Neuroma

Overview

A Neuroma is where the nerve is irritated, compressed or inflamed. This results in thickening of the nerve and the surrounding tissues. Patient’s often describe this pain as burning, knife like stabbing, or just complete agony, so much so that they are unable to put their foot down and walk.

The most affected areas are between the 3rd and 4th web spaces and toes. However, patients often also complain of intense forefoot pain. This is because the nerve that supplies this area of the foot is naturally thicker, so it is more exposed to trauma that may result from inappropriate footwear or an underlying Biomechanical issue.

Treatments

Due to the feet being a complex part of your body, they can not be, and should not be, looked at in isolation. Your feet are placed at the bottom of the skeleton tree. Therefore, any problems within the the lower back, thigh muscles, knee joints, and lower limbs will contribute to your foot pain. Due to this, a condition cannot be solved simply by consultation, and a thorough hands-on assessment is required.

By carrying out a Biomechanical Gait Analysis Assessment, the Podiatrist will consider your foot condition, but also take into account symptoms being experienced further up the skeleton. The assessment will provide an accurate diagnosis, allowing the Podiatrist to prepare a suitable treatment plan, which may include recommended stretches, custom made orthotics, and footwear advice.

Padding and strapping is also another way that the Podiatrist can give you immediate relief.

Corticosteroid injections and surgical removal of the Neuroma are also options, but these are usually reserved for worst case scenarios, where the patient has not responded to any conservative method.