Foot deformities — people with bunions, hammertoes, flat feet or overly flexible feet are at increased risk for neuroma growth. Certain sports — high impact activity running, court sports subjects your feet to repetitive trauma. Sports that require tight shoes snow skiing put pressure on the foot. Excessive weight — being overweight increases foot strain.
When do I see a doctor? Imaging tests for neuroma detection: X-rays — do not detect soft tissue growths such as a neuroma; they rule out other causes for pain, like stress fractures or arthritis. Ultrasound — sound waves create live images of nerves and soft tissue growths, like neuromas. Ultrasound also detects other conditions that occur alongside neuromas, such as bursitis inflammation around the bones.
MRI — magnetic resonance imaging uses a strong magnetic field, to visualize soft tissues, such as neuromas. Conservative first-line treatments Change in shoes — low heels, wide toes and good arch support will reduce pressure on the foot. Padding — padding the foot arch reduces pressure on the nerve when you are walking.
Icing — helps reduce swelling in the foot. Orthotic devices — custom-made orthotic arch and ankle supports reduce pressure on the neuroma. Activity modification — repetitive foot pressure due to sports running, racquetball, mountain climbing should be avoided until the neuroma pain improves.
Anti-inflammatory medication — drugs such as ibuprofen Advil, Motrin or naproxen Aleve, Naprosyn reduce inflammation-related pain. Injection therapy — an injection of local anesthetic nerve-numbing Lidocaine and steroids into the foot, helps decrease pain and inflammation. Advanced injection techniques — treatment If pain continues despite several months of conservative treatment, your pain doctor may recommend advanced injection techniques.
Success rate equal to or exceeding that for surgical neurectomy, with fewer risks. In developing a treatment plan, your foot and ankle surgeon will first determine how long you have had the neuroma and will evaluate its stage of development.
Treatment approaches vary according to the severity of the problem. 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. Foot and ankle surgeons are the leading experts in foot and ankle care today. Foot and ankle surgeons have more education and training specific to the foot and ankle than any other healthcare provider.
Foot and ankle surgeons treat all conditions affecting the foot and ankle, from the simple to the complex, in patients of all ages including Morton's neuroma. Their intensive education and training qualify foot and ankle surgeons to perform a wide range of surgeries, including any surgery that may be indicated for Morton's neuroma.
Select personalised content. Create a personalised content profile. Measure ad performance. Select basic ads. Create a personalised ads profile. Select personalised ads. Apply market research to generate audience insights. Measure content performance. Develop and improve products. List of Partners vendors. People with neuroma often get frustrated because they take a long time to become pain-free and sometimes require surgery.
The nerve seems to get irritated by the surrounding bones metatarsal bones and has also been termed an intermetatarsal neuroma. What starts as inflammation can result in scar tissue forming around the nerve and in some cases enlargement of the nerve. This nerve is particularly sensitive to excessive pressure on the foot, and neuroma can occur in women who wear high heels and tight-fitting shoes.
A common patient complaint is a sensation of walking on a rolled-up sock. Conservative, non-invasive therapies remain the first-line approach to treating Morton's neuroma. Injections are usually spaced out every 7 to 10 days. To maximize the potency and duration of relief, the course of treatment includes injections in total.
Neuroma surgery is only performed in the most severe cases, where symptoms have persisted for months. There are two main types of neuroma surgery. In the dorsal approach, an incision is made in the top of the foot. This allows the patient to walk shortly after surgery since no stitches are located in weight-bearing areas of the foot.
When possible, it is typically the preferred route. The plantar approach involves an incision on the sole of the foot. During recovery, crutches are required for about a month. A scar will result that can cause discomfort while walking.
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