A neuroma is an enlarged, damaged, and usually entrapped nerve. The most common area of the foot for a neuroma is between the 3rd and 4th metatarsal bones. Morton's neuroma is thought to be caused by both foot structure and repetitive trauma.
Symptoms include shooting pain, burning, or tingling that extends to a toe. Sometimes a shoe with a good support and a wide toe box may keep the condition under control. More often, a steroid injection to the area as well as orthotics are helpful in relieving pain. Icing the area and non-steroidal anti-inflammatory may also temporarily help the symptoms.
More advanced treatment includes sclerosing alcohol injections to the area that deactivate the damaged nerve. Usually between 2-5 injections of sclerosing alcohol are needed to be effective. Surgical excision of the neuroma is done when more conservative treatments fail. As with any surgery, the possibility of complications must be considered.
If you or someone you know is suffering from shooting pain or burning extending to the toes, please feel free to contact us. A conservative solution may be closer than you think.
Evan Kelner, DPM