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Causes and Treatments for Neuroma
Neuroma is an inflammation of the nerve between the 3rd and 4th toes at the ball of the foot. Symptoms of neuroma include numbness and cramping in the front of the foot.Morton's neuroma is a result of mechanical defects between the third and fourth metatarsals. Numbness and tingling are the result of these nerves becoming too constricted. These symptoms may present themselves if the foot and joints are overworked while walking or exercising. This condition can also be the result of improperly fit shoes. Shoes with pointed toes and high heels can also cause excess pressure on the forefoot. Constricting footwear can squeeze the toes and nerves in the feet, causing numbness and even pain.
The first line of defense in the prevention and management of neuroma is well fitted shoes. Shoes wide and tall in the forefoot are ideal in decreasing numbness and tenderness. Custom orthotics with soft and cushioned metatarsal pads are also helpful towards therapy. The pad lightens pressure when placed behind the ball of the foot, and lessens some painful symptoms.
If any or all of these conservative therapies fail, contact your physician.
In podiatric medicine, the first step towards treatment includes cortisone injections with a local anesthetic. These injections are attempted only a limited number of times to prevent any harm to the body caused by too many cortisone injections. Anti-inflammatories such as ibuprofen are often helpful towards treatment. Podiatrists are also trained to fit patients with custom orthotics, made from a cast of the foot to prevent compression.
If all of these treatments fail, surgery may be the only viable option. Most surgeries can be performed on an outpatient basis. A patient who has undergone surgery can usually return to full functioning within 2-4 weeks.
