A Neuroma is a growth or thickening of nerve tissue, found most commonly between the 3rd and 4th toes. It usually causes pain, especially while wearing shoes or while walking barefoot on a hard surface. As pain increases your ability to enjoy an active lifestyle and to wear fashionable shoes is compromised.

The causes of neuroma include trauma and poorly fitting shoes or shoes that are excessively high or tight. Symptoms can include pain, tingling, burning or numbness in the central ball of the foot. The diagnosis of a neuroma is usually fairly simple, as most neuromas are palpable.

Treatment of neuromas include a change in the type of shoes you are wearing, physical therapy, custom orthotics to alleviate pressure on the site, oral medication or cortisone injection. If none of these methods are successful in improving your symptoms, more invasive treatments such as Sclerotherapy(injecting an alcohol solution in the area to permanently numb the nerve) or surgical removal of the neuroma may be indicated.

Recovery after these procedures usually involves minimal disruption of your lifestyle.


Drs. Notari and Subik are Board Certified in Foot and Ankle Surgery


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