What is a 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 toes and in the ball of the foot.

What are symptoms of a neuroma?

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.  Other symptoms include swelling between the toes, pain in the ball of the foot when weightbearing, pain in the forefoot, and numbness in the ball of the foot.

What causes a neuroma?

There are several factors that can contribute to the formation of a neuroma. Biomechanical deformities (high-arched feet), trauma to the nerve, improper footwear, and repeated stress are several conditions which can contribute to the cause of neuroma.

What are treatment options for a neuroma?

Treatment options vary with the severity of each neuroma and identifying the neuroma early on is important to avoid surgical correction. Suggested treatment may include padding and taping at the ball of the foot, anti-inflammatory drugs and cortisone injections, and custom molded orthotics. When early treatments fail and the neuroma progresses past the threshold for such options, podiatric surgery may become necessary. The procedure, which removes the inflamed and enlarged nerve, can usually be conducted on an outpatient basis, with a recovery time that is often just a few weeks.

How to prevent a neuroma?

Preventive steps for neuromas include proper shoe wear which include shoes that are not excessively compressed and with adequate padding the ball of the foot. It is also important to avoid prolonged time in shoes with a narrow toe box or excessive heel height.

Source: APMA, https://www.apma.org/neuromas