Neuroma pain is something we see often at Momentum Podiatry. A Neuroma, also known as Morton’s neuroma, is a common condition that affects the feet. It can cause cause discomfort and sometimes debilitating pain. 

At Momentum Podiatry we understand the impact that neuroma pain can have on your daily life.  Which is why we’re dedicated to providing comprehensive care and effective treatment options for this condition. Each neuroma’s cause and effect may be different, meaning we must tailor the cause of pathology and the treatment differently for each person.

What is Neuroma Pain?

Neuroma pain is a condition characterised by the thickening of the tissue surrounding a nerve, typically between the third and fourth toes. It can also occur at any webspace in the foot. This thickening can cause compression and irritation of the nerve, leading to pain, numbness, and a burning sensation in the ball of the foot.

Causes of Neuroma Pain:

While the exact cause of neuroma pain is not always clear, several factors may contribute to its development:

  • Foot structure: Individuals with certain foot deformities, such as high arches or flat feet, may be more prone to developing neuromas.
  • Footwear: Tight, narrow, or high-heeled shoes can compress the toes and increase pressure on the nerves, leading to irritation and inflammation.
  • Overuse: Activities or sports that involve repetitive stress on the feet, such as running or participating in high-impact sports, can contribute to the development of neuroma pain. We see lots of this around Bayside being close to the beach for our many runners and walkers. As well as having so many sporting activities and opportunities around Parkdale. 
  • Injury: Trauma to the foot, such as sprains or fractures, can damage the nerves and increase the risk of developing neuromas. Trauma can also alter the gait pattern and cause pressure on areas that it did not previously and therefore lead to the development of a neuroma. 
A runner who is being treated for neuroma pain by a Podtrist.

Symptoms of Neuroma Pain

Identifying the symptoms of neuroma pain is essential for timely diagnosis and treatment. Common signs and symptoms include:

  • Pain or discomfort in the ball of the foot, typically between the third and fourth toes. 
  • Numbness or tingling in the toes.
  • A burning sensation or sharp, shooting pain that radiates into the toes.
  • Difficulty walking or standing for long periods, especially in tight or constrictive shoes.
  • Spreading of the toes when sitting or standing. 
  • A dull ache at night time. 

Treatment and Management Options

At Momentum Podiatry, we offer a variety of treatment and management options to help alleviate neuroma pain and improve your quality of life. Here are some of the most effective methods:

  • Footwear recommendations and modifications: Wearing shoes with a wider toe box and lower heels can help relieve pressure on the nerves and reduce pain. 
  • Orthotics: custom or off the shelf modified inserts may also provide additional support and cushioning for the feet. An orthotic is designed to reduce stress or pressure in a certain area. This will help redistribute it to the rest of the foot, whilst improving function. 
  • Padding and taping:  This can help redistribute pressure and reduce friction on the nerves, providing temporary relief from pain and discomfort.
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen may help reduce inflammation and alleviate pain associated with neuromas. Topical treatments such as Voltaren gel or deep heat may also alleviate pain short term. In some cases, corticosteroid injections may be recommended to reduce swelling and relieve symptoms.
  • Physical therapy: Stretching and strengthening with specific exercises for the feet and toes can help improve flexibility and stability. Therefore reducing the risk of further irritation and injury to the nerves. Targeting the muscular imbalance which may have led to the development of the neuroma may reduce pain and also act as a preventive. 
  • Surgical intervention: If conservative treatments fail to provide relief, surgical removal of the neuroma may be necessary. This procedure, known as neuroma excision, involves removing the affected nerve tissue to alleviate pain and restore function to the foot.

How to prevent a neuroma?

While neuroma pain can be challenging to prevent entirely. There are some steps that the podiatrists can assist you further with. Here are some of the things you can do to reduce your risk of developing a neuroma:

  • Wear properly fitting shoes with adequate support and cushioning for the feet.
  • Avoid wearing tight or narrow shoes that compress the toes and increase pressure on the nerves.
  • Maintain a healthy weight and participate in regular exercise to reduce stress on the feet and lower limbs.
  • Take breaks from activities that involve repetitive stress on the feet, such as running or standing for long periods.

Neuroma pain can be a debilitating condition that affects your mobility and quality of life. If you’re experiencing symptoms of neuroma pain, don’t hesitate to seek professional help from a qualified podiatrist in your local Bayside area. At Momentum Podiatry , we’re here to provide expert care and personalised treatment options. We want to help you find relief from pain and get back on your feet.

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