When the neuroma first begins, there may only be a loss of sensation between the 2nd and 3rd, or 3rd and 4th toes. Most patients don’t worry or are not even aware of the problem at this point. With time the pain in this same region begins and usually results in intermittent, sharp electrical sensations or even a constant burning just between the metatarsal heads.
When the condition first begins, it can usually be relieved by avoiding shoes that place additional weight or compression on the metatarsal area of the foot. With time and additional activity, the pain increases and is often present during all weight bearing activities in all shoe types.
In the early stages, pain may be relieved by avoiding higher heeled shoes, or by wearing soft insoles and supportive athletic or walking shoes. As the nerve becomes more irritated, swollen and inflamed, high doses of anti-inflammatories may generate relief of symptoms. Cortisone injections as well as alcohol injections may provide temporary relief.
If conservative treatments fail, neuroma surgery is a valid option. Although reoccurrence or generation of a new neuroma is possible, neurectomy (neuroma excision) may provide permanent relief of symptoms.
Let Metro Foot and Ankle Centers, PC start to control your neuroma pain today!