or tight shoes are commonly associated with the presence of neuromas. Some foot deformities can also contribute to an increased likelihood of developing neuromas.
Neuromas can sometimes be difficult to diagnose because there is no observable or visible manifestation of the condition. Common symptoms can include:
Foot pain that lasts for more than a day or so is not normal. If you experience a burning or sharp pain in the ball of your foot that doesn’t respond to rest or changing footwear; even after conservative measures like ice and elevation, make an appointment with Dr. Matthew McCabe, DPM.
A neuroma can typically be diagnosed in the clinic. Dr. McCabe will conduct a review of your medical history, your symptoms and a physical exam. X-rays can also be helpful in aiding an accurate diagnosis. Typically, a neuroma is tender in a certain area of your foot and if pressed in the correct manor, can elicit pain.
If a physical exam doesn’t provide enough definitive information, Dr. McCabe might also order x-rays, or an MRI (Magnetic Resonance Imaging).
Like most foot problems, a stepwise approach is taken to alleviate pain caused by the neuroma, surgery is always the last option. Conservative measures include over the counter orthotics, padding, custom orthotics, a steroid injection and physical therapy.
If conservative measures of care don’t provide relief, removal of the painful neuroma can provide relief. Removal of the neuroma is an outpatient procedure and can be very effective if conservative measures don't provide pain relief.
If you regularly experience pain in the ball of your foot and it’s not responding to conservative treatments, make an appointment with Dr. Matthew McCabe, DPM today by calling the office at 325-480-2063.