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Morton's Neuroma and Foot Pain Treatment in Houston

Neuromas

Neuromas are not nerve tumors on the foot, but are pinched nerves that develop through swellings from compression and not as an extra growth on the nerve. They usually develop between the third and fourth toes.

Patients feel a shooting, stabbing, radiating or burning pain, or just an odd feeling in the region. The pain however decreases once the shoe is removed, and the area is massaged.

Cause

It is not clear what causes a neuroma, but it is thought that the nerves found on both the sides of the toe pinch it. This causes inflammation and thickening of the nerve. Tight shoes, especially slip on shoes and some biomechanical dysfunction in the foot structure like flat feet add to the formation of a neuroma. Even injuries and foot sprains may lead to a neuroma.

Diagnosis

To diagnose neuromas, you have to have a clinical examination by a physician. They will look for palpable clicks in between the metatarsal heads of the foot. In addition to this, the physician will also ask for a diagnostic ultrasound imaging to evaluate the neuroma and an x-ray to ensure the pain is not due to some other foot problems.

Treatment

Conservative treatment is the best way to treat neuromas without any surgery. This includes the use of orthotics to alleviate the pain and to rectify any misalignment of the foot bones.

Use of a local anesthetic, corticosteroids and chemical neurolysis all help in providing relief from the pain of neuromas. In addition to this, it is better to change and avoid using tight footwear and instead, wear shoes having a wider toe box.

For best results, it is better to wear orthotics that designed to reduce the pressure that falls under the ball of the foot. For this to happen, the orthotics should tightly fit the foot arch so that the pressure on the ball is transferred to the arch. With the right prescription and fitting of such orthotics, it’s possible to reduce neuroma pains.

If neuromas are not treated, it starts growing and leads to more discomfort in the region. You also find it difficult to wear some shoes and do some jobs; and will have to finally surgically remove the neuroma.

Surgical treatment

In case non-surgical treatment options don’t work, surgery may be advised. The surgery is done under local anesthesia using IV medication, in an outpatient basis. You recover within three weeks’ time wherein you will be able to return to wearing normal shoe wear pretty soon. Though some neuromas may reoccur, it is very rare.

Other Podiatry Conditions Treated

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