- Feeling a burning sensation under the ball of your foot?
- Is it sharp?
- Does it shoot down the toes?
- Does it just feel like there’s an extra layer under your foot?
These are all very typical feelings with neuromas.
A Neuroma (pron. new-row-ma) is the name given to swelling of the nerve between the long bones of the forefoot, just before they enter the toes. As you can imagine there is not a lot of space in the foot. As the nerve swells it it is confined by the long bones, causing further compression of a grumpy nerve!
What does a Neuroma feel like?
Depending on the degree of nerve compression, different symptoms can be felt. Commonly a neuroma will occur between the 3rd and 4th toes which is called a Morton’s Neuroma (as shown), although they can occur in any space.
These are a few lines that we tend to hear from our clients with a Neuroma:
- There is a clicking feeling in the forefoot
- I have sharp shooting pain from under the ball of the foot (+/- to the toes)
- I have pins and needles or numbness in my foot
- My toes are drifting apart
- A long time standing makes it burn
What factors contribute to a Neuroma forming?
The exact cause of the neuroma varies between clients, so an accurate diagnosis must be carefully made by a Podiatrist.
A typical Neuroma assessment will include:
- Hands-on assessment
- Biomechanical and gait analysis
- 3D Force Pressure Plate – to analyse how the impact going through your feet with each step is contributing to the neuroma.
- Mobility Range Testing – restricted ankle and foot joints load the nerves
- Muscle Strength Testing –
- Footwear Assessment – potential compression forces that can cause pain
Treatments for Neuromas
How are your shoes impacting your feet…?
Conservative Care from your Podiatrist:
- Footwear – relief is started by having a good pair of well-fitted shoes to ensure they are not squeezing the nerve
- Metatarsal Pads –to help take pressure off the nerve
- Custom Flexible Orthotics – if your foot structure and mechanics are contributing to pain, an orthotic is effective for pain relief
- Local Anaesthetic “Hydrodilation” can be very helpful to directly settle a reactive nerve, without having the side effects of a cortisone injection
- Dry Needling – usually performed directly at nerve site as well as into local muscles in the foot and leg contributing to pain
Surgical Care from a Podiatric or Orthopaedic Surgeon may be sought if pain is unchanging after a period of greater than 3 months conservative Podiatry care.
Neuromas can really get on your nerves!
Time to take action and get rid of that burning and shooting pain!
Pod Fit Podiatry
166 Grange Road, Findon
Adelaide SA 5023
Pod Fit Podiatry
31 Smart Road, Modbury
Adelaide SA 5092