Neuromas

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Sportslab
Drummoyne

Full Potential Physiotherapy Ashfield

A person holding forefoot with pain, Forefoot pain, metatarsalgi

Overview

Neuromas in the feet, often referred to as Morton’s neuroma, are benign growths of nerve tissue that typically occur between the toes, most commonly between the third and fourth toes. These growths can cause a variety of symptoms, including pain, tingling, burning sensations, and a feeling of having a pebble in the shoe.

Causes of Neuromas

Footwear

Tight, narrow, or high-heeled shoes can compress the nerves in the foot, leading to irritation and the formation of a neuroma.

Foot Deformities

Structural abnormalities, such as bunions, hammertoes, or flat feet, can increase pressure on the nerves and contribute to the development of neuromas.

Repetitive Stress

Activities that involve repetitive stress on the foot, such as running, dancing, or certain sports, can irritate the nerves.

Injury

Trauma to the foot, such as a sprain or fracture, can lead to the formation of a neuroma.

Nerve Compression

Conditions that cause swelling or pressure on the nerves, such as arthritis or other inflammatory conditions, can contribute.

Symptoms

Treatment Options for Podiatrists

Our Podiatrists at Sydney Podiatry have several treatment options to address neuromas, which can be categorized into conservative approaches:

Conservative Treatments

Footwear Modification

Advising patients to wear wider shoes with a low heel and good arch support. Special orthotic devices may also be recommended.

Padding and Taping

Applying pads to relieve pressure on the affected area or taping the toes to help minimize movement and irritation.

Physical Therapy

Stretching and strengthening exercises may help reduce symptoms and improve foot mechanics.

Activity Modification

Reducing activities that exacerbate symptoms, such as high-impact sports or prolonged standing.

Corticosteroid Injections

To reduce inflammation and pain in the affected area. These may provide significant relief in some patients.

Overall Management

A comprehensive management plan tailored to the individual patient’s needs, considering the severity of symptoms and underlying foot structure, is essential. Regular follow-ups can help adjust treatment strategies as needed. In addition, educating patients about lifestyle changes and proper footwear can significantly improve symptoms and prevent recurrence.

Conclusion

Neuromas in the feet can be painful and debilitating, but with proper assessment and treatment by our Podiatrists at Sydney Podiatry, most patients experience significant relief. Early intervention is key to preventing progression and improving overall foot health.

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