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Explaining A Neuromas 

A neuroma is an enlargement of a nerve. This enlarged, tumor-like structure has no cancer like characteristics, but may often become painful. The most common neuroma in the foot is called a Morton’s Neuroma. This develops behind the 3rd and 4th toes between the metatarsal bones. Symptoms occur often in the athletic population.

Usually a sharp pain is felt in the forefoot and associated toes, which is relieved by removing a shoe and rubbing the foot. Also, common symptoms include the sensation of “walking on a pebble”. Morton’s neuromas usually develop from friction of the nerve against a closely associate ligament, however some development of neuromas are not understood. But the treatment is well understood.

Shoe modifications, anti-inflammatory medications and surgery are treatment options. Newer injectable medications are being used today. These are called sclerosing agents which predictably destroy peripheral nerve tissue. These injections are given in a series and are considered very safe. These injections have resulted in significantly less neuroma surgeries being performed today.

Dr. Scott M. Reich, DPM
Foot Care Group, P.A.
Wilmington, DE