A Neuroma, so now what?

You have a neuroma, so now what? If you’re not sure if you have a neuroma or not, refer to our blog Neuroma, Oh No!

There are techniques and procedures to implement into your daily life to minimize the pain associated with a neuroma. First off, evaluate the shoes you are wearing. The tighter the shoe, the more the neuroma becomes inflamed. Wear shoes that allow for the toes to move. Shock-absorbent soles in shoes allow for the pressure to be displaced evenly which will minimize the pain associated with the neuroma. Shorter heeled shoes or flats are advised. If pain and inflammation occurs, remember RICE (rest, ice, compression, and elevation). In this case, avoid compression.

Podiatrists, like myself, diagnose and treat neuromas based on the severity of the neuroma. The ranges of treatment options fall between having the patient wear thick-soled shoes to surgery to remove the tumor. One of the first steps in the initial appointment is to take an X-ray of the foot. This will indicate the severity of the neuroma and helps to determine the best course of treatment options for minimizing the pressure on areas where the neuroma develops.

Here are a couple treatment options available for neuromas.

Padding and Taping: Padding on the ball of the foot can help to relieve the pressure and pain of the neuroma. This may also help to change the abnormal foot function.

Medication: There are many anti-inflammatory drugs and cortisone treatments available. Consult with your podiatrist on which ones are right for you.

Orthotics: Orthotics are custom shoe inserts that podiatrists use to correct a number of foot conditions. Orthotics are a step beyond purchasing over the counter shoe inserts because they are molded using your own foot for a proper fit.

Surgery: This is the last resort. All other measures should be tried first. If the neuroma progresses past the use of non-surgical treatment, surgery becomes necessary. Surgery involves removing the nerve causing the neuroma.

Contact my office if you feel you have a neuroma for a diagnosis and treatment plan.

Image by LeeLeFever. (2011). The latest in spring fashion. Flickr. Retrieved from http://www.flickr.com/photos/leelefever/5646695129/