Painful neuromas can often be effectively treated with custom orthotics

Neuroma symptoms present as a sharp/electrical-type pain in the forefoot. A neuroma can develop due to abnormal mechanical shearing of the long bones of the foot on the nerves caused by factors such as ill-fitting footwear and certain foot-types.  This shearing causes the nerve to become inflamed and therefore painful.

As podiatrists, when a patient presents with symptoms of a neuroma, we begin by talking thorough your medical history and conducting a physical examination of the affected foot. During the exam, we check for signs of tenderness, swelling, and inflammation in the area around the neuroma.

To confirm the diagnosis, we may also reference imaging tests such as X-rays, MRI, or ultrasound. These tests can help us visualize the neuroma and rule out other conditions that may be causing the patient’s symptoms.

Once a neuroma has been diagnosed, we can offer several treatment options. One approach is to provide custom orthotics or padding to relieve pressure on the affected area. These speciality orthotics can help redistribute the weight on the foot and reduce irritation to the neuroma.

Another treatment option is to inject the area around the neuroma with a corticosteroid medication. This can help reduce inflammation and alleviate pain. In some cases, we may also recommend physical therapy or massage to help improve foot mechanics and reduce pressure on the neuroma.

In severe cases, surgery may be necessary to remove the neuroma. However, we typically recommend this option for cases that have not responded to other treatments.

"I had been suffering from a painful neuroma for months before I saw Franc. Thanks to his expertise in podiatry and his use of custom orthotics, my neuroma has improved dramatically. I can now walk and exercise without pain, and I couldn't be more grateful for Franc's attentive care and treatment. I highly recommend him to anyone in need of podiatric services."