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Neuromas
A neuroma is a thickening of nerve tissue that may develop in various parts of the body. The most
common neuroma in the foot is a Morton's neuroma, which occurs at the base of the third and fourth
toes as a result of compression forces, as the third and fourth metatarsals glide by each other.
Neuromas can be found in other areas of the foot as well including the second interspace and the
medial aspect of the big toe ( Joplin's neuroma ). Symptoms include: Tingling, burning, numbness,
pain or a feeling that something is inside the ball of the foot, or maybe a rise in the shoe or a
sock is bunched up. The symptoms may go away or decrease for a time by massaging the foot, avoiding
aggravating shoes or decreasing activities.
Your podiatrist will attempt to reproduce your symptoms by manipulating your foot and preforming tests to the area.
Conservative treatments include; Padding, orthotic devices, activity modifications, changes in shoewear,
Medications, such as oral steroids and nonsteroidal anti-inflammatory drugs (NSAID's). Injection therapy
may follow, if there is no significant improvement after initial treatment. If conservative therapy fails
your doctor may wish to discuss surgical alternatives with you.
This material is only provided as helpful information and you should always go to your medical doctor or podiatrist for a professional diagnosis.
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