Morton’s neuromas or interdigital neuromas are usually from a compression of the nerves in the front of the foot. Oftentimes characterized as burning or pain that’s exacerbated by walking or tight shoes. A number of different etiologies have been described to decrease blood supply progression to irritation from bursa or the intermetatarsal ligament. The majority of these neuromas occurr in the third interspace, about 70% of the time and in the second interspace about 30% of the time. It is most common to have a single neuroma however some patients have multiple neuromas. There are multiple studies on the best conservative measures.
Conservative measures range from orthotics, footwear adjustments, corticosteroid injections, alcohol injections, radiofrequency or even cryoablation. Conservative management continues to be the mainstay of neuroma therapy. Oftentimes it can take months before your neuroma feels better depending on the size and location. There are a few people that have multiple Morton’s neuroma and an MRI can be highly valuable.
Surgical management usually consists of removal of the nerve. This is generally done to the top of the foot and has a fairly short recovery as compared to other foot and ankle surgeries. Sound physicians go to the bottom of their feet just depending on experience and discomfort levels. The overall success rate with surgical management is high, if conservative measures have failed, it is the appropriate next step.
If you’re suffering from neuroma pain make an appointment today and I can help. Give us a call at 425-391-8666 or make an appointment online today.
Sincerely,
Board-Certified Foot and Ankle Physician and Surgeon
