Neuromas are an inflammatory disorder of the nerves in your foot. Typically, it is in the forefoot between the 3rd and 4th toe. It most commonly presents in the 3-5th decade of life and seems to be more common in women.

Causes:

The most common cause appears to be foot structure. We see patients that have a higher arched foot put a lot of pressure on their forefoot. This reparative pressure can inflame the nerves in the front of the foot causing a neuroma to form. Footwear choices can further exacerbate this, especially narrow shoes, or high heels. Other things like repetitive stress, running, jumping, anything that causes more forefoot pressure can cause neuroma pain.

Symptoms:

The symptoms can vary from patient to patient. However, some of the most common symptoms include burning, tingling and pain. Some patients relate that taking off their shoes reduces the pain and burning. Some relate rubbing helps the symptoms and some may feel a lump with rubbing of their foot.

Treatments:

We have many options available for treatment of neuromas. Some of the most common included orthotics, NSAIDS, and injections. I personally like to use dehydrated alcohol therapy it seems to have the highest success rate approaching 90%. Before treatment the most important thing is to get a correct diagnosis.

Neuromas can be very challenging and there are a few other problems that mimic neuroma symptoms. A careful diagnosis and treatment plan can be successful and not result in the need for surgical removal of the neuroma.

If you would like a consultation for your neuroma pain I can help. Call to make an appointment with me at 425-391-8666.

Sincerely,

Dr Brandon Nelson
American College of Foot & Ankle Surgeons
Issaquah’s Top Podiatrist