Managing and Treating Morton’s Neuroma

Morton neuroma is the thickening of the tissue around leading to the toes. This is a painful foot condition that affects the ball of your foot, especially in the middle of the third and fourth toes. The pain is sharp and burning and sometimes your toes feel numb. With Mortons feet, you always feel like you are standing on a fold in your sock or as if you are standing on a pebble.

Diagnosis

The neuroma specialist conducts a physical examination by pressing on the foot to determine the tender spot. Further examination is recommended to rule out other issues that could be causing the foot pain. An ultrasound would be the best exam because it uses sound waves to create a real-time image of the internal structures of the body. It will reveal the abnormalities of the neuromas. An x-ray can be done to rule out foot pain causes like a stress fracture. The MRI (Magnetic resonance imaging) uses a strong magnetic field and radio waves to visualize the soft tissues such as the neuromas. This is used when the patient is showing no symptoms of Morton neuromas, but the doctor suspects it could be the issue causing the patient discomfort. 

Morton’s neuroma can be uncomfortable and painful to live with. If you think you have Morton’s neuroma and need neuroma treatment, please reach out to the podiatrist at DeNiel Foot and Ankle Center. Their doctor, Dr. Ejodamen Shobowale will take care of all your foot and ankle needs plus answer any questions related to foot issues. 

Risk factors contributing to Morton’s neuroma

• Foot deformities such as hammertoes, bunions, flat feet, high arches leave the patients susceptible to the development of this condition.
• High heels or ill-fitting shoes and too-tight shoes, put extra pressure on the ball of the foot and your toes.
• High impact athletic activities such as running or jogging, are subject to repetitive trauma to the feet. Also, sports that feature tight shoes such as rock climbing or skiing put pressure on your shoes.
• Overweight people risk getting Morton neuroma because once they wear a high-heeled shoe the extra weight puts extra pressure on the feet.

Managing neuroma foot

There are various ways of managing the foot condition to improve the symptoms

• Relieve pressure off the foot by using over the counter shoe pads.
• Wear more supportive shoes with a wide toe box. If they have laces avoid tying them too tight. It is recommended that you wear shoes with proper insoles and shock-absorbent soles.
• Avoid pointed toed shoes or too tight shoes. Wear shoes whose heels are not more than 2 inches.
• Apply ice to the inflamed area to reduce swelling and pain.
• Rest your feet as much as possible.
• Massage the painful area of the foot.
• Wear proper athletic footwear with enough padding to cushion the balls whenever you’re taking part in sports or exercising.
• Reduce or manage your body weight so that you improve on the amount of pressure put on your feet.

 Neuroma treatment

Medications

Drugs temporally relieve symptoms of Morton’s Neuroma including pain, though, using medications for long is highly discouraged. Some of the medications used include corticosteroid injections and alcohol sclerosing injections. There are anti-inflammatory drugs that are taken orally to reduce inflammation such as aspirin and ibuprofen. You can have an anesthetic injection to temporarily relieve the pain through numbing the affected nerve.

Orthotics

Custom designed shoe inserts that reduce the pain by offloading the pressure off the nerve. The metatarsal pad is placed in the shoe insole for effective working. Custom made shoe inserts are individually designed to fit the different contours of your foot.

Surgery

When medication and management methods do not effectively relieve pain surgery is the next option. The surgical procedure known as neurectomy is used to remove part of the nerve tissue. Before the neurectomy is performed there is a procedure called cryogenic Neuro ablation therapy.  In this procedure, cold temperatures are applied to the nerves to destroy the sheath that covers the nerve and the nerve cells. Patients who have undergone this therapy are less likely to experience the symptoms of Morton neuroma again.

Decompression surgery can be done by cutting the structures nearby the nerve to relieve the pressure. Some of the structures removed include ligaments that bind the bones.