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| Neuromas | A Neuroma is a painful condition, and is commonly referred to as a pinched nerve. It is abnormal growth of nerve tissue traditionally found between the 3rd and 4th toes. The condition can cause changes in sensation to the digits, tingling, numbness between the toes and in the ball of the foot.
The primary symptom associated with a neuroma is pain between the 3rd and 4th toes on the ball of the foot. Patients suffering from this condition off and find relief by stopping their walking, taking off her shoes and massaging the area. Sometimes the patients will describe the pain similar to having a marble or rock in the ball of the foot. Women suffer from neuromas more commonly than men.
Although the exact cause for her neuroma is unclear a number of factors are suspected in the development of a neuroma. Biomechanical deformities, such as high arched or flat feet, can cause a neuroma. Certain foot types cause instability around the toe joints which can lead to development of a neuroma. These biomechanical forces can cause repetitive trauma to the nerve resulting in inflammation of the nerve itself. Improper footwear that causes the toes to be squeezed together and heeled shoes higher than two inches increase the pressure on the forefoot and to the nerve locally. Certain types of occupations that require prolonged standing or walking can also create her aggravate the neuroma.
Initially patients that feel that may have a neuroma can attempt to accommodate their shoe gear. Proper fitting shoes with plenty of room for the toes and low heels can improve symptoms. Shoes with thick, shock absorbing soles may also help. High heels should be avoided whenever possible because they increased forefoot pressures.
Treatment options very greatly with the severity of each neuroma and evaluation by a physician is recommended. If addressed early most patients will not require surgical intervention. The primary goal of early treatment as to relieve pressure and to prevent more severe symptoms from developing. X-ray evaluation is typical in the evaluation of a neuroma. Mainstay treatments include padding and taping, anti-inflammatory medications, cortisone injections and orthotic devices. Surgical options are typically not considered until conservative treatments have failed to relieve the patient's symptoms. Surgical intervention usually requires removal of the affected nerve.
Remember that your feet are not supposed to hurt and that foot pain is not normal. Disruption in foot function can decrease your productivity and mobility. If you are experiencing foot pain please contact our office and schedule appointment with one of our physicians. |
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Danville Office
1077 East Lexington Avenue
Danville, KY 40422
859-236-3142
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Lexington Office
2130 Nicholasville Rd Suite 1
Lexington, KY 40503
859-278-7313
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Versailles Office
195 South Main Street
Versailles, KY 40383
859-278-7313
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