What Is A Neuroma?

  • A foot neuroma is a very common condition affecting the nerves of the ball of the foot.
  • The nerves in this area (between the toes) become painful and inflamed.
  • The most common type of neuroma is a Mortons neuroma, which is located between the 3rd and 4th toe. 

What Are The Symptoms Of Neuroma?

  • Pain on the ball of the foot is the most common symptom.
  • The pain may be a burning or shooting type of pain.
  • Sometimes patients may feel numbness in their toes
  • Symptoms are mostly aggravated by tight-fitting shoes, as well as high heels. 

What are the causes of neuromas?

There are many causes that contribute to the development of a neuroma.

  • Improper shoe gear is probably the most likely cause. 
  • Frequent wearing of high heels. 
  • Heredity and genetic factors may also be involved.
  • The structure of the foot may predispose the condition.
  • Other conditions such as bunions, hammertoes may cause neuromas as well. 

When to seek treatment

Common reasons patients seek treatment include: 

  • Pain on the ball of the foot, which, interferes with walking or activities
  • Problems with fitting shoes due to pain
  • Change in the appearance of the toes
  • Numbness in the toes 

Non-surgical treatment options

  • Wear proper supportive shoe 
  • Use of foot orthotics
  • Modify your activities
  • Decrease physical activities
  • Anti inflammatory medications
  • Cortico steroid injections
  • Sclerosing agent injections

Neuroma Surgery

Surgery for a neuroma most often involves removing the affected nerve. An incision is made on the top of the foot and the nerve is carefully removed. 

Another option is to release the ligament that is impinging the nerve. This is called a decompression of the nerve. 

Neuroma surgery recovery

  • Recovery after Morton’s neuroma (neurectomy) surgery is generally quick.
  • Patients typically are walking on the operated foot in a post-surgical fr0m day one, and use the shoe for about, 2–4 weeks, depending on healing.
  • Return to regular shoes is 2-6 weeks after the surgery.

What Anesthesia Is Needed For Foot Neuroma Surgery

  • Morton’s neuroma surgery is performed as outpatient surgery. 
  • It may be performed in a hospital or an ambulatory surgery center.
  • The surgery is most commonly performed under sedation with local anesthesia, but can be performed under a local, regional, spinal or general anesthetic.

What Are The Risks Of Neuroma Surgery

Just as any other surgery, neuroma surgery has general risks.

  • Complications may occur with any surgery and are not necessarily your fault, or the fault of your surgeon. Nonetheless, you should understand the risks.
  • Neuroma surgery complications include, but are not limited to: infection, pain (temporary or permanent), swelling, hematoma, bleeding, blood clot, poor wound healing, incision breakdown, poor bone healing (delayed union, nonunion), nerve injury, disability, recurrence, scarring, stiffness, weakness, hardware problems, need for revisional surgery, and/or catastrophic loss.