Posts for category: Neuromas

Think pinched nerves only occur in the spine?   Think again.  Pinched nerves can  also occur in other parts of the body, including the foot.  Also known in the medical world as  Morton's neuroma,  this condition is characterized by inflammation and enlargement of li ttle nerves in between the toes, due to pressure placed on the nerve from by the adjacent bones (metatarsal heads), causing the nerve to be pinched or squeezed.    The site that is  usually affected is in between the 3rd and 4th toes, but foot specialists also see it quite often  in between the 2nd and 3rd toes.   
 
Symptoms of Morton's neuroma  include a sharp, burning pain in between the toes, tingling, or a  pins and needles feeling, numbness, a  feeling that there  is   a scrunched-up sock or pebble in the ball of your foot, swelling between the toes,  and   less often, separation of the toes . Common causes of  Morton's neuroma  include wearing tight-fitting shoes or high heels.  On that note, it is often seen in women.  Participation in high - impact athletic activities and sports that require the athlete  to wear tight -fitting footwear can also lead to this problem.    Other, less common conditions that can put people at risk for developing  Morton's neuroma  include congenital foot problems, high- arched or flat feet, bunions, and hammertoes. 
 
Treatment at home can include taking your shoes off and massaging the foot, rest, ice, wearing  shoes that are wide in the front, and using over -the - counter anti- inflammatory medications, such as ibuprofen or aspirin. 
 
Your foot specialist can often make the diagnosis of Morton's neuroma  with careful history and his or her clinical examination  in the  office. Symptoms are often reproduced by squeezing the area that hurts, and when an audible click is heard when the doctor squeezes  the  forefoot. It is common for your doctor to order an  ultrasound  or MRI test, in order to confirm the diagnosis.  
 
Common treatments you r foot specialist may recommend   tha t can improve your symptoms include specialized pads , which are placed on the bottom of your foot, custom foot inserts (orthotics), steroid injections , and numbing the area with local anesthetic.  A very valuable  treatment  option, which   has proven time and time again to provide a high rate of success,  is alcohol sclerosing injections. Treatment is comprised of a series of six injections, each one two weeks apart, when your foot specialist injects a very s mall amount of a specialized alcohol, called  dehydrated alcohol, into the area where the Morton's neuroma  is located. Aside from being very effective in significantly improving or eliminating your symptoms , other major advantages of alcohol sclerosing injections  include quick recovery, no down time, and very importantly, the ability to avoid surgery.  
 
Surgery, though, in the form of  excision   or removing the portion of the nerve that is affected, or  decompression, might be warranted, in the event your sympt oms fail to improve with extensive conservative treatment.
By Dr Shabana Chowdhury
June 06, 2019
Category: Neuromas
Tags: Neuroma  

                                       

Have you ever had a shooting pain in between your toes while running? Or have you ever felt like there was a rock in your forefoot only to find nothing in your shoe? Did you ever feel a numb sensation in the ball of your foot while wearing heels? These might be indicators of a Neuroma. A Neuroma, also known as an Intermetatarsal Neuroma or Plantar Neuroma, is a condition that affects the nerves of the feet, usually the area between the long bones of your foot. They most commonly affect the third and fourth toe, if so this would be called a Morton's Neuroma.

A Neuroma is a painful condition, also referred to as a "pinched nerve" or a nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes. It brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot. This condition can be caused by injury, pressure or irritation. Normally you will not be able to feel a palpable bump on your foot, but instead burning pain in the ball of the foot will be experienced. Numbness and tingling may also occur. A Neuroma can cause pain when in tight or narrow shoes are worn. As the condition worsens, the pain may persist for days, or even weeks.

So what causes the development of a Neuroma? Neuromas can be caused by wearing ill-fitting shoes that cause pressure to the toes, such as high heels. Also, high impact exercise may cause of this condition from repetitive pressure. Neuromas may also develop if the foot sustains an injury. Bunions and flat feet can also cause Neuromas because these foot conditions cause excessive pressure and irritates the tissue.

If Neuroma pain persists longer than a few days with no relief from changing shoes, then it is best to schedule an appointment with a podiatrist. The earlier the condition is treated, the less chance there will be for surgical treatment. A podiatrist can alleviate the effects of a Neuroma by decreasing the pain and help decrease pressure on the nerve. For mild to moderate cases, treatments may include: applying padding to the arch to relieve pressure from the nerve and reduce compression while ambulating. A podiatrist may also create a custom orthotic device to support the foot and reduce compression and pressure on the affected nerve. It is also best to take a break from activities that involve constant pressure on the affected area. Wider shoes help to ease the pressure from the toes. Using a night splint can also help take pressure away from the forefoot. If these treatments are not successful then injection therapy is suggested. This can involve a corticosteroid injection or a series of sclerosing injections.

Surgical treatment may be recommended if all other treatments fail to provide relief. Normally, the surgical procedure involves removal of the affected nerve or to release the nerve.

By Dr Aarti Kumar
January 16, 2019
Category: Neuromas
Tags: Numbness  

                       

If you are standing outside in the cold for too long these days, chances are your toes might feel numb. But there are many more reasons why legs and feet can feel numb and tingly. The medical terminology for numbness and tingling is called "paresthesias". One of the most common causes of paresthesias in the lower extremities is nerve impingement. It is important to understand that the nerves supplying the feet arise from the lower back region. Any time there is an impingement or back injury, foot and leg numbness is common. Neuromas (inflammation of the nerves) in the foot can  cause "an electric shock type" sensation in the toes and cause numbness in the toes when in shoes. Another common cause of paresthesias is diabetes-most commonly termed diabetic neuropathy.

One of the major reasons why it is important for diabetic patients to see podiatrists every few months is so that we can test your sensation and make sure there are no cuts or scrapes that can lead to serious infections. Poor circulation can lead to cold feet but also numbness. Raynaud's disease is seen more commonly in the winter months and patients frequently come in complaining of "not being able to feel their toes". Some of the other less common causes of paresthesias in the lower limb can be vitamin deficiency, autoimmune diseases such as thyroiditis and Celiac's disease, pregnancy, kidney disease and infections such as Lyme disease and shingles. If you are experiencing paresthesias in the lower extremities, make an appointment with the foot specialists at Advanced Podiatry and we can work together to figure out the cause. We work well with other specialists such as neurologists to find the best treatments for our patients.

By Dr. Evan A. Vieira
March 20, 2017
Category: Neuromas
Tags: foot   toes   Neuromas   footwear  

A neuroma is a painful condition, also referred to as a "pinched nerve" or a nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes. It brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot.  

The principal symptom associated with a neuroma is pain between the toes while walking. Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe. The vast majority of people who develop neuromas are women.

Although the exact cause for this condition is unknown, a number of factors can contribute to the formation of a neuroma.
Biomechanical deformities, such as a high-arched foot or a flat foot, can lead to the formation of a neuroma. These foot types bring on instability around the toe joints, leading to the development of the condition.

1: Trauma can cause damage to the nerve, resulting in inflammation or swelling of the nerve.
2: Improper footwear that causes the toes to be squeezed together is problematic. Avoid high-heeled shoes higher than two inches. Shoes at this height can increase pressure on the forefoot area.
3: Repeated stress, common to many occupations, can create or aggravate a neuroma.
Proper evaluation by one of our doctors can help stop your pain quickly!

There are a number of treatment options available ranging from orthotics to surgery.  If you are suffering from these symptoms call and make an appointment today!



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