The old expression about having a pebble in your shoe likely comes from someone who had a neuroma. This uncomfortable condition, which is also called Morton’s neuroma, can make a walk in the park less than pleasurable and medical intervention a good idea. At Virginia Foot & Ankle Surgical Associates, Melissa L. Gulosh, DPM, and Joseph R. Disabato, DPM, have considerable experience successfully treating patients with neuromas in Charlottesville and Culpeper, Virginia. To learn more, call one of the two locations or schedule a consultation using the online booking tool.
Neuroma Q & A
What is a neuroma?
A neuroma, which is commonly called Morton’s neuroma when it’s in your foot, is a thickening of your nerve, usually between your third and fourth toes, which is caused by a compressed or irritated nerve.
Neuromas can form for several reasons, including:
- Wearing shoes that crowd your toes
- Wearing high heels
- Repetitive stresses on the balls of your feet
- Bunions
- Hammertoes
- Flat feet or overly high arches
Any activity or condition that stresses the nerves in your feet can lead to a neuroma.
What are the symptoms of a neuroma?
The symptoms of a neuroma vary from one person to the next depending upon the degree of nerve impingement, but most people experience:
- Pain
- Tingling or numbness
- A burning sensation
- The feeling like there’s a pebble in your shoe
These symptoms usually come on slowly, only appearing when your nerve is aggravated. Over time, however, the changes in your nerve may worsen and become permanent, unless you seek medical counsel at Virginia Foot & Ankle Surgical Associates.
How are neuromas treated?
When you first come in, your doctor at Virginia Foot & Ankle Surgical Associates sits down with you to review your symptoms and your medical history. After a complete examination in which they try and bring on your symptoms to locate the nerve responsible, they devise an appropriate treatment plan based on how advanced your neuroma is.
In its early stages, your doctor tries to treat your neuroma conservatively with:
- A change in footwear
- Orthotics
- Taping and padding
- Activity modifications
- Anti-inflammatory medications
- Steroid injections
If your neuroma continues to pose problems, your doctor may suggest a surgical solution to remove the enlarged nerve. The doctors typically perform this surgery on an outpatient basis, which means you’re free to return home afterward. Over the following weeks, you need to limit your activities to allow time for your foot to heal.
Rest assured, your doctor is with you every step of the way and provides complete aftercare instructions.
For more on treating your neuroma, call Virginia Foot & Ankle Surgical Associates or fill out the online form to set up an appointment.