Posts in the neuroma category

Footsurgery News 13 Jul | '2018

Morton’s Neuroma: what do you need to know

  1. What is Morton’s neuroma?

A neuroma is a thickening of nerve tissue and Morton’s neuroma is a swollen, inflamed common digital nerve located between the bones at the ball of the foot. The most common location is in second (between second and third metatarsal) and third (between third and fourth metatarsals) spaces. This can cause a sharp, burning pain in the ball of your foot and sometimes the pain radiates to the toes.

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Footsurgery News 13 Feb | '2018

Bursitis foot Brisbane & Gold Coast

An intermetatarsal bursitis is a common cause of foot pain that is reported in females more than males. The high incidence of bursitis is attributed mainly to the anatomy of the female foot as well as lifestyle choices such as the prolonged use of higher heeled shoes or long hours of standing in occupations such as the retail industry. Unfortunately, poorly managed foot pain caused by bursitis can also aggravate the risk of developing other disorders, such as neuromasRead More

Footsurgery News 31 Jan | '2018

Morton’s Neuroma surgery

Morton’s Neuroma surgery is an excellent option for people who suffer from this debilitating condition, despite non-surgical treatments being unsuccessful. There are, however, certain risks that must be discussed with the patient if considering undergoing Morton’s Neuroma surgery.

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Footsurgery News 23 Jan | '2018

Bursitis foot Gold Coast

An intermetatarsal bursitis is a common cause of foot pain that is reported in females more than males. The high incidence of bursitis is attributed mainly to the anatomy of the female foot as well as lifestyle choices such as the prolonged use of higher heeled shoes or long hours of standing in occupations such as the retail industry. Unfortunately, poorly managed foot pain caused by bursitis can also aggravate the risk of developing other disorders, such as neuromasRead More

Footsurgery News 23 Jan | '2018

Bursitis foot cortisone injection

An intermetatarsal bursitis is a common cause of foot pain that is reported in females more than males. The high incidence of bursitis is attributed mainly to the anatomy of the female foot as well as lifestyle choices such as the prolonged use of higher heeled shoes or long hours of standing in occupations such as the retail industry. Unfortunately, poorly managed foot pain caused by bursitis can also aggravate the risk of developing other disorders, such as neuromas

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Footsurgery News 21 Jan | '2018

Bursitis foot surgery

Intermetatarsal bursitis is a common cause of foot pain that is reported in females more than males. This high incidence is attributed mainly to the anatomy of the female foot as well as lifestyle choices such as the prolonged use of higher heeled shoes or long hours of standing in occupations such as the retail industry. Unfortunately, poorly managed foot pain can also aggravate the risk of developing other disorders such as neuromasRead More

Footsurgery News 21 Jan | '2018

Why do I have a Morton’s neuroma?

Why do I have Morton’s neuroma? A Morton’s neuroma usually presents with particular symptoms: pain goes away if you take off shoes, pain comes and goes, and people sometimes say it feels like a sock is scrunched up in their shoe or that they are walking on a pebble. There is often pain shooting into the toes.Read More

Footsurgery News 24 May | '2017

Can all podiatrists do surgery?

Yes – all podiatrists are trained in the use of local anaesthetic and scalpel blade techniques. However, most podiatrists will only perform surgery of the nails and skin, such as ingrown toenails and excision of plantar warts. Nationally, there are 35 specialist podiatric surgeons and Dr Kim is the only one of podiatric surgeons in Queensland – who is registered to be able to perform more advanced surgery. Read More

Footsurgery News 21 Sep | '2016

Could I have morton’s neuroma?

A Morton’s neuroma usually presents with particular symptoms: pain goes away if you take off shoes, pain comes and goes, and people sometimes say it feels like a sock is scrunched up in their shoe or that they are walking on a pebble. There is often pain shooting into the toes.

What Is a Neuroma?

A neuroma is a thickening of nerve tissue that may develop in various parts of the body. The most common neuroma in the foot is Morton’s neuroma, which occurs between the third and fourth toes. It is sometimes referred to as an intermetatarsal neuroma. Intermetatarsal describes its location in the ball of the foot between the metatarsal bones. Neuromas may also occur in other locations in the foot.

Morton's Neuroma

The thickening, or enlargement, of the nerve that defines a neuroma, is the result of compression and irritation of the nerve. This compression creates enlargement of the nerve, eventually leading to permanent nerve damage.

Causes

Anything that causes compression or irritation of the nerve can lead to the development of a neuroma. One of the most common offenders is wearing shoes that have a tapered toe box or high-heeled shoes that cause the toes to be forced into the toe box. People with certain foot deformities—bunions, hammertoes, flatfeet or more flexible feet—are at higher risk for developing a neuroma. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running or court sports. An injury or other type of trauma to the area may also lead to a neuroma.

Symptoms

If you have Morton’s neuroma, you may have one or more of these symptoms where the nerve damage is occurring:

  • Tingling, burning or numbness
  • Pain
  • A feeling that something is inside the ball of the foot
  • A feeling that there is something in the shoe or a sock is bunched up

The progression of Morton’s neuroma often follows this pattern:

  • The symptoms begin gradually. At first, they occur only occasionally when wearing narrow-toed shoes or performing certain aggravating activities.
  • The symptoms may go away temporarily by removing the shoe, massaging the foot or avoiding aggravating shoes or activities.
  • Over time, the symptoms progressively worsen and may persist for several days or weeks.
  • The symptoms become more intense as the neuroma enlarges and the temporary changes in the nerve become permanent.

Diagnosis

To arrive at a diagnosis, the foot and ankle surgeon will obtain a thorough history of your symptoms and examine your foot. During the physical examination, the doctor attempts to reproduce your symptoms by manipulating your foot. Other tests or imaging studies may be performed.

The best time to see your foot and ankle surgeon is early in the development of symptoms. Early diagnosis of Morton’s neuroma greatly lessens the need for more invasive treatments and may help you avoid surgery.

Nonsurgical Treatment

In developing a treatment plan, your foot and ankle surgeon will first determine how long you have had the neuroma and evaluate its stage of development. Treatment approaches vary according to the severity of the problem.

For mild to moderate neuromas, treatment options may include:

  • Padding. Padding techniques provide support for the metatarsal arch, thereby lessening the pressure on the nerve and decreasing the compression when walking.
  • Icing. Placing an ice pack on the affected area helps reduce swelling.
  • Orthotic devices. Custom orthotic devices provided by your foot and ankle surgeon provide the support needed to reduce pressure and compression on the nerve.
  • Activity modifications. Activities that put repetitive pressure on the neuroma should be avoided until the condition improves.
  • Shoe modifications. Wear shoes with a wide toe box and avoid narrow-toed shoes or shoes with high heels.
  • Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
  • Injection therapy. Treatment may include injections of cortisone, local anaesthetics or other agents.

When Is Surgery Needed?

Surgery may be considered in patients who have not responded adequately to nonsurgical treatments. Your foot and ankle surgeon will determine the approach that is best for your condition. The length of the recovery period will vary depending on the procedure performed.

Regardless of whether you have undergone surgical or nonsurgical treatment, your surgeon will recommend long-term measures to help keep your symptoms from returning. These include appropriate footwear and modification of activities to reduce the repetitive pressure on the foot.