A neuroma is a painful growth of nerve tissue in the foot, most commonly found between the heads of the third and fourth metatarsals, the long bones in your feet. When your metatarsals in your feet compress together because of either foot deformities, high-impact activities, or the use of tight shoes such as heels, the nerves between the metatarsals become irritated and swollen.
Neuromas often feel as if you are walking on a pebble. You may experience radiating, tingling sensations shooting into your toes, typically the third and fourth toes. As a neuroma worsens, it can become extremely painful. Often times, neuromas become one of the more difficult conditions in the foot to resolve.
Here at Gotham Footcare, conservative care is always recommended to treat neuromas. Conservative options include:
The use of shoes with a wide toe box and thick sole to prevent nerve irritation.
Custom molded orthotics with neuroma specific padding that can help offload pressure to the affected nerve.
Padding and Taping
Routine icing of the foot with a frozen bottle of water
Cortisone injections and/ or physical therapy modalities such as electrical stimulation, ultrasound, and hydrotherapy also help reduce neuroma pain.
The surgical excision of the neuroma also known as Neurectomy, and it involves excising the affected nerve tissue. Removing the nerve has a 20% risk that nerve may grow back into a bed of scar tissue and form a stump neuroma which can become even more painful than the original condition. Surgery should be the last resort for treatment of a neuroma.
At Gotham Footcare, instead of surgically excising the nerve, we offer patients a highly effective, alternative option, called cryosurgery, which is a minimally invasive office-based procedure that requires no stitches and only takes 15 minutes to perform.