Neuromas
Neuromas, also known as Morton’s neuroma or interdigital neuroma, are painful inflamed nerves that commonly occur between the third and fourth metatarsal heads but can also occur between the 2nd and 3rd metatarsals. The symptoms include a burning sensation, paresthesia, and hypoesthesia between the toes and the plantar aspect of the foot, especially during ambulation. Many individuals describe the sensation as having a rock in their shoe.
Causes and Risk Factors
Neuromas can be caused by various factors, including footwear choices that put excessive pressure on the metatarsophalangeal joints, foot structure and biomechanics that contribute to nerve compression, trauma or injury to the foot, and other underlying conditions such as pes cavus (high arch).
Diagnosis
A podiatrist will carefully examine the affected foot, inquire about symptoms and medical history, and may order imaging tests such as radiographs, ultrasonography, or magnetic resonance imaging (MRI) scans to confirm the diagnosis and rule out other conditions like stress fractures or intermetatarsal bursitis.
Treatment Options
There are various treatment options available for neuromas, ranging from conservative approaches to surgical interventions. Non-surgical treatments include:
- Low-level laser therapy to reduce inflammation and promote healing
- Changing footwear to reduce pressure on the affected intermetatarsal space
- Using custom orthotic devices for better foot support and metatarsal offloading
- Non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation
- Physical therapy to improve foot mechanics and strengthen intrinsic muscles
- Corticosteroid injections for temporary pain relief
- Alcohol sclerosing injections to deaden the nerve
In cases where conservative methods are ineffective, surgical interventions such as neurectomy (nerve removal) or neurolysis (nerve decompression) may be recommended.
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If you are experiencing symptoms of a neuroma, we encourage you to schedule a consultation with the Center for Foot Care. Dr. Titko, our experienced podiatrist, will provide you with personalized treatment options to address your specific interdigital neuralgia and help restore your foot comfort and function.
If you are searching for neuromas treatment near Liberty Township, The Center For Foot Care is the best option for you.