Neuromas

What is Neuroma?

Neuroma is a condition that occurs when nerve tissue that connects to the toes becomes too thick. This leads to discomfort, especially when putting pressure on the ball of the foot. Neuroma usually resolves with conservative measures, but more severe or persistent cases might require additional treatment, such as surgery or injected medications.

What are the Signs of Neuroma?

The symptoms of neuroma usually occur inside the foot, since the nerves are affected. There are typically no visible signs of this condition, such as growths or bumps. Instead, common symptoms include a burning sensation in the ball of the foot, a tingling sensation in the toes, and the sensation of having a small item, such as a pebble, inside shoes while standing up or walking. Those who have symptoms of neuroma that don’t improve after a few days should seek medical care.

What Causes Neuroma?

Neuroma occurs when there is too much pressure on the tissue that runs along the ball of the foot. This condition can also occur when the nerves in this area are irritated or damaged. There are certain risk factors that can increase the chance of having neuroma. These include wearing high heels on a regular basis, running or jogging regularly, playing sports with tight-fitting shoes, and having a foot deformity, such as hammertoes or flat feet.

How is Neuroma Diagnosed?

A neuroma diagnosis includes a physical exam that involves pressing on the affected foot to check for soreness or tenderness. X-rays are sometimes done to make sure that nothing else is causing neuroma symptoms. Ultrasounds, or MRI, provide detailed images of soft tissue, which can show evidence of neuromas. If more tests are needed, magnetic resonance imaging can show even greater detail of soft tissue in the affected area, which helps diagnose neuromas when no obvious symptoms are present.

How is Neuroma Treated?

Treatment options for neuroma include anti-inflammatory medications, ice massages, and limiting certain activities. Wearing low-heeled shoes and shoes that fit loosely might also provide relief. When these treatments aren’t effective, other options include wearing arch supports or foot pads for more support on the ball of the foot, having medication injected into the affected area, and having surgery to remove the affected nerve or to ease pressure on affected nerves.