02/18/2022
Neuroma
An intermetatarsal neuroma may form when the nerve between the metatarsal bones becomes swollen, thickened, and inflamed. You usually feel it on the bottom of your foot, or between your toes. The neuroma can feel painful and make walking uncomfortable. The most common type of neuroma in the foot is called Morton's neuroma and happens between the bones of your third and fourth toes. Symptoms of Morton’s neuroma include pain between your toes and feeling like you’re stepping on a pebble or a fold in your sock. You may have stinging, burning, or numbness in the affected toes.
Symptoms
Symptoms of Morton’s neuroma get worse over time. These symptoms include:
Sharp, stinging, or burning pain between the toes when you stand or walk.
Swelling between the toes.
Tingling and numbness in your foot.
Feeling of a bunched-up sock or rock under the ball of your affected foot.
Worsening of the pain when you wear tight shoes or high-heeled shoes.
Sometimes the pain will be relieved by removing your shoe and rubbing your foot.
Causes:
You develop the condition when the nerve suffers excessive pressure or compression between the toes. That compression (squeezing) causes inflammation and irritation.
Risk factors
Factors that appear to contribute to Morton's neuroma include:
High heels shoes(more than 2 inches), shoes that are tight or ill-fitting or narrow or pointed-toe. These types of shoes can place extra pressure on your toes and the ball of your feet. Activities that feature tight shoes like snow skiing, ballet, or rock climbing can cause more pressure on bone structures as well.
Participating in high-impact athletic activities and sports such as tennis, jogging or running may cause repetitive trauma on the balls of your feet.
Having some sorts of foot deformities like bunions, hammertoes, high arches, or flatfeet prone you to a higher risk of developing Morton's neuroma.
Treatments
Treatment options include conservative and surgical. Ask your doctor for an appropriate treatment plan based on your condition. Below are the most common types of treatment.
Footwear modification. Avoid high heels or tight shoes. Always wear wider shoes with lower heels and a soft sole. This reduces pressure on the nerve, by enabling the bones to spread out and giving it time to heal.
physical therapy, stretching exercises to loosen tendons and ligaments, and exercises to strengthen your ankles and toes
Modifying your activities by giving rest to your foot, massaging the ball of your feet, and applying ice to sore areas
Custom molded orthotics and inserts also help relieve irritation by separating the bones and reducing the pressure on the nerve.
Medications like nonsteroidal anti-inflammatory pills can also reduce pain and inflammations.
Injections of a corticosteroid medication can reduce the swelling and inflammation of the nerve and relieve the pain.
If conservative treatment does not relieve your symptoms, your doctor may discuss surgical treatment options with you.